Services
Department of Neuro-Surgery:
Vision : Neurosurgery as a matter of passion and perfection than a profession.
The department of neurosciences strives hard to offer innovative, technically correct and advanced to the edge, patient-centric services on a platter of ethical and compassionate patient care. Safety is always kept at the core in any neurosurgical procedure. Being a super speciality hospital, Sahyadri Hospital Nashik houses various other specialties and superspecialities. Thus, interdisciplinary solutions for complex lesions or diseases crossing the borders of nervous system are also available and performed routinely under one roof. Our neurosurgical services are equipped with the following support systems.
| Neuro-Surgery | Neuro-anesthesiology | Neuro-critical care |
|---|---|---|
| Modular Operation theatre | BIS monitoring | Invasive monitoring |
| Advanced neurosurgical microscope | Trans-esophageal echocardiography (intraoperative, sitting position) | Round the clock intensivist services |
| High –speed customized drills | Invasive cardiac monitoring | Ventilator |
| skull base endoscopy unit | DVT pump | Trained neuro-staff |
| Microsurgical armamentarium | Patient warming electronic blankets | Electronic bed |
| Neuro-interventional suite | Fluid warmer | Round the clock CT ( 128 slice) / MRI ( 1.5 Tesla) services |
| CUSA | Transport Ventilator | CT angiography |
| Intraoperative Neuromonitoring | Video-laryngoscope | DSA |
| 3D MRI based navigation | Fiberoptic scope | EEG |
| Peripheral nerve stimulator | EMG/NCV |
Neurosurgical services offered are as follows:
| BRAIN: | ||
| Neuro-oncology (Brain tumors) | Cerebrovascular surgery | Congenital brain lesion |
|---|---|---|
| Gliomas | Aneurysm Clipping /Coling | Chiari malformation |
| Meningiomas | AVM (Arterio-venous malformation) (excision/embolization) | Hydrocephalus |
| Colloid cyst | Carotid endarterectomy | VP shunt ( programmable/regular) |
| Metastasis | Carotid stenting | Congenital intracranial cysts |
| Craniopharyngioma | Surgery for MOYA MOYA disease | Intraventricular Chemoport (Ommaya chamber ) insertion |
| Vestibular schwannoma and other CP angle tumors | Cavernoma excision | Sturge Weber syndrome |
| Medullobalstomas | Decompression of malignant stroke | Neurofibromatosis |
| Ependymomas, Paragnagliomas | Evacuation of hypertensive bleed | Von-Hippel-Lindau syndrome |
| Pineal region tumors | Endovascular stenting | Lesion of cavernous sinus |
| Cysts (epidermoid, dermoid, neuroenteric , GEC, arachnoid etc) | Endovascular mechanical thrombectomy in acute stroke | |
| All varieties of rare brain tumors | Surgery for hemangiopericytoma | |
| Tumors of orbits | ||
| BRAIN : | ||
| Endoscopic Skull base | Epilepsy surgery | Pain relief surgery |
|---|---|---|
| Gliomas | Aneurysm Clipping /Coling | Chiari malformation |
| Meningiomas | AVM (Arterio-venous malformation) (excision/embolization) | Hydrocephalus |
| Colloid cyst | Carotid endarterectomy | VP shunt ( programmable/regular) |
| Metastasis | Carotid stenting | Congenital intracranial cysts |
| Craniopharyngioma | Surgery for MOYA MOYA disease | Intraventricular Chemoport (Ommaya chamber ) insertion |
| Vestibular schwannoma and other CP angle tumors | Cavernoma excision | Sturge Weber syndrome |
| Medullobalstomas | Decompression of malignant stroke | Neurofibromatosis |
| Ependymomas, Paragnagliomas | Evacuation of hypertensive bleed | Von-Hippel-Lindau syndrome |
| Pineal region tumors | Endovascular stenting | Lesion of cavernous sinus |
| Cysts (epidermoid, dermoid, neuroenteric , GEC, arachnoid etc) | Endovascular mechanical thrombectomy in acute stroke | |
| All varieties of rare brain tumors | Surgery for hemangiopericytoma | |
| Tumors of orbits | ||
| BRAIN: | ||
| Endoscopic Skull base | Epilepsy surgery | Pain relief surgery |
|---|---|---|
| Pituitary tumors | Temporal lobectomy | Microvascular decompression for trigeminal neuralgia |
| Clival chordomas | Amygdalo-hippocampectomy | MVD for glossopharyngeal neuralgia |
| Petroclival lesions | Hemispherotomy | C2 neurectomy |
| Anterior skull base meningiomas | Temporo-parietl-occipital disconnection | Occipital neurectomy |
| Craniopharyngiomas | Corpus callosotomy | Scalp block |
| Cranio-facial malignancies | Focal cortical dysplasia excision | |
| CSF rhinorrhea | DNET excision | |
| SPINE: | Congenital | Degenerative | Neoplastic/infective |
|---|---|---|
| Craniovertebral junction surgery ( C1/C2) | Cervical discectomy and fusion | Spine meningiomas |
| Cervical kyphosis | Cervical laminectomy and laminoplasty | Spinal cord astrocytoma, ependymomas |
| Congenital cysts of spine | Cervical fixation (lateral mass screws) | Spinal metastasis |
| Syringomyelia | Thoracic disk disease | Vertebral body tumors |
| Tethered cord | Thoracic/cervical corpectomy | Tuberculosis of spine |
| Surgery for Bamboo spine (ankylosing spondylitis) | Spine hemangiomas | |
| Lumbar discectomy /laminectomy | Sacral chordomas | |
| Lumbar instrumentation | Thoracic tumors extending to spine | |
| Pain relief procedures | ||
| TRAUMA: | |
| Brain | Spine |
|---|---|
| Surgery for Extradural hematoma (open and endoscopic) | Spine fracture stabilisation |
| Surgery for Subdural hematoma ( acute/chronic) | Surgery for lumbo-sacral dislocation |
| Surgery for depressed skull fracture | Surgery for cervical spondylolisthesis |
| Decompressive craniectomy for intracerebral bleed and contusions | coccygectomy |
| Cranioplasty ( autologous/3 D printed graft) | Craniovertebral dislocation |
| INTERDISCIPLINARY NEURO-SURGICAL SERVICES | |
| Diseases | Allied Speciality |
|---|---|
| Cranio-facial malignancies | Surgical oncology |
| Sinus tumors/ Glomus tumors | ENT surgery |
| Orbital tumors | Oculoplastic surgery |
| Thoracic cavity/spine tumors | Cardiothoracic surgery |
| Sacro-pelvic masses | Surgical oncology/general surgery |
| Polytrauma | Orthopedics |
| Neuro-vascular / tumor embolisation | Interventional neurology |
| Cranio-facial trauma | Plastic surgery |
| Brain malignancies | Medical oncology |
| CT guided spine biopsy | Interventional radiology |
