Morden neurosurgery can save the life of comlex brain injury patient , it also deliver a better quality of life even if surgical procedure is required.24x7 availability of trained trauma team take care of different kinds of injuries like fractures of skull, intracranial hematoma , traumatic quadripresis /quadriplegia etc. The choice of treatment depends mainly on the severity of injury and neurological status of patient. Rule of saving golden hours for trauma management along with efficient neurocritical care is very important. Use of Intracranial pressure monitoring device,transcranialDoppler, ETCO2 monitoring , advanced ventilators& state of the art neuroradiology suite further improves the outcome of neurotrauma patients.Some of the treatments to treat complex head injury patients at QRG Health City are:

• Placement of Intracrinal pressure monitoring system
• Decompressive craniotomy
• Duroplasty&cranioplasty for depressed fractures of skull
• Anterior cranial fossa repair for traumatic CSF rhinorrhea
• Endoscopic repair of posttraumatic CSF rhinorrhea
• Dynamic Stabilization of spinal fractures
• Posterior fusion for complex craniovertebral junction injuries
• Halo jacket application

Neurooncology deals with tumours of brain, spine & peripheral nervous system.These tumors may be benign (non-cancerous) or malignant (cancerous). Benign brain tumors grow and press on nearby areas of the brain,they rarely spread into other tissues. Malignant brain tumors are likely to grow quickly and spread into other areas of brain. Secondary(metastatic) brain & spine tumours spread to brain & spine from cancer of other organs of body. Treatment of brain tumors depends upon their location and type of tumor, they can be treated with open neurosurgical procedures, minimally invasive approaches or radiosurgery. Malignant (Cancerous) brain tumors are usually treated with surgery, chemotherapy radiotherapy, or a combination of thease. Some of the treatments to treat brain tumor patients at QRG Health City are:

• Awake craniotomy for brain Tumour
• Image guided surgery for brain tumour
• Intraoperative fluorescence guided tumour resection
• Endoscopic surgery for ventricular tumors
• Transnasalendoscopic pitutory surgery
• Minimally invasive surgical technique for brain tumours

Vascular neurosurgery specializes in the prevention & treatment of stroke ( Brain attack) , brain haemorrhage & other vascular diseases of brain. Treatment options could be repair of damaged or abnormal blood vessels in the brain by open surgery or by endovascular treatment(Specialized non- invasive techniques).Some of the treatments options available at QRG health city to treat vascular disorders of brain & spinal cord are:

• Clipping of aneurysms of cerebral vessels
• Craniotomy (Open surgery) for arteriovenous malformation (AVM) of brain vessels
• Cerebral revascularization procedures
• Carotid endarterectomy
• Decompressive craniotomy for largebrain hemorrhage/ infarct
• Endovascular procedures for stroke viz.Intraarterial thrombolysis,Carotid stenting, Baloon angioplasty
• Coiling of intracranial aneurysm & AVM.
• Preoperative embolization of vascular brain tumors.

The division provides care for children with tumors, spinal deformities, cranial malformations, congenital hydrocephalous, spasticity, epilepsy, pediatric brain tumors, cerebral palsy and traumatic brain injury. Some of the surgical treatments options available at QRG health city to treat children are:

• Endoscopic third ventriculostomy for congenital hydrocephalous
• V-P shunt surgery
• Spinal dysraphism surgery
• Baclofen pump for spastic cerebral palsy
• Surgery for cranio-vertebral anomaly
• Surgery for brain tumour in children
• Management of paediatric head injury

It is a minimally invasive form of neurosurgical intervention which makes use of a three-dimensional coordinate system to locate small targets inside the brain and to perform on them some action such as ablation, biopsy, lesion, injection, stimulation, implantation, radiosurgery (SRS) etc.Modern stereotactic planning systems are computer based & usually in this procedure an small electrical device is implanted within the deep structures of brain to treat movement disorder such as Parkinson’s disease, dystonia, tremors, obssessive compulsive disorder etc. Some of the treatments options available by this method, at our center are:

• Deep brain stimulation/lesioning for Parkinson’s disease and other movement disorders
• Stereotactic biopsy/aspiration of deep seated lesion
• Stereotactic procedures for intractable pain and mood disordes