We evaluate stroke, brain aneurysms, and arteriovenous malformations (AVMs) using advanced CT/MRI and catheter angiography to map every vessel in detail. For many aneurysms, endovascular coiling seals the weak bulge from inside the artery through a tiny wrist or groin puncture, avoiding a large incision. When anatomy favors it, microsurgical clipping places a small titanium clip across the aneurysm neck, permanently excluding it from circulation.

AVMs are treated with a personalized combination of embolization to reduce flow, precise microsurgical removal, and, in select cases, stereotactic radiosurgery. In acute ischemic stroke, mechanical thrombectomy can reopen blocked large arteries and rescue threatened brain tissue when performed within the right window. Each plan is individualized, and recovery includes ICU observation, blood-pressure control, rehabilitation, and structured follow-up to prevent recurrence.

Skull base tumors such as pituitary adenoma, meningioma, and acoustic schwannoma sit near delicate nerves and blood vessels. We use neuronavigation, intraoperative monitoring, and high-magnification microsurgery to maximize tumor removal while protecting vision, hearing, and facial function. For pituitary tumors, an endoscopic endoscopic endonasal (nose) approach can avoid visible scars and speed recovery.

Treatment is individualized based on tumor type, size, extension, and your goals of care. Some cases benefit from staged surgery, radiosurgery, or adjuvant therapies. Our goal is safe resection with durable control, minimal morbidity, and a clear plan for surveillance imaging and endocrine or neuro-oncology support when needed.

Brain tumors—including gliomas and metastases—are managed through a multidisciplinary pathway. When surgery is appropriate, we use neuronavigation, fluorescence guidance, and intraoperative neuro-monitoring to safely achieve maximal tumor removal. For eloquent cortex, awake mapping can protect language and motor function while enabling effective resection.

Post-operative care includes tailored radiotherapy and chemotherapy plans with neuro-oncology, symptom control, and rehabilitation. We emphasize patient education, genetic/molecular profiling when indicated, and close MRI follow-up to guide further treatment while maintaining quality of life.

For herniated discs, spinal stenosis, and instability, minimally invasive techniques reduce muscle trauma and speed recovery. Procedures include microdiscectomy for sciatica, targeted decompression for stenosis, and TLIF/PLIF fusion for spondylolisthesis or recurrent instability. Small incisions, tubular retractors, and modern implants help achieve strong outcomes with less pain and earlier mobilization.

We begin with conservative care where appropriate—analgesia, physiotherapy, posture and core training—and proceed to surgery when symptoms persist or neurologic deficits appear. Post-op protocols emphasize early walking, safe return to activity, and long-term spine health.

For drug-resistant epilepsy, a structured pre-surgical evaluation—video-EEG, high-resolution MRI, PET/SPECT, and sometimes SEEG—localizes the seizure focus. Depending on findings, options include temporal lobectomy, lesionectomy, disconnection procedures, or neuromodulation where indicated.

When seizures arise near critical brain areas, awake mapping helps preserve language and motor function. Care continues post-operatively with seizure-monitoring, medication optimization, and lifestyle guidance, aiming for seizure freedom or meaningful reduction with improved quality of life.

We provide 24×7 management for traumatic brain injury, intracranial hemorrhage, and spine fractures. Urgent interventions may include hematoma evacuation, decompressive craniectomy, CSF diversion, or spine stabilization to protect the brain and spinal cord and reduce secondary injury.

Care is coordinated in the ICU with precise monitoring, early rehabilitation, DVT prevention, nutrition support, and family counseling. Follow-up plans guide safe recovery, return to work or study, and strategies to minimize long-term complications.

Brachial plexus surgery aims to restore shoulder and arm function after traction, avulsion, or cut injuries to the network of nerves from the neck to the arm. Early evaluation is important—best surgical windows are typically within 3–6 months of injury for optimal muscle recovery.

Who benefits: Patients with persistent weakness or paralysis (e.g., shoulder abduction, elbow flexion, hand opening), severe pain, or confirmed nerve rupture/avulsion after road-traffic or sports injuries.

Techniques:

• Neurolysis / Direct Repair: Freeing a scarred nerve or end-to-end repair if the gap is small.
• Nerve Grafting: Using donor nerves (e.g., sural) to bridge gaps when direct repair isn’t possible.
• Nerve Transfers: Rerouting a healthy donor nerve to a critical target—for example, spinal accessory → suprascapular (shoulder), intercostal → musculocutaneous or ulnar fascicle (Oberlin) → musculocutaneous (elbow flexion).
• Secondary Procedures: Tendon transfers or free functional muscle transfer when late presentation or severe injury limits nerve options.

Recovery & rehab: Most patients need structured physiotherapy for months to retrain muscles and prevent stiffness. Nerve regeneration is slow (about 1 mm/day), so improvements appear gradually over 6–18 months.

Expected benefits: Improved shoulder stability, return of elbow bending, better hand positioning, reduced neuropathic pain, and greater independence in daily activities.

Risks (uncommon): Donor-site sensory changes, infection, scarring, incomplete recovery, or need for staged procedures.

Pediatric neurosurgery focuses on diagnosing and treating brain and spine conditions in infants, children, and adolescents. Care is tailored for growing brains and bodies, with child-friendly anesthesia, pain control, and family-centered recovery plans.

Common conditions treated:

• Hydrocephalus (CSF buildup causing head enlargement, headaches, or vomiting)
• Brain & spinal tumors (low/high-grade gliomas, medulloblastoma, ependymoma)
• Epilepsy not controlled by medicines (focal resections, hemispherotomy, palliative procedures)
• Craniosynostosis and skull shape abnormalities
• Spina bifida, tethered cord, and congenital malformations (Chiari malformation)
• Head injury and intracranial bleeding

Treatment options:

• Endoscopic procedures: e.g., ETV ± choroid plexus cauterization for hydrocephalus, fenestration of cysts
• Microsurgery: tumor removal with neuronavigation, monitoring, and skull-base approaches when needed
• CSF diversion: ventriculoperitoneal/ventriculoatrial shunts with programmable valves
• Epilepsy surgery: lesionectomy, lobectomy, corpus callosotomy; evaluation with EEG, MRI, PET
• Craniofacial: open or endoscopic suture release with helmet therapy (for early presenters)

Recovery & follow-up: Age-appropriate ICU care, infection prevention, early physiotherapy/occupational therapy, and neuro-rehabilitation. Parents receive guidance on wound care, fever/watch signs, seizure plans, and long-term development checks. Most children resume school gradually with accommodations.

Risks (uncommon): infection, bleeding, CSF leak, shunt malfunction, seizures, or neurological deficits depending on disease location. All decisions are individualized with multidisciplinary input (pediatrics, oncology, neurology, rehab).