stenting

Stenting For Major Brain Vessel Causing Cerebral Hypoperfusion Due To Stenosis

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Preventing major stroke in high grade carotid artery stenosis: A case report

Dr. Ganesh Veerabhadraiah is a dedicated Neurosurgeon in Bangalore having 17 years of rich experience in the held of Brain, Spine and Neuroendovascular surgery. His passion is micro neurosurgery and cerebrovascular and endovascular.  He is rigorously working round-the-clock with an intention to provide quality neuro care for all the needy through his excellence.

significant despite medical therapy. Early diagnosis plays a vital role in suffering from hypoperfusion.

Stenting plays an important role in re establishing the brain blood flow in case of high grade carotid stenosis refractory to medical treatment and preventing major stroke.

CASE REPORT

Introduction:

Celebral Hypoperfusion is a condition happens due to insufficient supply of blood and oxygen to the brain. Intracranial Atherosclerosis (ICAD) is a pathological condition where there is a narrowing of arteries due to accumulation of cholesterol plaque arterial wall. It causes reduced blood supply to brain which leads to cerebral hypoperfusion and stroke.

Case details:

A 65 year old man was brought to  with chief complaints of weakness in the right side of the body along with frequent fainting attacks and he had a past history of diabetes and hypertension. He was diagnosed to have reduced blood supply to the left side of the brain. It was the result of the narrowing of the channels (arteries) that connect the heart to the brain.

MRI scan of the brain with perfusion scan showed that the patient had an inadequate flow of blood in the brain and narrowing of carotid artery at two places due to which he was at a high risk of getting major stroke and which should have caused even death. Owing to the severity of the condition, neurosurgeon recommended the patient to undergo intracranial stenting. The stenting helped in managing and normalising the blood flow to the brain. We did pinhole surgery / endovascular surgery to approach the brain vessels. through small puncture of femoral artery in the thigh. As he had narrow blood vessels in the neck and brain. Both these problems were addressed at the same time through stenting. The patient was suffering from cerebral hypoperfusion syndrome due to intracranial severe atherosclerosis.

high-grade-stenosis

The team of neurosurgeon, neurologist, endovascular surgeon successfully treated by intracranial stenting at two places of brain vessels at the same time on the patient to reduce the risk of major stroke. Fortunately, the patient. withstood the entire procedure and there were no complications post. procedure. The patient is doing well now.

Discussion:

Stroke is a leading cause of adult disability, Intracranial stenosis is the narrowing of

major Intracranial arteries due to the build-up of atherosclerotic plaque. The standard medical therapy for patients with intracranial stenosis includes the use of

antithrombotics, statins, antihypertensives and risk factor control .The risk of recurrent stroke in patients with high-grade intracranial stenosis.

Reference:

The American Journal of Medicine: https://www.amjmed.com/article/S0002-9343 (06)00186-0/abstract

NCBI- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4640326/
AHA journal: https://www.ahajournals.org/doi/pdf/10.1161/01.STR.24.11.1691

Contact –

7349017701

slipped disc

What is a slipped disc?

adminBest neurology hospitals in bangalore, Bangalore Spine Specialist Clinic, Neurowellness No Comments

Also also known as disc herniation, disc prolapse, disc extrusion, disc migration, disc protrusion.

The vertebrae (bones) that make up your spinal column are piled on top of each other. From top to bottom, the cervical spine has seven bones, the thoracic spine has twelve and the lumbar spine has five, with the sacrum and coccyx at the bottom. Discs provide cushioning for these bones. The discs cushion the bones by absorbing shocks from everyday actions such as walking and lifting.

A soft, gelatinous interior region and a strong outside ring make up each disc. The inner section of the disc might protrude through the outer ring due to injury or weakening. A slipped, herniated or prolapsed disc is the medical term for this condition. This creates discomfort and anguish. You may suffer numbness and pain along the afflicted nerve if a slipped disc compresses one of your spinal nerves.

Symptoms of a slipped disc:

 A slipped disc can occur anywhere in your spine. In your spine, from your neck to your lower back. Slipped discs are most commonly found in the lower back and in neck. It is also known as PIVD(Prolapsed intervertebral disc). A slipped disc can put additional strain on the nerves and muscles in the area.

The symptoms are as follows:

  • back pain and  neck pain .
  • Standing or sitting causes pain that gets worse.
  • Short distance walking causes pain.
  • Discomfort and numbness on one side of the body.
  • Pain that radiating/extends to your arms or legs
  • Pain that gets worse at night or specific motions.
  • Standing or sitting causes pain that gets worse.
  • Short distance walking causes pain.
  • Muscle weakness that is not explained.
  • Sensations of tingling, aching or burning in the afflicted area.
  • Difficulty in controlling bladder or bowel movements.

The sorts of pain differ from one person to the next. If your discomfort causes numbness or tingling that interferes with your ability to control your muscles, consult your doctor or if you are from Bangalore then visit a Bangalore Spine Specialist Clinic.

What causes slipped disc?

 The outer ring of a slipped disc(annulus) becomes weak or damaged, allowing the inner section(nucleus pulposus) to slip out. This is something that can happen as you become older. A slipped disc might also be caused by certain abnormal movements. When twisting or turning to lift an heavy object, a disc can slip out of its place. Lifting a huge, heavy object  suddenly puts a lot of strain on the lower back, which can lead to a slipped disc. Because discs must support the extra weight, obese people are more likely to develop a slipped disc.

A slipped disc can also be caused by weak muscles and a sedentary lifestyle. You are more likely to get a slipped disc as you get older. This is because as you become older, your discs lose some of their protecting water content. As a result, they are more likely to fall out of place.

How are slipped discs diagnosed?

 A physical examination will be performed first by your doctor- neurosurgeon. They will be on the lookout for the source of your suffering. This will entail assessing your nerve function and muscle strength as well as determining whether or not you experience discomfort when moving or touching the affected area. Your doctor will also inquire about your medical history as well as your current symptoms. They will know when you first started experiencing symptoms and what activities you were doing at that time.

Imaging tests can let your doctor see your spine’s bones and muscles as well as any damaged areas. Imaging scans include the following:

  • X rays
  • CT scans
  • Magnetic Resonance Imaging (MRI) scans

Your doctor can put all of this information(clinical and radiological) together to figure out what’s causing your pain, weakness or discomfort.

Is it possible to prevent a slipped disc?

 Although you may not be able to prevent a slipped disc, you can take efforts to lower your chances of acquiring one. These steps are as follows:

  • Use proper lifting techniques, such as bending and lifting from your knees rather than your waist.
  • Maintain a healthy body mass index (BMI).
  • Do not sit for a long period of time, do some exercises as well.
  • Strengthen the muscles in your back, legs and belly by doing workouts.
  • Balanced diet.
  • To seek help of a doctor at right time.

Summary:

The great majority of disc issues resolve without the need for surgery. Most people can return to normal function in a short period. In Neuro Wellness Care Services a Bangalore Spine Specialist Clinic, you will get the best treatment for problems related to spine by dedicated Spine Surgeons in Bangalore and the best Back Pain Treatment in Bangalore as well.

How Hydrocephalus can cause problems in children

Hydrocephalus in Children: Causes, Symptoms & Treatment in Bangalore

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The buildup of fluid in the cavities (ventricles) deep within the brain is known as hydrocephalus. The extra fluid expands the ventricles, which exerts pressure on the brain.

The brain and spinal column are generally bathed in cerebrospinal fluid, which circulates through the ventricles. However, excessive cerebrospinal fluid pressure associated with hydrocephalus can harm brain structures and result in a variety of symptoms.

Hydrocephalus can occur anyone at any age with depends on the  cause, however it is more common in infants and individuals aged 60 and up (normal pressure hydrocephalus). Hydrocephalus can be treated surgically to restore and maintain normal cerebrospinal fluid levels in the brain. Managing symptoms of functional deficits caused by hydrocephalus often necessitates a variety of interventions.

Hydrocephalus in Children – Key Symptoms & Risks

✔️ Unusually large head size → Excess fluid buildup
✔️ Bulging soft spot on head → Pressure on brain
✔️ Vomiting & irritability → Raised intracranial pressure
✔️ Seizures → Severe fluid pressure impact
✔️ Developmental delays → Affecting growth & learning
✔️ Eye problems → Vision issues due to nerve pressure

Symptoms of hydrocephalus:

The signs and symptoms of hydrocephalus differ depending on the age at which it first appears:

• Infants

In babies, common indications and symptoms of hydrocephalus include:

Changes in head:

• A head that is exceptionally big.
• A rise in the size of the head in a short period of time.
• Fontanel on the top of the head

Physical signs and symptoms:

• Vomiting
• Feeding problems
• Seizures
• Downward looking eyes (sunsetting of the eyes)
• Muscle tone and strength deficiencies
• Touch sensitivity is poor
• Poor growth

Toddlers and older children:

Signs and symptoms in toddlers and older children may include:

Physical signs and symptoms:

• Headache
• Double eyesight or hazy vision
• Downward looking yes (sunsetting of eyes)
• A toddler’s head is abnormally enlarged
• Lethargy or sleepiness
• Vomiting or nausea
• Unstable equilibrium
• Coordination issues
• Appetite problems
• Seizures
• Urinary incontinence

Changes in behaviour and cognition:

• Irritability
• Personality shifts
• School performance is declining
• Delays or difficulties with previously learned tasks like walking or talking

Young and middle aged adults:

The signs and symptoms for this age group is as follows:

• Headache
• Lethargy
• Urinary incontinence or a frequent urge to urinate
• Vision impairment
• Memory, focus and other  thinking skills decline, which may have an impact on job performance

Older adults:

The following are the most prevalent indicators and symptoms of hydrocephalus in individuals aged 60 and above:

• Urinary incontinence or a frequent urge to urinate
• Loss of memory
• Other thinking or reasoning skills gradually declining
• Difficulty in walking, which is typically described as a shuffling stride or a stuck feeling in the feet
• Coordination or balance issues

When to consult a doctor?

 For infants and toddlers who are experiencing the following signs and symptoms, seek emergency medical attention:

• The sound of a high pitched scream or cry
• Sucking or feeding difficulties
• Recurrent, unexplained vomiting
• A reluctance to move the head or lie down
• Having trouble in breathing
• Seizures

Causes of hydrocephalus:

An imbalance between the amount of cerebrospinal fluid produced and the amount absorbed into the bloodstream causes hydrocephalus.

Cerebrospinal fluid is produced by the tissues that line the brain’s ventricles. It travels through interconnected channels in the ventricles. The fluid eventually finds its way into the regions around the brain and spine. It is predominantly absorbed by the blood vessels.

Cerebrospinal fluid is vital for brain function because of the following reasons:

• It Allows the comparatively hefty brain to float within the skull by keeping it buoyant
• To protect the brain from harm, it is cushioned.
• Getting rid of waste materials produced by the brain’s metabolism
• Flowing back and forth between the brain cavity and the spinal column to maintain a constant pressure within the brain, correcting for fluctuations in blood pressure.

Complications:

 Long term hydrocephalus consequences can vary greatly and are frequently impossible to foresee. If hydrocephalus has advanced by the time a child is born, it can cause serious intellectual, developmental and physical impairments. Less severe instances may have few, if any, major sequelae if treated properly.

Adults who have had a considerable reduction in memory or other thinking skills have a slower recovery and more lasting problems after hydrocephalus therapy.

The severity of complications is determined by the following factors:

• There may be underlying medical or developmental issues
• Initial symptom severity
• Diagnosis and treatment should be done as soon as possible

Summary: Neurowellness is a Bangalore Spine Specialist Clinic providing high quality brain and spine care at an inexpensive price. This center is one of the most cost effective and gives high quality treatment choices to the patients.

Pediatric Hydrocephalus Care in Bangalore

“Worried about your child’s head growth or developmental issues? Neurowellness Brain & Spine Clinic provides expert pediatric neurosurgery and long-term care.”

Dr. Ganesh Veerabhadraiah

Consultant – Neurosurgeon, Neurointerventional Surgery, Spine Surgeon (Neuro)
23+ Years Experience Overall (17+ years as Neuro Specialist)

Available for Consultation: Jayanagar 9th Block & Kauvery Hospital, Electronic City 

Book An Appointment

FAQs

1. What causes hydrocephalus in children?

It occurs when cerebrospinal fluid builds up in the brain due to blockage, overproduction, or poor absorption.

2. What are the common symptoms of pediatric hydrocephalus?

Rapid head growth, bulging fontanelle, vomiting, seizures, and developmental delays.

3. How is hydrocephalus treated in children?

Treatment usually involves surgery like shunt placement or endoscopic third ventriculostomy (ETV).

4. Can hydrocephalus in children be cured?

It can be managed successfully with timely surgery and lifelong follow-up care.

5. Where can I find pediatric neurosurgeons in Bangalore for hydrocephalus?

Neurowellness Brain & Spine Clinic offers advanced pediatric neurosurgery and hydrocephalus care.

About Author

Dr. Ganesh Veerabhadraiah

Dr. Ganesh Veerabhadraiah, leading neurosurgeon and neurologist in Bangalore, has over 20 years of expertise in managing back pain, migraines, headaches, neuro disorders, and spine problems. His clinical excellence and patient-first approach make him one of the most trusted neuro doctors in Bangalore.

At Neurowellness Brain & Spine Clinic in Jayanagar and Kavery Hospital Electronic City, Dr. Ganesh provides comprehensive treatments ranging from minimally invasive spine surgery to advanced neurological care. As a respected back pain specialist and migraine doctor, he continues to deliver reliable outcomes for patients.

👉 Connect with Dr. Ganesh on LinkedIn

Spinal Fixation

Spinal Fixation Surgery: Procedure, Benefits & Recovery in Bangalore

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Spinal Fixation Surgery in Bangalore 

Spinal fixation is a vital neuro-spine procedure used to stabilize a damaged spinal column. Whether caused by trauma, degenerative conditions, or other spinal disorders, this surgical intervention provides relief from pain and restores stability. Let’s explore the key aspects of spinal fixation, its applications, and its benefits.

If you’re suffering from spinal instability due to trauma, scoliosis, or disc degeneration, we offer advanced spinal fixation surgery in Bangalore performed by an experienced neurosurgeon, Dr. Ganesh Veerabhadraiah. Our minimally invasive techniques reduce recovery time and ensure long-term stability and pain relief for patients in Electronic City and across South Bangalore.

Get Expert Spinal Fixation Surgery in Bangalore

“Looking for safe and advanced spine care? Dr. Ganesh Veerabhadraiah and team specialize in spinal fixation with modern techniques.”

Book AN Appointment

Dr. Ganesh Veerabhadraiah

Consultant – Neurosurgeon, Neurointerventional Surgery, Spine Surgeon (Neuro)
23+ Years Experience Overall (17+ years as Neuro Specialist)

Available for Consultation: Jayanagar 9th Block & Kauvery Hospital, Electronic City 

Book An Appointment

What is lumbar fixation?

It is a neuro spine procedure to stabilize the spinal column which is damaged. Fixation can be done using rods, plates, and cages.
Lumbar fixation is a surgical procedure that involves stabilizing the spinal column using specialized hardware. The technique ensures proper alignment of the spine, especially when it has been compromised due to injury or disease. Surgeons use rods, plates, or cages to achieve fixation, allowing the spine to heal and regain its stability.

When spinal fixation is advised?

It is advised in cases where a patient has severe pain may be in the neck, back causing neurological problems and damaging to the neural elements in the spinal column where it is compromising the stability of the spine.

Spinal fixation is typically recommended for patients experiencing:

• Severe neck or back pain
 • Neurological issues due to nerve compression
• Structural instability of the spine

It is crucial when the spinal column is damaged to the extent that it compromises neural elements or spinal stability.

What are the conditions in which spinal fixation is advised?

Some common medical conditions where spinal fixation is advised include:

• Cervical Disc Prolapse: Bulging discs causing nerve compression.

• Post-Cervical Laminectomy: To maintain spinal stability after removing pressure on the spinal cord.

• Lumbar Listhesis: Slipped vertebrae leading to spinal misalignment.

• Lumbar Spondylosis: Degeneration of spinal discs and joints.

• Pott’s Spine: Tuberculosis infection affecting the spine.

What are the materials/hardware used?

Over the years, the materials used in spinal fixation have evolved to ensure durability, biocompatibility, and patient comfort. Early procedures used steel implants, but modern spinal fixation relies on advanced materials like:

• Titanium Rods and Plates: Lightweight and corrosion-resistant.

• PEEK Cages: Flexible polymer cages used to support spinal alignment.

• Titanium Mesh: Durable structures that provide added support.

These materials ensure the procedure is more effective and reduces the risk of complications.

What are the common different procedures performed?

• TLIF (Transforaminal Lumbar Interbody Fusion): Minimally invasive fusion technique.

• PLIF (Posterior Lumbar Interbody Fusion): Fusion performed through the back.

• ACDF (Anterior Cervical Discectomy and Fusion): Common for cervical disc issues.

• Lateral Mass Fixation: Stabilizes the cervical spine.

• Disc Replacement: Involves replacing damaged discs with artificial ones.

What are the complications in spinal fixation?

• Nerve root injury
• Spinal cord injury
• Implants failure
• But in recent years all these complications are very slim due to advances in medical science!

Why Choose NeuroWellness for Spinal Fixation?

NeuroWellness Brain and Spine Clinic in Bangalore offers expert consultation and treatment for spine-related problems. With experienced spine surgeons and state-of-the-art techniques, patients receive the best care tailored to their needs.

Consult the Best Spine Surgeons in Bangalore

If you’re experiencing chronic back or neck pain, consult the specialists at NeuroWellness. They provide cost-effective solutions, from diagnosis to advanced treatments like spinal fixation.

At NeuroWellness you will get the best and cost-effective treatment for spine related problems by the Best spine surgeon in Bangalore.

Please visit

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

Phone No
72596 69911
73490 17701

Website www.neurowellness.in

Facebook www.facebook.com/neurowellness.in/

Summary

At NeuroWellness, we specialize in advanced lumbar fixation and spine treatments in Bangalore, ensuring personalized, cost-effective, and minimally invasive procedures. Our expert neurosurgeons and spine specialists use state-of-the-art technology like titanium implants, PEEK cages, and motion-preserving techniques to improve spinal stability and mobility. We prioritize patient safety, precision, and faster recovery, offering the best care for cervical disc prolapse, lumbar listhesis, and other spinal disorders. With cutting-edge surgical techniques, high success rates, and a compassionate approach, NeuroWellness is your trusted destination for spinal fixation in Bangalore.

FAQs

1. What is spinal fixation surgery?

Spinal fixation is a procedure where screws, rods, or plates are used to stabilize the spine after injury, deformity, or degenerative conditions.

2. When is spinal fixation required?

It is usually recommended for spine fractures, severe deformities, instability, or conditions not improving with conservative treatment.

3. How safe is spinal fixation surgery?

With modern techniques and experienced neurosurgeons, spinal fixation is considered safe. Complications are rare but can include infection or hardware issues.

4. How long does it take to recover from spinal fixation?

Recovery varies but most patients resume normal activities within 6–12 weeks, with complete healing over several months.

5. What is the cost of spinal fixation surgery in Bangalore?

Costs vary depending on hospital, surgeon expertise, and implant type. At Neurowellness, patients receive personalized guidance and cost estimates.

Balloon Kyphoplasty

Balloon Kyphoplasty Surgery in Bangalore: Procedure, Benefits & Recovery

adminNeurosurgeon in Bangalore, Bangalore Spine Specialist Clinic, Spine Surgeons in Bangalore No Comments

1. What is Balloon Kyphoplasty?

It is a spinal procedure to restore the height of the fractured vertebral bone. It relieves the back pain by stabilizing the spine after the procedure.

2. When it is done?

It is done in vertebral fracture due to osteoporosis and bone has lost its height. There will be severe back pain, most commonly after the trivial fall.

3. When you need it?

It can happen in people after the age of 50 years after a trivial fall. Vertebral fracture causing severe pain, unable to walk. Evaluation is done with MRI, CT and bone scan.

4. How kyphoplasty is done?

It is a minimally invasive spine procedure and a modified vertebroplasty technique. Here Spine Surgeons in Bangalore inflate the balloon in the fractured vertebra to restore the height of the vertebra to stabilize the fracture. Then bone cement is filled into space. Anaesthesia preferred is general but it can be done under local anaesthesia in some cases. The duration can be 1 hour to 2 hours.

Dr. Ganesh Veerabhadraiah

Consultant – Neurosurgeon, Neurointerventional Surgery, Spine Surgeon (Neuro)
23+ Years Experience Overall (17+ years as Neuro Specialist)

Available for Consultation: Jayanagar 9th Block & Kauvery Hospital, Electronic City 

Book An Appointment

5. What are the complications of the procedure?

There is no procedure without complications

Neurowellness in Bengaluru provides consultation and treatment to all spine-related problems by the Best spine surgeon in Bangalore.

Balloon Kyphoplasty Surgery in Bangalore

“Living with spine fractures or severe back pain? Neurowellness Brain & Spine Clinic offers advanced balloon kyphoplasty for safe recovery.”

Book An Appointment

FAQs

1. What is balloon kyphoplasty surgery?

Balloon kyphoplasty is a minimally invasive procedure to treat spinal fractures by restoring height and stabilizing the bone.

2. Who needs balloon kyphoplasty?

It is recommended for patients with spinal fractures due to osteoporosis, injury, or tumors.

3. Is balloon kyphoplasty safe?

Yes, it is generally safe with quick recovery and minimal complications when performed by experienced surgeons.

4. How long does recovery take after balloon kyphoplasty?

Most patients resume light activities within a few days and feel significant pain relief within weeks.

5. Where can I get balloon kyphoplasty in Bangalore?

Neurowellness Brain & Spine Clinic offers advanced balloon kyphoplasty surgery in Bangalore.

About Author

Dr. Ganesh Veerabhadraiah

Dr. Ganesh Veerabhadraiah, leading neurosurgeon and neurologist in Bangalore, has over 20 years of expertise in managing back pain, migraines, headaches, neuro disorders, and spine problems. His clinical excellence and patient-first approach make him one of the most trusted neuro doctors in Bangalore.

At Neurowellness Brain & Spine Clinic in Jayanagar and Kavery Hospital Electronic City, Dr. Ganesh provides comprehensive treatments ranging from minimally invasive spine surgery to advanced neurological care. As a respected back pain specialist and migraine doctor, he continues to deliver reliable outcomes for patients.

👉 Connect with Dr. Ganesh on LinkedIn

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