Asian Centre for Neurology & Neurosurgery

 Scope of Neurology

• Stroke
• Epilepsy
• Movement Disorder and Parkinson’s Disorder through DBS technology
• Autism
• Pediatric Neurology and Child Development
• Headache and Migraine
• Behavioral Neurology
• Paralytic Disorder
• Sleep Disorder

 Scope of Neurosurgery

• All types of brain and spinal tumors
• Various grades of cranial and spinal trauma
• Various degenerative disorders of the spine
• All kinds of spinal instrumentation (including percutaneous)
• Intracranial aneurysms or arteriovenous malformations
• Cranial and spinal endoscopic procedures like endoscopic third ventriculostomy and spinal discectomy
• Hydrocephalous
• Neuro-oncology
• Epilepsy surgery
• Skull base lesions
• Disc herniation and replacement
• Congenital and vascular malformations

Neuronavigation

The basic principle of navigation is to establish a virtual space in which a reference frame is localized. A tracker attached to a probe pointer or an instrument is then registered in relation to the reference frame. The images of the MRI or CT of the patient are then loaded on the system and the pointer can be localized on the images. hence the system shows the pointer on the images as it is moved in the patient surgery field. The navigation systems available today give accuracy to about one to two millimeters. Navigation is also used to mark the lesions for radiotherapy which can be precisely delivered to the target without fixing a frame to the head. this is called frameless stereotaxy. It also has used in frameless stereotactic biopsy of deep-seated lesions. it also increased the safety in skull base surgeries such as pituitary tumors. accurate shunt placement in smaller ventricles can be easily done with help of navigation. It is very helpful in functional surgeries such as epilepsy surgeries. The use of navigation has also extended to spine surgeries. In spinal surgeries, the registration has to be done after fixing a reference frame or tracker on a fixed bony landmark such as a spinous process. The main indication in spine surgery is to correctly put pedicle screws in deformities.

Micro Neurosurgery- This is one of the most important advancements in which a surgeon uses an operating microscope to visualize the deep structures of the brain and special instruments to operate in the depth. The superior illumination and magnification allow for better differentiation of normal and abnormal structures, resulting in improved safety.

• Neuroendoscopy- Several neurosurgical operations (like endoscopic third ventriculostomy and endoscopic removal of colloid cyst) can be performed with the help of endoscopes by making tiny holes in the skull (in contrast to opening large bone flap for routine procedures). This minimally invasive technique reduces the operating time, postoperative pain, and discomfort and improves safety. Similar procedures can be performed for various spinal ailments too using endoscopic techniques.
• Neuroimaging- A complete range of diagnostics including CT, MRI, PET/CT, EEG, ECT, Carotid Ultrasound, Clinical Electroencephalography Lab, and Nerve Conduction and EMG Lab.
• Collaborative Care- Support facilities for Physiotherapy, Rehabilitation, Nutritionist, and Psychologist for a speedy recovery.