Neuro Surgery

Endoscopic Disc Surgery
Endoscopic disc surgery is fast emerging as a new treatment option for the treatment of sometimes of low back pain.

Degenerative disc disease is a type of back pain, which can be caused as a result of the wearing away of cushion that rests between the vertebrae of spine. The spinal column is made of stacked bones known as vertebrae, which are separated by a cushion at each level called a spinal disc. The disc is tough but pliable tissue, which helps maintain the position of the spine also, permits motion between the vertebrae. With this structure, we have the stability to bend and twist. However, these discs can cause problems as they wear away.

Endoscopic Disc surgery is a minimally invaisve approach, which is used for the treatment of back pain. Lumbar Disc Surgery is emerging as popular surgical method for the treatment of lower back pain.

Stereotactic and Functional Neurosurgery
A minimally invasive approach, Stereotactic and Functional Neurosurgery is an effective treatment procedure for various neurological disorders and diseases. Patients who suffer from movement disorders refractory to medication, including - parkinson's disease, essential tremor, and dystonia can be assessed by a multidisciplinary team from Neurosurgery, Neurology, and Neuropsychology to ascertain whether the patient is an appropriate candidate for functional intervention.

For patients suffering from severe spasticity secondary to spinal cord injuries, progressive neurological degenerative disorders, or birth defects, a treatment option for the surgical management of spasticity is available.
Patients suffering from intractable pain can be suitable candidate for neurosurgical interventions, including - spinal cord or brain stimulation, or neuroablative procedures, such as a thalamotomy or Dorsal Root Entry Zone (DREZ) procedure.

The various services offered by this discipline, include-

Peripheral Nerve Surgery
The current trend in peripheral nerve surgery is towards earlier definitive treatment of the lesion, which is based on the based on the optimum use of preoperative and intraoperative electrodiagnostic techniques. The newer tools for diagnostics include computed tomography (CT) and thermography.

The technique of nerve anastomosis has undergone rapid improvement, and superior methods have been developed to identify motor and sensory fascicles at the time of operation. For benign nerve sheath tumors (schwannoma, neurofibroma), the current trend is in the direction of tumor enucleation. With improved histologic methods for the diagnosis of malignant nerve tumors, it has become possible to embark on radical excision with less hesitation.

Maximizing the nerve regeneration is an essential component in order to achieve an optimal functional recovery. The different techniques that can be used to enhance recovery include, - decompression, nerve grafting, nerve transfers and electrical stimulation.

Peripheral nerve is used for following conditions:

Pain & Spasticity Surgery
Pain and spasticity are conditions, which may occur as a result of variety of diseases and disorders, such as trauma, infection, multiple sclerosis, and cerebral palsy. While medications and physical therapy can be used to help relieve symptoms, surgery is often preferred to treat patients.

Chronic pain can sometimes treated by augmenting or stimulating the functional parts of nervous system and especially the spinal cord. Patients for such surgery have to undergo an operation, which consists of temporary implant of an electrode over the tough membrane, which surrounds the spinal cord. If successful, this electrode offers a pleasurable sensation, which overlaps the region of pain in the body. Other surgical options include different types of ablative procedures, which involve creating a precise injury in the sensory portion of the central or peripheral nervous system, which replaces the pain sensation with numbness or tingling.

Spasticity can be treated using the following procedures, - baclofen, diazepam or clonazepam; stretching of muscles, range of motion exercises and other physical therapies, which help is preventing the joint contractures and reduce the severity of symptoms. Surgical options for the treatment of spasticity, cinlude - tendon release, selective dorsal rhizotomy, implantation of intrathecal catheters and pumps to provide baclofen to the spinal cord.

The common procedures for the treatment of pain and spasticity, include -
Radiofrequency ablation for trigeminal neuralgia
Facet joint ablation
Microvascular decompression for trigeminal neuralgia & glossopharyngeal neuralgia
Intra-thecal baclofen pump implantation for spasticity

Interventional Neuroradiology
Interventional Neuroradiology is a minimally invasive approach, which is used in the treatment of vascular problems of central nervous system. Conditions in the past, which would have generally require surgical intervention like aneurysms, vascular malformations, and tumors of the brain, spine, head and neck can be treated using an endo-vascular approach for reaching the lesion.

The procedure is a relatively new development, which uses state-of-the-art equipment to treat complex cerebrovascular problems from within the blood vessels. These Treatments Offered have had a major impact on the treatment of complex cerebrovascular disorders.

Treatment procedures, which are used in Interventional Neuroradiology, include-

Some of the conditions that are currently being treated using this procedure, include -