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Neuro Surgery

Aster RV Hospital, JP Nagar Bangalore ranks among the best hospitals for neurosurgery in India. The department has an experienced, well renowned, astute neurosurgical team well known for its high-quality neurosurgical care. The frontiers of neurosurgery are here with our surgeons using the latest cutting edge technology and state-of-the-art facilities to deliver unsurpassable, safe treatment to our patients. All brain, spine, and peripheral nerve simple or complex surgeries are performed with immaculate dexterity.

The latest innovation incorporated in the department is the intraoperative MRI suite. At present ours is the only hospital in the private sector in entire South India to possess this facility. It enhances the safety, precision, and extent of resection of complex brain tumors and instills confidence in the operating surgeons to push the limits of surgery.

In addition, capabilities to perform minimally invasive brain and spine surgery, computer-assisted brain and spine surgery, stereotactic biopsy, awake brain surgery, comprehensive intraoperative neuromonitoring and ultrasound, and deep brain stimulation are also present. These ensure complex pathologies being handled in the safest and most effective manner as possible thereby reducing the morbidity and mortality to a great extent. The Neurosurgery Department is a part of an integrated, multidisciplinary team committed to providing the seamless best care to our patients. Ably collaborating and working in tandem with them are qualified and experienced neuro-anaesthetists, neuro-intensivists, neuro-radiologists, and neurologists.

The department takes care of the patients with compassion and empathy true to the tag line “We Will Treat You Well”.

Aster RV Hospital, JP Nagar is the only hospital in the private sector to have an intraoperative MRI facility in the state of Karnataka. Intraoperative MRI helps in the safe resection of brain tumours. In addition, there are facilities such as intraoperative neuromonitoring systems, neuronavigation systems, and other technology that enable neurosurgeons to perform extremely safe surgery to patients, reducing the morbidity and mortality to a great extent.

The department has expertise in treating all types of neurosurgical brain, spinal, and peripheral nerve disorders inclusive off though not exclusive:

Advanced Technology & Facilities

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

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

FAQs

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

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 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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