Neurosurgery

Overview

The Department of Neurosurgery is dedicated to the surgical management of complex disorders of the brain, spine, and nerves. Our team combines clinical expertise with advanced technology to deliver safe and effective care. We manage a wide range of conditions, including brain tumours, spinal injuries, aneurysms, vascular malformations, congenital anomalies, and degenerative spine disorders.

With the use of advanced operating microscopes and exoscopes, intraoperative neuro-navigation systems, neurosonography, intraoperative monitoring, and minimally invasive techniques such as brain and spine endoscopy, keyhole approaches, percutaneous interventions, and endovascular procedures, we focus on precision, safety, and faster recovery.

Symptoms

Some neurological symptoms may point to underlying conditions requiring neurosurgical attention. Common warning signs include:

• Dizziness – may be linked to balance disorders, inner ear issues, or neurological causes.
• Chronic headaches – persistent or severe headaches could indicate vascular malformations, tumours, or intracranial pressure changes.
• Neck pain – may stem from cervical disc problems, spondylosis, or nerve compression.
• Back pain – prolonged pain might suggest disc herniation, spinal canal narrowing, or fractures.
• Frequent migraines – when resistant to medical therapy, migraines may warrant neurological assessment.
• Imbalance – loss of coordination could arise from cerebellar dysfunction or spinal cord compression.
• Nausea and vomiting – if persistent, these may indicate raised intracranial pressure.
• Numbness or tingling in arms and legs – often linked to spinal cord or peripheral nerve involvement.
• Seizures – can be caused by tumours, scar tissue, or vascular malformations.
• Leg pain with radiation – often points to nerve compression due to disc prolapse or spinal stenosis.
• Visual disturbances or blindness – may be related to optic nerve compression, pituitary tumours, or raised intracranial pressure.
• Hearing loss or double vision – often associated with tumours affecting the cranial nerves.

When to See a Neurosurgeon?

It is important to seek timely consultation with a neurosurgeon if you notice:

• Persistent or worsening headache
• Chronic neck or back pain not relieved by medication
• Facial pain or trigeminal neuralgia
• Difficulty in walking or frequent imbalance
• Seizures without a known cause
• Impaired movement or progressive weakness
• Noticeable memory loss or altered behaviour
• Numbness, tingling, or loss of sensation
• Severe, unexplained pain
• Weak grip or reduced hand function

Early evaluation can help detect underlying conditions and prevent further complications.

Conditions Treated

Our neurosurgeons treat both emergency and elective conditions, including:

• Aneurysms (ruptured and unruptured) – managed with surgical clipping or endovascular coiling.
• Arteriovenous (AV) malformations and fistulas – treated using microsurgery, embolization, or radiosurgery.
• Cavernomas – surgically removed if symptomatic.
• Carotid artery stenosis – treated with endarterectomy or stenting to prevent stroke.
• Brain and spinal tumours – including gliomas, meningiomas, pituitary tumours, and metastatic disease.
• Head and spine injuries – emergency management of trauma, fractures, and haemorrhages.
• Disc prolapse and spondylolisthesis – managed through minimally invasive spine surgeries.
• Spine cancer and osteoporosis-related fractures
• Congenital anomalies – CV junction anomalies, spina bifida, tethered cord.
• Peripheral nerve conditions – such as carpal tunnel syndrome and nerve injuries.
• Intracranial haemorrhages – including hypertensive bleeds and subarachnoid haemorrhage.
• Functional neurosurgery – for movement disorders like Parkinson’s disease and refractory epilepsy.
• Stroke and encephalitis complications
• Trigeminal neuralgia and facial pain syndromes
• Scoliosis and other spinal deformities

Diagnosis

Accurate diagnosis is the foundation of neurosurgical care. At Yashoda Medicity and Yashoda Super Speciality Hospital, Kaushambi, we use a combination of clinical evaluation and advanced investigations:

• Neurologic exam – assessment of reflexes, motor strength, sensation, and coordination.
• Imaging – X-rays, CT scans, MRI scans, PET scans, and ultrasounds for structural evaluation.
• Stereotactic biopsy – a minimally invasive technique to sample brain or spinal lesions.
• Electroencephalography (EEG) – to study electrical activity in epilepsy and seizure disorders.
• Electromyography (EMG) and Nerve Conduction Velocity (NCV) studies – for peripheral nerve and muscle disorders.
• Catheter angiography – gold standard for evaluating aneurysms, AVMs, and vascular stenosis.
• Cerebrospinal fluid (CSF) analysis – for infections, haemorrhage, or autoimmune conditions.
• Swallow study – for patients with suspected nerve or brainstem involvement.
• Thermography – used in select vascular and nerve disorders.
• CT Myelogram – detailed spinal imaging where MRI is not possible.
• Positron Emission Tomography (PET scan) – to assess tumour metabolism and spread.

Technologies

The Neurosurgery Department is equipped with:

• Advanced operating microscopes and high-definition exoscopes
• Intraoperative neuro-navigation and real-time imaging
• Intraoperative neuro-monitoring for nerve and brain function preservation
• Neurosonography for real-time surgical guidance
• Minimally invasive brain and spine endoscopy systems
• Hybrid operating theatres for open and endovascular procedures
• Endovascular suites for aneurysm and AVM management
• Minimally invasive spine surgery and percutaneous fixation systems
• Stereotactic and functional neurosurgery platforms
• Advanced MRI, CT, angiography, and PET imaging support