Department of Neurosurgery

..............................................................................................................................................................................................................................................................................................................

Quick Navigation Area



Facilities and Equipments :

The department of Neurosurgery has been serving the masses since 1987.

 

The Department of Neurosurgery at CIIMS Hospital offers the highest standards of surgical skills, nursing care and equipment. At the Neurosurgery Department, we are at the disposal of our patients and always strive to deliver high quality healthcare. The neurosurgery department at CIIMS performs high end surgeries on regular basis with one of the heaviest workload of the specialty in center India.   Modern operation theatre complex with 03 OT  with recovery rooms attached

 

State of the art of equipments :-

Modern neurosurgery theatre equipment, high speed drills, Carl Zeiss operating Microscope, ultrasonic aspirator, trans cranial Doppler, fluoroscopy and stereotactic devices offer patients high standards of treatment for diseases and injuries of the Central and Peripheral Nervous System.

 

Neurosurgery Services

General Surgery

  • V.P. Shunt
  • Neurotrauma
  • Tumors Glimas
  • Meningioma, Schwannomas 
  • Cranial Facial reconstruction.
  • Decompressive Laminectomy
  • Laminectomy and Discectomy
  • Anterior cervical discectomy (corpectomy and fixation)


Apart from general cranial and spinal neurosurgical works following specialised procedures are being carried out:-

 


Neurosurgery
  SPINE : -
  • Micro discectomy
  • Intradural and extradural spinal tumours
  • Intramedullary spinal tumours
  • C1-C2 fixation with C1 lateral mass and C2 pedicle screws (Magerl Technique)
  • Cervical Laminectomy and lateral mass fixation
  • Thoracic and lumbar pedicle screw fixation
  • Modified costotransversectomy and ventrolateral cord decompression
  • Foramen magnum decompression
  • Spinal AVMs
  • Spinal Dural AV fistulae
  • Trans odontoid screw placement and Fixation
  • Ozone therapy for prolapsed disc
  • Minimally invasive approaches for spinal tumours (Interlaminar approaches)
  • Brachial plexus surgery and peripheral nerve surgery cable grafting, neurotrzations, nerve transfer

CRANIAL – Special Procedures
  • Intraventricular tumours using minioraniotomy and channel retractors
  • Trans nasal microscopic excision of pituitary adenomas
  • Far lateral approach for premedullary lesions and PICA aneurysms
  • Sub temporal approaches for prepontine, mesial temporal lesions.
  • Keyhole approaches (Suprabrow Minicr aniotomy) for suprasellar lesions and anterior circulation aneurysms
  • Endoscopic third ventriculostomy
  • All other routine neurosurgical procedures

CEREBROVASCUALR
  • Aneurysms – Anterior and posterior circulation
  • AV Malformations
  • Mincrovascular decompression for trigeminal neuralgia and hernifascial spasms
  • Carotid endarterectomy

 

FUNCTIONAL

  • Epilepsy surgery – Amygdalohippocampectomy, corpus callosotomy, lesionectomy under ECoG guidance

 

Epilepsy Surgery Program

  • Over the past few years, an Epilepsy Surgery Program has been established in our institution, with a high success rate in surgical cases. At the Epilepsy Monitoring Unit, we admit patients for epilepsy syndromic classification, ruling out pseudoseizures and in drug resistant cases for presurgical evaluation. In presurgical evaluation we continuously investigate brain activity by long term Video-EEG monitoring and search for the specific areas of the brain where epileptic seizure activity is generated.
  • Sophisticated specialized tests are carried out, including brain MRI, f-MRI, MR spectroscopy, tractography, ictal Interictal PET, combined with neuropsychological examinations. All this collected data guides the Epileptologist and the Neurosurgeons in our program to select cases for surgery. We do resective (curative) and palliative surgeries in drug resistant epilepsy cases.
  • In the Operating Rooms, further assistance is provided by brain mapping and intraoperative electrocorticorticography applying electrodes over the exposed brain areas, thus making those operations safe and effective. Surgeries like corticoamygdalohippocampectomy, corpus callosotomy, extratemporal resection, lesionectomy are being carried out routinely at our institute.


Cusa
  The Institute is well equipped with various sophisticated instruments to perform all type of neurosurgeries skillfully. With these facilities the neurosurgical dept. of CIIMS has come at par with any private or public service hospital in the country. The Institute is now well equipped with the following neurosurgical equipments -


Midarex
  Image Intensifier

1. CUSA (Cavitron Ultrosonic Surgical Aspirator) : Selector 4, make from United Kingdom, enables tumor removal from the most delicate areas of brain without inflicting injury to vital structures.

2. Midas Rex from USA : from Aesculap Germany. World’s most versatile, state of the art and costly system for various spinal and cranial operations including instrumentations.

3. Intra operative electrophysiological monitoring : SSEP for spinal cord and craniovertebral operations to ensure their safety. Digital EEG used for intra operative monitoring of cerebral functions in epilepsy surgery and for carotid endarterectomies.

4. Neurosign 100 : An advanced nerve stimulator from UK. Enables preservation of important nerves during surgery i.e. facial nerve in acoustic neuromas, Brachial plexus operations, posterior rhizotomies for cerebral palsy and other spastic disorders.

5. Image Intensifier : Siemens Seromobile Compact model used during, carniovertebral, transoral operations and tranphenoidal approach for pituitary tumors. It is also used for advanced spinal operations.

6. Microscope : “Lyka” Wild M695 - Motorized operating microscope from Switzerland dedicated to Neurosurgery, fitted with video camera and CCTV facilities. Now the recording and documentation of operative procedures is possible. It is also possible to demonstrate the ongoing procedures in the conference hall of CIIMS and interact with the audience.

7. Bipolar Cauteries - best in the world: We are proud to have Malis CMC III coagulating and cutting cautery which is one of the best in the world and is worth Rs. 10 lakhs.

8. Neuroendoscope (Aesculape) for Endoscopic & Endoscope assisted microneurosurgery

9. CRW FN for Sterotaxic Surgery including Functional neurosurgery

10. Radio frequency lesion - for various ablative procedure as a part of functional neurosurgery