Neurosurgery

Neurosurgery is the medical specialty concerned with the prevention, diagnosis, treatment and rehabilitation of disorders that affect the entire nervous system including the spinal column, spinal cord, brain and peripheral nerves.

The Departments of Neurology and Neurosurgery at apex hospital provide an array of specialized secondary and tertiary neurological consultative services. Our goal is to bring scientific research and discovery into clinical services to improve the lives of our patients. Patients and referring physicians are gratified to discover how easily they can gain prompt access to our world-class doctors.

The neurosurgeons at Apex Hospital each have their own areas of expertise, specialized training and research, yet they work together as an integrated team to provide exceptional care.

The departments have a long tradition of dedication to achieving excellence in patient care, teaching and research. Our physicians have expertise in many subspecialties within the disciplines of Neurology and Neurosurgery. Working together in multidisciplinary collaboration, we strive to provide the best possible care to our patients.

The Hospital offers all facilities for investigations & treatment of diseases of the brain, spinal cord, muscle and nerves. In this era of technological advances, the department of Neuro Surgery provides patients with the best possible access for head and spine trauma, brain tumors and shunt surgery.

The Centre is equipped with the most sophisticated and advanced technological aids to assist in diagnosis and management. It is backed with the state of art Neuro & Trauma ICU with 20 beds dealing with patients requiring acute Neurological care like stroke / cerebrovascular accidents, status expileptices, myaesthenia gravis, head and spinal injury patients.

Department of Neurosurgery is equipped with all kinds of modern gadgets and equipment to deal with specialized routine and emergency operations of the brain and spine. This includes the operating microscope, operating table, neuro-surgical instruments and the radiological back up for MRI and spiral CT scan.

Apart from the varied types of emergency operations like head and spinal trauma, we are also frequently conducting the enlisted operations successfully.

Consultants:
Dr. Somil Kansal (M.Ch. Neurosurgery)

Our Specialities

BRAIN TREATMENT

We are operating on all kinds of brain tumours located in eloquent (functionally important) brain areas. These are conducted on patients in anesthesia as well as awake state. We are well equipped with all requisite modern gadgets to do the same.

  

SPINE TREATMENT

Central Nervous System (CNS) The Central Nervous System is composed of the brain and spinal cord. The brain has 12 Cranial Nerves. The spinal cord, which originates immediately below the brain stem, extends to the first lumbar vertebra.The spinal cord provides a means of communication between the brain and peripheral nerves.

   

Peripheral Nervous System (PNS) The CNS extends to the Peripheral Nervous System, a system of nerves that branch beyond the spinal cord, brain, and brainstem. The PNS carries information to and from the CNS.
The ANS is further divided into the Sympathetic Nervous System and the Parasympathetic Nervous System. The sympathetic nervous system is an involuntary system often associated with the flight or fight response. The parasympathetic nervous system is responsible for promoting internal harmony such as regular heartbeat during normal activity.

Trigeminal Neuralgia:
Treatment by Percutaneous Electrocoagulation (Radio frequency Thermal Lesion - RFTC)

Over most of this century, a variety of neurosurgical operations and procedures have been introduced to treat trigeminal neuralgia. The objective of almost all these treatment have been the creation of a sensory deficit in are of pain a especially in the trigger area of trigeminal never distribution (V1, V2, V3). Major intracranial operative procedure with their attendant risks, gave way in many places to percutaneous approaches to the ganglion and retrogasserian rootless (V1-2-3) for the instillation of alcohol, oiling water, phenol, Billon. In the early 1930s, Kirschner introduced his technique of elecrocoagulation of the gasserian ganglion using of diathermy apparatus. In 1970 Sweet introduced the radio frequency (RF) technique. This method is relatively very safe can be easily performed with almost minimal side effect of facial numbness or paresthesia. Very rarely patient may have dysesthesia and loss oat corneal retlex. The outcome in major centers shows excellent outcome in 60 to 70% cases, good in 20 to 25% cases, fair 5% cases & poor in rest of the cases. The effect of the pain relief was evaluated up to 10 years in above cases. In Amritsar at, Apex Neuro Hospital we have started treating the Trigeminal Neuralgia (severe pain at face) with radio frequency lesions (RF) since last 10 years. This is the FIRST private center in Amritsar to treat Trigeminal Neuralgia with RF Generator. The advantage of this treatment is to have long lasting pain relief with more precise lesion at gasser lion with the help of never stimulator and RF lesion Generator (RFLG). Technique Under radiological guidance the needle for RF stimulator is inserted at the level of foramen ovel. CSF is obtained. Mild sedation and local anesthesia is used. With never stimulator the nerve roots are located. The desired nerve roots (V1, V2, V3) stimulations will give tingling sensation in the distribution of pain area. Usually 50 to 60-Hz stimulations is adequate for stimulations of nerve roots. After confirmation of the exact site, the lesion is made with 60 to 90 degree temperature given for 60 to 90 seconds. For the lesion patient is anaesthetized with short acting anesthetic agents.