Neuro surgery hospital

Why Choosing the Right Neurosurgery Hospital in Bangalore Matters for Brain and Spine Health

adminBest Neurosurgeon in Bangalore, Best neurology hospitals in bangalore

A well-equipped neurosurgery hospital in Bangalore plays a key role in managing complex brain and spine conditions. With advances in medical technology and specialized care, the right hospital can make a significant difference in diagnosis accuracy, surgical outcomes, and long-term recovery.

Neurosurgery is a specialized medical field that treats disorders of the brain, spine, and nervous system through surgical procedures.

These procedures require experienced surgeons, precise tools, and supportive infrastructure to ensure safety and effectiveness.

For individuals exploring treatment options in Bangalore, understanding what sets a neurosurgery hospital apart is essential.

Evaluating hospital credentials, medical expertise, and patient care standards helps patients make informed decisions that align with their health needs.

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

Understanding Neurosurgery

What is Neurosurgery?

Neurosurgery is a specialized branch of medicine that focuses on the diagnosis, surgical treatment, and rehabilitation of disorders affecting the brain, spine, and nervous system. It involves complex procedures performed by highly trained neurosurgeons using advanced surgical techniques and tools.

Examples of neurosurgical procedures include brain tumor removal, spinal cord decompression, and surgical treatment for epilepsy or trauma-related brain injuries.

This field requires a deep understanding of neurological anatomy, precision in execution, and strong clinical decision-making, ensuring patient safety and recovery. In recognized neurosurgery hospitals, these procedures are supported by multidisciplinary teams and cutting-edge technology.

Common Neurosurgery Procedures

Hospitals in Bangalore offer a wide range of neurosurgical treatments to address both emergency and long-term neurological conditions. Common procedures include:

• Brain tumor surgery – involves the removal of non-cancerous (benign) or     cancerous (malignant) growths from the brain.
• Spinal disc surgery – To relieve pressure on spinal nerves due to herniated discs.
• Craniotomy – For treating traumatic brain injuries or bleeding in the brain.
• Aneurysm clipping or coiling – To prevent stroke by repairing weak blood vessels.
• Hydrocephalus treatment – Insertion of a shunt to drain excess cerebrospinal fluid.
• Stereotactic surgery – Minimally invasive procedures using 3D imaging for accuracy.

These procedures are performed with high safety standards and are supported by pre-surgical diagnostics and post-operative care facilities.

Types of Neurosurgeries Performed in Bangalore

As a leading medical destination, Bangalore is home to many reputed hospitals that provide advanced neurosurgical care. Some of the specialized types of neurosurgeries available include:

• Minimally invasive spine surgery – Performed with smaller incisions, reducing recovery time.
• Functional neurosurgery – Used to treat movement disorders like Parkinson’s disease.
• Pediatric neurosurgery – Focused on treating neurological conditions in children.
 • Neuro-oncology surgery – Targeted treatment for cancerous brain and spinal tumors.
• Endoscopic skull base surgery – A cutting-edge technique to access deep brain areas with minimal disruption.

Evaluating Neurosurgery Hospitals

How to Identify the Best Neurosurgery Hospitals in Bangalore

Choosing the right hospital for neurosurgery involves evaluating a set of critical factors that directly affect treatment outcomes and patient safety. Bangalore is home to several reputed neurosurgery hospitals, but identifying the most suitable one requires careful consideration of the following criteria:

1. Surgeon Expertise and Experience

Choose hospitals that have quqlified neurosurgeons with proven expertise in performing complex brain and spinal surgeries. Hospitals that provide detailed surgeon profiles, case histories, and subspecialty experience demonstrate transparency and medical authority.

2. Advanced Technology and Infrastructure

Top neurosurgery hospitals in Bangalore are equipped with cutting-edge tools such as intraoperative MRI, neuro navigation systems, robotic surgical instruments, and neuro-endoscopy setups. These technologies improve surgical precision, minimize risks, and accelerate recovery.

3. Patient Outcomes and Safety Records

Evaluate hospitals based on their surgical success rates, complication statistics, and patient recovery timelines. Institutions that openly publish this data often adhere to higher standards of care and accountability, reinforcing trust.

4. Multidisciplinary Support

A high-quality neurosurgery hospital offers integrated care through neurologists, radiologists, physiotherapists, and rehabilitation specialists. This collaborative approach ensures holistic patient care from diagnosis to recovery.

5. Post-Operative Care and Follow-Up

Effective recovery depends on post-surgical monitoring, pain management, and physiotherapy. Choose hospitals with dedicated neuro ICUs, follow-up protocols, and structured rehabilitation programs.

6. Accreditations and Certifications

Hospitals accredited by national and international bodies (like NABH or JCI) meet strict standards in patient safety, hygiene, and medical care. It serves as a clear sign of the hospital’s trustworthiness and reliability.

7. Patient Reviews and Testimonials

Patient experiences provide real-world insights into a hospital’s quality of care. Consistently positive reviews across platforms like Google is an indicator of satisfaction and trustworthiness.

Read more : First visit neurosurgeon bangalore

The Importance of Hospital Selection

How Hospital Selection Impacts Treatment Outcomes

Selecting the right neurosurgery hospital goes beyond convenience—it directly affects the success of surgical procedures and the quality of patient recovery. Hospitals with experienced neurosurgeons, modern equipment, and robust clinical protocols consistently achieve higher success rates and fewer post-operative complications.

A well-equipped hospital with a skilled multidisciplinary team can handle complex neurosurgical cases with greater precision, reduce intraoperative risks, and ensure faster post-surgical healing. On the other hand, inadequate facilities or lack of specialist care may lead to extended recovery time, higher chances of infection, or even surgical failure.

Therefore, choosing a hospital that adheres to high clinical standards and follows global best practices plays a crucial role in improving neurological outcomes and patient confidence.

Why Neurowellness Brain & Spine Care in Bangalore?

Neurowellness –  Brain & Spine Care Hospital in Bangalore stands out as a trusted destination for advanced neurosurgical care. With a focus on patient-first treatment, every consultation at Neurowellness is designed to offer personalized guidance backed by clinical expertise and the latest diagnostic tools. Patients receive detailed evaluations, second opinions when needed, and complete clarity on treatment options before proceeding.

What sets Neurowellness apart is its multidisciplinary approach—where neurosurgeons collaborate with neurologists, radiologists, and physiotherapists to ensure a holistic diagnosis and care plan. This ensures every patient receives not only surgical excellence but also the guidance and support needed for long-term recovery and well-being.

Conclusion

Choosing the right neurosurgery hospital in Bangalore is a decision that can significantly influence your treatment journey and long-term brain and spine health. A well-equipped hospital with skilled specialists, advanced technology, and patient-centered care ensures better outcomes and peace of mind.

Neurowellness offers all the critical factors patients should look for—experienced neurosurgeons, modern infrastructure, transparent care processes, and a strong focus on patient safety.

If you or a loved one is seeking trusted neurosurgical care, we encourage you to schedule a consultation with Neurowellness and take the first step toward expert, reliable treatment.

Book An Appointment

FAQs

1. How do I choose the best neurosurgery hospital in Bangalore?

Look for hospitals with experienced and qualified neurosurgeons, advanced surgical technology, NABH or JCI accreditation, and strong patient reviews. Multidisciplinary care and post-surgery rehabilitation support are also important indicators of quality.

2. What should I ask during my neurosurgery consultation?

Ask about the surgeon’s experience with your condition, available treatment options, risks involved, expected recovery time, and the cost of procedures. Don’t hesitate to request a second opinion if needed.

3. Are all neurosurgery hospitals equipped with the latest technology?

Not all. Leading hospitals invest in advanced tools such as neuro-navigation systems, intraoperative imaging, and minimally invasive surgical equipment to improve accuracy and patient safety.

4. Why does hospital accreditation matter?

Accreditation ensures the hospital meets national or international healthcare standards. Accredited hospitals follow strict safety protocols and maintain higher levels of hygiene, patient care, and clinical outcomes.

5. Is post-operative care important after neurosurgery?

Yes. Proper post-operative care, including pain management, physiotherapy, and regular follow-ups, is essential for full recovery and reducing the risk of complications.

6. Can I book a neurosurgery consultation online?

Yes. Many hospitals, including Neurowellness, offer online consultation booking through their website. You can select a time slot, share your concerns, and receive confirmation within minutes.

Brain surgery

20 Things to Expect After Brain Surgery : A Patient’s Essential Survival Guide

adminBrain

Every year, an estimated 23 million people worldwide undergo some form of neurosurgery, with brain surgery accounting for a significant proportion of these cases. While surgical advancements have improved survival rates and outcomes, the recovery phase remains complex and deeply individual. Studies show that 60–80% of brain surgery patients experience some level of physical or cognitive change during the first few months post-operation, making informed preparation critical.

This evidence-based guide—curated by Dr. Ganesh Veerabhadraiah, a leading brain surgery specialist at Neurowellness Bengaluru, Electronic City aims to bridge the information gap for patients and caregivers. Neurowellness is committed to providing transparent, expert-led communication to empower patients throughout their recovery journey.

In the sections ahead, we outline 20 key expectations you should be aware of after brain surgery, based on current clinical insights and patient outcomes. Whether you’re preparing for surgery or supporting a loved one, this trusted resource will help you navigate the physical, emotional, and lifestyle changes that often accompany brain surgery recovery—helping you approach the process with clarity and confidence.

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

20 Things to Expect After Brain Surgery

 Immediate Post-Surgery Experiences

1. Initial Recovery in ICU

Immediately after your brain operation recovery, you’ll wake up in the Intensive Care Unit (ICU), closely monitored by a specialized team. During this critical period, various neurosurgical procedures such as checking brain function and responsiveness are regularly performed to ensure your safety.

2. Monitoring Vital Signs

After surgery, careful observation of your vital signs including heart rate, blood pressure, breathing, and neurological responses is essential. Continuous monitoring helps your medical team quickly identify and address any issues, optimizing your early recovery process.

3. Postoperative Pain and Management

Post-surgery discomfort is common, but your care team will proactively manage pain through carefully prescribed medication. Effective pain management not only improves your comfort but also facilitates quicker recovery and healing after your procedure.

4. Swelling and Bruising

You may experience temporary swelling or bruising around the surgical area or even your face. This is a normal postoperative reaction as your body starts the healing process, typically resolving within a few days to weeks.

5. Fatigue and Drowsiness

Feeling unusually tired or sleepy is completely natural after brain surgery. Rest is crucial during this initial period, allowing your brain the necessary energy and resources to heal effectively.

Physical and Neurological Changes

6. Temporary Neurological Symptoms

After brain surgery, you may notice temporary neurological changes, such as mild weakness, numbness, or altered sensations. These symptoms often improve over time as your brain heals and adapts.

7. Balance and Coordination Issues

Maintaining balance or coordinating movements can be challenging during the early stages of recovery.Working closely with physical therapists early in recovery can help you regain stability and confidence in daily activities.

8. Speech and Communication Challenges

Many patients may experience short-term challenges with speech or word recall during recovery. Speech therapy can significantly help restore effective communication, enabling smoother interactions during recovery.

9. Vision and Hearing Changes

Minor changes in vision or hearing sensitivity may occur temporarily. If symptoms persist or worsen, consult your neurosurgical care team promptly to ensure appropriate interventions.

10. Memory and Cognitive Effects

You may experience brief periods of confusion, memory lapses, or difficulty concentrating. Cognitive rehabilitation exercises guided by your healthcare team will gradually improve these issues over time.

 Recovery Milestones and Timelines

11. Typical Recovery Timeline

Recovery times vary widely depending on individual circumstances and the type of neurosurgical procedures performed. For minimally invasive brain surgery, many patients experience significant improvement within weeks, while extensive surgeries may require several months of recovery.

12. Rehabilitation and Physiotherapy

A well-planned rehabilitation program that may involve physical, occupational, and speech therapies plays a key role in achieving optimal recovery. These therapies accelerate healing and help you regain strength, independence, and function.

13. Follow-Up Appointments

Routine medical evaluations help assess your healing and address any emerging concerns early on. Be sure to attend all scheduled consultations, and don’t hesitate to book a brain surgery consultation promptly if you experience unexpected symptoms.

14. Returning to Daily Activities

Returning to normal activities like work, exercise, and driving should be gradual. Your neurosurgeon will provide personalized guidelines to ensure you safely and effectively transition back to daily routines.

15. Managing Medication

Proper management of prescribed medications—including painkillers, steroids, and anticonvulsants—is critical. Adhering to your medication schedule reduces risks of complications and supports a smoother recovery.

Emotional and Psychological Health

16. Emotional Challenges Post-Surgery

It’s common to feel anxiety, depression, or emotional ups and downs after brain surgery. Recognizing these feelings as normal can encourage you to seek emotional support and facilitate better coping during recovery.

17. Importance of Support Systems

Family, friends, and patient support groups play a critical role in emotional and psychological recovery. Building a strong support network ensures you receive encouragement, practical help, and emotional comfort throughout your healing process.

18. When to Seek Additional Help

If emotional or psychological struggles persist or intensify over time, it’s important to consult a mental health professional. Early intervention can significantly enhance emotional resilience and overall recovery outcomes.

Long-Term Considerations

19. Regular Neurological Check-ups

Consistent follow-up with your neurosurgeon is key for monitoring long-term brain health. Regular neurological evaluations help detect potential issues early and allow your care team to adjust your treatment plan as needed for optimal recovery.

20. Lifestyle Changes for Long-Term Health

Adopting healthy habits after brain surgery significantly supports long-term well-being. Focus on a balanced diet, regular physical activity (as advised by your care team), stress management, and sufficient sleep to aid your body and brain in continued healing.

Conclusion

Recovering from brain surgery is a journey that requires patience, support, and expert guidance. Knowing what to expect at each stage empowers you to take proactive steps for a smoother recovery.

If you’re seeking expert neurosurgical care, Dr. Ganesh Veerabhadraiah, highly regarded as a brain surgery specialist in Electronic City Bengaluru, and the team at Neurowellness Bengaluru are here to support you every step of the way.

Book An Appointment

FAQs

1. How long does it usually take to recover from brain surgery?

The length of the recovery process depends on both the surgical procedure performed and the patient’s overall health condition.

2. When can I return to normal activities after brain surgery?

Returning to daily routines, work, and exercise should be gradual and guided by your neurosurgeon. Adhering to the recovery guidelines tailored for you helps minimize the risk of potential setbacks.

3. What precautions should I follow after brain surgery?

Key precautions include avoiding strenuous activities, maintaining proper wound care, taking medications as prescribed, and attending all follow-up appointments.

4. How can I manage pain effectively after brain surgery?

Pain is typically managed with prescribed medications.If discomfort continues or increases, be sure to inform your healthcare providers promptly.

5. How often should I have follow-up visits after brain surgery?

Initial follow-ups usually occur within the first few weeks post-surgery, followed by periodic check-ups over the coming months to monitor your progress and adjust your care plan as needed.

neck pain during pregnancy

Why Neck Pain During Pregnancy Occurs and How to Alleviate It

adminNeck Pain Treatment in Bangalore

Pregnancy is a remarkable journey, filled with excitement, happiness, and physical changes. While the joy of expecting a child is immense, the physical discomforts that accompany pregnancy can sometimes overshadow this happiness. Among these discomforts, neck pain is a common issue that many pregnant women experience. Understanding the causes of neck pain during pregnancy and learning how to alleviate it can significantly improve your comfort and overall well-being during this special time. To know more about this information read the whole blog which is going to explain those in detail in an understandable manner.

Causes of Neck Pain during Pregnancy:

Hormonal Changes:

During Pregnancy, Your body undergoes major hormonal changes particularly hormonal release called progesterone and relaxing. These hormones help to loosen the ligaments and joints in the pelvis regions to prepare your body for childbirth. However, it also affects other joints including the neck. This increased flexibility can lead to discomfort and neck pain during pregnancy.

Postural Changes:

As the belly grows, pregnant women often experience back and neck pain. A major contributing factor to this discomfort is poor posture, such as hunching over a phone or while working at a desk.

Weight Gain: 

The natural weight gain during pregnancy, while essential for the baby’s development, also puts additional pressure on the spine. The increased weight can cause muscles, especially in the neck and back, to work harder to support the body, leading to fatigue and pain.

Sleep Discomfort: 

As pregnancy progresses, finding a comfortable sleeping position becomes more challenging. Many pregnant women find themselves sleeping in positions that strain the neck, such as lying on the back with inadequate support. Poor sleep posture can contribute to morning neck stiffness and pain.

Effective Ways to Alleviate Neck Pain:

Prenatal Exercises and stretches:

Engaging in regular gentle exercise can strengthen your neck muscles and reduce pain. some effective exercises include:

  • Slowly tilt your head towards your shoulders, holding for a few seconds on each side.
  • Gently pull your chin towards your chest, holding for a few seconds before releasing.
  • Roll your shoulders backward and forward to relieve tension.

Techniques for Stress Management:

Effective stress management throughout pregnancy can ease neck pain and ease tense muscles. Think about implementing relaxing methods like:

  • Prenatal yoga: Encourages relaxation while strengthening and extending the body.
  • Stress reduction and mental calmness are the main goals of meditation.
  • Practices including deep breathing can help release tension in the shoulders and neck.
  • It’s important to prioritize your mental health and take some time to relax during pregnancy.

Therapy with Heat and Cold:

Neck discomfort can be effectively relieved with hot and cold therapy. This is how to apply them:

  • Cold Compress: To ease discomfort and reduce inflammation, place a cold compress on the neck for 10 to 15 minutes.
  • Hot Compress: To relieve tight muscles after the acute inflammation goes down, use a warm compress or take a warm shower.

To prevent burns or frostbite, always place a towel between the compress and your skin.

Final thought:

Although many women suffer neck pain during pregnancy, it doesn’t have to be an essential part of the experience. Pregnancy can be more comfortable and healthful if you are aware of the reasons for neck pain and take steps to reduce it. Never forget how crucial it is to put self-care first and ask for help when you need it. 

Do not be afraid to seek advice and direction from your healthcare provider in neck pain treatment in Bangalore if you are experiencing neck pain during pregnancy. Being proactive in managing and preventing pain can have a big impact on how your pregnancy goes. Neck pain treatment at Bangalore hospitals, such as Neurowellness, can help alleviate your pain.

If you’re seeking the best neck pain treatment in Bangalore, contact Neurowellness for personalized care and attention.

How can we predict warning signs of Brain Stroke?

Early Warning Signs of Brain Stroke & How to Act Fast

adminbrain stroke, Advanced Stroke treatment in Bangalore, Brain

Brain strokes are urgent medical emergencies that require immediate attention. Every minute counts when dealing with a stroke, as quick action can be the difference between life and death, or between a full recovery and long-term disability. Understanding the early warning signs of a stroke is crucial for anyone looking to safeguard their health or the health of loved ones. This guide will walk you through the essential signs to watch for and provide detailed insights into Brain Stroke treatment in Bangalore. Being informed and prepared can make all the difference in effectively managing and treating a stroke, ultimately improving outcomes and quality of life.

Spotting the Early Warning Signs of a Stroke

A stroke occurs when the blood flow to a part of the brain is disrupted, preventing brain tissue from getting the oxygen and nutrients it needs. The early warning signs of a stroke can present in various ways, so it’s important to be aware of these signals for prompt action. Here are some key indicators to watch for:

1. Sudden Numbness or Weakness: A sudden onset of numbness or weakness on one side of the body is a critical early warning sign of a stroke. This typically affects the face, arm, or leg. For example, if you notice one side of your face drooping or your arm feeling unusually weak, it could be a sign of a stroke.

2. Confusion or Trouble Speaking: Difficulty speaking or understanding speech is another significant early warning sign of a stroke. This might manifest as slurred speech or unexpected trouble understanding conversations. If you or someone else experiences sudden confusion or difficulty communicating, it’s crucial to seek medical help immediately.

• Vision Problems: Sudden changes in vision, such as blurred or double vision, can also signal a stroke. These vision disturbances might affect one or both eyes and may be accompanied by other stroke symptoms.

• Difficulty Walking: A sudden loss of balance or coordination, often coupled with dizziness, is a key early warning sign of a stroke. If you find yourself struggling to walk or feeling unusually unsteady, it could be a sign that you need to get checked out.

• Severe Headache: An intense headache that appears suddenly and is described as the worst headache ever can be an early warning sign of a stroke. This kind of headache might be accompanied by nausea or vomiting and other stroke symptoms.

The Crucial Role of Timely Diagnosis and Action

Recognizing and responding to the early warning signs of a stroke is vital for effective treatment. The sooner a stroke is identified and treated, the better the chance of reducing brain damage and improving recovery. Remember the FAST acronym to help identify the signs:

• Face drooping: Ask the person to smile. Is one side of their face drooping or uneven?
• Arm weakness: Have the person lift both arms. Does one arm drift downward?
• Speech difficulty: Ask the person to repeat a simple sentence. Is their speech slurred or odd?
• Time to call emergency services: If you notice any of these symptoms, call emergency services right away.

    Brain Stroke Treatment in Bangalore

    If you or someone you know shows the early warning signs of a stroke, seeking prompt treatment is essential. Bangalore is home to several outstanding medical facilities specializing in Brain Stroke treatment. These centers offer comprehensive care, incorporating advanced diagnostic tools and cutting-edge treatments:

    1. Emergency Care: Rapid intervention is crucial for managing strokes. Top hospitals in Bangalore offer immediate assessment and treatment, including clot-busting medications (thrombolytics) and emergency surgeries to restore blood flow to the brain.

    2. Diagnostic Imaging: Advanced imaging methods like CT scans and MRIs are used to gauge the extent of brain damage and determine the best course of action. Bangalore’s facilities are equipped with the latest technology to ensure precise and timely diagnoses.

    3. Rehabilitation Services: Recovery from a stroke involves comprehensive rehabilitation. Bangalore provides specialized rehab services, including physical therapy, occupational therapy, and speech therapy, to help patients regain their abilities and enhance their quality of life.

    4. Follow-up Care: Continuous monitoring and follow-up are essential for ensuring recovery and preventing future strokes. Bangalore’s stroke care centers offer ongoing support and tailored treatment plans to meet individual needs.

    5. Innovative Treatments and Clinical Trials: Bangalore hosts several leading-edge medical facilities that participate in clinical trials and offer pioneering treatments for stroke. These facilities provide access to the latest advancements in stroke therapy, including new medications and experimental procedures that might not be available elsewhere.

    If you’re worried about stroke risk or need more information on managing stroke symptoms, visit Neurowellness. Our expert team is dedicated to providing guidance and support for recognizing and treating the early warning signs of a stroke and offering top-tier Brain Stroke treatment in Bangalore.

    Stay informed and proactive about stroke prevention and management. Early recognition and treatment can greatly improve your chances of recovery and overall well-being.

    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 are the first signs of a brain stroke?

    The first signs include sudden numbness or weakness (especially on one side), confusion, trouble speaking, vision problems, or loss of balance. Act fast by calling emergency services immediately.

    2.Can you detect a stroke before it happens?

    While strokes often occur suddenly, certain warning signs such as transient ischemic attacks (TIAs), headaches, dizziness, and lifestyle risk factors may indicate a higher risk. Early screening can help.

    3. What is the FAST test for stroke symptoms?

    FAST stands for Face drooping, Arm weakness, Speech difficulty, and Time to call emergency services. It helps quickly identify possible stroke symptoms and respond urgently.

    A Rare Brain Aneurysm Treated By Hair Size Coils- Advanced Endovascular Surgery!

    A Rare Brain Aneurysm Treated By Hair Size Coils- Advanced Endovascular Surgery!

    adminA Rare Brain Aneurysm Treated By Hair Size Coils- Advanced Endovascular Surgery!

    A 56-year-old male was brought to ER with sudden onset of headache, vomiting, and altered sensorium. He had no comorbidities.

    On arrival, his neurological examination showed – he was drowsy with GCS E3V3M5(11/15) and was moving all limbs. His CT brain done elsewhere showed diffuse subarachnoid hemorrhage with intraventricular extension. He was admitted to ICU and managed with anticonvulsants, cerebral antihypertensives(nimodipine), steroids, PPIs, angioedema measures, and other supportive measures. He was noted to have a deranged renal function, which was optimized with corrective measures as per nephrologist advice.

    He was investigated with a CT brain angiogram which did not reveal any aneurysm, he was planned for a DSA 4 vessel angiogram of the brain after optimization of renal functions, on which an aneurysm of the Left Superior Cerebellar Artery was noted.

    CT Angiogram Brain Didnt Show Any Aneurysm

    DSA AP VIEW

    DSA AP VIEW

    DSA  LATERAL VIEW

    DSA  LATERAL VIEW

    He underwent “ENODOVASCULAR LEFT SUPERIOR CEREBELLAR ARTERY COIL MOBILISATION WITH PARENT ARTERY OCCLUSION” under GA.

    COIL IN SITU ANEURYSM POST-PROCEDURE

    COIL IN SITU ANEURYSM POST-PROCEDURE

    DSA POST COILING SHOWING LEFT SCA OCCLUDED- microcatheter in place

    DSA POST COILING SHOWING LEFT SCA OCCLUDED- microcatheter in place

    After post-procedure, he gradually recovered and at discharge, he was obeying simple commands, he needed a few weeks of neurorehabilitation and is now able to perform his activities of daily living with regular follow-up.

    Discussion:

    Aneurysms of the posterior circulation, including superior cerebellar artery (SCA) aneurysms, present unique technical challenges because they can only be accessed via maneuvering through deep operative corridors with limited working angles bound by critical neurovascular structures.

    critical neurovascular structures

    The posterior circulation is intimately involved with the brainstem and cranial nerves, and complications related to aneurysm treatment frequently result in clinically significant and often unfavorable consequences. The SCA supplies the main portions of the superior cerebellar hemisphere and the “roof” nuclei.

    superior cerebellar hemisphere

    The most frequent location of intracranial aneurysms occur around the Circle Of Willis with the commonest being anterior communicating artery(ACom-35%), followed by the internal carotid artery [30%-including the carotid artery itself, the posterior communicating artery(PCom), and the ophthalmic artery], the middle cerebral artery (MCA-22%), and finally, the posterior circulation sites, most commonly the basilar artery tip. These are comparatively more amenable for surgical and endovascular treatments due to the skill of operating clinicians and familiarity with the anatomy developed by the frequency of performing these operations and the possible proximal control of these arteries.

    SCA aneurysms are rare lesions with a reported incidence of 1-2% of all aneurysms. The majority of these aneurysms are located at the proximal aspect of the SCA, typically at the basilar junction. The aneurysm in the discussion being in the distal portion of SCA is not in this typical location making it an even rarer entity(~0.25-0.6%).

    They typically present with subarachnoid hemorrhage; their close association to the cranial nerves (CNs) III and IV also result in an asymptomatic mass effect on these nerves. The reported 48-hour survival rates for patients presenting with hemorrhage from ruptured SCA aneurysms be only 32%, and the 30-day survival rate by 11%.

    Surgical treatment of such aneurysms is technically challenging with a relatively high morbidity/mortality rate.  Given the anatomic course of the SCA, surgical approaches to this aneurysm were even more complex and there is often a limited opportunity to thoroughly dissect the neck of ruptured SCA aneurysms because of the restricted working space provided by a swollen brain after subarachnoid hemorrhage. In addition, a complete mobilization of the aneurysm, which is often required for circumspection of the neck, may not be safe as it can lead to premature rupture intraoperatively. The risk of injury to lower cranial nerves and venous sinuses, inability to obtain proximal control of arteries adds to the arduous task of safe dissection in narrow corridors even with larger craniotomy apart from the risks of blood loss and infections.

    Distal aneurysms of SCA are difficult to treat not only surgically but also endovascularly because the microcatheters have to pass through the blood vessels of posterior circulation viz., a vertebrobasilar system which supplies life-sustaining and life regulating structures of the brainstem with many tiny perforators arising from vertebrobasilar trunk and their major branches with added inaccessibility to distal portions of the arteries due to the age-related tortuosity, atherosclerosis, smaller caliber of the distal vessel, maneuverability of microcatheters, probability of rupture during the procedure and other factors. Also, the occlusion of the aneurysm with detachable coils often results in coil protrusion. Parent artery occlusion is therefore frequently the preferred method.

    With all these factors under perusal and due consideration, we could successfully place 3 detachable thrombogenic soft platinum coils in the fundus of the aneurysm. The patient recovered without much morbidity and is functional to perform his activities of daily living.

    Dr. Ganesh Veerabhadraiah

    Consultant Neurosurgeon and Endovascular Surgeon

    Brain - I too have golden hour!

    Brain – I too have golden hour!

    adminAdvanced Stroke treatment in Bangalore, Top Neurosurgeon in Bangalore

    A brain stroke, also known as a brain attack, occurs when the supply of blood to the brain is reduced or stopped. This condition is similar to a heart attack. What happens here? Due to blockage inside vessel   there will be stoppage of blood and oxygen  reaching the brain.

    The most common symptoms of brain stroke are facial weakness, arm and leg weakness, speech dysfunction, blurring of vision, and imbalance while walking. What risk factors are make brain  predisposes to stroke? hypertension, diabetes, smoking, high cholesterol, obesity, ischemic heart disease, and a sedentary lifestyle.

    Brain too has GOLDEN HOUR like  heart!?

    Brain stroke is like a heart attack. What one will do if suddenly develops chest pain ? People will reach the hospital as early as possible , get ECG and ECHO and will take opinion of cardiologist. Am I saying correct?  Dear people – Brain attack is similar to heart attack. If warning signs are recognised soon and  person reach the hospital in GOLDEN HOUR   complications that arise from brain stroke can be prevented or minimise the disability that can arise from stroke.

    Dear all Let us know -How brain stroke happens?

    Let us imagine heart -The heart pumps blood into the brain through blood vessels or channels called carotid arteries, which include right and left carotids. If there is a lack of supply or blockage to one side of the brain, it causes brain stroke. During a brain stroke, 1.9 million neurons die every minute due to lack of blood supply and if not treated immediately. What that means – that means the important centres of brain can get damaged parmanently.

    Based on damage happens to brain -What all of us should know is Brain stroke is classified into mini-stroke and major stroke. This  Mini stroke is also known as TIA-Transient ischemic attack- we will see usually improve within 24 hours.  On contrast what happens in major stroke is – A person affected with a major stroke will take time to get better and the weakness or neurological deficits persists for a longer duration. Which results what happens? person may  become permanently disabled.

    What is this  golden hour?

    When brain stroke happens – we should take the patient to the stroke care hospital or seek immediate medication, within the golden period.  3.5 hours to 7.2 hours after the person has suffered a brain stroke is golden hour. The clot-bursting medication and mechanical thrombectomy if happens within this period blood circulation re-establishes. Why is is called golden hour?

    After blood circulation re establishes – brain previously affected get blood circulation and nutrition and no of  neuronal death will reduce. This is possible by stent retrievers, it is a basket like device. Procedure is called Mechnical Thrombectomy.

    Mechanical thrombectomy is a new modality of interventional stroke treatment, where mechanical force is applied to remove the clot by aspiration or by approaching through a basket-like device (stent retriever).

    Treatment

    In recent years, comprehensive stroke treatment units are helping people who are affected by stroke and maximum recovery is recorded. A comprehensive stroke unit or team consists of an emergency physician, a neurosurgeon, a neurologist, a neuroendovascular surgeon / interventional neuroradiologist, a neuro intensivist, a neuroradiologist, a neuro anesthetist and a physiotherapist.

    Before Advanced Stroke treatment in Bangalore or endovascular stroke treatment came into the picture, what we were doing ?  the conservative treatment was only the option. It used showed many cases where the patients were suffered or lost their lives. The tendency to develop permanent weakness in the hands and legs, speech dysfunction, persistent vegetative state, high morbidities like the high probability of self-dependency on wheelchair or stretcher, dependence on family for a prolonged time, development of bedsore and sepsis, and death were more common in the conservative brain stroke treatment methods. If any patient comes after the golden hour period, the right treatment cannot be started.

    On seeing symptoms like facial weakness, arm or leg weakness, speech dysfunction to name a few, the patient should be rushed to the hospital immediately without any delay, since every second count.

    Hence remember and create the stroke awareness

    FAST

    FACIAL WEAKNESS

    ARM WEAKNESS

    SPEECH DYSFUNCTION

    TIME TO REACH STROKE CARE CENTRE.

    RISK FACTORS OF STROKE

    Functions of Spine

    Functions of Spine

    adminBangalore Spine Specialist Clinic

    What is one  of the most crucial supporting component of your body? Yes It is  your spine. You can’t  stay upright or even stand up without it isn’t it?  It provides structure and support to your body. It enables you to move freely and bend with flexibility. Nature  is also created to protect the spinal cord. The spinal cord is a network of nerves that connects your brain to the rest of your body which allows you to regulate your movements. You can’t  move any part of your body and your organs can’t work if you don’t  have a spinal cord. This is why, if you want to live an active life, you must maintain the health of your spine correct

    This blog covers the key functions of a spine or spinal cord.

    What is the Spine?

     Here we are going to discuss what exactly it made, its units and attachments?

    The spine (also known as the backbone) is a connected column of bones that runs from the head to the lower back. The column is made up of bone parts. A vertebra is a single bone segment or unit, while vertebrae are several bone segments. Ligaments and muscles connect these vertebrae, while a disc separates the majority of them and acts as a cushion to absorb shock along the spine.

    Each vertebra is numbered and classified into five regions.

    • The cervical area has 7 cervical vertebrae.
    • The thoracic area contains 12 thoracic vertebrae.
    • The lumbar area contains 5 lumbar vertebrae.
    • In the sacral area, there are 5 sacral vertebrae that are fused together to form one bone known as the sacrum.
    • In the coccygeal area, there are 3 to 5 coccygeal vertebrae that are joined as one bone and known as the coccyx (often known as the tailbone).

    What does a spinal cord do?

    The central nervous system of your body is composed of the brain and spinal cord. The brain serves as your body’s command centre, and the spinal cord serves as a conduit for messages conveyed from the brain to the body and from the body to the brain.

    The peripheral nervous system is a network of nerve strands that branch off from the left and right sides of the spinal cord through gaps  in the spinal canal between each vertebra. What these pairs of nerves do ? These nerve pairs are distributed throughout your body and carry commands from your brain and spinal cord to and from various sections of your body.

    The central nervous system and peripheral nervous system collaborate to allow your brain to regulate your body’s numerous functions, which include three critical areas:

    Motor Functions – directs the voluntary muscle movements of your body.

    Sensory Functions – monitors touch, pressure, temperature, and pain sensations.

    Autonomic Functions – governs digestion, urination, body temperature, heart rate, and blood vessel dilation/contraction (blood pressure).

    What are the Functions of spine?

    • Protection

    The spinal column is like a guard -helmet . What it does is- protects the spinal cord and nerve roots. Any injury here can jeopardise your general health if messages are not successfully delivered to and from the brain.

    • Mobility and Flexibility

    Our spine determines our range of motion, providing Flexion (forward bending), Extension (backward bending), Side bending (left and right), and Rotation (left and right).  It also provides a range of the aforementioned combinations, allowing us to accomplish movements . Eg. how we dance ? How we flex our body ? How we climb and climb down? Including  rolling over in bed to getting out of bed in the morning, walking through the stairs, and sprinting for the bus to prevent being late.

    • Support for the structure- like a pillar!

    We couldn’t sit up, stand, walk, or run without our spine, which provides structural support for the head, shoulders, and chest. It also connects the upper and lower bodies, with the spinal column encasing the vital cord and nerve roots.

    The spinal column not only connects the upper and lower bodies, but it also helps to balance the body and distribute weight.

    • Attachment base

    Spine is like a connecting device -Ligaments, tendons, and muscles all connect and attach to the spinal column. Imagine If this did not exist, there would be no anchor.

    • Carrying brain signals

    The spinal cord receives brain impulses that govern movement and autonomic activities.

    • Carrying information to the brain

    The spinal cord and nerves  carry messages from the body to the brain, such as touch, pressure, and pain sensations. When these messages are carried to Brain only we will can feel all sensations.

    • Reflex responses

    The spinal cord can conduct motor reflexes independently of the brain. The patellar reflex, for example, causes a person’s knee to jerk involuntarily when touched in a certain area.

    Summary:

    The spinal cord is a complicated network of nerve cells that control movement and feeling. It passes information from the brain to the rest of the body.

    Neuro Wellness is a Bangalore Spine Specialist Clinic which provides the best care for problems related to spine and brain. If you are facing any such problem, do visit today for a healthy tomorrow!

    MCA

    Minimally invasive pin hole surgery for narrowed brain vessel (MCA stenting) for brain stroke

    adminBest Neurosurgeon in Bangalore, brain stroke

    Successful MCA Stenting for TIA in a 46-Year-Old Patient: A Case Study

    A 46-year-old gentleman from North Karnataka presented with complaints of left-sided weakness and difficulty speaking for 10 days prior to his arrival at 1224, G-Floor, 26th Main, 9th block, Jayanagar, Opp to Ragiguddada Anjaneyaswamy Temple Arch, Bangalore, Karnataka 560069. On examination, he was conscious, alert, and oriented, with no noticeable motor or sensory deficits. Further investigation led to a diagnosis of a Transient Ischemic Attack (TIA), a condition often referred to as a mini-stroke. Here’s an in-depth look into his diagnosis, treatment, and recovery process.

    MRI
    Minimally invasive pin hole surgery f

    Initial Diagnosis

    The patient underwent an MRI brain stroke protocol, which revealed watershed infarcts in the right middle cerebral artery (MCA) territory with high-grade stenosis of the MCA. To further evaluate the extent of the problem, a Digital Subtraction Angiogram (DSA) was performed, showing more than 95% focal stenosis, with significantly reduced blood flow into the distal branches of the M2 and M3 segments of the MCA.

    This high-grade stenosis posed a significant risk of a major stroke, prompting the team to plan for MCA stenting after carefully explaining the benefits and risks to the patient.

    What is MCA Stenting?

    The Middle Cerebral Artery (MCA) is one of the major blood vessels supplying the brain. Stenting is a minimally invasive procedure that involves placing a small tube called a stent inside the narrowed artery to restore proper blood flow.

    Unlike traditional brain surgery, MCA stenting doesn’t require opening the skull (craniotomy). Instead, thin wires and catheters, as small as a strand of hair, are inserted through a blood vessel in the thigh. These wires are guided all the way to the narrowed brain artery, where the stent is placed to open up the blocked area.

    Procedure Overview

    The patient was taken to the catheterization (Cath) lab for the procedure. A right femoral puncture was made to insert the guide wires and a micro-catheter. Using these tools, the team successfully reached the right MCA and placed a 2.25mm x 8mm stent in the brain vessel. The patient tolerated the procedure well, with no complications during or after the stenting.

    Stenting
    Brain Stroke

    Post-Operative Results and Recovery

    A post-operative CT scan showed no signs of bleeding or stroke. The patient experienced no complications and was able to walk the next day. He was discharged two days later, in good condition.

    Stenting

    Understanding Transient Ischemic Attacks (TIA)

    A Transient Ischemic Attack (TIA), also called a mini-stroke, is a temporary blockage of blood flow to the brain. Unlike a major stroke, the symptoms of a TIA usually resolve within 24 hours. However, it is crucial to identify the underlying cause, as a TIA is often a warning sign of a more serious stroke.

    Symptoms of TIA

    • Weakness in the face or limbs, typically on one side
    • Difficulty speaking or understanding speech
    • Dizziness or loss of balance
    • Temporary vision disturbances
    • Numbness or tingling sensations

    CT scan

    Diagnosing TIA

    A variety of diagnostic tools are used to confirm a TIA and identify the cause:

    • Duplex scan
    • CT scan of the brain
    • MRI of the brain
    • MRA angiogram
    • Echocardiogram (ECHO)
    • Perfusion brain scan
    • DSA (Digital Subtraction Angiogram)

    Importance of Early Detection and Treatment

    TIAs are a critical warning sign, predicting a higher risk of a major stroke. Studies show that about 15% of people who experience a TIA will suffer a major stroke within three months. The risk increases to 30-40% within one year if left untreated. Therefore, prompt diagnosis and treatment are essential to prevent a future stroke.

    CT scan

    Preventive Treatments for Stroke

    Several interventional procedures are available to prevent strokes in high-risk individuals, such as those who have experienced a TIA:

    • MCA Stenting: This is the procedure that was performed in this case to treat severe stenosis and restore blood flow to the brain.
    • Carotid Artery Stenting: This procedure is used to treat blockages in the carotid arteries in the neck, which supply blood to the brain.
    • Mechanical Thrombectomy: This is an emergency treatment used to remove large blood clots during an acute stroke.

    These minimally invasive procedures can dramatically reduce the risk of a major stroke, especially in patients with a history of TIA.

    Conclusion

    In this case, the timely diagnosis of MCA stenosis and the successful MCA stenting procedure helped prevent a major stroke for the 46-year-old patient. With the growing availability of advanced interventional treatments, it is possible to reduce the risk of life-threatening strokes in patients with conditions like TIA.

    For those at risk, early medical intervention can make all the difference in ensuring a full recovery. If you experience symptoms of a mini-stroke, it’s essential to seek medical attention promptly.

    This surgery was performed, Consultant Neurosurgeon specializing in brain and spine surgery.

    For more information or consultation, contact:
    Email: ganeshneuros@gmail.com
    Phone: 9845674662, 7349017701

    FAQs

    1.What is minimally invasive pinhole surgery for MCA stenting?

    Minimally invasive pinhole surgery for MCA (Middle Cerebral Artery) stenting involves accessing the brain’s blood vessels through a small puncture, typically in the groin. Using specialized catheters and imaging techniques, a stent is placed in the MCA to restore proper blood flow.

    2.What are the benefits of minimally invasive MCA stenting?

    This approach offers several advantages, including reduced blood loss, shorter hospital stays, no need for large incisions, minimal scarring, and a quicker recovery compared to traditional open surgeries.

    3.Who performs minimally invasive MCA stenting?

    These procedures are conducted by specialists trained in interventional neurology, neurosurgery, or radiology, often referred to as endovascular surgeons. They undergo advanced training to master these delicate techniques.

    4.What conditions can be treated with neuroendovascular surgery?

    Neuroendovascular surgery can address various conditions, including brain aneurysms, acute ischemic strokes, arteriovenous malformations (AVMs), carotid artery stenosis, and carotid-cavernous fistulas.

    5.What are the risks associated with MCA stenting?

    While generally safe, potential risks include clot formation at the puncture site, allergic reactions to contrast dye, and the possibility of blood clots traveling to critical areas, which could lead to a stroke.

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