Department of Neurosurgery & spine surgery

Key procedures (IPD)

• Brain trauma & spinal cord injury

• Intracranial hemorrhage

• Brain and spine tumours and infections

• Cerebrovascular disorders such as aneurysm, arteriovenous malformation (AVM), vascular malformation, ischemic disorders and stroke

• Epilepsy

• Neurological disorders such as nerve injury and tumour, and entrapment syndromes

• Spine and peripheral nerve disorders

• Pain

• Congenital disorders such as hydrocephalus and others

• Neuro-oncology surgery

• Paediatric neurosurgery

• Neuro intensive care and neuro anaesthesia

Major Procedures (OPD)

• Consultation and appointment

• Neuro diagnostics

• General neurosurgery

• Neuro rehabilitation

Key Services

• Surgery for all head and spine injuries, intracranial haematomas (subdural, extradural and intracerebral haematoma), congenital skull and spinal deformities, epilepsy, brain and spinal infections, etc.

• Clipping of cerebral or brain aneurysm causing subarachnoid haemorrhage

• Surgery for cranio-vertebral junction pathology

• Micro-vascular decompression for trigeminal neuralgia

• Repair of CSF leak

• For hydrocephalus: CSF shunts – cysto-peritoneal, theco-peritoneal and theco-pleural shunts

• Monitoring of intracranial pressure for benign intracranial hypertension

• Cranioplasty for skull deformities

• Microdiscectomy, laminectomy, laminoplasty and foraminotomy for back pain and radiating pain in lower limbs

• Lumbar interbody fusion with pedicle-screw fixation for back pain and lumbar spinal instability (spondylolisthesis)

• Anterior cervical discectomy and fusion for neck pain and radiating pain in upper limbs, myelopathy or radiculopathy

• Cervical corpectomy and fusion for infection or cervical spine fracture

• Lateral mass screw fixation for cervical spine instability

• Percutaneous vertebroplasty / kyphoplasty

• Carpal tunnel and ulnar nerve decompression for hand and finger pain

• Nerve and muscle biopsy

• CSF-outflow resistance study for normal-pressure hydrocephalus to decide if CSF shunt will benefit the patient

Key Equipment & Infrastructure

• State-of-the-art purpose-built operation theatres

• High-magnification operating microscope for microsurgery, along with specialised microsurgical instruments

• Endoscopes for minimally invasive and endoscopic surgery

• Highly skilled neurosurgeons and medical team

• Advanced anaesthesia-techniques

In-House Investigations

• X-ray

• CT scan and CT angiogram (CTA) (64-slice CT)

• Magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) (1.5 Tesla)

• Electroencephalogram (EEG)

• Electromyography (EMG) and nerve-conduction study (NCS)

• Lumbar puncture (spinal tap)

• Muscle biopsy and histopathology service