Best Neurosurgery Hospital in Pune, Baner

Centre of Excellence: Neurosurgery

The brain is one of the fascinating organs and can be compared to one of the advanced computers created by God. The brain and the spine consist of nerve cells (neurons) that help in the transmission of signals.

Neurosurgery is a branch of surgery that deals with disorders of the brain and spine. Neuro-interventional surgery is a branch of medicine which involves minimally invasive image-guided procedures to treat brain, head/neck, and spine disorders.

Services and Treatments

Some of the most commonly treated conditions in our department include

• Brain haemorrhage

• Stroke (arterial and venous)

• Cerebral aneurysms 

• Arteriovenous malformation 

• Cavernoma

• Brain tumours (malignant and benign)

• Pituitary tumours

• Deep brain stimulation for Parkinson's disease

• Trigeminal neuralgia

• Low backache and Cervical pain

• Cervical and Lumbar junction anomalies 

• Cervical and Lumbar microdiscectomies

• Disc replacements

• Complex spinal fusions for spondylosis

• Spinal tumours Microsurgery 

• Syringomyelia

Brain Stroke (Aneurysms, Arteriovenous Malformations, Ischemic Stroke)

Neuro-interventional surgery is one of our unique facility at Manipal Hospital, Baner which offers not only most modern treatment for stroke but also a minimally invasive treatment for many neurovascular disorders like aneurysms and arteriovenous malformations (AVMs). Traditional open brain surgeries are also done based on the patient's preferences. 

Neuro-oncological Neurosurgery (Brain Tumour)

Neuro-oncology is the surgery of the brain tumour in many difficult locations. We make use of the latest technologies such as neuro microscope, neuronavigation and neuro electrophysiological monitoring to remove the tumour without any damage to normal brain areas.

Skull Base Surgery

As the name suggests, it is the surgery for lesions in the base of the brain. These tumours require technical precision and intraoperative monitoring modalities. For example, the pituitary tumours are taken out with help of planning with neuronavigation computational analysis of images previous day and done through the nose with neuro 3D endoscope and neuronavigation.

Neuro-interventional Neurosurgery

Endovascular neurosurgery is a subspecialty within neurosurgery that uses catheters and radiology to diagnose and treat various conditions and diseases of the central nervous system. These procedures are called "minimally invasive" because they generally require only a tiny incision instead of a larger incision that is required for open surgery.

Endovascular neurosurgical procedures include:

• Thrombolytic therapy: This procedure uses "clot-busting" medication to dissolve a clot in a blood vessel in the brain or elsewhere in the body.

• Endovascular coiling: A neurosurgeon inserts a very thin metal wire that forms a coil inside a brain aneurysm to block blood flow. Modern devices like intracranial stents, balloons, flow diverters, and disruptors are used to treat most complex aneurysms.

• Cerebral angiography: This is a radiology procedure that looks at how well blood is flowing in the brain.

• Carotid artery angioplasty/stenting: This procedure uses a small balloon or a tiny metal scaffold called a stent to open a narrowed carotid artery which supplies blood to the brain.

Neuro-Oncology

These include a tumour of the central nervous system, including gliomas, meningioma, vestibular schwannoma, central nervous system lymphoma, metastatic disease to the brain and spine, and primary spinal cord tumours.

Endoscopic Neurosurgery

An endoscope is a device that allows a surgeon to operate through a tiny incision by providing remote visualization, illumination, and manipulation. Brain tumours located within or adjacent to the lateral or third ventricles can often be reached with an endoscope. Only the smallest tumours can be removed through the endoscope. 

1. Treatments for Peripheral Nerve and Plexus Conditions

Trauma or surgery can result in chronic nerve injury or pain, that persists beyond the normal recovery time for the given surgery. For instance, chronic pain following surgery, trauma, amputation and knee surgery. 

Treatment of such patients may require excision of the damaged nerve and nerve reconstruction surgery. Nerve decompression surgery may be considered in patients experiencing numbness, pain, and/or functional loss due to compressed nerves. 

2. Spine Conditions and surgeries

3. Lumbar disc disease

A herniated/damaged disk in the lower back or neck is one of the most common spinal conditions. In this condition, the displaced disc presses a nerve going down the leg, causing severe leg pain, numbness, or weakness, commonly called sciatica. To relieve these symptoms, the offending disk segment is removed with a spinal endoscope/microscope. This procedure is called an endoscopic or microdiscectomy. 

4. Spine Tumours

Our centre gets a fair number of spine tumours referred from across the country and even neighbouring countries. The most common of them are:

• Schwannomas

• Paragangliomas

• Meningiomas

• Metastatic or Primary spine bony tumours

 We treat these tumours with a multidisciplinary, holistic approach. The treatment is individualized as to what will be best for the patient. Since we operate from the CV Junction to the sacrum, we use neuromonitoring and neuronavigation to precisely and optimally remove these tumours. Under neuromonitoring of all relevant nerves to enhance safety and avoid injury.

5. Minimally invasive spine surgeries

Minimally invasive spine surgery (MISS), does not involve a long incision, it avoids significant damage to the muscles surrounding the spine. In most cases, this results in less pain after surgery, less blood loss, shorter hospital stay and a faster recovery.

In indicated patients, we use minimally invasive endoscopic/ microscopic techniques for a prolapsed lumbar disc and lumbar fusions.

6. Paediatric Neurosurgery

Manipal Hospital has the best Pediatric Neurosurgery hospital in Baner, Pune. It is one of the top multidisciplinary centers of its kind, with the vast experience, skill, and advanced treatments that offer hope to children and their families.We treat children born with anomalies of the brain, spinal cord, skull deformities and spinal deformities, including:

• Hydrocephalus (collection of abnormal water in the brain) 

• Cyst from birth like an arachnoid cyst

• Meningomyelocele (swelling in the lower back at birth)

• Tethered cord

• Cerebral palsies

• Tumours

• Nerve injuries

7. Functional Neurosurgery 

In this division of neurosurgery, we treat diseases like 

• Trigeminal neuralgia (facial pains) by micro-surgically separating the offending vessel from the nerve. 

• Epilepsy, uncontrolled with medications is also treated by microsurgery. 

• Advanced Parkinson's disease can be managed surgically by a procedure called Deep Brain Stimulation. Essentially, it can supply medicine in lower doses at the site where it is required hence improving the quality of life of the patient substantially. 

• Similarly, we also implant baclofen pumps and morphine pumps to help patients with intractable stiffness in legs & intractable pain in the spine. 

8. Brain & Spine Trauma

Trauma to the head and spine can be fatal if not managed promptly. Immediate intervention and the availability of neurosurgeons are key factors in saving a life. We are equipped with in-house X rays, computed tomography, magnetic resonance imaging, a neurosurgery OT, a critical care unit, and a constantly ready team to deal with such cases. We have elaborate protocols in place to do these rather complex surgeries, which are time-consuming. We also offer a comprehensive neuro-rehabilitation program.