TECH Global University’s Post

An ischemic stroke happens when a blood clot or fatty plaque blocks a blood vessel in the brain. This reduces blood supply to the brain and preventing brain cells from getting oxygen and nutrients. Treatment for an ischemic stroke includes a thrombectomy, a type of neurovascular surgery, to remove the blood clot. But how is it done? Neurovascular surgery is brain surgery performed using a catheter that travels into the brains vessels from other arteries in the arms or legs. Once in the blood vessel, the catheter deploys a stent to remove the blood clot and restore blood flow to the vessel. In 2023, TMH performed 90 thrombectomies in our neurovascular lab. TMH houses the region's most comprehensive neurovascular lab program, with two identical labs for diagnosis and treatment of complex vascular disease, strokes and other disorders. To learn more about the neurosurgery services TMH offers, visit TMH.ORG/Neurosurgery #stroke #strokemonth #simulation #thrombectomy #thrombectomy #strokeawareness #ischemicstroke #neurolab #neuro #brainsurgery

Dr. Ausaf Bari, Functional Neurosurgeon, and Dr. Geoffrey Colby, Cerebrovascular and Neuroendovascular Neurosurgeon, are collaborating on an exciting surgical technique for chronic stroke patients struggling with arm weakness. Vagus nerve stimulation, a commonplace treatment for seizure disorders, has emerged as a therapeutic option for chronic stroke patients with stroke-related upper extremity weakness. Even years after a stroke, patients thought to be at a plateau in their recovery can gain significant benefits in arm strength. Dr. Bari performs the surgery, which involves implanting an electrode around the vagus nerve through a small incision on the neck. Once implanted, the stimulator is turned on during rehab sessions to provide paired stimulation therapy for the arm weakness. “Studies show a doubling in the improvement in upper extremity function when the stimulator is paired with rehab therapy, compared to rehab therapy alone,” says Dr. Bari. Although it was once thought most recovery happened in the first six months following a stroke, this procedure and resulting paired stimulation therapy have challenged that assumption. “There have been patients 10, 15, 20 years after a stroke who are seeing benefit,” says Dr. Colby. Dr. Bari and Dr. Colby are bridging the gap between functional and stroke care and are working to educate as many patients and providers as possible about this groundbreaking technique. Read more about vagus nerve stimulation for chronic stroke patients with arm weakness here: https://lnkd.in/gg2B6ZFb #Stroke #Neurosurgery

CARE Hospitals, Nampally one of the leading multispeciality hospitals in Hyderabad, proudly announced the successful performance of awake craniotomy under the expert leadership of Dr. K. Vamshi Krishna, Senior Consultant - Neurosurgery. This ground-breaking procedure was performed on a 68-year-old female patient who presented with a history of severe headaches, loss of consciousness, limb weakness, and seizures. Upon admission, the patient underwent a thorough evaluation, including a contrast-enhanced magnetic resonance imaging (MRI) of the brain and a routine preoperative assessment. The diagnosis revealed a brain tumour in a critical area responsible for hand and speech functions. Given the complexity of the case, Dr. Krishna and his team decided to proceed with an awake craniotomy to excise the tumour. The awake craniotomy procedure is a cutting-edge technique that allows surgeons to monitor the patient's neurological function in real-time during surgery. This approach is particularly advantageous when operating on brain regions that control essential functions such as speech and motor skills. By keeping the patient awake and responsive, the surgical team can ensure that these critical functions remain intact. To book an appointment, visit www.carehospitals.com or call 040 6810 6527 #CAREHospitals #TransformingHealthcare #AwakeCraniotomy #CriticalBrainSurgery #NeurologicalProblems #Neurosurgery #ClinicalExcellence

Endoscopic Corpus Callosotomy for Drug-Resistant Epilepsy Today, we performed a minimally invasive endoscopic corpus callosotomy 🧠, a procedure that requires navigating and operating deep within the brain. This advanced approach uses a small opening in the skull 🕳️ to access the corpus callosum, the critical structure connecting the two hemispheres of the brain 🔗. 🔍 What makes this surgery particularly complex is the deep location of the corpus callosum. Safely cutting this structure to disconnect the hemispheres ✂️ without affecting surrounding vital areas demands extreme precision. With an endoscope, we gain real-time visualization 📹, allowing for a highly controlled and safe disconnection, minimizing risks associated with traditional open brain surgery. ✨ The goal is to interrupt the spread of seizure activity ⚡ between the hemispheres, offering relief for patients with intractable epilepsy. The endoscopic approach also allows for faster recovery 🏃♂️, smaller scars 🤏, and less trauma to the brain 🧠. Key Highlights: • Small opening and endoscopic technique for minimal invasion 🕳️ • Precise disconnection of the deeply located corpus callosum ✂️ • Reduced recovery time and fewer operative risks ⏳ Operating on such a deep brain structure 🧠 represents one of the most challenging aspects of neurosurgery, but it offers life-changing outcomes 🌟 for patients with drug-resistant epilepsy ⚡. #Neurosurgery | #EpilepsySurgery | #DrugResistantEpilepsy | #EndoscopicSurgery | #CorpusCallosotomy | #SmallCraniotomy | #MinimalInvasiveNeurosurgery

Our manuscript, 'Duraplasty with Autologous Cervical Fascia in Pediatric Posterior Fossa Tumor Surgery: A Single-Center Experience with 214 Cases,' has been accepted for publication in Child's Nervous System! This study delves into the challenges of achieving watertight dural repair in pediatric posterior fossa surgeries, exploring the use of autologous cervical fascia as a safe and reliable graft option. Through a retrospective review of 214 patients, we've uncovered promising outcomes, with minimal postoperative complications. CSF leak, pseudomeningocele, and meningitis rates were impressively low at 4.2%, 2.8%, and 4.2% respectively. Our findings highlight the efficacy and safety of autologous cervical fascia in pediatric neurosurgery. This research marks the largest consecutive surgical series utilizing autologous cervical fascia as a dural substitute, offering a straightforward technique with minimal additional cost. It's a significant step forward in enhancing surgical options, particularly for resource-limited settings. #Neurosurgery #PediatricNeurosurgery #MedicalResearch #ChildsNervousSystem

🎭Our Brain is Numb, Literally! 'My brain has become numb' is used in common parlance to express shock but in reality most of the brain tissue is really numb. This is what is extrapolated in awake brain surgeries. Patient is kept awake and alert when surgery happens in the brain. Awake brain surgery is not only useful in patient with eloquent region tumor resection but also in situations like this where a morbidly obese patient with multiple co mobidities unfit for general anaesthesia. This is such morbidly obese patient where we faced problems in every aspect of treatment. The decision to perform an awake stereotactic biopsy in such a patient was driven by necessity. Traditional approaches would have posed significant risks due to the patient's poor lung reserve, uncontrolled diabetes, and hypertension. Moreover, the limitations of standard equipment, such as an inadequate MRI gantry and difficulty in fixing the stereotactic frame, added further layers of complexity. Even in such a patient with a lesion in brain stem, using morden gadgets and anaesthetic techniques, makes Neurosurgery increasingly safe and precise! #neurosurgery #apollohospitals #apollocancercentre #chennai

Ulcerated Carotid plaque and Carotid Stenting 2.0 68 year old with ulcerated plaque and recurrent strokes . Carotid stenting done with CguardEPS stent InspireMD Cguard EPS with its micromesh is game changer in handling these plaques. These plaques have a notorious potential to cause delayed strokes.Micromesh/micronet covered stents are a much needed technological disruption in this neurovascular segment. Darren Barlow Christian Dyzmann, EDSI The India Neuro Interventional Foundation Indian Society of Neuroradiology ISVIR Junior WIng Society of Therapeutic Neurointerventions SVIN - Society of Vascular and Interventional Neurology CardioVascular and Interventional Radiology (CVIR) Cardiovascular and Interventional Radiological Society of Europe Society of Interventional Radiology Society of NeuroInterventional Surgery InspireMD Hester Diagnostics Pvt. Ltd. #CGuard #Carotidstenting #Stroke #EndovascularInterventions #InterventionalNeuroradiology #InterventionalRadiology #EndovascularNeurosurgery #Neurointervention

🔬🧠 Delve into an interesting case report on "Strategy in the Surgical Treatment of Cystic Vestibular Schwannoma"!   Discover how a 67-year-old patient's symptoms led to the successful removal of a cystic tumor in the right pontocerebellar angle. Learn about the surgical techniques employed by the expert neurosurgery team at "St. Marina" University Hospital.   Read it here: https://lnkd.in/dgtzZDmg #Neurosurgery #CaseReport #MedicalInnovation #Healthcare 📝

Part-2 LITT - Stages and Details Patient Selection The three primary indications for treatment are brain tumors, epilepsy, and radiation necrosis. The ability of LITT to facilitate the effects of chemotherapy will also become a defined indication in the near future. All treatment decisions are made unanimously after detailed evaluations in brain tumor and epilepsy councils. Planning High-resolution MRI of the patient are introduced to the neuronavigation or stereotactic system. The orientation that provides the safest and most effective treatment approach to reach the diseased tissue is determined and recorded. Surgical Procedure Under general anesthesia, the patient is positioned according to the pre-established surgical plan. A 3.2 mm circular window is created in the skull, and the LITT catheter is placed in the center of the target diseased tissue. Transfer to MRI Unit While the patient remains under general anesthesia, they are transferred to the MRI unit and secured in an appropriate position. Preparation for Treatment In the MRI unit, the LITT catheter, which has been placed inside the diseased tissue for treatment purposes, is connected to the LITT device and cooling system. Treatment MRI scans, suitable for recording the heat map used for ablation, are prepared. The correct positioning of the catheter is confirmed using MRI before the procedure. The anatomical points where maximum and minimum heat elevation is desired are marked to ensure the safety of the procedure, and the treatment is initiated. The ablation is carried out under MRI guidance. To prevent any damage, the procedure can be stopped immediately or paused to re-plan the heat distribution, with the option to resume the treatment at any time during the process. . . The rest of the content can be accessed on website. www.ilhanelmaci.com.tr . . #ProfDrIlhanElmacı #ElmacıNeurosurgeryClinic #LITT #Laser #Ablation #Medtronic #LaserInducedThermalTherapy #FlorenceNightingaleHospital #WeWillMakeBrainTumorsGiveUp #Neurosurgery #BrainSurgery #NeurologicalSurgery #Epilepsy #RadiationNecrosis #BrainTumors

Decision Made in the Blink of an Eye – Quick Qualification and Successful Brain Tumor Surgery 🧠⏱️ #ThankYouTeam Precise Neurosurgery with Intraoperative Neuromonitoring Today, I had the opportunity to be part of a remarkable case involving a 28-year-old patient. 💼 At the Independent Public Specialist Western Hospital named after St. John Paul II, we recently conducted a challenging brain tumor resection near the motor cortex. The patient, a 28-year-old male, was admitted with intense headaches. A swift diagnostic process enabled us to quickly qualify him for surgery, led by Dr Błażej Nowak , assisted by Dr Paweł Kowalczyk. 👩⚕️ As a representative of Centro Medica Sp. z o.o., my role was to ensure intraoperative #neuromonitoring using inomed equipment. Neuromonitoring plays a crucial role in protecting the patient's neurological functions during surgery, particularly in delicate areas such as the motor cortex. With advanced monitoring techniques like evoked potentials and electromyography, we could continuously assess nerve pathway integrity, minimizing the risk of damage. 🔍 The entire procedure required precise collaboration among surgeons, anesthesiologists, and neuromonitoring specialists, allowing for safe and effective tumor removal. This experience underscores the importance of combining modern technology with skilled teamwork, giving the patient a real chance at a full recovery. #Neurosurgery #Neuromonitoring #inomed #CentroMedica #PatientSafety #BrainSurgery