Paediatric Neurosurgery

Pediatric Neurosurgery department, a beacon of hope for children and families grappling with neurological conditions. The  department is a specialized unit dedicated to the diagnosis, treatment, and management of a wide range of neurological disorders in children, from the newborn period through the teenage years.

The  team is trained to communicate effectively with children of all ages, making them feel comfortable and safe during their medical journey. Doctors  work closely with other departments and specialists to provide a comprehensive, multidisciplinary approach to care. This collaborative approach ensures that all aspects of a child's health are considered and addressed, from their physical well-being to their emotional and psychological health.

But our commitment to care goes beyond the hospital walls. We understand that a child's illness can have a profound impact on the entire family. That's why we offer support and counselling services for families, helping them navigate the challenges that come with a child's illness. At our Pediatric Neurosurgery department, we don't just treat diseases - we care for children. We are committed to improving the lives of our young patients and their families, one child at a time.

 Pediatric Neurosurgery department is equipped to diagnose, manage, and treat a wide range of neurological conditions in children. Here are some of the core diseases we treat:

• Pediatric Hydrocephalus: This condition occurs when there's an imbalance in the production and absorption of cerebrospinal fluid, leading to fluid accumulation in the brain. We offer a complete spectrum of treatment from close observation in Arrested Hydrocephalus to Endoscopic Third Ventriculostomy to placement of Shunts. 
• Pediatric Head and Spinal Injury: Children are more susceptible to head injuries due to their relatively large head size. We offer careful observation for early surgical intervention and management to avoid long-term consequences.
• Congenital and Acquired Spinal Malformations: Conditions like Spina Bifida are formed very early in life and can vary from being hidden (Spina Bifida Occulta) to obvious lesions (Spina Bifida Aperta). Our multidisciplinary team works in close coordination to create personalized treatment plans. 
• Pediatric Brain Tumors: These include both benign and malignant conditions. Our team can treat complex cases such as supratentorial lesions, ependymoma, Juvenile Pilocytic astrocytoma, medulloblastoma, hemangioblastoma, pontine glioma, etc.
• Pediatric Spinal Cord Tumors: These tumors can press against the spinal cord and disrupt critical functions of the central nervous system. We typically treat these tumors with a combination of chemotherapy, radiation treatment, and surgery. 
• Chiari Malformations: These malformations occur due to crowding of soft tissues at the foramen magnum. When these malformations warrant surgical management, we can remove the bone that is compressing the brain with a minimally invasive surgery.
• Craniosynostosis & Other Cranio-facial Conditions: These conditions can affect the shape and development of a child’s head and face during the first year of life. We use a minimally invasive procedure to treat the condition.
• Pediatric Brain and Spine Infections: We use minimally invasive techniques such as Neuro-navigation, pediatric endoscope and Videoscope to ensure that the desired outcome can be achieved by minimal damage to neural tissue for optimising outcome. 
• Pediatric Epilepsy: It is usually treated by medications however in a significant number of patients with intractable epilepsy that can’t be controlled with medications, we work along with Pediatric Neurologists and Epileptologists to pin-point the cause of seizure disorder and offer a wide range of procedures. 
• Arteriovenous Malformations (AVMs): These are meshwork of abnormal blood vessels in brain and spine that are often present at birth (congenital). We work with a team comprising of neurologists, neuro-intervention specialists, to remove the tangled vessels with a minimally invasive procedure. 
• Dystonia: This is caused by a genetic abnormality or prenatal, intra-natal and postnatal injury, resulting in twisted arms and legs and painful muscle contractions. We offer deep brain stimulation and intrathecal pump therapy for children with dystonia. 
• Spasticity: This causes involuntary muscle spasms and tightness and often appears in children with cerebral palsy or brain injury. Our team of experts provides personalized treatment plans, which may include pump therapy.
• Pediatric Syringomyelia: This happens when cerebrospinal fluid collects in the spinal cord and causes compression of neural structures, damaging the cord. When Syringomyelia is symptomatic, it needs detailed work-up and once the cause of syrinx is identified, it needs to be treated by minimalistic procedures to ensure optimal outcomes. 
• Pediatric Spine Pathologies: These include a host of congenital and acquired bony spinal conditions such as of Craniovertebral junction (Atlanto-axial dislocation, Basilar Invagination), Block vertebra, hemivertebra and primary / secondary scoliosis which need to be studied in detail.
• Foetal Neurological Conditions: Pediatric Neurosurgeons are an inseparable part of Foetal care team that provides antenatal counselling for foetal neurological pathologies and along with Foetal medicine specialists, Pediatric Surgeons, Obstetricians and other specialities to suggest options and future course of action, including foetal interventions if needed.

Choosing the right healthcare provider for your child's neurosurgical needs is a decision of paramount importance. Here's why we stand out as the preferred choice:

• Expertise and Experience: Our team of pediatric neurosurgeons is highly skilled and experienced in treating a wide range of neurological conditions. They are adept at handling complex cases and are committed to providing the best possible care for your child.
• Comprehensive Care: We offer a full spectrum of services, from diagnosis to treatment and follow-up care. Our multidisciplinary approach ensures that your child receives holistic care tailored to their unique needs.
• Advanced Technology: We leverage state-of-the-art technology and innovative surgical techniques to provide effective treatment with minimal risk and discomfort. Our facilities are equipped with the latest diagnostic and therapeutic tools to ensure optimal outcomes.
• Patient-Centered Approach: We believe in treating each child as an individual and not just a patient. Our team takes the time to understand your child's needs and concerns, and we involve you in every step of the decision-making process.
• Collaborative Teamwork: Our team of pediatric neurosurgeons, neurologists, therapists, and other specialists work together to provide coordinated and comprehensive care. This collaborative approach ensures that your child benefits from the combined expertise of our team.
• Commitment to Excellence: We are dedicated to maintaining the highest standards of care. Our commitment to excellence is reflected in our continuous efforts to improve our services and stay abreast of the latest advancements in pediatric neurosurgery. 
• Supportive Environment: We strive to create a supportive and comforting environment for our patients and their families. Our staff is always available to answer your questions, address your concerns, and provide the emotional support you need during this challenging time.

Choose us for your child's neurosurgical needs, and rest assured that they are in capable and caring hands.

At our Pediatric Neurosurgery department, we offer a comprehensive range of services that are designed to cater to the unique needs of our young patients. Our offerings include:

• Cutting-Edge Diagnostic Services: We use the latest imaging technologies, including 3-Tesla intra-operative MRI and intra-operative ultrasound, to provide accurate diagnoses. Our advanced imaging techniques help us locate the exact position of a tumor, lesion, or area of the brain responsible for pediatric epilepsy before surgery.
• Minimally Invasive Surgeries: We specialize in endoscopic surgery, a minimally invasive treatment that allows us to remove tumors or lesions without traditional surgery, which can prolong recovery times. We use a tiny instrument called an endoscope that we insert through the nose or ears to remove the tumor or lesion.
• Innovative Therapies: We offer innovative therapies such as pump implantation for children with severe spasticity and stereotactic radiosurgery for treating tumors located near critical structures of the brain.
• Specialized Clinics: We run specialized clinics for various neurological conditions such as spina bifida, craniosynostosis, cerebral palsy, pediatric epilepsy, hydrocephalus, head injury, and pediatric neuro-oncology. These clinics are attended by specialists from various disciplines, ensuring a holistic approach to patient care.
• Collaborative Approach: We believe in a multidisciplinary approach to care, working closely with neurologists, orthopedic surgeons, physical therapists, and other specialists to provide personalized treatment plans for our patients. 
• Post-Surgical Care: We take special precautions to prevent complications such as hydrocephalus, which occurs when there is too much fluid in the brain after surgery. Our team provides dedicated post-operative care and rehabilitation services to ensure the best possible outcomes for our patients. 
• Education and Support: We understand that dealing with a neurological condition can be challenging for both the child and their family. Our team provides education and support to help families understand the condition, the treatment options, and how to care for their child at home. 
• Research and Innovation: We are committed to staying at the forefront of pediatric neurosurgery. Our team is actively involved in research and continuously strives to innovate and improve our services. We are always looking for new and better ways to treat neurological conditions in children.

Our goal is to provide the best possible care for children with neurological conditions, helping them to lead healthy and fulfilling lives.

• Consultation and Diagnosis: We provide expert consultation and diagnostic services for a wide range of neurological conditions. Our team uses advanced diagnostic tools and techniques to ensure accurate diagnosis and treatment planning. 
• Surgical Interventions: Our team of experienced pediatric neurosurgeons performs a wide range of surgical procedures, including minimally invasive surgeries, to treat various neurological conditions. These include surgeries for brain tumors, spinal cord tumors, craniofacial conditions, hydrocephalus, and more.
• Endoscopic Procedures: We offer endoscopic procedures for conditions like hydrocephalus and brain tumors. These minimally invasive procedures allow for shorter hospital stays and quicker recovery times.
• Neuro-Navigation Guided Surgeries: We use state-of-the-art neuro-navigation systems to guide surgical procedures. This technology allows for more precise surgical interventions, leading to better outcomes and fewer complications. 
• Neuro-Rehabilitation Services: Post-surgery, our team in association with other services provides personalized rehabilitation plans to help children recover and regain their abilities. This includes physical therapy, occupational therapy, and speech therapy.
• Antenatal Counselling and Intervention: Our team provides antenatal counseling for fetal neurological pathologies. We work closely with fetal medicine specialists, pediatric surgeons, obstetricians, and other specialties to suggest options and future course of action, including fetal interventions if needed.
• Epilepsy Management: For children with epilepsy that can’t be controlled with medications, we work along with pediatric neurologists and epileptologists to pinpoint the cause of seizure disorder and offer a wide range of procedures, including placement of Vagal Nerve Stimulators surgery.
• Spasticity and Dystonia Management: We offer comprehensive management plans for children with conditions like spasticity and dystonia. This includes therapies like deep brain stimulation and intrathecal pump therapy. 
• Emergency Neurosurgical Care: We provide round-the-clock emergency care for children with acute neurological conditions or injuries. Our team is always ready to provide immediate and effective treatment.
• Follow-up Care and Support: Post-treatment, we provide thorough follow-up care to monitor the child's recovery and manage any potential complications. We also offer support services for the child and their family, helping them navigate the recovery process.

Our philosophy at the Pediatric Neurosurgery department is deeply rooted in the belief that every child deserves the best chance at a healthy and fulfilling life. We understand that children are not just small adults; they have unique needs and challenges that require specialized care and attention.

We believe in a holistic approach to care, recognizing that the physical health of a child is deeply intertwined with their emotional and psychological well-being. We strive to create a nurturing and supportive environment where children and their families feel safe, understood, and cared for.

Our team is committed to excellence in all aspects of our work. We are dedicated to staying at the forefront of pediatric neurosurgery, continuously learning, innovating, and improving our services to provide the best possible care for our patients. We believe in the power of collaboration and work closely with other specialists to ensure a comprehensive and coordinated approach to care.

We also believe in the importance of communication and transparency. We take the time to explain the condition, the treatment options, and the expected outcomes to the child and their family in a way that they can understand. We believe that informed patients and families are better equipped to make decisions about their care and to participate actively in the treatment process.

Above all, we believe in treating every child as if they were our own, providing them with the same level of care, compassion, and respect that we would want for our own children. We are deeply committed to our mission of improving the lives of children with neurological conditions and will stop at nothing to ensure that every child has the best chance at a healthy and fulfilling life.

Our Pediatric Neurosurgery department runs several specialized clinics to provide focused care for specific conditions. These clinics are staffed by a multidisciplinary team of specialists who collaborate to provide the best possible care for each child. Here are some of the special clinics we offer:

• Spina Bifida and Pediatric Spine Clinic (Monday): This clinic focuses on the diagnosis, treatment, and management of Spina Bifida and other pediatric spine conditions. The clinic is attended by Pediatric Neurosurgeons and Spine Surgery specialists.
• Craniosynostosis and Craniofacial Syndromes Clinic (Tuesday): This clinic provides specialized care for children with craniosynostosis and other craniofacial syndromes. The clinic is attended by Pediatric Neurosurgeons and Cranio-facial Surgery specialists.
• Cerebral Palsy, Spasticity, and Neurodevelopmental Disorders Clinic (Wednesday): This clinic offers comprehensive services for children with cerebral palsy, spasticity, and other neurodevelopmental disorders. The clinic is attended by Pediatric Neurosurgeons, Pediatric Neurologists, and Physical Medicine and Rehabilitation (PMR) specialists.
• Pediatric Epilepsy Clinic (Thursday): This clinic provides specialized care for children with epilepsy, offering a range of services from diagnosis to treatment and management.
• Hydrocephalus, Head Injury, and Concussion Clinic (Friday): This clinic offers specialized care for children with hydrocephalus, head injuries, and concussion. The clinic is attended by Pediatric Neurosurgeons, Pediatric Neurologists, and PMR specialists.
• Pediatric Neuro-Oncology Clinic (Saturday): This clinic provides comprehensive care for children with brain and spinal cord tumors. The clinic is attended by Pediatric Neurosurgeons, Pediatric Neurologists, Pediatric Medical Oncologists, Pediatric Radiation Therapists, and PMR specialists.

 Each of these clinics is designed to provide focused, comprehensive care for children with specific neurological conditions. Our team of specialists works together to develop personalized treatment plans that meet the unique needs of each child.