Neurosurgery is the surgical discipline focused on treating the patients with injury or diseases of the brain, spine, or peripheral nerves. The neurosurgeon may provide either surgical or non-surgical care, depending on the nature of the injury or illness.
The neurosurgery department at Citi Neuro Centre is staffed by a team of clinicians highly trained in all facets of neurosciences, including neuro-oncology, spinal neurosurgery, and epilepsy surgery among others. Its range of services includes brain surgeries which vary from intracranial tumours, skull base surgery, aneurysm surgery, paediatric neurosurgery, epilepsy surgery, endoscopic surgery to hydrocephalus surgery. Amongst the spine surgeries; cervical and lumbar disc surgeries, degenerative spine surgeries, surgeries for spine tumours, spinal injuries and fractures and image guided and key hole surgeries are the commonly performed surgeries. The Department offers 24 x 7 neurosurgical trauma care as well.
The hospital boasts of dedicated operation theaters and neuroanesthetists for elective and emergency neurosurgical procedures. A specially designed operating theatre complex incorporating advanced processes, such as laminar airflows, specialized coating of the walls of the theater which are seamless, and the special coating of the flooring which is antistatic and bacterial and fungal resistant; provides a highly sterile environment essential to avoid post surgery infections.
Several cutting edge technologies have been incorporated into the routine neurosurgical practice at Citi Neuro Centre. These include:
- Neuro Navigation Technology – A specialised technology intervention that is used during the brain tumor surgery to provide real time 3D mapping and images of the brain, aiding the neurosurgeon to provide zero surgical error and maximum surgical safety
- Stereotactic Frame - Minimally invasive neurosurgical technique that permits millimetric precision where abnormalities located even deep inside the brain can be targeted using a thin needle and small incision.
- CUSA Technology – It is used to provide technological sophistication in ultrasonic surgical aspiration. It helps to cut out the brain tumors without adversely affecting the surrounding healthy tissue.
- Endoscopic neurosurgery - Minimally invasive technique that utilizes small, flexible, lighted tubes called endoscopes which behave like microscopes, so that the neurosurgeon can precisely see the various target areas requiring repair, removal, or replacement.
- Intraoperative Neurophysiological Monitoring - Makes use of recordings of electrical potentials from the nervous system during surgery to alert the operating surgeon of possible neurologic injury during surgery, thereby improving safety and surgical outcome.
- Cyberknife Radiosurgery - Stereotactic radiosurgery uses precisely focused Xray beams to treat cancerous and noncancerous abnormalities in the brain and other parts of the body. It is not a surgery in the traditional sense because there is no incision. Instead, SRS uses 3-D imaging to target high doses of radiation towards the affected area with minimal impact on the surrounding healthy tissue.
Minimally Invasive Neurosurgery
Our surgeons are well versed with minimally invasive techniques in diverse surgical fields- such as minimally invasive spine surgery, endoscopic neurosurgery and endonasal - endoscopic pituitary and skull base surgerysurgery. Our large experience and excellent clinical results in performing these procedures ensures a safer surgery and faster recovery for patients.
Common Neurosurgical Procedures
- Pituitary tumors
- Skull base tumors
- Intraventricular tumor
- Cerebello-pontine (CP angle) tumors
- Epidermoid, dermoid tumors
- Skull base tumors.
- Posterior fossa Tumors
- Depressed fracture skull
- Extra dural hemorrhage
- Sub dural hemorrhage
- Intracerebral hemorrhage
- CSF rhinorrhea
- ICP monitoring
- Decompressive craniectomy
- Intracerebral hematoma evacuation
- Aneurysm clipping
- Arteriovenous malformation
- MoyaMoya Disease
- Spinal fixation
- Disc replacement
- Cranio-vertebral junction anomalies
- Split cord malformation
- Tethered Cord Syndrome
- Pediatric brain tumors
- Microvascular decompression
- Radio frequency thermocoagulation
- Glycerol / Alcohol injection
- Temporal lobectomy
- Invasive Monitoring