Neurosurgery

Introduction

Neurosurgery is branch of medicine that deals with the surgical treatment of disorders which affect any portion of the nervous system including brain, spinal cord and peripheral nervous system.

The management of Neurosurgery patients at Shri Mahant Indiresh Hospital began in 2003 . Neurosurgery Department was officially established on August 26, 2019. Currently, the department is staffed with 2 Professors, 1 Associate Professor, 1 Assistant Professor, 1 post DNB Senior resident, 2 MCh trainee Senior Residents, and a cohort of junior residents and interns.

The MCh Neurosurgery super-specialty course was introduced on February 27, 2023. Presently, the department handles approximately 1,800 surgeries annually and provides outpatient care to around 7,500 patients each year. Our causality services are available round -the -clock for diagnosis and early management of neurological emergencies.

Each year, we accept 1 resident into our program to get personalised mentorship from our distinguished faculty. As a leading centre for neurosurgical care, our department is also deeply involved in research and education of future neurosurgeons.

The department is equipped with state-of-the-art facilities, including Neuronavigation, intraoperative neurophysiological monitoring, CUSA, Microscope, NeuroEndoscope, and capabilities for minimally invasive spine surgery.

In addition to its clinical excellence, the Neurosurgery Department has made significant contributions to global research in brain and spine surgery.

One notable innovation is the development of the cost-effective “Rubberband Exposure Technique” for lumbar microdiscectomy, which has gained worldwide recognition. In brain surgery, the department has also conducted groundbreaking research on the role of the vascularized pericranial flap in improving outcomes for traumatic brain injury, known as the "CANDID study."
Both of these research efforts have been published in top-ranking neurosurgery journals.

Furthermore, the department has developed a new and innovative neurosurgical instrument that enhances exposure during brain and spine surgeries. This instrument has been granted a patent by the Patent Office, Government of India (Patent Number 519388).

The department also fosters interdisciplinary collaborations with various specialties, including Neuro-oncology, Neuroradiology, Neuropathology, Neurocritical Care, and Neuro-ophthalmology.

Scope of services:

Brain surgery

• Surgery for head injury- removal of clot, skull fractures, brain swelling.
• Brain tumours- Primary & secondary brain tumours: glioma, meningioma, metastasis,
• Surgery for brain abscess
• Skull base surgery
• Pituitary surgery
• cerebrovascular surgery – microsurgical clipping of aneurysm, intracranial hematoma & infarct decompression surgery for stroke, cranial AVM, carotid endarterectomy
• Cranioplasty – replacement of skull bone flap
• Trigeminal Neuralgia- percutaneous procedures /Microvascular decompression
• Awake brain surgery
• Neuronavigation guides Neurosurgery
• Intraoperative neuromonitoring
• Hydrocephalus – Endoscopic third ventriculostomy, ventriculoperitoneal shunt, Ventriculoatrial shunt
• Microscopic and endoscopic brain surgery
• Endoscopic surgery- endoscopic CSF leak repair, endoscopic monroplasty/aqueductoplasty; endoscopic tumour excision
• Peripheral nerve surgery – carpal tunnel release
• Skull tumour surgery
• Surgery for orbital tumour as meningioma
• Functional neurosurgery – hemifacial spasm

Spine surgery

• Minimal invasive spine surgery
• Microscopic and endoscopic spine surgery
• Image guided spine surgery.
• Spine trauma surgery – cervical, thoracic, lumbar spine trauma surgery - spinal decompression, stabilization, spinal instrumentation
• Spine tumour excision – schwannoma, neurofibroma, meningioma, ependymoma etc.
• Surgery for degenerative spine – lumbar, cervical and thoracic disk herniation
• Surgery for lumbar spine – microscopic & endoscopic disectomy, lumbar canal stenosis, spondylolisthesis
• Surgery for cervical spine – spondylotic myelopathy, cervical canal stenosis
• Craniovertebral junction surgery – atlanto axial C1 C2 fusion, occiput cervical fusion, transoral surgery
• Management of osteoporotic vertebral compression fractures; Vertebral augmentation procedures- vertebroplasty, kyphoplasty
• Pain intervention – spinal epidural steroid injections – interlaminar, transforaminal, caudal injections
• Surgery for spine infections- paravertebral/ intraspinal abscess
• Adult syringomyelia, tethered cord syndroma
• Revision spine surgery

Paediatric Neurosurgery

• Chiari malformations; neural tube defects; meningomyelocele; Encephalocele
• Spinal dysraphism –midline spine swellings- dermoid, lipomeningomyelocele
• Tethered cord syndrome
• Paediatric hydrocephalus - Endoscopic third ventriculostomy/shunt for
• Paediatric brain tumours – craniopharyngioma; astrocytoma; medulloblastoma; ependymoma.
• Craniovertebral junction surgery- occipitocervical/ atlantoaxial fusion, transoral surgery
• Paediatric head injury- clot removal, growing skull fractures

Team of Doctors

DR. PANKAJ ARORA

MBBS, MS, MCh

Department Neurosurgery Book Appointment

DR. MAHESH RAMOLA

MBBS, MS, MCh

Department Neurosurgery Book Appointment

DR. PRANJAL MOHAN SINHA

MBBS, MS, MCH

Department Neurosurgery Book Appointment