Neuro Surgery

The Neurosurgery & Spine department at Aster Hospital provides extensive treatment & care for all ailments related to the brain, spinal cord, and peripheral nervous system. Some of the neurological treatments offered are for stroke, brain tumors, and head injuries as well as spinal treatments for spinal tumors, disc herniation, cervical/ lumbar spondylosis, sciatica, and congenital spinal deformities. As an expertly skilled neuro-spine team, it consists of experienced neuro and spine surgeons who work in collaboration with specialty nurses, rehabilitation therapists and radiology technicians to provide customized and comprehensive treatment to all patients.

Available Hospitals

We provide excellent care, right from diagnosis to the treatment and beyond at our world-class hospitals.

Facilities

Well equipped with the latest medical equipment, modern technology & infrastructure, Aster Hospital is one of the best hospitals in India.

Diagnostic for Neuro Surgery

Imaging tests:
- CT
- MRI
CT cisternography
Cerebral arteriogram
Neurosonography
Myelogram
Electromyography
Intracranial pressure monitoring

World Class Technology

Outpatient (6 days in a week), Inpatient, follow-up clinic
24 hours emergency services
Neurocritical care
Comprehensive Neuro rehabilitation services
Cerebral angiography
Electroencephalogram (EEG)
Nerve conduction studies (NCS)
Electromyography (EMG)
Evoked potential (VDP, SSEP, BERA)
Nerve and muscle biopsies
Polysomnography
Video EEG monitoring

Epilepsy Diagnostic Studies

Routine 32 channel digital video EEG
Round-the-clock, long-term 128 channel video EEG monitoring
Functional MRI and WADA study to assess eloquent cortex regions.
3T MRI and an exclusive intraoperative MRI
PET (positron emission tomography)
SPECT (single-photon emission computerized tomography)
ECOG (ElectroCorticography)
Cortical Mapping
SSEP (Somatosensory Evoked Potential)
MEP (Motor Evoked Potential)
Different surgeries available:
Respective Surgery
Lesionectomy
Amygdalohippocampectomy
Corticectomy
Lobectomy (e.g. temporal lobectomy)
Multilobar resection
Disconnective/Palliative Surgery:
Hemispherectomy
Corpus Callosotomy
Multiple Subpial Transections
Conditions treated:
Mesial temporal sclerosis
Focal cortical dysplasia
Lesions like ganglioglioma, DNET
Hemimegalencephaly
Rasmussen’s Encephalitis

Neuro-rehabilitation

This comprehensive rehabilitation regimen can help the patient to maximise and regain normal muscle movement and function after a stroke or for neurological conditions such as:

Parkinson’s disease
Multiple sclerosis
Spinal cord injury
Head injury
Balance dysfunction
Bell’s palsy

24/7 Neurotrauma & Critical Care

Round the clock emergency services for management of injuries of the brain and spine:

Advanced critical care
Intracranial pressure monitoring
Imaging
Surgical management
Neurophysiological monitoring

Nuclear Medicine In Neurology

Brain perfusion imaging
Ictal SPECT imaging
Technetium TRODAT imaging
I - 131 MIBG therapy for malignant neuroendocrine tumours

Neuropsychology

Neuropsychology is the systematic evaluation of higher cognitive abilities including intelligence, memory, academic skills, cognitive and language, attention span, sensory motor, problem solving abilities, executive abilities, visual motor skills and personality/emotional functioning. The Neuropsychology Clinic at the Aster Centre of Excellence in Neurosciences offers:

Cognitive evaluation/ rehabilitation/ remediation in patients with neurological conditions like epilepsy, stroke, Alzheimer’s disease, Parkinson’s disease and tumours
Study of functional aspect of brain through pre & post-operative evaluation
Study of decline of cognitive skills in the elderly
Evaluation of changes in thinking/ behavior pattern with people with serious illnesses
Evaluation/ management of behavioural problems
Counselling/ management of depression and anxiety
Counselling and management of depression and anxiety
Family counselling

Neuropathology

Immunohistochemistry
Molecular diagnosis and genetic mutation analysis

Neuro Rehabilitation

Physical therapy
Occupational therapy and rehabilitation for patients with neurological/ physical disabilities
Speech therapy for patients with language disabilities

Technology To Treat You Better

Flat panel bi-plane vascular hybrid cathlab
Fourth generation Time of Flight 16 Slide PET CT
True Beam Linear Accelerator for high-precision radiotherapy
Low radiation CLARITY cath lab
256 slice Philips iCT scanner
3 Tesla Wide Bore Digital MRI
GE SPECT-CT OPTIMA NM 640 Gamma Camera EPIQ
Image fusion for guided biopsies
OR 1 Karlstroz fusion integrated, Green OT certified Operation Theatres with autopilot anaesthesia
Stealth Station Navigation
C- Arm for surgical imaging
Dedicated ICCA (IntelliSpace Critical Care and Anaesthesia) Neuro ICUs
Level 3 Paediatric ICU

Operation Theatres

ORI Fusion Digital Integrated Operation Theatres With 22 Operating Rooms that are on par with some of the largest in the world, Aster Medcity, for the first time South India, introduces ORI Fusion Digital Integrated Operation Theatres using Karlstorz OR1 Fusion - Asia Pacific’s first complete digital integration system.
The integration enables real-time sharing of images, videos and medical reports, which not only facilitates virtual participation from any location in the world, but also helps the rest of the surgical team to monitor the patient closely during the operative procedure, much to the benefit and safety of the patient undergoing the surgery.
Aster Medcity is also the first surgical facility in the state to offer Robotic Surgery using high-precision da Vinci Surgery Robot.

Faqs

Want to find out more about the treatment? The answer to your questions can be found below.

Why test sudomotor function?

A sudomotor function test is a quick and reliable way of identifying certain types of neuropathies. The presently available tests detect only 50-60% of neuropathies. This test helps the clinician to identify small fiber neuropathies and improve diagnostic accuracy.

What information does SUDOSCAN provide?

SUDOSCAN gives you the information about the small fiber nerve functions. In a SUDOSCAN test, electrical conductance of the hands and feet are measured. Test results with high conductance means normal sweat function whereas low conductance indicates peripheral or autonomic neuropathy.

What is a seizure?

A Seizure is a condition in which sudden, uncontrolled electrical irregularity occurs in our brain. It may cause changes in behavior, movements or feelings, and levels of consciousness.

How long do seizures usually last?

Usually, a seizure may last from a few seconds to a few minutes, based on the type of seizure.

If I have a seizure, then does it mean that I have epilepsy?

Not always. Seizures can also happen because of other medical problems. These problems include:

A high fever.
Alcohol or drug withdrawal.
Low blood sugar.

What are the steps for epilepsy surgery?

Once you are being considered for epilepsy surgery, you will have to undergo three major steps

Pre-surgical evaluation
consensus decision and
finally surgery
In pre-surgical evaluation, we decide the specific portions of your brain which are responsible for this epilepsy with different tests, clinical evaluations, etc. And a team of doctor specialists from various related fields meet together to discuss and reach a consensus about the type of surgery you will need. A final plan is decided in the multidisciplinary meeting.

What is SUDOSCAN?

SUDOSCAN is an approved device used to test the sudomotor function and test for Small fiber neuropathies. The test is non-invasive, accurate and fast. No patient preparation or fasting is needed and outcome of the test is available within 3 minutes.

Who should get tested with a SUDOSCAN?

A SUDOSCAN test is very useful if you have burning feet, an undiagnosed neuropathy or for periodic assessment of patients with a known neuropathy. It is effective in identifying autonomic neuropathy caused by diabetes and other diseases.

What is epilepsy?

Patients having two or more seizures or a tendency to have recurrent seizures, are termed to be having epilepsy.

What are the major types of seizures?

Sometimes it is difficult to determine when a person is having a seizure. A person with a seizure may look confused or as if they are staring at something that is not there. Other seizures can cause a person to fall, shake, and become unaware of what’s going on around them.

Seizures are classified into two groups.

Generalized seizures affect both sides of the brain.
Focal seizures affect just one area of the brain. These seizures are also called partial seizures.

What causes epilepsy?

Epilepsy can be caused due to various conditions that affect a person’s brain. Some known causes include:

Stroke
Brain tumor
Traumatic brain injury or head injury
The cause of epilepsy is unknown for 2 in 3 people. This kind of epilepsy is termed as cryptogenic or idiopathic.
Developmental anomalies of the brain
Hereditary causes
Loss of oxygen to your brain. Example: Birth time

What is pre-surgical evaluation for epilepsy surgery?

The pre-surgical evaluation consists of various domains. Most important is video EEG followed by investigations like MRI, PET scan, SPECT scan. This MRI scan performed here is not the regular MRI but a customized scan which will depend on recordings of your video EEG. A neuropsychological assessment is also a vital part of presurgical evaluation which gives important insight into the localization and potential problems you will be having after surgery. Once all these investigations are ready, it is generally discussed in meetings to reach a consensus about the plan.

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