Paediatric Neurosurgery

Pediatric Neurosurgery Treatment in Hyderabad

Paediatric neurosurgery is a type of neurosurgery that treats children having neurological disorders. This surgery involves surgical procedures related to the spinal cord, nervous system and brain. 

Some neurological disorders need to be treated after several months of childbirth. The type of surgery depends on the severity of the condition. These neurological surgeries are performed by trained and experienced neurosurgeons to improve the quality of life of children.

CARE Hospitals is considered one of the best hospitals for paediatric neurosurgery. The hospital provides care and treatment to children of all ages. The multidisciplinary team of doctors are assisted by trained nurses and other medical professionals during the surgeries. They use minimally invasive procedures for the treatment of the children and to provide the best results.

Neurological Expertise At CARE Hospitals

At CARE Hospitals, the doctors and surgeons meet every medical need of the children. The paediatric neurologists at this hospital provide treatment for the following medical problems:

• Brain tumours - It is a disorder in which the growth of abnormal cells occurs in the child's brain. The type of surgery for treating this disorder depends on the type of brain tumour, its location and the child's age.

• Neurofibromatosis - It is a genetic disorder in which tumours are formed on the nerve. The tumours can develop on nerves, brain and spinal cord. The surgery can reduce the symptoms of this disorder and some therapies can also treat neurofibromatosis.

• Congenital defects - These defects are also known as birth defects. some of the common birth defects are:

1. Palate/ cleft lip

2. Heart defects

3. Down syndrome

4. Spina bifida

The causes of these defects are environmental factors or genetic factors or a combination of both.

• Stroke - It is a permanent brain injury that is caused either by lack of oxygen or by excessive bleeding. The types of strokes are:

1. Cerebral venous thrombosis

2. Perinatal stroke

3. Arterial ischemic stroke

4. Ischemic stroke

5. Hemorrhagic stroke

6. Sinovenous thrombosis stroke

• Spinal defects - The abnormal curve in the spinal cord is known as a spinal defect. This defect affects the functions of the spinal cord. It leads to improper mobility, pain and neurological disorders. The types of spinal deformities are:

1. Lordosis

2. Scoliosis

3. Kyphosis

• Epilepsy - It is a brain condition in which a child experiences seizures. These seizures arise when normal brain signals are interrupted by abnormal electrical signals.

• Nerve trauma - In nerve trauma, a nerve gets damaged and the person feels a loss of sensation, unbearable pain, tingling or burning sensation at the affected area.

Need For Paediatric Neurosurgery

Paediatric neurosurgery is recommended for those children who show the symptoms of paediatric nervous system disorders. There are different symptoms for different neuron disorders. Some of the symptoms are listed below:

• Loss of feeling

• Severe or persistent headaches

• Improper or lack of growth in head size

• Rigidity in muscles

• Seizures or tremors

• Delay in development

• Lack of coordination

• Mood swings

• Slurred speech

• Muscle decay

• Changes in movements, activity and reflexes

• Memory loss

• Double vision or lack of vision

Complications In Paediatric Neurosurgery

The risk factors associated with paediatric neurosurgery in rare cases are generally due to anaesthesia and surgical procedures. Some of the complications are:

• Cerebrospinal fluid leaks

• Neurological deficits

• Infection and obstruction of ventriculoperitoneal shunts

• Excessive bleeding

• Bradyarrhythmia

Diagnostic Tests Done Before Paediatric Neurosurgery

At CARE Hospitals, the team of experienced doctors perform various tests before the paediatric neurosurgery. These diagnostic tests are:

• CT scan - This test uses X-rays to get detailed images of a particular part of the body including bones, muscles, brain and other organs.

• Electroencephalogram (EEG) - The test is helpful in monitoring the electrical activity of the brain.

• Magnetic resonance imaging (MRI) - In this test, magnetic fields and radio waves are used to get detailed images of the organs of the body.

• Cerebral spinal fluid analysis - In this test, doctors take a sample of cerebrospinal fluid from the spinal cord for testing.

• Sonography - This diagnostic test uses a computer and high-frequency sound waves to create images of tissues, organs and blood vessels.

• Neurosonography - Through this test, the neurosurgeons monitor the structures of the nervous system including the spinal cord, brain and other structures as it uses ultra-high-frequency sound waves.

What technology is used during the paediatric neurosurgery procedure?

Pediatric neurosurgery involves delicate procedures on the brain, spine, and nervous system of children. Various technologies aid in ensuring precision, safety, and optimal outcomes. Some commonly used technologies include:

• Neuroimaging: Advanced imaging techniques such as MRI (Magnetic Resonance Imaging) and CT (Computed Tomography) scans provide detailed images of the brain and spine, aiding in pre-operative planning and intraoperative navigation.
• Intraoperative Imaging: Intraoperative MRI or CT scans may be used during surgery to provide real-time guidance and verification of the surgical procedure.
• Neuronavigation: This technology integrates pre-operative imaging data with the surgical field, allowing surgeons to precisely locate and navigate within the brain or spine during surgery.
• Microsurgery: Microscopes or endoscopes with high magnification and illumination are used to perform intricate procedures with minimal tissue damage.
• Neuromonitoring: Techniques such as intraoperative neurophysiological monitoring (IONM) help assess the function of nerves and monitor brain activity during surgery, reducing the risk of neurological complications.
• Stereotactic Radiosurgery: In certain cases, stereotactic radiosurgery, such as Gamma Knife or CyberKnife, may be used to deliver precise radiation to target areas in the brain or spine, often without the need for traditional surgery.
• Endoscopic Techniques: Minimally invasive endoscopic procedures may be employed for conditions such as hydrocephalus, allowing for shorter recovery times and reduced risk of complications.
• 3D Printing: Customized 3D-printed models of the patient's anatomy can assist surgeons in planning complex surgeries and practicing techniques before the actual procedure.
• Robotic Assistance: Robotic systems may aid surgeons in performing precise movements during neurosurgical procedures, enhancing accuracy and safety.

Treatment Offered By CARE Hospitals

At CARE Hospitals, the paediatric neurosurgeons perform various paediatric neurosurgical procedures to treat different nervous system disorders:

• Debulking or resection of brain tumour

  • In the debulking surgical procedure, the portion of the tumour is removed safely from the brain. 
  • Through resection, the tumour is completely removed from the brain. 
  • The surgeons remove tumours through sinuses and noses using an endoscope in the surgical process of endonasal endoscopy.
  • All these processes are performed to reduce the chances of risks in the patients.
• Biopsy: The biopsy is conducted for diagnostic purposes. During this surgical procedure, the surgeon will take a tissue sample from the lesion or abnormal growth of the brain. The sample is then sent for testing whose results help neurosurgeons to know the nature of their patient's growth.
• Embolization or microvascular clipping: An aneurysm occurs when a part of a blood vessel fills with blood and stretches like a balloon. To prevent the bursting of the aneurysm, the surgeons go for embolization. It is a process in which they block the flow of blood to the aneurysm. They can also perform microvascular clipping in which the surgeons remove the artery which supplies blood to the affected blood vessel.
• Surgical treatment for a nerve disorder or injury: A neurosurgeon may perform the surgical process known as rhizotomy to treat involuntary muscle spasms. They use electrical stimulation to find the damaged nerve.

How Can CARE Hospitals Help?

CARE Hospitals is the best pediatric neurosurgery hospitals, who performs all the surgeries including paediatric neurosurgery according to the international treatment protocols. The experienced team of neurosurgeons provide personalised treatment options to the patients. They use minimally invasive procedures during the surgery to reduce the chances of risks. The trained staff of the hospital provide complete assistance and end-to-end care to the patients during their recovery period.