A certain group of epileptic patients who are refractory to medical treatment will be cured by epilepsy surgery after proper evaluation and work up. We provide all types of epilepsy surgery for suitable patients.
This is the most common way to remove pituitary tumors. Transsphenoidal means that the surgery is done through the sphenoid sinus, through the nostril a hollow space in the skull behind the nasal passages and below the brain. The back wall of the sinus covers the pituitary gland.
Less commonly, for larger or more complicated pituitary tumors, a craniotomy may be needed. In this approach, the surgeon operates through an opening in the front and side of the skull. The surgeon has to carefully work beneath and between the lobes of the brain to reach the tumor. It is actually safer for large and complex lesions because it provides better visualization and control of important nerves and blood vessels.
Arteriovenous malformations (AVMs) in the brain can cause seizures and hemorrhage. Many times they present as an acute emergency. In the spinal cord, they may present as back pain or progressive weakness, sometimes as acute hemorrhage and weakness. They require evaluation with a CT brain with an angiogram followed by meticulous microscopic excision.
Clipping is a surgical procedure performed to treat a balloon-like bulge of an artery wall known as an aneurysm. As an aneurysm grows, it becomes thinner and weaker. It can become so thin that it leaks or ruptures, releasing blood into the spaces around the brain – called a subarachnoid hemorrhage, a life-threatening problem. A tiny clip is placed across the neck of the aneurysm to stop or prevent an aneurysm.
Ruptured Aneurysms burst open and release blood into the space between the brain and skull, called a subarachnoid hemorrhage (SAH). Vasospasm is a common complication of SAH, which must be closely managed after treatment to prevent stroke.
Unruptured Aneurysms may not cause symptoms and are typically detected during routine testing. People with a family history of brain aneurysms should have a screening test (CT or MR angiogram). The risk of aneurysm rupture is about 1% per year of the remaining life span but may be higher or lower depending on the size and location of the aneurysm. However, when rupture occurs, the risk of death is 40%, and the risk of disability is 80%.
Neurosurgery in pediatric patients requires a lot of experience and meticulous handling of the growing brain and spinal cord. Many of the congenital abnormalities in children from newborn to adult children, like Hydrocephalus, spinal dysraphism, craniosynostoses, and Craniovertebral junction anomalies require timely identification and proper management. Apart from pediatric brain tumors like gliomas, medulloblastoma, craniopharyngioma, and pineal region, tumors should be identified earlier and treated. The earlier the treatment, the longer are the chances of survival.
In coordination with neuro physicians and stroke ICU intensivists, lifesaving procedures like Decompressive craniectomy, EVD, and evacuation of hematoma in hypertensive ICH and CVT are done. These procedures offer a timely intervention in stroke management thereby avoiding mortality, reducing the morbidity, and improving the overall quality of life. We make sure that every patient under our care receives a high standard of stroke management services.