Neuro-endoscopy Surgery

The Neuro-endoscopy Surgery Unit at the BLK Super Speciality Hospital is a part of the Centre of Neurosciences. Our nationally and internationally recognised neurosurgeons hold years of experience in performing minimally invasive endoscopic brain/spinal surgery. The team has pioneered many of these sophisticated techniques to treat complex conditions such as brain aneurysms as well as spine and brain tumours that are difficult to reach, with more precision.

At the Neuro-endoscopy surgery unit, physicians and surgeons work closely together with the patient to determine the best treatment plan for the patient’s current medical condition. Our aim is to felicitate everyone under our care to effectively treat their problem while protecting how their brain or spine functions. We strive to provide you with a patient-centric experience with maximum benefits and an easier recovery.
 

What Is Neuro-Endoscopy Surgery?

Neuro-endoscopy is a minimally-invasive surgical procedure that allows neurosurgeons to treat most of the complex brain conditions such as a brain tumour, which are hard to treat with traditional surgery. It enables neurosurgeons to:

  • Have access to the deepest area of the brain that one cannot have access to with traditional surgery
  • Helps in removing the tumour without cutting or harming other parts in the skull or spine 

What Are The Indicators For Neuro-Endoscopy Surgery?

The major indicators that highlight the need for Neuro-endoscopy surgery involve the conditions in which the patient experiences some of these indicators simultaneously:

  • Unbearable headache or pressure near the tumour
  • Loss of balance and difficulty with fine motor skills (associated with a tumour in the cerebellum)
  • Partial or complete loss of vision (which may cause due to the tumour in the occipital lobe or temporal lobe of the cerebrum)
  • Change in speech hearing, emotional state, or memory (a person experience problem in retrieving or understanding words)
  • Feeling of sluggishness and muscle weakness or paralysis is associated with a tumour in the brain
  • Inability to look upward
  • Difficulty swallowing or experiencing double vision 

Other general symptoms patient might experience with the above indicators include:

  • Headaches (severe that worsen with activity)
  • Seizures 
    • Motor seizures
    • Myoclonic
    • Tonic-Clonic (Grand Mal)
    • Sensory
    • Complex partial
  • Drowsiness
  • Sleep problems
  • Nausea or vomiting
  • Fatigue
  • Memory problems
  • Changes in ability to perform day to day activities (like walking)

What Are The Conditions Treated Under Neuro-Endoscopy Surgery?

Some of the brain conditions that may benefit from neuro-endoscopy treatment include:

  • Pituitary tumours
  • Benign brain tumours
  • Malignant brain tumours (brain cancer)
  • Spasmodic torticollis
  • Cushing’s disease
  • Hydrocephalus
  • Nerve pain disorders such as 
    • Trigeminal neuralgia 
    • Bell’s palsy
    • Hemifacial Spasm
  • Glossopharyngeal neuralgia
  • Osteosarcoma of the skull base
  • Conditions affecting vision (optic nerve compression)
  • Facial bone and skull fractures 
  • Head and neck tumours (sinus cancer and glomus tumours)
  • Nervous system cysts
  • Neurovascular conditions, including 
    • Arteriovenous malformations 
    • Brain aneurysms
    • Hemorrhagic stroke 
  • Pseudotumours (false tumours -pseudotumourcerebri)

What Are The Various Diagnostic Procedures Required Before Neuro-Endoscopy Surgery?

Some of the diagnostic tests that your doctor might as you take in order to evaluate your current medical condition involved:

  • MRI
  • Tissue sampling/biopsy
  • CT scan
  • Positron emission tomography (PET) or PET-CT scan
  • A cerebral arteriogram also called a cerebral angiogram
  • Lumbar puncture or spinal tap
  • Myelogram
  • Molecular testing of the tumour
  • Neurological, vision, and hearing tests
  • Neuro-cognitive assessment
  • Electroencephalography (EEG)

What Is The Procedure Of Neuro-Endoscopy Surgery?

Neuro-endoscopy Surgery is a minimally invasive brain surgery that requires few small incisions for performing the surgery, unlike traditional open surgery which requires large incisions.

Preoperative Details
Before proceeding with the surgery the doctors have to make sure that the patient is fit for the procedure. The patient has to undertake certain tests and screening process for the evaluation purpose. The doctor may prescribe certain medications to the patient, a week, or two before the surgery, to avoid any sort of infection during or after the surgery. 

A patient will receive general anaesthesia before moving to the operation theatre and will sleep through the surgical procedure.

Operative Details

  • Step 1: The doctor will make a few small incisions at the affected area in the brain. 
  • Step 2: The doctor inserts a thin telescope-like instrument, called an endoscope into the patient's skull through a small incision. It has a tiny video camera – smaller than a dime attached to its top, which projects the inside view of the patient’s brain on a monitor. These images help the doctor to perform complex operations easily.
  • Step 3: The doctor then passes small surgical instruments or robotic arms (during robotic-assisted surgery) through these incisions to perform the surgery by using the best X-ray views of the anatomy of the brain. 
  • Step 4: The doctor closes the incisions with sutures and covers them with surgical tape.

In case of a brain tumour, the patient has to undertake a few therapies for treating cancer completely. These include:

  • Radiation Therapy: Involves the use of high energy waves to kill cancer cells, limit toxicity and improves results.
  • Chemotherapy: Involve the use of powerful medicines to kill cancer cells. 
  • Targeted Therapy: This therapy targets cancer’s specific genes, proteins, or the tissue environment that contributes to cancer growth and survival.
  • Immunotherapy: This therapy involves the use of medicines that prompt the body's immune system or natural defences to destroy cancer.

Postoperative Details
After the operation, the patient has to get admitted in the recovery room for monitoring purposes, from where the doctor transfers him/her to the ICU. The patient has to stay in an ICU for a day or two after and is then asked to shift to a normal ward, where he/she has to stay until he/she gets fit for discharge.

What Are The Advantages Of Neuro-Endoscopy Surgery?

Neuro-endoscopy Surgery has many benefits to offer over traditional surgery process:

  • Small Incisions
  • Less pain
  • Low risk of infection
  • Lesser disruption of muscles and tissues
  • Short hospital stay
  • Quick recovery time
  • Less scarring

Nowadays, minimally invasive surgeries are becoming more and more common than traditional open surgeries. The surgeons perform the surgery without making large incisions and use small tools, cameras, and lights that fit through those incisions using the Robotic surgery technique. It gives them more close control over the surgical process, thereby resulting in fast after surgery recovery outcomes.

What Are The Precautions One Must Take After The Neuro-Endoscopy Surgery?

The important precautionary measures one must consider after the surgery are: 

  • Maintain a proper posture while sitting and sleeping 
  • Do not perform rigorous exercises. 
  • Take all the medications prescribed by the doctors
  • Do not indulge in sexual activities. 
  • Eat a very healthy diet.
  • Avoid the use of tobacco in for of Gutka, etc.
  • Avoid excessive smoking and drug abuse
  • Heavy consumption of alcohol is prohibited.

What Are The Complications Associated With Neuro-Endoscopy Surgery?

There is no surgery that comes without risks. The risks of minimally invasive surgery include:

  • Infection at the site of the incision
  • Nerve damage
  • Blood clots
  • Excess bleeding
  • Complications from anaesthesia

We at BLK Super Speciality Hospital strive to provide each patient with the most comprehensive care and therefore, it is always a doctor who decided the type of surgery a patient will undergo after completely examining the medical condition of the patient.

Find Complete Relief from BLK Experts

If you think you are facing similar conditions, or have suffered from them in the past, please contact the BLK Hospital team to schedule an appointment at : +91-11-30403040

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