Areas of interest
- Brain tumor – Brain tumors are grossly divided in to benign tumors like Meningioma, schwannoma or malignant lesions like Glioma. We use all the modern technologies during surgery to completely remove the tumor without causing additional damage to the brain (brain tumor – falcine meningioma)
Spinal tumors – Spinal tumors are devided in to three catagories as intramedullary tumors,Intradural extramedullary tumors and extradural tumors.
- A) Spinal Intramedullary tumor
- B) Intradural extramedullary tumor – To be Registered in LIMCA book of records as longest spinal tumor operated
- Cervical spondylosis – Cervical spondylosis leads to prolapse of intervertebral disc causing compression of the spinal cord. For this Discectomy and fixation is done anteriorly.(cervical spondylosis with prolapse intervertebral disc)
- Thoracic spine - prolapse intervertebral disc – This warrants transthoracic approach to excise the disc and fuse the spine.
Vascular surgery – There are multiple vascular lesions like AVM, Aneurysm, cavernoma, moya moya disease etc.
- A) Intracranial aneurysm – Aneurysm is an outpouching of the intracranial vessel which carries a risk of rupture.Unruptured aneurysms are usually treated with Neurointervention and coiling while ruptured aneurysms are usually managed with craniotomy and clipping.(Aneurysm clipping)
- B) Moya Moya disease – It causes gradual stenosis of Internal Carotid Arteries with resultant ischemia and stroke. It is treated with STA –MCA bypass procedure.(surgery for moya moya disease)
- Orbital tumor – They are divided in to intraorbital tumor and tumor with intracranial extension. Surgical excision is the treatment of choice.(orbital tumor)
Neurointervention – It involves endovascular management of different vascular pathologies
- A) Ischemic stroke – Intra arterial thrombolysis if done within 6 hours can reverse ischemic brain changes and prevent paralysis.
- B) Carotid stenting – Gradual stenosis of the Internal Carotid artery causes ischemic changes leading to stroke.Intra arterial stent can be placed percutaneously which re establishes the circulation.
- C) Aneurysm coiling – Ruptured or unruptured intracranial aneurysms are best treated with endovascular coiling.
- D) AVM/dural AVF – Treated effectively with embolization.
- Lumbar Spine Spondylosis- Its a disease of middle and old age where weight bearing lumbar vertebras undergo premature degeneration. However the condition is treatable with surgery.