Santosh Hospital

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The Department of Neurosurgery is equipped with facilities at par with the best in the country. It has dedicated neurosurgical operating theatre with laminar flow, translucent-top operating table, advanced operating microscope (Vario, Carl Zeiss), pneumatic drill (Stryker), highly specialized micro-instruments, flat panel angiographic suite for digital subtraction angiography (DSA) and facilities for electrophysiological tests (EEG, EMG, NCV and VEP). It offer nad perform delicate and the most modern procedure on a regular basis viz. paediatric neuro-surgery, brain tumour surgery (malignant and non-malignant tumours), vascular neurosurgery (aneurysm clipping, anterio-venous malformations), stroke surgery, neuro-trauma (extra-dural, subdural and intracerebral haematomas, depressed fractures, burr hole), infection (eg neuro-tuberculosis), spine surgery (discogenic disease, complex spine surgery, failed back surgery, complex spinal dysrophysm, complex spinal instrumentation), peripheral nerve surgery (microsurgical repair of peripheral nerve damage, nerve grafting, carpal tunnel surgery) etc. The department consists of highly skilled neurosurgeons, neurophysicians, neuro-radiologists dedicated neiro-anaesthesiologists and specially trained nursing staff for operating theatre and neuro-ITU.

Superb Infrastructure and Other Resources
Full fledged microscopic neurosurgical facility to remove brain tumor, microdiscectomy to address back pain and disc disease.
Spinal instrumentation for spinal fracture and degenerative spine disease.
Specialized in different neurosurgical disease conditions like: H?ydrocephalus, Cervical spondylosis, Trigeminal neuralgia (facial pain).
Important Guidelines
Neurology and Neurosurgery involves the treatment of nerve, brain, spine, tumors, and many other critical conditions which may not be properly understood by the patient at least initially.

We take this opportunity to indicate some major symptoms which can make the patient concerned at an early stage. Because, in neuro related problem, be it treatment or surgery, early detection makes all the differences.

Adult Hydrocephalus
Hydrocephalus is a condition in which excess cerebrospinal fluid (CSF) builds up within the ventricles (fluid-containing cavities) of the brain. The average adult produces abot 500 mls. of CSF daily. When an injury of illness alters the circulation of CSF, one or more ventricles becomes enlarged as CSF accumulates. In adults, the skull is rigid and cannot expand, so the pressure in the brain may increase profoundly. If left untreated, hydrocephalus will create increased pressure in the head and may result in difficulty in walking up or staying awake, fever, headache, irritability and/or tiredness, loss of coordination or balance, nausea and/or vomiting, personality changes, vision problems, seizures, swelling or redness along the shunt track brain damage or even death.

Cervical Spondylosis
Cervical spine is made up of bones (vertebraes) with cushion (disc) between them. As we grow older, the bones and the discs will degenerate. Bone spurs (osteophytes) may form and spinal canal may narrow (stenosis). These changes are known as cervical spondylosis. Common symptoms, Neck pain, Constant deep ache that rediates over the shoulder and down the arms, hands nad fingers, numbness or weakness of the arms, hands, fingers or legs, muscles spasm, neck stiffness, headache.

Lumber Spondylosis & Spondylolisthesis
Laminectomy, disectomy reduction of pedicle screw fixation

Spinal Trauma
Spinal Cord decompression, corpectomy cage & plate and pedical screw fixation

Carpel Tunnel Syndrome
Carpel tunnel syndrome (CTS) refers to the compression of the median nerve at the wrist in the structure called the carpel tunnel. The median nerve carries sensation from the palmer surface of the thumb and fingers (except the little finger). It also controls the muscles that move the thumb. The carpel tunnel is formed by wrist bones and ligament called flexor retinaculum that runs across the wrist. This "tunnel" is a narrow passage way for the median nerve as will the many tendons that control finger movements. Swelling of thickening of any of the structuresin or around the carpel tunnel may compress the median nerve, leading to pain, numbness and weakness of the hand and thumb. The symptoms are often gradual in onset and often more severe in the dominant hand, presumably because it is used more often. Intermittent numbness or tingling is felt on the thumb, index, middle and ring fingers. Patient also complain of intermittent weakness of the grip, while the compression of the median nerve may worsen with time, resulting in permanent weakness and wasting of the thumb muscles.

Facial Pain (Trigeminal Neuralgia)
Trigeminal neuralgia (facial pain) is characterized by brief episodes of intense, stabbing, electric shock-like facial pain. These episodes occur spontaneously or can be triggered by light tough, chewing, or changes in temperature (i.e. cold). The pain is so intense which might completely lead to disabling. In addition, weight loss is common because oral triggers prevent affected individuals from eating enough to maintain adequate nutrition.

A less common form of disorder, called "Alypical Trigeminal Neuralgia", may cause less intense, constant, dull burning or arching pain, sometimes with occasional electric shock-like stabs.