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Category Archives: Neurosurgery

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Spinal Tumour

Spinal tumors are abnormal growths of tissue found in and around the spine. Tumors in the spine may be primary (begin in the spine) or secondary (metastatic – move to the spine from other locations). The most common cancers that move to the spine are breast, lung, renal and prostate. Most often cancer that moves to the spine is not fatal, although it can cause pain and compress nerves. Nerves that are compressed can cause weakness or paralysis of the arms or legs. Best Treatment of spine tumors in India is focused on maintaining quality of life. They generally require surgery for excision of the tumour by a neurosurgeon. The excised spinal tumour is then sent for the biopsy to rule out any possibility of malignancy or cancer.

Spinal Tumour Excision Surgery

Spinal tumour surgery in India these days are performed using minimally invasive or endoscopic technique which requires lesser number of days in hospital and faster recover. Some people will spend time in an intensive care unit being operated upon for the spinal tumour in India, including those who need support for breathing from a ventilator or special intravenous (IV) medications for blood pressure. Sometimes an ICU is needed just for overnight observation. It is very common to need a cervical collar or other brace after spinal tumour surgery. The brace keeps you from putting stress on the healing muscles and bones. It will allow you to start getting out of bed about a day after spinal tumour surgery. If needed, physical and occupational therapists will also be able to work with you.

Best Doctors and Cost

Dr Arun Saroha, Dr Sudeep Jain and Dr Sandeep Vaishya are two of best neurosurgeons for doing the spinal tumour excision surgery. The cost of the surgery would be USD 5000 – 7000 with 4 days of hospital stay. The patient has to plan for 2 weeks of India stay for getting this surgery done.

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Spinal Instrumentation

Spinal Conditions

The Spine consists of Vertebrae and Discs which are surrounded by the nerves going from the brain to all parts of the body. The spinal column is supported by surrounding muscles called the Paraspinal muscles. When a person does not exercise these muscles become weak and load comes on the spinal column. This may cause damage to any of the 3 components of the spine. If the spinal vertebrae becomes unstable then a surgery is done to stabalize the spine. There are two techniques to do this surgery – Fusion and Fixation.

Spinal Fusion or Fixation Surgery

In Fusion Surgery two or more of the vertebrae are fused together which affects the range of motion of the spine. In Fixation Surgery two or more of the vertebrae are fixated by using a cage, rods and screws. This surgery also affects the range of motion of the spine but helps in pain management and prevents further damage to the spinal column.

The best diagnostic modality for any spinal condition is X-Ray, CT Scan and MRI. 3D CT Scan of the spine gives very good information about the bony structures and the soft tissue surrounding the spinal column. MRI gives far more information than any of the other diagnostic tools but is expensive. Once the correct diagnosis is made and our neurosurgeon opines that Fusion or Fixation or combination of both would be done then the patient has to get admitted to the hospital. The surgery is done under General Anaesthesia or Spinal Anaesthesia and the surgery could last for 7-8 hours depending upon the levels of spine which are being operated. The surgery can be done with posterior approach in case of Thoracic or Lumber Spine but is preferably done with anterior approach in case of Cervical Spine. Post surgery the patient is kept in the ICU for 24 hours before being shifted out to the ward or the room.

Best Doctors and Cost

Dr Arun Saroha, Dr Sandeep Vaishya and Dr Sudeep Jain are the best spine surgeons in India with excellent results in cases of Spinal Instrumentation – Fusion or Fixation Surgery. Any spine surgery patient requires extensive rehabilitation after the surgery and our team of physiotherapists make sure that your recovery is as per the schedule. For this the rehab team takes charge of the patient within 24 hours of the surgery and exercises are started even on the patient bed. Within a couple of days the patient is put on feet and made to walk with the help of a walker. The intensity of exercises increase every day till the patient is able to walk and perform all routine functions without any assistance.

The cost of Spinal Instrumentation depends on the number of levels on which the surgery is performed. Typically it costs between USD 4000 – 6000 with 3-4 days of hospital stay. The patient has to plan a stay of atleast 2 weeks in India for getting this surgery done.

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1 year ago Scoliosis

Scoliosis

Scoliosis is a spine disorder that causes an abnormal curve of the spine or backbone. The spine has normal curves when looked at from the side, but it should appear straight when looking from the front and Kyphosis is a curve seen from the side in which the spine is bent forward. There is a normal kyphosis in the middle (thoracic) spine. Lordosis is a curve seen from the side in which the spine is bent backward. There is a normal lordosis in the upper (cervical) spine and the lower (lumbar) spine. People with scoliosis develop additional curves to either side and the bones of the spine twist on each other, forming a C or S shape in the spine.

Scoliosis Surgical Procedure

If the curve stays below 40 degrees until the person has finished growing, it is not likely to get worse later in life. However, if the curve is greater than 40 degrees, it is likely to continue to get worse by 1-2 degrees each year for the rest of the person’s life. If this is not prevented, the person could eventually be at risk for heart or lung problems. The goals of surgery for scoliosis or scoliosis correction surgery in India are correcting and stabilizing the curve, reducing pain, and restoring a more normal curve and appearance to the spinal column.

Best Doctors and Cost

Dr Arun Saroha and Dr Sudeep Jain are two of the best spine surgeons in India and when it comes to Scoliosis Surgery they still rank as the best.

There are various techniques used for scoliosis correction surgery in India. One type of surgery for scoliosis involves posterior spinal fusion with instrumentation and bone grafting and another surgery option for scoliosis correction in India is an anterior approach. Cost for Scoliosis Correction Surgery in India is approx USD 6500 – 12000. Most cases of scoliosis are mild, but some children develop spine deformities that continue to get more severe as they grow and so do the charges of the surgery. In more severe cases the surgery might have to be done in stages.

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1 year ago Laminectomy

Laminectomy

Laminectomy is a surgical procedure in which a portion of the bony arch or lamina, on the dorsal surface of a vertebra is removed. It is done to relieve back pain that has not been helped by more conservative treatments. Laminectomy is an elective procedure rather than an emergency surgery. Laminectomy is recommended when one or more of the following symptoms and disorders that affect the lower back are seen in the body : Sciatica, Spinal Stenosis, Narrowing of the spinal canal compressing the cord, Cauda Equina Syndrome, Herniated disc and Osteoarthritis.

Surgical Procedure of Laminectomy

Laminectomy is performed under general anesthesia in which the patient is usually positioned lying on the side or stomach. A retractor is used to spread apart the muscles and the fatty tissues covering the spine. When the laminae have been reached, the bony arch is cut in order to get to the ligamentum flavum (which is a band of yellow tissue attached to the vertebra that helps to support the spinal column). Thereby an opening is made in the ligamentum flavum to reach the spinal canal and then to the compressed nerve. At this point the cause of compression will be visible (that may be a herniated disk, tumour, fragmented disk etc) which is then rectified. This Surgery is completed in one to three hours.

Conditions which are treated by Laminectomy

  • Sciatica
  • Spinal Stenosis: Narrowing of the spinal canal compressing the cord.
  • Cauda Equina Syndrome: A rare disorder caused when a broken disc, bone fracture, or spinal stenosis put intense pressure on the spinal nerve roots at the lower end of the spinal cord.
  • Herniated disc: A herniated disc is a condition when the nucleus ruptures and is forced through the outer annulus into the spaces between the vertebrae. Thereby putting pressure on the nerve roots or compresses the spinal cord itself.
  • Osteoarthritis: Osteoarthritis is a disorder in which the cartilage in the hips, knees, and other joints gradually breaks down, allowing the surfaces of the bones to rub directly against each other.

Best Doctors and Cost

Dr Arun Saroha, Dr Sudeep Jain and Dr Sandeep Vaishya are the best surgeons for performing the Laminectomy Surgery. While is former is a neurosurgeon the latter is an orthopaedic spine surgeon. They have a fantastic success rate in spine surgery.

The cost of Laminectomy Surgery is approx. USD 5000 – 6500 with 4 days of hospital stay. The patient will have to plan for 2 weeks of India stay to get this surgery done.

1 year ago Kyphoplasty

Kyphoplasty

Kyphoplasty is a process in which the original angle and height of kyphosis of a fractured vertebra is corrected. After correcting the vertebra, it is stabilized by injecting cement mixture into the hollow area. Mechanical intravertebral expansion is used to restore the lost height and angle of the vertebra. A bone or vertebral fracture causes immense pain to the patient. This pain is relieved once the lost height of the compressed vertebra is restored. This can be easily achieved through Kyphoplasty.

Right Candidate for Kyphoplasty Surgery

Patients who get affected with osteoporotic vertebral compression fractures are strong candidates for Kyphoplasty, provided they have a painful back. Functions and mobility of the patient will be severely affected with. Pain following severe arthritis and disk herniation cannot be treated with Kyphoplasty. Image tests can be handful in diagnosing a typical case of vertebral compression fractures. Spinal X-rays, computed tomography, magnetic resonance imaging scans and bone scans are some of the image tests used for clarification.

Kyphoplasty Surgical Procedure

In the procedure of Kyphoplasty, a small incision is made and a narrow tube is inserted so that a pathway is formed to the crushed vertebrae. Through this tube a special inflatable balloon is passed on to the crushed space of the vertebrae. Then it is slowly inflated which makes the crushed pieces of the bone to return to normal position. After obtaining the normal height and angle, cement mixture is inserted into the cavity. The mixture is filled only after taking out the balloon. The cement harden quickly and this makes the vertebra hard as it was early.

Best Doctors and Cost

Dr Arun Saroha, Dr Sudeep Jain and Dr Sandeep Vaishya is the best neurosurgeon for doing the Kyphoplasty Surgery.

The cost of Kyphoplasty surgery would be USD 5000 – 6500 with 4-5 days of stay in the hospital and 2 weeks of stay in India. The success rate is in excess of 98%.

Hydrocephalus

Hydrocephalus is the collection of the Cerebrospinal fluid (CSF) within the brain. This excess collection swells the ventricles and puts pressure on the brain. CSF is always flowing through the ventricles and is present in the brain and the spinal column. However if the CSF levels go up and create pressure on the brain then it can damage the brain tissues resulting in the impairment of brain functions.

This condition is mostly found in new born children or older adults. In new born children this could result in unusual increase in the size of the head. The symptoms in infants would be

  • Vomiting
  • Sleepiness
  • Irritability
  • Poor feeding
  • Seizures
  • Eyes fixed downward (sunsetting of the eyes)
  • Deficits in muscle tone and strength
  • Poor responsiveness to touch
  • Poor growth

Among adults 60 years of age and older, the more common signs and symptoms of hydrocephalus are:

  • Loss of bladder control or a frequent urge to urinate
  • Memory loss
  • Progressive loss of other thinking or reasoning skills
  • Difficulty in walking often described as a shuffling gait or the feeling of the feet being stuck
  • Poor coordination or balance

Diagnosis of Hydrocephalus

Neurological exam

The type of neurological exam will depend on a person’s age. The neurologist may ask questions and conduct relatively simple tests in the clinic to judge muscle condition, movement, well-being and how well the senses are functioning.

Brain imaging

Imaging tests can help diagnose hydrocephalus and identify underlying causes of the symptoms. These tests may include:

Ultrasound Ultrasound imaging, which uses high-frequency sound waves to produce images, is often used for an initial assessment for infants because it’s a relatively simple, low-risk procedure. The ultrasound device is placed over the soft spot (fontanel) on the top of a baby’s head. Ultrasound may also detect hydrocephalus prior to birth when the procedure is used during routine prenatal examinations.

Magnetic resonance imaging (MRI) – uses radio waves and a magnetic field to produce detailed 3D or cross-sectional images of the brain. This test is painless, but it is noisy and requires lying still. MRI scans can show enlarged ventricles caused by excess cerebrospinal fluid. They may also be used to identify underlying causes of hydrocephalus or other conditions contributing to the symptoms.Children may need mild sedation for some MRI scans.

Computerized tomography (CT) scan is a specialized X-ray technology that can produce cross-sectional views of the brain. Scanning is painless and quick. But this test also requires lying still, so a child usually receives a mild sedative. Drawbacks to CT scanning include less detailed images than an MRI, and exposure to a small amount of radiation. 

Treatment

One of two surgical treatments may be used to treat hydrocephalus.

Shunt

The most common treatment for hydrocephalus is the surgical insertion of a drainage system, called a shunt. It consists of a long, flexible tube with a valve that keeps fluid from the brain flowing in the right direction and at the proper rate.

One end of the tubing is usually placed in one of the brain’s ventricles. The tubing is then tunneled under the skin to another part of the body where the excess cerebrospinal fluid can be more easily absorbed — such as the abdomen or a chamber in the heart.

People who have hydrocephalus usually need a shunt system for the rest of their lives, and regular monitoring is required.

Endoscopic third ventriculostomy

Endoscopic third ventriculostomy is a surgical procedure that can be used for some people. In the procedure, your surgeon uses a small video camera to have direct vision inside the brain. Your surgeon makes a hole in the bottom of one of the ventricles or between the ventricles to enable cerebrospinal fluid to flow out of the brain.

Best Doctors and Cost

Dr Arun Saroha and Dr Sandeep Vaishya are credited with the successful surgeries of the baby with some of the the biggest hydrocephalus in the world. They are undoubtedly the best neurosurgeons for this kind of surgery.

The cost of Shunt Surgery for Hydrocephalus is USD 3000 – 4000 while the cost of Endoscopic Third Ventriculostomy would be USD 4000 – 5000.

1 year ago Head Injury

Head Injury

A head injury is any sort of injury to your brain, skull, or scalp. This can range from a mild bump or bruise to a traumatic brain injury. Common head injuries include concussions, skull fractures, and scalp wounds. The consequences and treatments vary greatly, depending on what caused your head injury and how severe it is. Head injuries may be either closed or open. A closed head injury is any injury that doesn’t break your skull. An open, or penetrating, head injury is one in which something breaks your skull and enters your brain. The things which a neurosurgeon wants to know in a head injury case is bleed inside the brain, fracture of the skull and midline shift. If there is a fracture of the skull but it is undisplaced then nothing needs to be done and the fracture would heal with time.

However if there is bleed inside the brain then it could be of two types – Extra Dural Haematoma (EDH) or Subdural Haematoma (SDH). A plain CT Scan of the Head is able to provide all the necessary information about the extent of the head injury and the damage caused. EDH is less damaging to the brain than SDH. The neurosurgeon also wants to know the amount of bleed inside the brain. When the brain suffers an injury then it starts to swell and since the skull stops the brain from expanding it increases the intra-cranial pressure. This normally results in vomiting, convulsions and headache. If there is any sign of vomiting, persistent headache or convulsions after a head injury then the patient should be taken to the hospital immediately and a plain CT Scan of the brain should be done.

Treatment of Head Injury

In cases of EDH the neurosurgeon may use a neuro drill to puncture the skull and reach the point of hematoma and suck the blood out. However in cases of SDH, the neurosurgeon might have to remove some bone of the skull to create an opening from where the surgeon can make an entry into the brain and remove the blood deposited. The removed bone from the skull is not attached immediately and the skull is left open so that the intra-cranial pressure is reduced. Slowly as the injury to the brain heals the brain starts to return to its normal size. Once this goal is achieved then the skull bone is reattached.

If you’ve suffered a serious brain injury, you’ll most likely need rehabilitation to regain full brain function. The type of rehabilitation you get will depend on what functionality you have lost as a result of your injury. It will be important for your doctor to determine if you lost consciousness and for how long if you did.

Best Doctors and Cost

Head Injury Surgery is the first thing that any neurosurgeon learns and therefore most of the neurosurgeons are best trained in the treatment of Head Injuries. However if the injury is very extensive and there is a massive bleed in the brain then Dr Sandeep Vaishya would be your best bet. The cost of Head Injury management could not estimated as it is not known how many days the patient is going to stay in the ICU and the ward. How many surgeries will have to be performed. The cost of EDH could be as low as Rs. 45000 and the cost of entire treatment can sometimes go past one crore of Indian Rupees.

1 year ago Gamma Knife

Gamma Knife Surgery

Gamma Knife radiosurgery is a type of radiation therapy used to treat tumors and other abnormalities in the brain. In Gamma Knife radiosurgery, specialized equipment focuses close to 200 tiny beams of radiation. Although each beam has very little effect on the brain tissue it passes through, a strong dose of radiation is delivered to the site where all the beams meet. This strong radiation beam is used to burn the tumour. The procedure of Gamma Knife or Radio Surgery is done by a neurosurgeon having trained in Gamma Knife Surgery. The precision of Gamma Knife radiosurgery results in minimal damage to healthy tissues surrounding the target. Gamma Knife is a very costly piece of medical equipment with its price in the range of USD 3-4 million. Very few hospitals in the country have the facility of Gamma Knife Surgery for treatment of Brain Tumours

Benefits of Gamma Knife Surgery

There are cases that we have operated at our hospital in India which have been refused by most of the surgeons around the world as they feared that the surgery may result in loss of any function. We have some of the best neurosurgeons who operated upon those cases successfully using surgery and gamma knife. In some cases, Gamma Knife radiosurgery may have a lower risk of side effects compared with other types of radiation therapy. Also, Gamma Knife radiosurgery is often a safer option than a traditional brain surgery. Gamma Knife radiosurgery is usually a one-time therapy completed in a single day. No hospitalization is required for this.

One must know that not all tumours can be treated with Gamma Knife. Tumours which are less than 1 cm in size are best treated with Gamma Knife. For larger tumours the best strategy is a combination of Craniotomy Surgery to remove most of the tumour and Gamma Knife to remove the remaining tumour.

Best Doctors and Cost

Since there are very few Gamma Knife machines in the country there are very few well trained Gamma Knife Surgeons. One of the first Gamma Knife in India was installed at All India Institute of Medical Sciences, New Delhi. Some of the neurosurgeons who have worked at AIIMS are the best trained in the use of Gamma Knife for removal of brain tumour. Dr Sandeep Vaishya is one of the best neurosurgeon in India in the use of Gamma Knife. He spent more than 15 years at AIIMS and was the incharge of the Gamma Knife Centre.

Cost for Gamma Knife Brain Tumour Surgery in India is approx USD 6500 – 10000. For query please contact or whatsapp at +91-8800188335 or email to info@theihc.in

Endoscopic Spine Surgery

Minimally invasive or Endoscopic spine surgery (MISS) is sometimes called less invasive spine surgery. In these procedures, doctors use specialized instruments to access the spine through small incisions. Minimally invasive spine surgery was developed to treat spine problems with less injury to the muscles and other normal structures in the spine. It also helps the surgeon to see only where the problem exists in the spine. Other advantages of MISS include smaller incisions, less bleeding, and shorter stay in the hospital.

Minimally invasive spine surgery (MISS) uses advanced technology and innovative techniques to treat back pain and neck pain caused by a variety of spinal disorders. Spine surgery is traditionally done as “open surgery,” meaning the area being operated is opened with a long incision to allow the surgeon to view and access the anatomy. In recent years, however, technological advances have allowed more back and neck conditions to be treated with a minimally invasive surgical technique.

Indications for Endoscopic Spine Surgery

Spine surgery is typically recommended only when a period of nonsurgical treatment — such as medications and physical therapy — has not relieved the painful symptoms caused by your back problem. In addition, surgery is only considered if your doctor can pinpoint the exact source of your pain, such as a herniated disk or spinal stenosis. The following conditions can be treated endoscopically:

It’s one of the most rapidly advancing surgical procedures. Through computer-assisted technology and highly specialized tools, minimally invasive surgery is an attractive option for patients who want a quicker recovery after surgery, less post-operative pain, and smaller incisions.

Advantages of This Technique

Minimally invasive techniques are beginning to be used for a wider range of spine procedures, and have been used for common procedures like decompression and spinal fusion since the 1990s. The 2 main goals of minimally invasive spine surgery are:

Decompression

This is used to take pressure off (to decompress) your spinal cord or nerve roots. That pressure can cause pinched nerves and pain. The goal of this procedure is to relieve the pressure and reduce your pain.

Stabilization

Sometimes a mobile segment can be the source of pain or abnormal movement can cause pain. When this happens, a stabilizing surgery may be needed. This is typically a fusion, often done with instrumentation.

Best Doctors and Cost

Our doctors include some of the most famous names in the world of medicine when it comes to Spine Surgeries. Neurosurgeons and Ortho surgeons like Dr Arun Saroha, Dr Rana Patir, Dr Sudeep Jain and Dr Sandeep Vaishya are some of the finest spinal surgeons in India. Between them they have done more than 10000 spine surgeries and have a combined experience of more than 100 years.

The cost of Endoscopic Spine Surgery ranges between USD 4000 – 6500 depending upon the case and the health of the patient.

Disc Replacement Surgery

The disc is the soft cushioning structure located between the individual bones of the spine, called “vertebra.” It is made of cartilage-like tissue and consists of an outer portion, called the annulus and an inner portion, called the nucleus. In most cases, the disc is flexible enough to allow the spine to bend.

An artificial disc (also called a disc replacement, disc prosthesis or spine arthroplasty device) is a device that is implanted into the spine to imitate the functions of a normal disc (carry load and allow motion). Artificial disc replacement surgery in India involves replacing a painful disc with an artificial disc. Artificial disc surgery or a disc replacement surgery in India may be performed by either a neurosurgeon or an orthopaedic spine specialist .

Who Needs This Surgery

In India we see lots of patients with different spine problems. Not all spinal problems require spine surgery. The indications for disc replacement varies for each patient. During the aging process, discs can weaken and develop tears or cracks in the outer portion, resulting in degenerative disc disease which is very commonly seen by neurosurgeons and orthopaedic spine surgeons in India. Additionally, the inner portion may bulge out and press against the outer portion, resulting in pain.The purpose of artificial disc replacement is to replace the worn out disc while also preserving spine’s motion in the best possible way. Surgery for disc replacement in India is performed only when we have confidence of giving best results to patient post surgery. The success rate of disc replacement surgery in India can be ascertained by reduced back pain and no increased risk of problems developing at an adjacent level of the spine.

Types of Disc Surgeries

Disc Replacement Surgery in India – A lumbar disk replacement is a type of back surgery which involves replacing a worn or degenerated disk in the lower part of your spine with an artificial disc made of medical-grade metal or a combination of medical-grade metal and medical-grade plastic. Disc Replacement Surgery in India is generally seen as an alternative to the more common spinal fusion surgery that joins two vertebrae together. Disc replacement surgery is the better option in most situations, however there are cases where spinal fusion surgery is the best line of treatment.

Spinal Fusion Surgery in India: A spinal fusion surgery is designed to stop the motion at a painful vertebral segment, which in turn should decrease pain generated from the joint. There are many approaches to lumbar spinal fusion surgery in India and all of them involve adding bone graft to an area of the spine to set up a biological response that causes the bone graft to grow between the two vertebral elements and create a fusion, thereby stopping the motion at that segment.

Best Neurosurgeon and Cost

Dr Sandeep Vaishya and Dr Manoj Miglani are considered as two of the top spine surgeons in India for doing the Disc Replacement Surgery or the Spinal Fusion Surgery. The cost of the surgery would be in the range of USD 5000 – 7000. The hospital stay would be 3-4 days and India stay would be 2 weeks. The success rate is in excess of 98% with these two neurosurgeons.

Disc Decompression Surgery

The Spinal Cord is made up of Vertebrae and Disc. The soft tissue between 2 Vertebrae is called Disc and provides cushion to the vertebrae during the movement of the spine. In every movement of our body like bending, twisting, dancing, walking, running the spinal column plays an important role. The smooth movement of the vertebrae is made possible by the soft disc between them. However sometimes the disc between the vertebrae is pushed outside in a condition called PIVD (Protrusion of the Intervertebral Disc).

The spinal column has nerves coming from the brain and going to the lower extremities like legs. This protruding disc starts impinging on the nerves and causes compression which results in severe pain which travels to the legs. This condition after some time starts causing numbness in the legs and the pain sensation increases so much that the patient is not able to move.

Non Surgical Treatment of Disc Bulge

At earlier stage the disc bulge can be treated through physical therapies like ultrasonic and laser which shrinks the protruding disc and reduces the compression on the nerve root thereby reducing the pain. Alternatively some back exercises help in the strengthening of the spinal and paraspinal muscles which also reduces the load on the spinal column and thus gives long term pain relief.

One to 2 days of complete bed rest will usually help relieve back and leg pain in cases of disc bulge and compression. Nonsteroidal anti-inflammatory medications (NSAIDs), medications such as ibuprofen or naproxen can help relieve pain. Physical therapy as explained above is the mainstay of back pain relief while in some patients epidural steroid injections can also help.

Disc Decompression Surgery or Microdiscectomy

Microdiscectomy is a Minimally Invasive Spine Surgery. In a microdiscectomy or microdecompression spine surgery, a small portion of the bone over the nerve root and/or disc material from under the nerve root is removed to relieve neural impingement and provide more room for the nerve to heal.

The patient is normally admitted on the day of the surgery and the neurosurgeon or the orthopedic spine surgeon will perform the surgery using high resolution microscope so that the entire surgery can be performed through a small incision.

The patient is normally discharged from the hospital in 2-3 days time and can start performing all the activities within one week in case of Microdiscectomy while the normal open surgery requires a much longer recovery period. The pain is relieved almost immediately after the surgery and the patient is able to do all the normal work and exercises after 6 weeks of the surgery.

Best Neurosurgeons and Cost

Our doctors include some of the most famous names in the world of medicine when it comes to Spine Surgeries. Neurosurgeons and Orthosurgeons like Dr Vikas Kathuria, Dr Rana Patir, Dr Manoj Miglani and Dr Sandeep Vaishya are some of the finest spinal surgeons in India. Between them they have done more than 10000 spine surgeries and have a combined experience of more than 100 years.

The cost of Microdiscectomy Surgery would be in the range of USD 3500 – 4000 depending upon the room category and the hospital chosen. The hospital stay would be 2-3 days and India stay would be 2 weeks. For more info call at +91-8800188335 or email at info@theihc.in

Deep Brain Stimulation

Deep brain stimulation (DBS) is a treatment for symptoms of Parkinson’s disease, including tremors, stiffness, and trouble in walking. Deep brain stimulation surgery involves implanting electrodes within certain areas of your brain. These electrodes produce electrical impulses that regulate abnormal impulses. DBS or Deep Brain Stimulation Surgery is very commonly done in India and mostly can be done as a day care surgery and you will need to keep taking your usual dose of Parkinson’s medicine after the surgery. Your device can’t be programmed until the swelling in your brain goes down, which takes about 2 to 4 weeks. This treatment is reserved for people who aren’t able to get control of their symptoms with medications. Deep brain stimulation isn’t successful for everyone. There are a number of variables involved in the success of deep brain stimulation. It’s important to talk with a neurosurgeon before surgery about what type of improvement you can expect for your condition.

Who Benefits from this DBS Surgery

Deep brain stimulation (DBS) is an established treatment for people with movement disorders, such as essential tremor, Parkinson’s disease and dystonia, and psychiatric conditions, such as obsessive-compulsive disorder. It’s also approved for use by the Food and Drug Administration to reduce seizures in difficult-to-treat epilepsy. The surgery is done by a neurosurgeon who is trained in performing the surgery. In some cases the patient is required to stay in hospital for 1 to 2 days. In the Deep Brain Stimulation Surgery the implant used is of two types, one with non rechargeable battery and other with a chargeable battery. The cost of the implant varies with the type of deep brain stimulation surgery implant opted for after discussing with the neurosurgeon in India. The cost of battery replacement is almost equivalent to cost of re do surgery hence it is advisable to invest a bit more and get the Deep Brain Stimulation (DBS) surgery with rechargeable battery. The life of non rechargeable battery in the Deep Brain Stimulation FDA approved implant used in India is 5 years after which it has to be replaced.

Best Neurosurgeons and Cost

Dr Sandeep Vaishya and Dr Alok Gupta are two of the top neurosurgeons in India for doing the Deep Brain Stimulation Surgery. They have both done pioneering work in the field of Parkinson.

Cost for Deep Brain Stimulation Surgery in India is approx USD 25000 – 30000. Bulk of this cost is due to the high cost of the implant which gets imported into India. For query please contact or whatsapp at +91-8800188335 or email to info@theihc.in

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