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Neurosurgery

Highly advanced and best neurosurgery in India to cure neurological disorders and diseases.

Every year, an estimated 22.6 million patients suffer from neurological disorders or injuries that need the expertise of a neurosurgeon, of whom 13.8 million require surgery. Traumatic brain injury, stroke-related conditions, tumors, hydrocephalus, and epilepsy constitute the majority of essential neurosurgical care worldwide. 

Neurosurgery is one of the most critical surgeries where even a minor lapse may result in fatality or severely impact the quality of life of the patient.  

However, with the advancement of technologies, the success rates of neurosurgeries have increased drastically. Today skilled and well-equipped and trained neurosurgeons are able to successfully manage most complex cases which were not possible a decade ago. 

Let me introduce you to one of our patients Chris from Kampala, Uganda, who came for neurosurgery in India.

Chris is a 51-year-old Sales head working in a reputed Software company. Chris has two boys and a wonderful wife. Chris loves to spend time with his family on the weekends.

Four years back, Chris started observing a regular headache and was getting brain fogged occasionally. He started struggling to focus and think. Chris ignored the symptoms for a while and assumed that it might be because of work pressure. However, the symptoms didn’t heal. Rather, Chris also started occasionally facing the loss of balance while standing.

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best neurosurgery in india

One day while he was rushing to work, Chris went unconscious. Chris’s wife calmed him to get consciousness back and immediately booked an appointment with the doctor. 

Chris described his symptoms, recent changes, and challenges to the doctor. The doctor physically examined Chris and suggested he undergo a few blood investigations and a CT scan of the brain.

Chris followed the recommendation and performed the test and went back home. The next day, after seeing the reports of investigation, the doctor called Chris to meet. The doctor informed Chris that he had a brain tumor and suggested he consult a neurosurgeon for further evaluation and treatment.

The news of the tumor shocked Chris and his wife, Pamela. 

The news of the tumor also reached upto Chris’s office. Chris’s boss, who has excellent healthcare connections and used MedicoExperts services in the past, suggested Chris visit India for brain tumor surgery and forwarded MedicoExperts contact details to Chris. 

Chris’s wife, Pamela, contacted MedicoExperts and shared all the investigation reports along with symptoms and recent developments. The MedicoExperts team arranged an online video consultation with one of the most experienced Neurosurgeons. The Doctor explained the forward path including treatment plan, risks, and success ratios.

After getting complete clarity, Pamela decided to come to India for the treatment of her husband. The MedicoExperts team helped them with visas and other logistics. 

After 12 days, Chris and Pamela came to India for treatment. On the same day, Chris was admitted to the hospital. The doctor performed the investigations to check the current condition of the tumor.

It was a meningioma tumor of 3 cm, and its position was near to a delicate part in the brain. So the Neurosurgeon decided to remove as much as a possible part of the tumor and then the remaining part was removed through stereotactic radiosurgery. 

After healing, the doctor reperformed the investigations to check the outcome. And there was no trace of the tumor. 

Chris and Pamela were very pleased with the results and thanked the doctor and MedicoExperts.

Two months later, Chris resumed his regular activities and a month later even joined his office back. 

This could be your story as well. What you need is a well-equipped hospital and experienced Neurosurgeon with a history of good success rates.

Before we start discussing different aspects of Neurosurgery, Let’s first understand what neurosurgery is.

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What is Neurosurgery?

Neurosurgery or neurological surgery is the medical specialty focussed upon the prevention, diagnosis, surgical treatment, and rehabilitation of disorders that affect any portion of the nervous system including the brain, spinal cord, central and peripheral nervous system, and cerebrovascular system.

Neurosurgery is also commonly known as brain surgery.

The neurosurgery treatment specialization encompasses adult as well as pediatric patients. A neurological surgeon may provide surgical and/or non-surgical treatment depending on the nature of the injury or disease.

What are the different types of neurosurgery in India?

Depending on the type of condition and the particular region of the body affected, the symptoms of neurological disorders vary significantly. In some conditions, you may experience emotional symptoms, whereas in some other conditions there may be specific physical symptoms. 

The types of neurosurgery options in India are as follows:

best neurosurgery in india

The manifestations of neurogenetic diseases are caused by gene and chromosome modifications. The brain, spinal cord, nerves, and muscles are affected by these conditions.

Neurogenetic disorders at birth or later in childhood may cause health problems.

Neurogenetic Disorders are of different types like epilepsy, autism spectrum disorder, brain malformations, pediatric stroke, etc. Many treatments include surgery and therapeutic interventions. 

The cranial base is a small but highly complex region at the bottom of the skull, through which any nerve which links the brain to the rest of the body must move.

You can experience neurological issues such as headaches, facial pain, blurred vision, dizziness, and seizures if you have a cranial base condition.

Such signs tend to occur when the tumor is large enough to strain nerves or the brain. Cranial base diseases include conditions like Cushing’s disease, pituitary tumors, facial nerve disorders, cerebrospinal fluid leaks, etc. 

A brain tumor is an abnormal cell mass or growth in your brain. Some brain tumors are non-cancerous (benign). While others can be cancerous (malignant). Brain tumors may originate in your brain (primary brain tumors), or cancer may begin in other parts of your body, spreading to your brain (secondary or metastatic brain tumors). 

Treatment options for brain tumors depend on the type of brain tumor you have, the size and location of the tumor. Minimally invasive scarless brain surgery, radiosurgery, etc, are some of the procedural options available to effectively treat a brain tumor. To read more about brain tumor treatment in India.

Neurovascular diseases are a major cause of mortality and adult disabilities caused by abnormalities related to the blood vessels inside the brain and spine or the blood vessels that supply blood to the brain and spine.

It involves artery narrowing, which decreases blood flow to the brain and increases the risk of stroke. 

In fact, a neurovascular disorder may cause the arteries to collapse, which can lead to brain aneurysms and other disorders that increase the risk of a stroke. Neurovascular diseases include stroke, brain aneurysms, intracranial vascular disease, venous sinus thrombosis, etc.

Neuro-spine surgery is done to correct spinal cord disorders and injuries. The treatment revives pain in the spinal cord and allows the blocked nerves to function properly. The treatment also corrects the problems of the lower back and neck.

Cervical and lumbar disk surgery, degenerative spine surgery, spine tumor surgery, spinal injury and fracture, and image-guided and keyhole surgery or minimally invasive spine surgery are some of the spine surgeries performed.

To relieve painful symptoms, correct misalignment, and restore spinal structures, neuro-spine surgeons may perform multiple forms of surgery. Neuro-spine surgery can repair dysfunctional spinal cord defects, nerves, ligaments, vertebrae, and discs.

With the advancement in technology and surgical intervention, minimally invasive Neuro-spine surgeries are performed which provides faster recovery, lesser incisions, and little or no bleeding.

Please visit to know about minimally invasive spine surgery in India.

What are the different conditions treated by neurosurgeons?

  • Meningitis and other central nervous system infections, including abscesses
  • Spinal disc herniation
  • Cervical spinal stenosis and Lumbar spinal stenosis
  • Hydrocephalus
  • Cerebrovascular surgery
  • Head trauma (brain hemorrhages, skull fractures, etc.)
  • Spinal cord trauma
  • Traumatic injuries of peripheral nerves
  • Tumors of the spine, spinal cord, and peripheral nerves
  • Intracerebral hemorrhage, such as subarachnoid hemorrhage, interdepartmental, and intracellular hemorrhages
  • Some forms of drug-resistant epilepsy
  • Some forms of movement disorders (advanced Parkinson’s disease, chorea) – involves the use of specially developed minimally invasive stereotactic techniques (functional, stereotactic neurosurgery) such as ablative surgery and deep brain stimulation surgery
  • Intractable pain of cancer or trauma patients and cranial/peripheral nerve pain
  • Some forms of intractable psychiatric disorders
  • Vascular malformations (i.e., arteriovenous malformations, venous angiomas, cavernous angiomas, capillary telangiectasias) of the brain and spinal cord
  • Moyamoya disease

Let’s understand how to choose the best country and hospital for neurosurgery.

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best country for neurosurgery

How to choose the best hospital and best country for neurosurgery?

Neurosurgery is one of the complex surgeries which requires advanced neuro-imaging techniques, cutting-edge technologies, and well-trained staff. The outcome of the surgery and complete recovery is a teamwork of the neurosurgeon, his surgical team, and the post-operative patient care team. 

The UK and USA have the best neurosurgery hospitals but they are very expensive.  

The cost of neuro and spine-related treatments and surgeries in India is  40 – 50% of the cost in the USA, the UK, and other developed countries. 

India has emerged as one of the preferred destinations for neuro & spine and neurosurgery treatments because of neurosurgeon skills, specialized and well-trained operative and post-operative care team, world-class surgical and hospital infrastructure, capability to handle complex cases, and reasonable cost. 

If you are looking for the best outcomes at a reasonable cost, India could be an answer for that. However, if cost is not a concern then you can even choose the US, UK, or Singapore for Neurosurgery.

Now, let’s check how to choose the best doctor for neurosurgery in India.

How to choose the best neurosurgeon for your surgery?

An ideal neurosurgeon for you would be a neurosurgeon who not only has very good experience in terms of numbers of years but also has handled a couple of thousand cases with a success rate greater than 75%.

Further, if the complexity is high you should also look for a number of complex cases with good success rates. 

Additionally, the doctor must be trained on the latest surgical techniques, equipment, and protocols. The reason is, skill complemented by the latest surgical and support infrastructure increases the probability of success in your favor. 

best neurosurgeon for your surgery

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diagnosis

What are the diagnostic tests for Neurosurgery?

After a neurologist’s diagnosis, a patient usually sees a neurosurgeon. The neurologist would have performed the majority of the diagnostic tests, but a neurosurgeon may order additional tests to further investigate the problem and confirm the need for neurosurgery. To get a better understanding of the problem, more detailed tests could be run.

The most commonly prescribed tests for neurological problems are

  • Computed Tomography (CT): CT scans produce two-dimensional images of the body’s tissues. To improve the image quality of the CT scan, a contrast dye is injected into the patient’s bloodstream. CT scans use radiation and are not recommended for pregnant women because the fetus may be harmed. A CT scan is the preferred option when a patient is not a good candidate for an MRI.
  • Magnetic Resonance Imaging (MRI): The term “MRI” refers to a technique that uses a strong magnetic field and radio waves to produce images of the body’s internal structures. MRI can provide valuable information about blood flow and mineral deposits in the body in addition to images. MRIs can be used to analyze the water content of tissues because magnetic fields have an effect on water molecules. A contrast dye may be used to improve images in some cases. This scan is not suitable for anyone who has implanted devices or infusion devices in their body due to the strong magnetic field used. It is critical to remove any metallic objects from the person’s body before entering the MRI room.
  • Functional MRI (fMRI): An MRI can be used to study blood flow to areas of the brain because it is such a good tool for studying blood flow. These properties of the blood are used in fMRI scans to determine which areas of the brain are activated by stimulus and for how long. Prior to surgery, a neurosurgeon can use this to study and locate the areas of the brain that control various functions.
  • Positron Emission Tomography (PET): When neurosurgeons require more detailed images than CT or MRI scans can provide, they turn to PET scans. PET scans can produce images of the patient in two and three dimensions. PET scans use tracers, which are radioactive isotopes injected into the patient’s bloodstream to produce extremely detailed and clear images of the brain and nervous system. When studying multiple brain functions at the same time, different tracers can be used for each function.
  • Single Photon Emission Computed Tomography (SPECT): This is a nuclear imaging scan that uses tracers in the same way that PET scans do. It’s a scan that’s used in addition to the more common scan. A DaT-SPECT scan is a Dopamine Transporter Imaging With Single-photon Emission Computed Tomography (DaT-SPECT) scan.

The electrical patterns that are generated in the nervous system can be studied. An EEG is a test that involves placing electrodes on the scalp to study and record the electrical patterns that are generated. EEGs are also used to confirm the death of a person’s brain.

The junction between the nerves and the muscles that they control is sometimes the source of neurological symptoms. Electrodes are used in an EMG test to detect electrical signal transmission and the level of communication between the nerve and the muscle it controls.

Neurologists and neurosurgeons use evoked potentials to study the brain’s response to stimuli. The equipment is very similar to that which is used in an EEG.

A lumbar puncture or a spinal tap is used to extract cerebrospinal fluid, which is then studied in the lab.

For neuromuscular disorders, a biopsy is the surgical removal of a sample of nerve or muscle tissue. Biopsies of brain tissue, particularly tumor tissue, are performed to study them, as is a biopsy of nerve or muscle tissue in patients with neuromuscular disorders. Surgical removal of muscle samples or the use of a thin hollow needle is the most common method. An incision is made to remove nerve samples.

Skin biopsies are sometimes required to check for metabolic disorders or to determine the number of small nerve fibers present in the sample. A biopsy is used to test for certain infections or tumors in the brain, and the sample is obtained through a surgical procedure.

When a neurosurgeon needs to measure the properties of blood flow to the brain, ultrasounds come in handy. It’s also the most common test for studying a fetus’s or newborn baby’s nervous system.

Carotid doppler scans are used to examine blood vessels in the neck, while transcranial doppler ultrasound studies are used to examine blood vessels in the brain. These scans are typically performed on patients who have had or are at risk of having a stroke.

What are the most common neurosurgical procedures in India?

  • Clot removal: Surgical thrombectomy is a procedure that involves removing a blood clot from an artery or vein. Blood flows freely through your blood vessels, arteries, and veins in normal circumstances. Your arteries deliver oxygen and nutrients to your body through blood. A surgeon makes an incision into a blood vessel during a surgical thrombectomy. The blood vessel is repaired after the clot is removed. This aids in the re-establishment of blood flow. A balloon or other device may be inserted into the blood vessel to help keep it open in some cases.
  • Aneurysm repair: Aneurysm repair is surgery that corrects an aneurysm in the brain. This is a weak spot in the wall of a blood vessel that causes it to bulge or balloon out and occasionally burst (rupture). It has the potential to cause: 
    • Bleeding into the brain’s cerebrospinal fluid (CSF) (also called a subarachnoid hemorrhage)
    • Bleeding into the brain, resulting in a blood clot (hematoma)
  • Tumor removal: A neurosurgeon cuts a hole in the skull to remove a brain tumor. This operation is called a craniotomy. The surgeon tries to remove the entire tumor whenever possible. Your doctor may remove as much of the tumor as possible if it cannot be completely removed without causing damage to vital brain tissue.
  • Brain bleed stoppage: A severe brain hemorrhage might necessitate surgery. Surgical intervention could be used to relieve some of the pressure on the brain. A surgeon may remove part of the skull and clip the artery if a burst cerebral aneurysm causes a hemorrhage. A craniotomy is a name for this procedure. 
  • Shunt insertion or revision: Ventriculoperitoneal shunting is a procedure that removes excess cerebrospinal fluid (CSF) from the brain’s (hydrocephalus) cavities (ventricles).
  • Stereotactic radiosurgery: Stereotactic radiosurgery is a highly precise form of therapeutic radiation that can be used to treat cancer, epilepsy, trigeminal neuralgia, and arteriovenous malformations in the brain and spine.
  • Carotid endarterectomy: Surgery to treat carotid artery disease is called carotid endarterectomy (CEA). The carotid arteries are the main blood vessels in the brain that transport oxygen and blood. These arteries narrow as a result of carotid artery disease. This causes a reduction in blood flow to the brain, which may result in a stroke.
  • Coil embolization: The procedure of coil embolization is used to treat an aneurysm. A small, soft metal coil is placed inside the aneurysm to accomplish this. This stops blood flow and prevents the aneurysm from rupturing.
  • Carpal tunnel release: Carpal tunnel release is a surgery that is used to treat and possibly heal carpal tunnel syndrome, which is a painful condition. Carpal tunnel syndrome was once thought to be caused by an overuse injury or a repetitive motion performed by the wrist or hand, most commonly at work.
  • Ulnar nerve release: Cubital tunnel syndrome, also known as ulnar nerve entrapment, is treated with ulnar nerve release surgery. Cubital tunnel syndrome occurs when nearby tissue compresses the nerve inside the cubital tunnel, a narrow passageway through which the ulnar nerve travels around the elbow.
  • Vagus nerve stimulation: Vagus nerve stimulation (VNS) is a medical procedure in which electrical impulses are delivered to the vagus nerve. It’s used to treat intractable epilepsy and depression that hasn’t responded to other treatments.
  • Diskectomy: A diskectomy is a surgery that removes the damaged portion of a herniated disc from your spine. Nerves near a herniated disc can be irritated or compressed. The most effective treatment for pain that radiates down your arms or legs is diskectomy. 
  • Laminectomy: Back or neck pain that interferes with day-to-day activities may necessitate surgery. A laminectomy is a procedure in which part or all of the vertebral bone is removed (lamina). Injury, herniated discs, canal narrowing (spinal stenosis), or tumors can put pressure on the spinal cord or nerve roots, which can be relieved with this procedure. Only after other medical treatments have failed is a laminectomy considered.
  • Spinal fusion:  Spinal fusion is a surgical procedure that permanently joins two or more vertebrae into one solid bone with no space between them. Vertebrae are the spine’s small, interlocking bones. Extra bone is used to fill the space that usually exists between the two separate vertebrae in spinal fusion. There is no longer any space between them when the bone heals.
  • Spine stabilization and reconstruction: A variety of spine conditions necessitate the use of spinal stabilization. The amount of stabilization required is determined by the severity of the problem and your surgeon’s assessment. Spinal stabilization surgery entails placing instruments in the back of your spine, such as screws and plates, to stabilize it and facilitate fusion after decompression.
  • Vertebroplasty and kyphoplasty: Treatments for vertebral body compression fractures, which are small breaks in the thick mass of bone that makes up the front part of your spine, including kyphoplasty and vertebroplasty (the vertebral body). Vertebral body fractures cause a vertebra to collapse or compress, shortening and curving your spine forward. Pain and a kyphotic (hunched-over) deformity can result. Vertebral compression fractures are most commonly caused by bone thinning, or osteoporosis. Pathologic fractures from spinal tumors could also be to blame.

Advanced treatment options for neurosurgery in India

Patients with certain types of brain tumors and disorders no longer have to “go under the knife” or endure physically exhausting radiation therapy to find relief. With Gamma Knife technology, specialists can deliver over 200 beams of radiation to tumors and lesions with scalpel-like precision.

The Gamma Knife procedure has been around for a long time, despite many people have never heard of it. Unlike traditional surgery, Gamma Knife procedures do not use a “knife” or a scalpel. There are no incisions at all. It is never necessary to open the skull.

SRS (stereotactic radiosurgery) is a highly precise radiation therapy originally developed to treat small brain tumors and functional abnormalities. The principles of cranial SRS, namely high precision radiation with delivery accuracy of one to two millimeters, are now being used to treat body tumors with a procedure called stereotactic body radiotherapy (SBRT).

The CyberKnife System is a minimally invasive treatment for cancerous and non-cancerous tumors, as well as other conditions that require radiation therapy.

It can be used to treat conditions in the prostate, lung, brain, spine, head and neck, liver, pancreas, and kidney, and can be used as an alternative to surgery or for patients with inoperable or surgically complex tumors.

Treatments with the CyberKnife are usually completed in one to five sessions. The CyberKnife System has been used to help thousands of cancer patients for more than two decades.

Cancer and some noncancerous tumors are treated with proton therapy. Because of the tumor’s proximity to delicate and vitally important normal tissues and structures, proton therapy for brain tumors is generally recommended. Furthermore, primary brain cancer tumors tend to start – and stay – in the brain, making proton therapy a more viable option.

Proton therapy allows for highly effective and potentially higher doses of radiation to target brain cancer with less injury to surrounding tissues, reducing the risk of new neurological deficits, hormonal deficiencies, or intellectual impairment, and maximizing tumor control while minimizing collateral damage and treatment effects. 

Proton therapy allows for highly effective and potentially higher doses of radiation to target brain cancer with less injury to surrounding tissues, reducing the risk of new neurological deficits, hormonal deficiencies, or intellectual impairment, and maximizing tumor control while minimizing collateral damage and treatment effects.

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Treatment cost

Treatment cost for neurosurgery in India

The prices may vary depending upon the hospitals in different cities.

Typically the cost of neurosurgery in India cost between.

  • Meningioma – Starting – USD 5000 – 6000
  • Gamma Knife for AVM or Brain Tumor – Starting – USD 5800 – 6800
  • CyberKnife Treatment – Starting  – USD 6500 – 7500
  • Parkinson’s Disease – Starting – USD 6500 – 7500

survival rate

What is the survival rate for neurosurgery in India

The 5-year relative survival rate for a specific type of brain tumor is 70%.

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MedicoExperts is a Global virtual hospital which is established to offer quality healthcare services at affordable pricing without compromising the success rates of the treatment.
MedicoExperts is having a network of highly experienced super specialist doctors and well equipped hospitals across the globe and offering second opinion through online video consultation and surgical interventions through its empanelled super specialist doctors at its network hospitals in 17 countries from 3 continents.
By the virtue of its approach and model, MedicoExperts is successfully achieve to deliver

  • Latest and most advanced treatments with success rates of international benchmarks.
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