Surgical Management of a Colloid Cyst of third ventricle

Surgical Management of a Colloid Cyst of third ventricle

A 20-year-old girl, an art student, presented with two episodes of transient loss of consciousness lasting 20–30 minutes, accompanied by neck pain radiating to the left side. Clinical evaluation, followed by MRI, revealed a third ventricular colloid cyst, causing obstruction at the foramen of Monro and resulting in intermittent symptoms of raised intracranial pressure.

The patient underwent neuro-navigation-guided craniotomy and successful excision of the colloid cyst. Intraoperative and postoperative management were uneventful. The patient was extubated immediately following the procedure. A postoperative CT scan confirmed complete excision of the cyst, with no residual tumor visible.

She was monitored in the ICU for one day, where she demonstrated remarkable recovery. Impressively, she resumed her artistic pursuits on the first postoperative day, highlighting her swift neurological recovery. Currently, she is stable and recovering well in the ward.

We extend our gratitude to the entire neurosurgery team and the operating theater staff for their seamless coordination and dedication to achieving an excellent outcome for the patient.

This case underscores the importance of timely diagnosis, precise surgical planning, and multidisciplinary teamwork in the successful management of colloid cysts.

Histopathology- Nimhans 

Colloid cyst 

Regarding Third ventricular colloid cysts , these are rare 1 to 3 % whole intracranial tumours but potentially life-threatening intracranial lesions, often presenting a significant surgical challenge due to their deep midline location and proximity to critical neurovascular structures. These cysts can cause acute hydrocephalus and elevated intracranial pressure through obstruction of the foramen of Monro, leading to symptoms such as severe headaches, intermittent loss of consciousness, or, in rare cases, sudden death. Surgical management, either through neuro-navigation-guided craniotomy or endoscopic resection, demands meticulous planning and precise execution to minimize complications. Advances in neuro-navigation and microsurgical techniques have significantly enhanced the safety and efficacy of these procedures, making early diagnosis and prompt intervention essential in preventing catastrophic events.

Dr Ganesh Veerabhadraiah 
HOD and Senior Consultant Neurosurgeon
Kauvery hospital 
Electronic City
Bengaluru 

Ph no 7249669911

#ColloidCyst #ThirdVentricularTumours #BrainTumours #IntraventricularTumours #EndoscopicTumourRemoval #Craniotomy

What are the difference between neurosurgeon and neurologist?

Difference between neurosurgeon and neurologist

Summary

It is important to understand the difference between neurosurgeon and neurologist. Both neurosurgeons and neurologists are medical experts specializing in the central nervous system. While neurologists treat neurological conditions through medical management, neurosurgeons are trained to perform surgical interventions when necessary. Understanding their roles and the conditions they treat is crucial for seeking the right medical care.

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Introduction

Differentiating between medical specialists can often be challenging. However, when dealing with brain, spine, and nerve-related issues, understanding the difference between a neurologist and a neurosurgeon is essential. Both specialists address central nervous system disorders, which include the brain, spinal cord, and peripheral nerves. The central nervous system governs most bodily functions, making these experts vital for diagnosing and treating complex conditions.

Neurologist: The Medical Specialist

A neurologist diagnoses and treats disorders of the nervous system medically, without performing surgery. Conditions commonly treated by neurologists include:

  • Chronic headaches and migraines
  • Alzheimer’s disease and dementia
  • Parkinson’s disease
  • Stroke (medical management)
  • Sleep disorders
  • Multiple sclerosis (MS)
  • Peripheral nerve disorders
  • Motor neuron diseases such as ALS

Neurologists also conduct diagnostic tests like NCV (Nerve Conduction Velocity), BERA (Brainstem Evoked Response Audiometry), and VEP (Visual Evoked Potential). If you’re experiencing symptoms such as persistent headaches, seizures, or muscle fatigue, consider consulting the best neurologist near you or visiting the top neurology hospital in Bangalore.

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Neurosurgeons: The Surgical Expert

A neurosurgeon specializes in surgical interventions for the nervous system, handling both routine and complex cases. Conditions commonly treated by neurosurgeons include:

  • Brain injuries and tumors
  • Spinal disc herniation and stenosis
  • Sciatica
  • Stroke requiring surgical intervention
  • Aneurysms needing clipping or coiling
  • Craniotomy for blood clots

If you’re dealing with severe back or neck pain or have been advised surgery, consult the best neurosurgeon in Bangalore or explore options for spine surgery specialists near you.

Neurosurgeons typically use non-operative treatment plans before performing surgery, even though they are capable of performing extremely complex surgeries. When surgery is necessary,  procedures are done whenever it is needed. When a patient has a brain or spinal cord injury, neurosurgeons are also on call for emergency room doctors.

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What makes a neurologist different from a neurosurgeon in Bangalore?

As explained above, a neurologist is a doctor who specializes in the diagnosis and treatment of brain and nervous system disorders. They are experts in treating chronic headaches, epilepsy, Parkinsons disease, multiple sclerosis, dementia, brain infections, and other brain disorders that can’t be managed surgically.  Neurologists are experts in doing electrophysiological tests of nervous systems like  NCV( nerve conductions studies, BERA, VEP)  and they will inform us about how it nervous system works.

Neurosurgery in Bangalore, on the other hand, treats brain injuries, tumor removal, spinal problems with vertebrae, and slip discs requiring surgical treatment. Both doctors collaborate closely to provide the best possible care for their patients, combining medical and surgical procedures as needed.

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Degree and training:

  • Neurologists: After earning a medical degree, neurologists undergo 3 years of internal medicine training and another 3 years specializing in neurology. Some pursue sub-specialties such as stroke, pediatric neurology, or neurophysiology.
  • Neurosurgeons: Neurosurgeons complete an extensive training program, including 3 years of general surgery residency followed by 3-6 years of neurosurgery training. Many opt for fellowships in fields like spine surgery, endovascular neurosurgery, or pediatric neurosurgery.

When seeking specialized care, search for the best neurologists and neurosurgeons near me or visit the top neurology and neurosurgery centers in Bangalore for expert consultations.

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Finding the correct specialist:

These two types of specialists and the conditions they treat have some overlap. When surgery is required such as for an aneurysm or brain tumor, when surgery is needed for a stroke these doctors may collaborate, for example, a neurologist may refer a patient to a neurosurgeon in Bangalore for surgery and the patient returns to the neurologist for further management.

Ask your primary care physician which type of specialist to see if you have a condition or symptoms that you believe require a brain and spine specialist. At The Neurowellness Center, our multidisciplinary team of physicians is equipped with the latest technologies and has the experience to treat any musculoskeletal injury or condition.

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When to see a neurologist?

As top neurologists in Bangalore treat patients with disorders of the brain and nervous system, there are some warning signs to look for before visiting a neurologist.

Here are some common auto symptoms to help you understand what a neurologist.

  • Epilepsy(seizures, convulsions)
  • Dizziness that lasts for a long period of time
  • Problem with balancing
  • Headaches
  • Confusion in emotions
  • Fatigue in muscles
  • Sense of heaviness throughout the head for a long time

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When to see a neurosurgeon in Bangalore?

Neurosurgeons, like neurologists, deal with a wide range of ailments; because neurosurgeons can perform surgery on any region of the entire nervous system and associated with body parts as well, people who visit them are frequently those who have been advised to do so by neurologists. A neurosurgeon’s main role, as previously stated, includes surgical procedures. Here are some of the scenarios in which they might intervene:

  • Brain injuries.
  • Craniotomy and Brain tumor removal.
  • Aneurysm Clipping or Coiling
  • Spinal decompression and spinal fusion.
  • Craniotomy and removal of a blood clot.
  • Brain bypass

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As advanced neurosurgery in Bangalore is one of the most difficult fields of medicine, it may sometimes necessitate the collaboration of a multidisciplinary team of experts, including plastic surgeons, orthopedic surgeons, interventional radiologists, and others.

Collaboration Between Neurologists and Neurosurgeons

Often, neurologists and neurosurgeons work together for comprehensive patient care. For example, a neurologist may diagnose a condition and refer the patient to a neurosurgeon for surgery. Post-surgery, the neurologist continues medical management. If you’re seeking a collaborative approach, consider visiting the best neurology and neurosurgery hospitals in Bangalore.

Visit NeuroWellness – Brain and Spine Care

Address: #1224, Ground Floor, 26th Main, Jayanagar 9th Block, Bangalore – 560069
Phone: +91 72596 69911 | +91 73490 17701
Website: www.neurowellness.in

FAQs

1. What is the main difference between a neurologist and a neurosurgeon?
A neurologist specializes in diagnosing and treating brain and nervous system disorders medically, while a neurosurgeon performs surgical interventions when necessary.

2. Can a neurologist perform surgeries?
No, neurologists focus on medical management. Surgical procedures are handled by neurosurgeons.

3. What conditions require a neurosurgeon’s expertise?
Conditions like brain tumors, spinal injuries, and stroke requiring surgery fall under the expertise of neurosurgeons.

4. When should I see a neurologist?
If you experience symptoms such as persistent headaches, seizures, dizziness, or cognitive issues, consult a neurologist.

5. Which is the best hospital in Bangalore for neurology and neurosurgery?
NeuroWellness – Brain and Spine Care in Bangalore is a leading center for comprehensive neurology and neurosurgery treatments.

Neuro Endovascular Coiling

In this blog, we are throwing some lights on “Neuro Endovascular Coiling”. You will get to know all those important details of Neuro Endovascular coiling that will help you take better decisions about discussing the risks and benefits of aneurysm coiling procedures with a Neurosurgeon in Bangalore.

What is Aneurysm?

An aneurysm in the brain is a weak area in an artery in the brain that bulges out and fills with blood. In some of the cases, it balloons out of the thinned vessel wall can lead to dangerous complications if ruptures.

Once brain aneurysm is diagnosed by neuroimaging DSA or CT angiogram, after discussing benefits and risks of coiling of aneurysm coiling procedures undertaken. One should discuss the risks and benefits with a doctor.

Usually coiling procedure is suitable for aneurysms in posterior circulation that is vessels supplying the brain stem and cerebellum, narrow neck of aneurysm. You should always discuss with neurosurgeons about the coiling and other approaches, benefits and risks.

Endovascular coiling is usually carried out under general anaesthesia in a cath lab.

It is usually done from an artery in the groin called the femoral artery. Other arteries can be radial or brachial arteries in hand. Here catheters and micro guide wires are used to reach the area of the aneurysm.

Platinum coils are used to fill the aneurysm and seal that prevent the rupture. Sometimes additionally balloons or stents are used to facilitate the filling of platinum coils.

How you should be prepared for an endovascular coiling?

  • In order to do the procedure, you will be asked to read the consent form carefully and sign it as well
  • Share all your information regarding your reactions or  allergies to alternative dyes or iodine
  • Do follow the advisories given by the doctor before surgery
  • The news regarding pregnancy shall be shared
  • Blood tests are necessary so as to see how much time does it take to clotting of blood
  • Tell the doctor about the medicines and supplementary you have been taking

Endovascular Coiling Procedure:

A coiling procedure will require you to stay in the hospital. Procedures may differ depending on your situation and the procedures of your Neurosurgeon or practitioner.

  1. Any clothing, jewellery, hairpins, dentures or anything that could interfere with the treatment will be asked to remove but generally, a hospital gown will be provided to you
  2. Before the treatment begins, you will be given time to empty your bladder
  3. On the X-ray table, you will be positioned on your back
  4. In your hand or arm, an IV (intravenous) line will be started
  5. An electrocardiogram (ECG) monitor will be attached to you, which will record your heart’s electrical activity
  6. During the process, you will have your heart rate, blood pressure, breathing rate and nervous system indication checked
  7. To drain your bladder, a catheter may be inserted
  8. Your pulses may be checked below the groyne area where the catheter will be put by the radiologist or neurosurgeon
  9.  A guide will be used to insert a catheter into the artery in your groyne
  10.  Fluoroscopy will be used to guide the catheter through the blood artery into the brain
  11.  This is a sort of X-ray that resembles an X-ray movie
  12.  Contrast dye will be given after the catheter reaches the afflicted artery in the brain, allowing the aneurysm and surrounding blood vessels to be seen on X-ray
  13.  The aneurysm will be measured and its shape and other characteristics will be recorded by the provider
  14.  The initial catheter will be replaced with a smaller catheter by the physician
  15.  The provider will insert the coil into the aneurysm once the catheter has reached it
  16.  The coil is removed from the catheter once it has been entirely inserted into the aneurysm
  17.  The doctor will insert as many coils as necessary to seal the aneurysm
  18.  Inside the aneurysm, the coils will form a mesh-like structure
  19.  The catheter will be removed once the aneurysm has sealed. In the end, the dressing will be done

There are certain risks present in this neurosurgical procedure so always consult the Best Neurosurgeon in Bangalore. There have been cases of bleeding in an aneurysm and recanalization. Endovascular coiling may not be a complete success in all the patients.

When the procedure is going on, complications such as aneurysm rupture or stroke may arise. Aneurysms can be prevented from rupturing by preventing blood flow into them.

Other risks involved are:

  • Bleeding
  • Blood clot
  • Infection
  • Rupture of aneurysm
  • Loss of consciousness
  • Paralysis on half of the body
  • Transient ischemic attack

Endovascular coiling is a minimally invasive surgery, there no craniotomy or cutting of bone, no opening of the brain, no retraction of brain or handling of blood vessels, get discharged faster and going back to normal life is fast. At NeuroWellness you will get the best and cost-effective treatment for any brain or spine related problem from the Best Neurosurgeon in Bangalore.

Neuro endovascular coiling offers a safe, less invasive solution to treat brain aneurysms. Timely diagnosis and expert care can save lives.”
Dr. Ganesh Veerabhadraiah

FAQs on Neuro Endovascular Coiling

  • Q1: What is neuro endovascular coiling?
    It is a minimally invasive procedure used to treat brain aneurysms by placing coils inside the aneurysm to block blood flow.

  • Q2: Is coiling better than open surgery for aneurysms?
    Yes, for many patients, coiling is safer with quicker recovery, but eligibility depends on aneurysm type and location.

  • Q3: How long does it take to recover from coiling?
    Most patients recover within 1–2 weeks. Some may need longer observation depending on individual health.

  • Q4: Is neuro coiling available in Bangalore?
    Yes, advanced neuro centers like NeuroWellness offer expert coiling procedures by trained neuro-interventionists.

 

Smoking Spine!

By smoking Cigarette, pharmacologically active alkaloid Nicotine is inhaled and that deeply penetrates the lungs and then absorbed in the bloodstream.

disc degeneration

Nicotine is directly responsible for Intervertebral disc degeneration by damage of annulus & nucleus pulposus. By Smoking Toxins directly damage cells.

Toxins released by smoking increase pain sensitivity by altering the pathway in the central nervous system (CNS). The smokers may require an increase in the dose of pain killers (Analgesics )to reduce the pain compare to non-smokers.

According to the National Osteoporosis Foundation US – smokers have a high incidence of osteoporosis and low bone density thereby increasing the risk of fracture.

Vertebral / Spine fractures are common in smokers.

Spine fracture

Spine fracture

Smoking reduces the bone mineral density, directly proportional to the severity of the smoking and also occurs with passive smoking.

Smoking reduces the oxygen supply and healing process of the bone, thereby delayed healing of the spine is expected following spine fracture or spine surgery.

Smoking affects the blood vessels, causes vasoconstriction and reduces oxygen and nutrients spinal tissue.

Continuous coughing as a result of smoking puts undue pressure over the spine and Increases the chances of disc herniation, radicular pain, and claudication pain. Subsequently, also worsen the neurological deficits.

QUIT SMOKING FOR A HEALTHY SPINE

Our expert Spine Surgeons in Bangalore at Neurowellness a Bangalore Spine Specialist Clinic provide consultation and treatment to all problems related to spine and brain.

Please visit

Neurowellness
Brain and Spine Clinic
#1224, Ground-Floor, 26th Main, Jayanagar 9th Block
BANGALORE – 560069

Phone No
+91 72596 69911
+91 73490 17701

Website www.neurowellness.in

Facebook www.facebook.com/neurowellness.in/

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