Welcome to Neuro Foundation’s Department of Neurosurgery, where expertise meets innovation. Our team of senior consultants, each with over 15 years of experience, leads the way in treating a wide range of neurosurgical conditions.
Our state-of-the-art facilities include two ultra-modern operating rooms equipped with cutting-edge technology such as the Leica operating microscope, Karl Storz Neuro endoscopy unit featuring HD and SPICE technology for minimally invasive procedures on the brain and spine. Additionally, we utilize advanced tools like Neuro navigation system, stereotaxy, and radio frequency ablation for precise and effective surgeries.
Supported by a dedicated anaesthetic team and top-of-the-line equipment, we ensure the highest standards of care and safety for our patients.
Convenient outpatient consultations are available Monday to Friday, from 11 am to 5 pm. Appointments can be easily scheduled via phone, email, or in-person.
Experience excellence in neurosurgical care at Neuro Foundation. Contact us today.
Birth Defects
Variety of Conditions: Birth defects in the nervous system can manifest in various forms, including spina bifida, which presents as a swelling in the spinal column. This condition may present as meningocele, myelocel, split spinal cords, tethering of the cord at a lower level, or other chair malformations. Syringomyelia, characterized by the presence of fluid-filled cavities within the spinal cord, is also among the recognized birth defects.
Early Identification: Many birth defects, including those affecting the nervous system, are identifiable at birth or soon after. Early recognition and diagnosis are critical for timely intervention and management to optimize outcomes for affected individuals.
Multidisciplinary Approach: Addressing birth defects in the nervous system often requires a multidisciplinary approach involving neurosurgeons, pediatricians, geneticists, and other specialists. Collaboration among these experts ensures comprehensive evaluation, tailored treatment plans, and ongoing support for patients and their families.
Brain Tumour
We specialize in cutting-edge micro neurosurgery and endoscopic tumor surgery, offering comprehensive treatment options for a wide range of neurological conditions. Our expertise extends to every location in the nervous system, including challenging areas like Gliomas, Meningiomas, Cerebellopontine Angle Tumors, Pituitary Tumors, Intraventricular Tumors, Brain Stem Tumors, and deep-seated brain tumors. Here’s why patients trust us for their neurosurgical needs:
Comprehensive Coverage: We address tumors in every location of the nervous system, ensuring thorough treatment options tailored to each patient’s specific condition.
Advanced Technologies: Utilizing state-of-the-art technologies such as Neuronavigation, operating microscopes, neuroendoscopes, and ultrasonic tumor pulverizers, we ensure accurate and precise surgical removal of tumor masses in the brain.
Patient-Centric Care: We prioritize patient comfort and safety, employing techniques like Awake Craniotomies where patients remain conscious and cooperate with the surgical team during tumor removal procedures.
Expertise in Complex Cases: Our team of neurosurgeons is experienced in managing even the most intricate cases, including tumors located deep within the brain or in critical areas like the brain stem.
Tailored Treatment Plans: Each patient receives a personalized treatment plan, crafted to address their unique needs and optimize outcomes while minimizing risks.
With a commitment to excellence and a focus on utilizing the latest advancements in neurosurgical techniques, we strive to provide the highest quality of care for our patients, ensuring the best possible outcomes for their neurological health.
Emergency Neurosurgery: Rapid Response for Critical Cases
Timely Intervention: Our team is available 24/7 to respond swiftly to emergencies, ensuring timely surgical intervention for conditions such as intracranial hemorrhage and acute ischemic stroke.
Expertise in Clot Evacuation: We specialize in evacuating large clots in the brain caused by hypertension, employing advanced techniques to minimize neurological damage and optimize patient outcomes.
Decompressive Craniotomies: For patients experiencing severe brain swelling due to stroke or traumatic brain injury, we perform decompressive craniotomies to relieve pressure and prevent further neurological deterioration.
Collaborative Care: We work closely with neurologists and other specialists to provide comprehensive care and optimize patient outcomes. Collaborative efforts ensure seamless coordination and personalized treatment plans tailored to each patient’s needs.
Intensive Management: In cases of severe head injuries, our team provides intensive management, including surgical interventions, monitoring, and rehabilitation support, to maximize recovery potential.
With a focus on rapid response, advanced surgical techniques, and collaborative care, we strive to deliver the highest standard of emergency neurosurgical services, ensuring the best possible outcomes for our patients in critical situations.
Skull Base Surgery
Pituitary Tumor Surgery: Removal of tumors from the pituitary gland, often through a transsphenoidal approach for minimal invasiveness.
Acoustic Neuroma Surgery: Excision of benign tumors on the vestibulocochlear nerve, connecting the ear to the brain, to preserve hearing and balance.
Meningioma Surgery: Resection of benign tumors arising from the meninges, the protective layers of the brain and spinal cord.
Craniofacial Resection: Surgery to remove tumors that involve both the skull base and the facial bones, ensuring comprehensive removal.
Aneurysm Clipping: Securing a brain aneurysm with a clip to prevent rupture and subsequent hemorrhage, enhancing patient safety.
Chordoma Surgery: Removal of rare tumors that occur in the bones of the skull base and spine, requiring specialized surgical expertise.
Endoscopic Skull Base Surgery: Minimally invasive procedures using an endoscope to treat various skull base disorders, reducing recovery time.
Craniopharyngioma Surgery: Resection of benign tumors near the pituitary gland and hypothalamus to prevent hormonal imbalances and vision problems.
Trigeminal Neuralgia Surgery: Procedures to relieve chronic pain caused by trigeminal neuralgia, such as microvascular decompression, providing long-term relief.
CSF Leak Repair: Surgical repair of cerebrospinal fluid leaks at the base of the skull to prevent infections and other complications.
Olfactory Neuroblastoma Surgery: Removal of rare cancerous tumors originating in the olfactory nerves, affecting the sense of smell.
Basilar Invagination Surgery: Correction of a condition where the top of the spine pushes into the base of the skull, which can cause severe neurological symptoms.
Glomus Tumor Surgery: Excision of vascular tumors located at the base of the skull, typically around the ear and neck area.
Paraganglioma Surgery: Removal of rare tumors that can form near the carotid artery, jugular vein, and other locations at the skull base.
Optic Nerve Decompression: Surgery to relieve pressure on the optic nerve, potentially caused by tumors or trauma, to preserve vision.
Hemangiopericytoma Surgery: Removal of rare vascular tumors that can occur at the base of the skull.
Jugular Foramen Tumor Surgery: Excision of tumors located in the jugular foramen, an area where several important nerves and veins pass through the skull.
Anterior Skull Base Surgery: Procedures to remove tumors and other abnormalities located at the front part of the skull base.
Posterior Skull Base Surgery: Procedures focusing on the rear portion of the skull base, often involving the cerebellum and brainstem.
Temporal Bone Resection: Surgery to remove tumors affecting the temporal bone, which houses structures critical to hearing and balance.
Orbital Tumor Surgery: Removal of tumors affecting the eye socket and adjacent structures.
Clival Tumor Surgery: Excision of tumors located in the clivus, a bony area at the skull base near the brainstem.
Foramen Magnum Decompression: Surgery to relieve pressure at the foramen magnum, the large opening at the base of the skull, often used to treat Chiari malformations.
Translabyrinthine Approach: A surgical route used to remove tumors like acoustic neuromas while preserving facial nerve function, though it sacrifices hearing in the affected ear.
Transpetrosal Approach: A technique used for accessing tumors located deep within the skull base, particularly those affecting the petroclival region.
Cavernous Sinus Tumor Surgery: Removal of tumors located in the cavernous sinus, an area with critical blood vessels and nerves.
Sphenoid Wing Meningioma Surgery: Excision of meningiomas located in the sphenoid wing, a part of the skull base near the eye.
Clinoidal Meningioma Surgery: Surgery to remove meningiomas at the clinoid process, adjacent to the optic nerve.
Hypoglossal Schwannoma Surgery: Removal of benign tumors affecting the hypoglossal nerve, which controls tongue movements.
Petroclival Meningioma Surgery: Excision of meningiomas at the junction of the petrous and clival regions of the skull base.
Anterior Fossa Tumor Surgery: Removal of tumors located in the anterior cranial fossa, which houses the frontal lobes of the brain.
Nasopharyngeal Carcinoma Surgery: Surgical treatment of malignant tumors in the nasopharynx, located at the upper part of the throat behind the nose.
Intradural Extramedullary Tumor Surgery: Removal of tumors that are within the dura mater but outside the spinal cord.
Epipharyngeal Tumor Surgery: Excision of tumors located in the epipharynx, the upper part of the pharynx.
Dural Arteriovenous Fistula (DAVF) Surgery: Treatment of abnormal connections between arteries and veins in the dura mater of the brain.
Temporal Lobe Epilepsy Surgery: Procedures to remove brain tissue in the temporal lobe to control epilepsy.
Sphenopalatine Neuralgia Surgery: Surgical treatment for severe facial pain caused by sphenopalatine neuralgia.
Chondrosarcoma Surgery: Removal of cancerous tumors originating in cartilage at the skull base.
Esthesioneuroblastoma Surgery: Excision of rare malignant tumors in the upper nasal cavity, affecting the sense of smell.
Fibrous Dysplasia Surgery: Treatment for a bone disorder that replaces normal bone with fibrous tissue, often involving the skull base.
Infratemporal Fossa Surgery: Procedures to remove tumors located in the deep facial space below the temporal bone.
Jugular Paraganglioma Surgery: Removal of rare tumors found near the jugular vein and associated nerves.
Plasmacytoma Surgery: Excision of isolated plasma cell tumors occurring at the skull base.
Sarcoma Surgery: Removal of various types of sarcomas (cancerous tumors) affecting the skull base.
Schwannoma Surgery: Excision of benign tumors arising from Schwann cells, often affecting cranial nerves.
Skull Base Reconstruction: Procedures to rebuild the skull base after tumor removal or trauma.
Temporal Lobectomy: Removal of part of the temporal lobe to treat epilepsy or tumors.
Vascular Malformation Surgery: Treatment of abnormal blood vessel formations at the skull base.
Craniotomy: Opening of the skull to access and remove brain tumors or treat aneurysms and other conditions.
Microvascular Decompression (MVD): Relieving pressure on cranial nerves to treat conditions like trigeminal neuralgia and hemifacial spasm.
Cranio Vertebral Junction Surgery
Chiari Malformation: Characterized by the downward displacement of the cerebellar tonsils through the foramen magnum, leading to compression of the brainstem and spinal cord, which can cause neurological symptoms.
Basilar Invagination: Occurs when the upper cervical vertebrae (C1 or C2) abnormally migrate upward into the base of the skull, potentially compressing vital neurological structures.
Atlantoaxial Instability: Refers to excessive movement between the first (atlas) and second (axis) cervical vertebrae, which can result from trauma, congenital anomalies, or inflammatory conditions.
Os Odontoideum: A rare anomaly where the dens (odontoid process) is separated from the body of the axis vertebra, potentially causing instability and neurological deficits.
Congenital Craniovertebral Junction Anomalies: Including abnormalities like Klippel-Feil syndrome, occipitalization of the atlas, or atlanto-occipital fusion, which can affect spinal stability and neurological function.
Tumors: Both benign and malignant tumors can arise at the craniovertebral junction, necessitating surgical resection to relieve compression and prevent neurological deterioration.
Traumatic Injuries: Fractures or dislocations involving the craniovertebral junction require precise surgical management to stabilize the spine and alleviate spinal cord compression.
Surgical Approaches and Techniques:
Transoral Odontoidectomy: Accessing the odontoid process through the mouth (transoral) to remove it, relieving compression on the brainstem and upper spinal cord.
Posterior Instrumented Fusion: Utilizing posterior approaches with instrumentation (screws, rods) to stabilize the craniovertebral junction and promote fusion between affected vertebrae.
Far Lateral Approach: Providing lateral access to the craniovertebral junction through a small incision, enabling decompression and tumor resection while minimizing manipulation of critical structures.
Endoscopic-Assisted Surgery: Employing minimally invasive endoscopic techniques to visualize and address pathologies at the craniovertebral junction, reducing surgical trauma and enhancing recovery.
Occipitocervical Fusion: Creating a bony fusion between the occipital bone and upper cervical spine to stabilize the junction and prevent further instability.
Craniovertebral junction surgery demands a comprehensive understanding of neuroanatomy, biomechanics, and advanced surgical techniques to effectively manage a spectrum of complex conditions affecting this critical anatomical region. With meticulous preoperative planning and multidisciplinary collaboration, surgeons can achieve optimal outcomes, relieving symptoms, restoring stability, and preserving neurological function for patients with craniovertebral junction pathologies.
Craniospinal Surgery
Syringomyelia and Chiari Malformation: Addressing the abnormal accumulation of cerebrospinal fluid in the spinal cord (syringomyelia) often associated with Chiari malformation, which involves the downward displacement of the cerebellar tonsils into the spinal canal.
Craniocervical Instability: Managing instability or misalignment between the skull and the upper cervical spine, which can result from trauma, connective tissue disorders, or congenital abnormalities.
Spinal Cord Tumors: Surgical resection of tumors located at the junction of the skull and spine, including intradural and extradural lesions, to alleviate compression and restore neurological function.
Occipitocervical Fusion: Stabilization of the junction between the occipital bone and the upper cervical spine using instrumentation and bone grafts to treat instability and prevent neurological compromise.
Tethered Cord Syndrome: Releasing the abnormal attachment of the spinal cord to surrounding tissues to prevent progressive neurological deficits and maintain optimal spinal function.
Atlantoaxial Instability: Addressing excessive movement between the first and second cervical vertebrae, often requiring fusion surgery to stabilize the spine and prevent spinal cord injury.
Congenital Craniospinal Anomalies: Correcting abnormalities such as basilar invagination, cranial settling, or Klippel-Feil syndrome to restore spinal stability and preserve neurological function.
Traumatic Injuries: Surgical management of fractures, dislocations, or spinal cord injuries occurring at the craniospinal junction, aiming to restore alignment and prevent secondary complications.
Surgical Approaches and Techniques:
Transoral Odontoidectomy: Accessing the odontoid process through the mouth to remove it and decompress the spinal cord, commonly utilized in cases of basilar invagination or atlantoaxial instability.
Posterior Instrumentation and Fusion: Utilizing posterior approaches with instrumentation (screws, rods) to stabilize the craniospinal junction and promote fusion between affected vertebrae, addressing instability and deformity.
Far Lateral Approach: Providing lateral access to the craniospinal junction through a small incision, facilitating tumor resection and decompression while minimizing manipulation of critical structures.
Endoscopic-Assisted Surgery: Employing minimally invasive endoscopic techniques to visualize and address pathologies at the craniospinal junction, reducing surgical trauma and enhancing recovery.
Craniectomy and Decompression: Removing part of the skull to access the craniospinal junction and alleviate pressure on neural structures, commonly performed in cases of Chiari malformation or syringomyelia.
Occipitocervical Fusion: Creating a bony fusion between the occipital bone and upper cervical spine to stabilize the junction and prevent further instability, commonly indicated in cases of craniocervical instability or trauma.
Craniospinal surgery demands a multidisciplinary approach, combining advanced neurosurgical techniques with expertise in spinal instrumentation and cranial procedures. By addressing a diverse array of complex pathologies affecting the craniospinal junction, surgeons strive to optimize patient outcomes, restore neurological function, and enhance quality of life.
Stroke Surgery
Thrombectomy: A minimally invasive procedure involving the removal of blood clots (thrombi) from the cerebral arteries using catheters and specialized devices. Thrombectomy aims to rapidly restore blood flow to the affected areas of the brain, improving outcomes for patients with acute ischemic strokes.
Craniotomy for Hemorrhagic Stroke: Surgical intervention involving the removal of blood clots, repair of ruptured blood vessels, or evacuation of hematoma (blood accumulation) from the brain in cases of hemorrhagic strokes. Craniotomy helps alleviate pressure on the brain caused by bleeding, reducing the risk of further neurological damage.
Carotid Endarterectomy: Surgical removal of plaque buildup (atherosclerosis) from the carotid arteries to reduce the risk of recurrent ischemic strokes. Carotid endarterectomy improves blood flow to the brain by clearing blockages in the major arteries supplying oxygen-rich blood to the brain.
Aneurysm Clipping and Coiling: Surgical clipping or endovascular coiling of cerebral aneurysms to prevent rupture and subsequent hemorrhagic strokes. These procedures involve sealing off the abnormal bulges in blood vessels, reducing the risk of life-threatening bleeding into the brain.
Cerebral Angioplasty and Stenting: Minimally invasive procedures performed to open narrowed or blocked blood vessels in the brain (intracranial arteries). Angioplasty involves inflating a balloon to widen the artery, while stenting involves placing a mesh-like device (stent) to support the vessel and maintain adequate blood flow.
Intracranial Bypass Surgery: Surgical creation of alternative blood flow pathways within the brain to bypass blocked or narrowed arteries, ensuring adequate oxygen supply to ischemic areas. Intracranial bypass surgery is typically considered for complex cases of ischemic stroke when other interventions are not feasible.
Ventriculostomy or External Ventricular Drainage (EVD): Placement of a catheter into the brain’s ventricular system to drain excess cerebrospinal fluid (CSF) in cases of hydrocephalus secondary to stroke. Ventriculostomy helps alleviate elevated intracranial pressure and prevent further neurological deterioration.
Surgical Approaches and Techniques:
Thrombectomy:
- Mechanical Thrombectomy: Utilizes specialized devices such as stent retrievers or aspiration catheters to physically remove blood clots from blocked cerebral arteries.
- Direct Aspiration: Involves suction-based removal of clots using catheters inserted directly into the clot site, facilitating rapid restoration of blood flow.
Craniotomy for Hemorrhagic Stroke:
- Hematoma Evacuation: Surgical removal of blood clots or hematoma from the brain, often guided by imaging techniques such as computed tomography (CT) or magnetic resonance imaging (MRI).
- Aneurysm Clipping: In cases of hemorrhagic stroke due to aneurysm rupture, surgical clipping involves placing a small metal clip at the base of the aneurysm to prevent re-bleeding.
Carotid Endarterectomy:
- Arterial Dissection and Plaque Removal: Surgically opens the carotid artery, removes atherosclerotic plaque buildup, and restores normal blood flow to the brain, reducing the risk of recurrent ischemic strokes.
Endovascular Techniques:
- Cerebral Angioplasty: Uses small balloons to dilate narrowed or blocked intracranial arteries, improving blood flow to ischemic brain tissue.
- Stenting: Placement of a mesh-like device (stent) within narrowed arteries to maintain patency and prevent re-narrowing (restenosis) after angioplasty.
Intracranial Bypass Surgery:
- Superficial Temporal Artery to Middle Cerebral Artery Bypass: Establishes alternative blood flow pathways by connecting a donor artery (e.g., superficial temporal artery) to a recipient artery (e.g., middle cerebral artery), bypassing occluded vessels and supplying oxygen-rich blood to ischemic brain regions.
Ventriculostomy or External Ventricular Drainage (EVD):
- Placement of Ventricular Catheter: Insertion of a catheter into the brain’s ventricular system to drain excess cerebrospinal fluid (CSF), reducing intracranial pressure and preventing secondary brain injury.
Intraoperative Imaging:
- Intraoperative Angiography: Real-time imaging of cerebral blood vessels during surgery to assess blood flow restoration and verify the success of interventions such as thrombectomy or vessel repair.
Stroke surgery encompasses a diverse array of procedures tailored to the specific needs of patients experiencing ischemic or hemorrhagic strokes. Through timely intervention and multidisciplinary collaboration, neurosurgeons strive to mitigate the devastating effects of strokes, optimize neurological outcomes, and improve the quality of life for stroke survivors.
Minimally Invasive Surgery (MIS): Precision and Recovery
Endoscopic Visualization: High-definition endoscopes and cameras are employed to provide detailed visualization of the surgical site, enabling neurosurgeons to navigate complex brain and spinal structures with enhanced accuracy.
Microscopic Techniques: Utilizing specialized microscopes, neurosurgeons can perform intricate procedures with magnified views, allowing for precise manipulation of delicate neural tissues while preserving surrounding structures.
Carotid Endarterectomy: Surgical removal of plaque buildup (atherosclerosis) from the carotid arteries to reduce the risk of recurrent ischemic strokes. Carotid endarterectomy improves blood flow to the brain by clearing blockages in the major arteries supplying oxygen-rich blood to the brain.
Image-Guided Navigation: Advanced imaging modalities, such as intraoperative MRI, CT, or neuronavigation systems, are utilized to precisely locate and target lesions or abnormalities within the brain or spine, ensuring optimal surgical outcomes.
Minimized Trauma: By accessing the surgical site through small incisions or natural openings, MIN minimizes trauma to surrounding tissues, blood vessels, and nerves, reducing the risk of postoperative complications and promoting faster recovery.
Targeted Treatments: MIN enables targeted treatments for a wide range of neurosurgical conditions, including brain tumors, vascular malformations, spinal disc herniations, and nerve compressions, with minimal disruption to normal brain and spinal function.
Applications of Minimally Invasive Neurosurgery:
Endoscopic Brain Surgery: Used for the resection of pituitary tumors, colloid cysts, and intraventricular lesions through the nasal passages or small cranial openings, resulting in shorter hospital stays and faster recovery for patients.
Minimally Invasive Spine Surgery (MISS): Employed for the treatment of spinal disorders such as herniated discs, spinal stenosis, and spinal deformities, utilizing tubular retractors and specialized instrumentation to access the spine through small incisions.
Stereotactic Biopsy: Utilizing image-guided navigation systems, stereotactic biopsy allows for the precise sampling of brain lesions or tumors with minimal invasiveness, providing accurate diagnostic information for treatment planning.
Neuroendoscopy: Utilized in the management of hydrocephalus, arachnoid cysts, and intraventricular tumors, neuroendoscopy enables neurosurgeons to perform complex procedures within the ventricular system or subarachnoid space using flexible endoscopes.
Radiosurgery: While not a surgical procedure in the traditional sense, radiosurgery techniques such as Gamma Knife and CyberKnife offer non-invasive treatment options for brain tumors, arteriovenous malformations (AVMs), and trigeminal neuralgia, delivering precisely targeted radiation to pathological lesions.
Minimally Invasive Neurosurgery represents a transformative approach to treating complex brain and spine disorders, offering patients the benefits of precision, safety, and faster recovery. By embracing innovation and leveraging advanced techniques, MIN continues to evolve, shaping the future of neurosurgical care and improving outcomes for patients worldwide.
Cerebrovascular Surgery
Aneurysm Repair: Surgical clipping or endovascular coiling to prevent the rupture of cerebral aneurysms.
Thrombectomy: Minimally invasive removal of blood clots from cerebral arteries, crucial for ischemic stroke treatment.
AVM Resection: Surgical removal of abnormal blood vessel tangles to prevent hemorrhages and neurological deficits.
Carotid Endarterectomy: Surgical removal of arterial plaque to mitigate the risk of ischemic stroke.
Endovascular Procedures: Including angioplasty and stenting for narrowed or blocked brain arteries.
Intracranial Bypass: Establishing alternative blood flow routes to bypass obstructed vessels.
Multidisciplinary Care: Collaboration between neurosurgeons, interventional radiologists, and vascular specialists for comprehensive treatment plans.
Surgical Approaches and Techniques:
Craniotomy: This procedure involves removing a portion of the skull to access the brain for tumor removal, hematoma evacuation, or aneurysm clipping.
Endoscopic Surgery: Utilizing small incisions and specialized instruments, endoscopic techniques enable neurosurgeons to access and treat intracranial lesions with minimal disruption to surrounding tissues.
Minimally Invasive Spine Surgery (MISS): MISS techniques utilize small incisions and specialized instrumentation to treat spinal conditions such as herniated discs, spinal stenosis, and spinal tumors.
Stereotactic Radiosurgery: This non-invasive technique delivers precise doses of radiation to targeted areas of the brain or spine, effectively treating tumors and vascular malformations while minimizing damage to surrounding healthy tissue.
Neuroendoscopy: Employing flexible endoscopes, neuroendoscopic procedures allow for visualization and treatment of intraventricular and intracranial lesions through natural orifices or small incisions.
Microsurgery: Using specialized microscopes and instruments, microsurgical techniques enable neurosurgeons to perform intricate procedures with enhanced precision, particularly in delicate brain and spinal surgeries.
As neurosurgery continues to evolve, advancements in surgical approaches and techniques play a crucial role in improving patient outcomes and reducing morbidity. From the precision of microsurgery to the minimally invasive nature of endoscopic procedures, neurosurgeons have a diverse array of tools at their disposal to address complex neurological conditions with greater accuracy and safety.
By staying at the forefront of innovation and embracing emerging technologies, neurosurgical teams can offer patients the highest standard of care while minimizing surgical risks and maximizing functional recovery. As the field of neurosurgery continues to progress, ongoing research and collaboration will further refine surgical techniques, ensuring continued advancements in patient care and outcomes.
Endoscopic Brain and Spine Surgery
Aneurysm Repair: Surgical clipping or endovascular coiling to prevent the rupture of cerebral aneurysms.
Thrombectomy: Minimally invasive removal of blood clots from cerebral arteries, crucial for ischemic stroke treatment.
AVM Resection: Surgical removal of abnormal blood vessel tangles to prevent hemorrhages and neurological deficits.
Carotid Endarterectomy: Surgical removal of arterial plaque to mitigate the risk of ischemic stroke.
Endovascular Procedures: Including angioplasty and stenting for narrowed or blocked brain arteries.
Intracranial Bypass: Establishing alternative blood flow routes to bypass obstructed vessels.
Multidisciplinary Care: Collaboration between neurosurgeons, interventional radiologists, and vascular specialists for comprehensive treatment plans.
Surgical Approaches and Techniques:
Hydrocephalus Treatment: Utilizing endoscopes, we perform minimally invasive procedures such as endoscopic third ventriculostomy (ETV) to treat hydrocephalus by creating a new CSF pathway, thereby reducing intracranial pressure.
Intraventricular Tumor Surgery: Endoscopic approaches enable us to access and remove tumors located within the ventricular system of the brain, minimizing damage to surrounding tissues and optimizing surgical outcomes.
Skull Base Disorders: Endoscopic techniques allow for the repair of skull base problems such as cerebrospinal fluid (CSF) leaks through the nose, as well as the treatment of pituitary tumors, craniopharyngiomas, and meningiomas located at the skull base.
Endoscopic brain and spine surgery revolutionize the treatment of neurological disorders by offering minimally invasive alternatives to traditional open procedures. By utilizing advanced endoscopic techniques, we can achieve precise surgical outcomes while minimizing trauma to surrounding tissues, reducing postoperative complications, and accelerating patient recovery. Our rich experience in endoscopy enables us to provide comprehensive care for a wide range of brain and spine conditions, ensuring optimal outcomes and improved quality of life for our patients.
Trigeminal Neuralgia
Radiofrequency Ablation:
Procedure: Radiofrequency ablation involves applying heat generated by radio waves to the trigeminal nerve, interrupting pain signals and providing relief.
Benefits: It is a minimally invasive procedure that offers immediate pain relief with a low risk of complications. The procedure can often be performed on an outpatient basis, allowing for a quicker recovery.
Suitability: Radiofrequency ablation is typically recommended for patients who have not responded to medications or those who prefer a less invasive treatment option.
Microvascular Decompression:
Procedure: Microvascular decompression involves surgically repositioning or removing blood vessels that are compressing the trigeminal nerve, thereby alleviating pain.
Benefits: This procedure offers long-term relief by addressing the root cause of trigeminal neuralgia. It provides a permanent solution for many patients, reducing the need for ongoing medication management.
Suitability: Microvascular decompression is often recommended for patients with severe or refractory trigeminal neuralgia, particularly those who are healthy enough to undergo surgery.
Both radiofrequency ablation and microvascular decompression are effective treatment options for trigeminal neuralgia, offering relief from the excruciating pain associated with this condition. While radiofrequency ablation provides immediate pain relief with minimal invasiveness, microvascular decompression offers long-term relief by addressing the underlying cause of nerve compression. The choice between these treatments depends on factors such as the patient’s medical history, preferences, and severity of symptoms. As experienced neurosurgeons, we work closely with patients to determine the most suitable treatment approach, ensuring optimal outcomes and improved quality of life.
Hydrocephalus Treatment
Endoscopic Third Ventriculostomy (ETV):
- Procedure: ETV is a minimally invasive surgical technique that involves creating a new CSF pathway in the third ventricle of the brain, allowing excess fluid to drain and relieve pressure.
- Benefits: ETV serves as a frontline management option for hydrocephalus, offering effective CSF diversion with reduced risks of complications compared to traditional shunting procedures.
- Suitability: ETV is particularly beneficial for patients with obstructive hydrocephalus, where the flow of CSF is blocked by tumors, trauma, or other structural abnormalities.
Ventriculoperitoneal Shunt (VP Shunt):
- Procedure: VP shunt involves surgically placing a catheter in the brain’s ventricles to divert excess CSF to the abdominal cavity, where it can be absorbed.
- Benefits: VP shunt provides long-term management for hydrocephalus, effectively reducing intracranial pressure and alleviating symptoms associated with fluid buildup.
- Suitability: VP shunt is suitable for patients with hydrocephalus caused by non-resolvable blockages or when ETV is not feasible or unsuccessful.
Multidisciplinary Approach:
- We adopt a multidisciplinary approach, collaborating closely with neurologists, neuroradiologists, and other specialists to tailor treatment plans to each patient’s unique needs.
- Comprehensive preoperative evaluation and postoperative monitoring ensure optimal outcomes and minimize complications.
Innovation and Expertise:
- Our team leverages the latest advancements in neurosurgical techniques and technology to provide patients with the most effective and minimally invasive treatment options for hydrocephalus.
- With extensive experience and expertise in managing hydrocephalus, we strive to improve patients’ quality of life and long-term outcomes.
From routine frontline management with ETV to conventional VP shunting, our goal is to offer personalized care and innovative solutions for patients with hydrocephalus, ensuring optimal outcomes and improved quality of life.
Awake Neurosurgery
Conscious Sedation:
- Patients undergoing awake neurosurgery receive conscious sedation, enabling them to remain awake and cooperative throughout the procedure.
- Conscious sedation ensures pain-free surgery while allowing the surgical team to interact with the patient and assess neurological functions in real-time.
Real-Time Assessment:
- Awake neurosurgery facilitates real-time assessment of neurological functions, such as language, motor control, and vision, during tumor excision.
- Any disturbance in brain function can be promptly identified, allowing the surgical approach to be modified to minimize the risk of neurological damage.
Precision Tumor Resection:
- By performing surgery while the patient is awake, neurosurgeons can precisely navigate around critical brain areas, ensuring maximal tumor removal while preserving essential neurological functions.
- This approach minimizes the risk of postoperative deficits, such as weakness, speech difficulties, or vision loss, enhancing overall surgical outcomes.
Patient-Centric Care:
- Awake neurosurgery prioritizes patient comfort and safety, offering a unique opportunity for patients to actively participate in their own care and treatment decisions.
- Patients experience reduced postoperative recovery time and may benefit from improved functional outcomes compared to traditional surgery under general anesthesia.
Specialized Expertise:
- Our neurosurgical team has extensive experience and expertise in performing awake neurosurgery, ensuring the highest level of precision and safety for each patient.
- We employ advanced intraoperative monitoring techniques to optimize surgical outcomes and minimize potential risks.
By embracing awake neurosurgery, we aim to revolutionize tumor excision procedures, offering patients a safer and more personalized approach to neurosurgical care. Through meticulous planning, real-time assessment, and patient-centered techniques, we strive to achieve optimal outcomes and enhance the quality of life for individuals facing brain tumors.
Advanced Neurosurgical Solutions for Movement Disorders
Parkinson’s Disease Surgery:
- For patients with Parkinson’s disease unresponsive to medication, we offer deep brain stimulation (DBS) surgery. This procedure involves implanting electrodes in specific brain regions to modulate abnormal neuronal activity and alleviate motor symptoms such as tremor, rigidity, and bradykinesia.
- DBS surgery has proven to be an effective and safe treatment option, offering significant improvement in motor function and quality of life for patients with medically refractory Parkinson’s disease.
Essential Tremor Surgery:
- Essential tremor, characterized by involuntary shaking of the hands, arms, or other body parts, can significantly impact daily activities and quality of life. Surgical interventions such as DBS or focused ultrasound thalamotomy offer targeted relief by interrupting abnormal tremor circuits in the brain.
- These minimally invasive procedures provide durable tremor control with minimal risk of complications, allowing patients to regain functional independence and enhance their overall well-being.
Dystonia Surgery:
- Dystonia, a neurological disorder characterized by involuntary muscle contractions, can cause abnormal postures or repetitive movements that impair mobility and coordination. Surgical options, including DBS or selective denervation procedures, offer targeted relief by modulating aberrant neural circuits.
- Through precise neurosurgical interventions, we aim to alleviate dystonic symptoms, restore motor function, and improve quality of life for patients struggling with this challenging condition.
Multidisciplinary Care Approach:
- Our neurosurgical team collaborates closely with movement disorder specialists, neurologists, and rehabilitation therapists to develop personalized treatment plans tailored to each patient’s unique needs.
- Comprehensive preoperative evaluation, meticulous surgical technique, and postoperative management ensure optimal outcomes and long-term success for patients undergoing movement disorder surgery.
By harnessing the power of neurosurgery, we empower patients with movement disorders to regain control over their lives and experience meaningful improvements in motor function and quality of life.
Brain infections like Abscess or pus accumulation
Timely Intervention:
- We understand the urgency of treating brain infections promptly to prevent further neurological damage and systemic complications. Our team is available round-the-clock, ensuring immediate assessment and intervention for patients in need.
Multidisciplinary Expertise:
- Our neurosurgical team collaborates closely with infectious disease specialists, neurologists, and other healthcare professionals to develop tailored treatment plans for each patient. This multidisciplinary approach ensures comprehensive care and optimal outcomes.
Diagnostic Precision:
- Accurate diagnosis is crucial for effective management of brain abscesses. We utilize advanced imaging modalities, such as MRI and CT scans, to precisely locate and characterize the abscess, guiding treatment decisions and surgical planning.
Surgical Intervention:
- In cases where surgical drainage or excision is necessary, our neurosurgeons employ minimally invasive techniques to remove the abscess and alleviate intracranial pressure. This approach minimizes trauma to surrounding brain tissue and promotes faster recovery.
Infection Control and Prevention:
- Beyond treatment, we prioritize infection control measures to prevent the spread of microorganisms and minimize the risk of recurrent abscess formation. This includes appropriate antimicrobial therapy and patient education on preventive measures.
Compassionate Care:
- Throughout the treatment process, we prioritize patient comfort, providing compassionate support and clear communication to alleviate anxiety and ensure a positive experience for patients and their families.
By offering expert 24/7 services and adopting a multidisciplinary approach, our department is dedicated to providing timely and comprehensive care for patients with brain infections. We are committed to delivering excellence in neurosurgical treatment while prioritizing patient safety, comfort, and well-being.
Meet Our Experienced Consultants
The Neurosurgery Department at Neuro Foundation is led by a team of dedicated senior consultants, each with over 15 years of specialized experience in treating a wide spectrum of neurosurgical diseases. Our consultants bring expertise in various neurosurgical specialties, ensuring comprehensive care for our patients. Here’s what sets our consultants apart: