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Medanta Institute of
Neurosciences
Home > Our Institutes > Medanta Institute of Neurosciences > Specilised Surgical Programmes
Specialised Surgical Programmes
Dr. Ajaya N Jha
Chairman
Institute of Neurosciences
Our Institute is dedicated to the "patient first" with a team of specialists working together, along with the best technology available today to optimize patient outcome.
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                    MRI GUIDED SURGERY

                        MRI guided surgery is done with detailed preoperative planning, intraoperative realtime
                        imaging in brain suite, colouring the tumour tissue differently from normal brain
                        by tumor luminescence and physiological functions monitoring. This allows for removal
                        of tumor more completely and thus reducing the tumor burden to the maximum extent.
                        Also the removal of tumor tissue is not at expense of damaging the normal brain
                        tissue. This improves the outcomes and quality of life.

                        DEEP BRAIN STIMULATION

                        Deep Brain Stimulation is done by localizing a site of subthalamic nucleus by putting
                        a stereotactic frame and MRI. The surgery involves putting in microelectrodes inside
                        the brain and recording the activity. After deciding the site, the electrical stimulation
                        of the brain is done and the response of the patient observed. All during this time
                        the patient remains conscious. The electrodes are then left inside the brain at
                        the specified.

                        ENDOVASCULAR SURGERY

                        Endovascular Neurosurgery Surgery .

                        EPILEPSY SURGERY

                        A small percentage of people with epilepsy do not respond to even highest doses
                        of 3 or 4 drugs, which needs evaluation to find out the cause, and also whether
                        surgery would be of benefit. At our centre, we have an expert team that can evaluate
                        and perform the entire range of epilepsy surgery procedures that may be required
                        in any patient. Our facilities include EEG, video EEG, SPECT, PET, advanced MRI
                        and Neuronavigation, including the Brain Suite.

                        MOVEMENT DISORDER SURGERY

                        At times, when medications do not give relief in Parkinson's disease, surgery can
                        be considered a good option in selected patients. The surgery preferred is Deep
                        Brain Stimulation (DBS), in which electrodes are placed in certain special nuclei
                        in the brain, and connected to a pacemaker placed (typically) below the left collar
                        bone. This surgery usually results in significant benefit in all symptoms, such
                        as tremors, stiffness and slowness of movements. Patients with Dystonias are also
                        good candidates for surgical procedures, especially because these do not respond
                        very favourably to medications. Apart from DBS, there are other options including
                        other types of surgery, lesioning and also Botulinum Toxin (BoTox) injection.

                        MINIMALLY INVASIVE SPINE SURGERY

                        Minimally invasive spine techniques preserve the normal musculoskeletal structures
                        as much as possible while completely addressing the disease pathology. The Minimally
                        invasive spine surgery and Endoscopic spine surgery involves placement of operating
                        ports (forming the operating channel) separating the muscle fibers and thus preserving
                        their blood and nerve supply. Now with union of advanced technology and skill sets
                        the scars have become small almost to the size of a Rupee coin, hospital stay is
                        in days and return to normal activities in few weeks.

                        ENDOSCOPIC NEUROSURGERY

                        The concept of Endoneurosurgical treatment of brain disorders has been made possible
                        by advances in telescopes (endoscopes), instrumentation, real time navigational
                        and imaging ability, development of endoscopic skill sets and fresh anatomical detailing
                        of the endoscopic corridors and the surrounding structures.
                        
                        The Endoscopic Brain surgery programme has four components.

                        1. Endoscopic Ventricular and Periventricular Surgery

                        2. Endoscopic Endoportal Brain Surgery for deep seated intrinsic brain tumors

                        3. Endoscopic assisted Microneurosurgery

                        4. Endoscopic Skull Base Surgery

                        The advantages offered by Endoneurosurgery are better visualization of normal anatomy
                        and the disease process allowing for preservation of normal anatomical structures
                        and completeness of removal of the disease. This translates into faster recovery
                        of patients and lessens the morbidity and complications of the procedure, while
                        preventing large and disfiguring scars and trauma to underlying brain tissue.
Medanta Institute of Neurosciences
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