The department is involved predominantly in the care of neurosurgical patients. Patients suffering from the entire spectrum of neurosurgical disorders including vascular, skull base, epilepsy, peripheral nerve, malignancy, spine including craniovertebral junction are offered care. The operating rooms are equipped with the most modern surgical equipment including state of the art surgical microscopes, pneumatic drills, C-arm, intraoperative CT, intraoperative ultrasound, intraoperative MRI monitoring systems for MEP/SSEP, CUSA. The department has seven elective and two emergency functioning operating rooms all of which are equipped to perform complex surgeries simultaneously. The trauma services provided by the department run round the clock. Patients requiring emergency surgeries especially following head injury are offered surgical treatment within hours of presenting to the hospital.
Clinical services offered can be considered under the various neurosurgical subspecialities.
- Trauma services: The trauma services run for 24 hours. Patients suffering from head and spine injuries are treated in the casualty. Severe head injuries requiring surgery are operated within an hour of presentation in the casualty. All types of traumatic bleeds, brain injuries requiring decompression are treated. The casualty services have dedicated trauma ICU with 14 ventilators. A dedicated head injury ward is available for patients requiring long term stay.
- Vascular surgery: Surgical management of aneurysms, AVMs and Moya Moya diseases are performed routinely in the department. High dependency care is provided to this group of critically ill patients both in the preoperative and postoperative periods.
- Spine surgery: Advanced spinal surgery including complex instrumentation is routinely performed. Management of complex cranio-vertebral junction anomalies are also performed. Spinal stabilization following spine injury is routinely performed.
- Epilepsy surgery: A comprehensive program is offered to drug resistant epilepsy patients. Patients are evaluated and selected for surgical management. The entire range of epilepsy surgeries from invasive monitoring to multilobar resections and hemipsherotomies are performed.
- Skull base surgery: Lesions involving the base of skull are difficult neurosurgical diseases. They require complex surgical procedures with intraoperative monitoring and neuronavigation. All the facilities required for the performing these diseases are available with the department.
- Endoscopy: Endoscopic surgeries are routinely perfomed for several intracranial diseases including pituitary adenomas, anterior skull base lesions, third ventricular lesions, hydrocephalus etc
- Peripheral nerve surgeries: Traumatic injuries to peripheral nerves and brachial plexus and tumour involving the peripheral nerves are treated.
- Oncology: Benign and malignant tumours of the brain and spinal cord form one of the largest groups of patients reporting to a neurosurgery clinic. The operative procedures are performed using state of the art microscopes with intraoperative monitoring. Selected cases are operated using awake craniotomy. Surgical aids such as neuronavigation, intraoperative ultrasound, intraoperative CT are used in the management of complex lesions.
- Movement Disorder surgery: Selected patients suffering from diseases like Parkinson’s disease are benefited from surgical management. The surgical management includes placement of implants for Deep Brain Stimulation or by lesioning of specific structures.