Best Interventional Neuro-Radiologists for Endovascular Coiling of Brain Aneurysm (Non-surgical approach)

Best Neurosurgeons for Brain Aneurysm Clipping

Profile Highlights:

  • Dr. Abhaya Kumar is a leading name in the field of Neurosurgery in India and is currently associated with Kokilaben Dhirubhai Ambani Hospital, Mumbai as the Head and Consultant of Neurosurgery and Minimally Invasive Spine Surgery.
  • He is an expert in Minimally Invasive Spine Surgery, Brain surgery, and Stereotactic Radiosurgery. He has performed more than 3500 spine surgeries and 5500 brain surgeries in KDAH alone.
  • His primary focus includes Minimally Invasive Spine Surgery (MISS). Till date, he has handled over 2500 Minimal Invasive spine cases in the hospital with an outstanding success record.
  • In addition, he has treated over 300 cases of Craniovertebral Junction anomalies and performed surgeries for approximately 3000 brain tumors and over 500 spinal cord tumors. He frequently utilizes advanced technologies like Intraoperative MRI (IMRIS), neuro-navigation, stereotaxy, and neuroendoscopy in his procedures.

Profile Highlights:

  • Dr. Sudheer Kumar Tyagi is a highly esteemed Neurosurgeon with over 33 years of exemplary experience in the field of neurosurgery.
  • Affiliated with Apollo Hospitals Indraprastha in New Delhi, Dr. Tyagi holds an MBBS, MS, and MCh in Neurosurgery.
  • His career is marked by a dedication to advancing neurosurgical techniques and improving patient outcomes through precise and innovative surgical practices.

Profile Highlights:

  • Dr. Srinivasan Paramasivam is a well-known Neurosurgeon in India having an overall experience of 10 years.
  • He is associated with Apollo Hospital, Chennai as a senior consultant – neurosurgeon following his assignments abroad.
  • Dr. Paramasivam earned a fellowship in Endovascular Neurosurgery from New York. He has specialized experience in Neuro Interventional Surgery, Cerebral Angioplasty, Brain Tumor Surgery, Surgical Clipping, etc.

Profile Highlights:

  • Dr. Pranav Kumar is one of the best Neurosurgeons in India, having a good success record of over 27 years in performing deep-rooted tumors in the skull.
  • Since 1996, Dr. Kumar has been working as a senior consultant neurosurgeon at Apollo Hospital, New Delhi.
  • Dr. Pranav Kumar is skilled in surgeries for brain tumors deep-seated at the base of the skull and aneurysms affecting the cerebrovascular system.
  • Dr. Kumar specializes in performing the complex ‘Auditory Brainstem Implant,’ where a Bionic device is inserted in the brainstem to recover the hearing capacity in deaf patients who cannot be treated with a cochlear implant.
  • He completed microsurgery training at the National Neurosurgical Centre at Beaumont Hospital in Ireland.

Profile Highlights:

  • Dr. V K Jain is a leading neurosurgeon in India with refined medical surgical precision.
  • Dr. Jain has worked in a variety of significant positions in hospitals all across the world over the course of his career.
  • Dr.  Jain has also served as a visiting professor at a number of prestigious hospitals throughout the world.
  • He has also attended many conferences, workshops, and seminars and has also been invited as faculty to many conventions both in India and abroad.

Profile Highlights:

  • Dr. Ravi Bhatia is a veteran neurosurgeon and spine surgeon at Indraprastha Apollo Hospital New Delhi.
  • He has about six decades of experience in the management and surgeries of neurological disorders. Before retiring, Dr. Bhatia worked at another prestigious Indian hospital, AIIMS, New Delhi.
  • He is particularly interested in Neuro-Oncology, Brain and Spine Tumors, Cerebrovascular Surgery, and Craino vertebral abnormalities.
  • To date, Dr. Bhatia has treated neuro patients with a great success rate.
  • He authored chapters in many textbooks and has around 95 papers for medical journals to his credit.

Profile Highlights:

  • Dr. S.K. Sogani is a highly respected Neurosurgeon with over 35 years of experience, currently affiliated with Apollo Hospitals Indraprastha in New Delhi.
  • Holding an MBBS, MS, and MCh, Dr. Sogani is renowned for his expertise in treating complex neurosurgical conditions such as craniosynostosis, epilepsy, multiple sclerosis, and Moyamoya disease.
  • His surgical prowess extends to intricate procedures like craniotomies, spinal fusions, and pediatric neurosurgeries, with over 5,000 successful cases to his credit.

Profile Highlights:

  • Dr. Rajendra Prasad is one of the most experienced Neurosurgeons and Spine surgeons in India.
  • Dr. Rajendra Prasad is an expert in all neuro and spine surgeries that including micro neurosurgery, minimally invasive spine surgery, surgery for degenerative spine diseases, surgery for brain and spine trauma, and neuro tumor surgeries.

Profile Highlights:

  • Dr. Ashok Hande is a renowned neurosurgeon in Mumbai who holds the credit for 300 AVMs, 1400 skull base tumor surgeries, 3600 surgeries for cranial and spinal trauma, 1200 lumbar prolapsed intervertebral disc surgeries, 800 cerebral aneurysms, and more than 100 microvascular decompressions.
  • He holds an experience encompassing 25+ years and holds the credit for pioneering neurosurgery in Mumbai by bringing in new and advanced neurosurgical procedures for brain and spine surgery.

Profile Highlights:

  • Dr. Deepu Banerji is a leading name in the field of Neurosurgery in India and possesses extensive skills in minimally invasive and micro neurosurgery.
  • He has been practicing neurosurgery for over 28 years and is counted among the best microscopic neurosurgeons in the country.
  • Apart from minimally invasive surgeries, his expertise lies in skull base surgery, brain tumors surgery, vascular surgery, and spine surgeries, and has handled numerous cases of brain and spine diseases and disorders.

Best Hospitals in India for Brain Aneurysm Treatment

Hospital Highlights:

  • Equipped with 650 beds, BLK-Max Super Speciality Hospital is the largest stand-alone private sector hospital in Delhi.
  • With over 1500 healthcare providers and 150 globally renowned super specialists, the hospital is one of Asia’s largest BMT Centres. The hospital is known for having some of the best cancer doctors in the country.
  • The hospital is NABH and NABL accredited and was inaugurated by the first Prime Minister of India. Pt. Jawahar Lal Nehru.

Hospital Highlights:

  • Located in the vibrant city of Hyderabad, Apollo Health City is a world-renowned medical facility that provides outstanding care and treatment to patients coming from different parts of the world.
  • Founded in 1988, this 550-bed multispecialty hospital with 50 specialties and 12 Centres of Excellence continues to deliver outstanding outcomes for patients with the simplest to the most complicated medical conditions.
  • Backed by the latest medical equipment and a dedicated team of professionals, the hospital provides comprehensive treatment across various specialties including, cardiology, critical care, neurosciences, cancer, orthopedics, gynecology, ENT, transplants, gastroenterology, etc.
  • Apollo Health City is a cutting-edge healthcare facility that combines various facilities under one roof. These may include state-of-the-art physical medicine, rehabilitation, and wellness services with education, research, telemedicine, innovative medical devices, disease management programmes, and medical talents.
  • The hospital is known for offering top-notch cancer treatment accompanied by cutting-edge facilities and technology.
  • The hospital also offers a broad spectrum of cosmetic procedures that improve not just appearance but also comfort.
  • In 2011, Apollo Health City was the recipient of the Asian Hospital Management Award (AHMA).
  • In 2013, the Government of India recognized Apollo Health City as the top medical tourism destination in the country.

Hospital Highlights:

  • Kokilaben Dhirubhai Ambani Hospital, Named after the wife of Indian industrialist Dhirubhai Ambani, the founder of Reliance Industries, this is one of the top hospitals in Mumbai. This 750-bed multi-specialty hospital became operational in 2009. Known as one of India’s most advanced tertiary care facilities, the hospital is designed to raise India’s global standing as a healthcare hub, with an emphasis on excellence in clinical services.
  • Kokilaben Dhirubhai Ambani Hospital uses Protocol and Care Pathway based treatment models to ensure the best outcomes for patients.
  • The hospital represents a confluence of top-notch talent, cutting-edge technology, state-of-the-art infrastructure, and, most importantly commitment.
  • The hospital also holds the accreditation of the NABH, NABL, CAP, and JCI.
  • The hospital has been recognized as the No. 1 Multispecialty Hospital in Mumbai and the West Zone for the fifth year in a row in 2020 by The Week.

Hospital Highlights:

  • Apollo Cancer Centre in Teynampet, Chennai is one of the best super speciality hospitals in India. It is the country’s first ISO-certified healthcare facility.
  • Additionally, it is the first hospital in Chennai and the first oncology hospital in India to receive NABH accreditation.
  • The hospital provides advanced tertiary care in oncology, orthopedics, neurology and neurosurgery, head and neck surgery, and reconstructive and plastic surgery.
  • Additionally, it offers specialized healthcare of international standards with results comparable to those of the best hospitals in the world.
  • It is outfitted with 300 beds, the newest and greatest technology, a large pool of highly qualified specialists, and a committed team of medical and paramedical professionals.
  • It is one of the first few medical facilities in India to offer comprehensive cancer care. A team of skilled medical, surgical, and radiation oncologists makes up the Tumour Board, which is a component of the complete treatment planning system. After reviewing reported cases, the Board determines in concert with diagnostic specialists what course of action is best for each individual patient. The panel is further supported by dieticians, medical counselors, speech therapists, and other pertinent specialists.
  • The hospital launched the first ExcelsiusGPS® Spine Robot in South India and has completed over 50 surgeries till date.
  • It is also one of the few cancer hospitals in India to offer Cyber Knife therapy. Till now it has completed 1320 Cyber Knife therapies.
  • The institution is also one of the few in India with the capacity to do transplants and find a prospective unrelated donor. The hospital has performed over 1000 BMTs till now.
  • Furthermore, it has an exceptional milestone of performing exultant Micro vascular free tissue transfer and Aesthetic surgeries on more than 1000 patients with success.

Hospital Highlights:

  • Apollo Hospitals, Chennai, is one of the best hospitals for heart care in India. Over the years, Apollo has expanded all over India, as a healthcare chain.
  • India’s first ‘Only Pancreas’ transplant was performed in Apollo Hospital. The hospital is known for successfully performing Asia’s first en-bloc combined heart and liver transplant, and over the years, it has attained a remarkable achievement in the global healthcare space. Around 3-4 organ transplants are performed in the hospital per day.
  • Equipped with over 500 beds, this hospital in Chennai was established in 1983 and since then has been among the most preferred hospital for patients from all over the world.
  • The hospital holds accreditation of the NABH and JCI and is the first hospital in India to be ISO 9001 and ISO 14001 certified. It is also the first South Indian Hospital to receive subsequent reaccreditation from the JCI USA 4 times.

Hospital Highlights:

  • Established in 1999, Gleneagles Global Hospital, Chennai, is one of the top healthcare facilities in Southern India. It is part of the Gleneagles Hospital Chain, which is the fourth largest healthcare chain in the country. The hospital specializes in multi-organ transplants of kidneys, liver, lungs, heart, etc.
  • The hospital has an excellent infrastructure and state-of-the-art lab and equipment set-up. The hospital boasts cutting-edge technologies, a highly skilled team of doctors and surgeons, and trained support staff. Located in Perumbakam, Chennai, it is one of India’s premier health care destinations. The hospital has performed some of the most complex surgical and clinical procedures in India including multi-organ transplantations.
  • The hospital’s lung transplantation program is one of the best in the country. The hospital is known for having performed India’s first single lung transplant and first minimal invasive lung transplant. It is also the only Indian hospital to be associated with King’s College Hospital, London, United Kingdom for liver transplantations.

Hospital Highlights:

  • KIMS Hospital (a brand name of Krishna Institute of Medical Sciences) is one of the largest and best multi-speciality hospitals in Hyderabad. The hospital provides various treatments to an enormous number of patients.
  • The hospital has a capacity of more than 3000 beds. KIMS Hospitals offers different healthcare services in more than 25 specialities and super specialities.
  • The hospital is equipped with modern medical equipment and technology. It has robotic equipment to provide minimal invasive techniques for patients.
  • The hospital is aimed at providing world-class healthcare facilities and services at an affordable cost for patients.
  • The various specialities and departments of the hospital include neurosciences, gastroenterology & hepatology, robotic science, reproductive sciences, dental science, oncological sciences, organ transplantation, heart and lung transplantation and mother and child care.

Hospital Highlights:

  • Established in 2003, Apollo Gleneagles Hospitals is a 750-bed multispecialty tertiary care hospital situated in Kolkata.
  • With 33 Centres of Excellence and more than 50 specialties, Apollo Gleneagles Hospitals, Kolkata is capable of handling all sorts of patients.
  • This tertiary care hospital, which is a 100% subsidiary of Apollo Hospitals Enterprise Ltd., India, is regarded as one of Kolkata’s top hospitals.
  • The facility is a complete blend of cutting-edge technology, state-of-the-art infrastructure, and genuine hospitality.
  • Focusing on numerous specialties, the hospital provides all-inclusive medical treatments supported by cutting-edge technology and a staff of highly qualified medical specialists.
  • Patients across the globe come to Apollo Gleneagles Hospitals Kolkata for their treatment. Moreover, international patients receive full attention and assistance for their treatment and are provided with a hassle free experience.
  • Apollo Gleneagles Hospitals, Kolkata is the only hospital in Eastern India to hold the Joint Commission International (JCI) certificate.
  • It is also the only hospital in Kolkata to hold the NABL accreditation in six different categories, which includes Clinical Biochemistry, Clinical Pathology, Hematology & Immunohematology, Microbiology & Serology, and Histopathology & Cytopathology.
  • Furthermore, Apollo Gleneagles Hospitals, Kolkata is known for performing the first ever Reverse Shoulder Prosthesis Replacement in East India.

Hospital Highlights:

  • Established in 1991, Manipal Hospital, Old Airport Road, Bangalore is the flagship facility of the Manipal Hospitals Group, which is one of the largest networks of Multispecialty Private Hospitals in India.
  • The facility is well-known for its state-of-the-art technology, performance-driven, patient-centric, and evidence-based approach.
  • The facilities offered at Manipal Hospital meet the highest international standards, allowing the hospital to attract a large number of national and international patients.
  • Their expertise encompasses the diagnosis and treatment of a wide range of diseases in several specializations that address both simple as well as complex medical procedures.
  • There are total 600 beds accessible in the hospital for the in-patients so they may heal while being closely watched after by the medical team. In addition, it has 144 critical care units, including NICUs, ICCUs, and ICUs. Apart from that, the hospital also offers 20 contemporary, modular state-of-the-art operating rooms with all the amenities needed.
  • The hospital has several departments that are overseen by highly skilled, certified, and experienced medical experts.
  • One of the best departments in the hospital is that of the Cancer department which is known for its advanced cancer diagnosis and treatment facilities such as Intracavitary Chemotherapy, Biological Therapy, HIPEC, PIPEC, Nuclear Medicine, Radiation Therapy, etc.
  • It is one of the few hospitals in Bangalore that provides full range of pediatric services, including pediatric emergency services, pediatric gastroenterology, pediatric neurology, pediatric cardiology, pediatric orthopaedics, pediatric allergies, pediatric immunology, and infectious diseases.
  • Furthermore, Manipal Hospital, Old Airport Road, Bangalore is also regarded as one of the best hospitals for bone and spine related disorders.

Hospital Highlights:

  • Established in 2016, Apollo Hospitals, Navi Mumbai is one of Maharashtra’s most advanced multispecialty hospital. This 500-bed hospital provides sophisticated treatments and integrated super specialty services under one roof.
  • The hospital features a cutting-edge infrastructure that houses 13 state-of-the-art operating rooms, advanced laboratory and medical diagnostics, and 120 ultra-modern I.C.U. beds, including N.I.C.U. and P.I.C.U., monitored round the clock by critical care specialists.
  • With 57 specialties and subspecialties, the hospital boasts a team of renowned medical specialists who offer accurate diagnosis and treatment with easy accessibility to their patients.
  • Additionally, the hospital offers highly customized, individualized health check programs that are made to fit each person’s needs in terms of lifestyle.
  • Apollo Hospitals, Navi Mumbai has been accredited by both the National Accreditation Board for Hospitals and Healthcare Providers (NABH) and the Joint Commission International (JCI).
  • Apollo Hospitals Navi Mumbai has been awarded the “Best Practices-International Services Award” at the annual awards for service excellence and operations excellence.

Brain Aneurysm

Brain Aneurysm is a condition in which there is ballooning or bulging of a blood vessel of your brain. It may rupture or leak which may result in bleeding in the brain. This is termed as a hemorrhagic stroke.

The space between the thin tissues that cover the brain and the brain is the most common spot for the occurrence of a ruptured Brain Aneurysm. It is often referred to as subarachnoid hemorrhage.

A ruptured aneurysm may prove to be life-threatening, thereby requiring an urgent need for medical treatment. While most of the aneurysms don’t rupture, they may cause symptoms and create health problems. 

Causes of Brain Aneurysm

Common in people over the age of 40 years, Brain Aneurysm may occur at any age. Some may also have a defect in the blood vessels by birth. You may observe a significant female predilection. The sections where the blood vessels branch off are weaker. Brain Aneurysms are common at these places and mostly occur in the base of the brain. There are some factors responsible for the rupture of an already existing Brain Aneurysm. They may be:

  • Excess straining during bowel movements
  • Startling
  • Excessive exercise
  • Intense anger
  • Coffee consumption

 

Damage to the structure of the arteries may result in weakness and cause Brain Aneurysms. If a serious infection in the body damages the arteries, it may lead to a Brain Aneurysm. Sometimes, chronic high blood pressure and smoking are also possible causes for brain aneurysms.

Symptoms of Brain Aneurysm

Unruptured Aneurysm: You may not notice any symptoms for an unruptured Brain Aneurysm, especially if it is a small one. However, the larger ones may press the nerves and tissues of the brain. Ultimately it may result in-

  • Double vision or change in vision
  • Pain above one eye
  • Numbness on a side of the face
  • Dilated pupil

 

Leaking Aneurysm: Sometimes, an aneurysm may leak some amount of blood that is called sentinel bleeding. This leaking may result in an extremely severe and sudden headache.

Ruptured Aneurysm: One of the chief symptoms of a ruptured Brain Aneurysm is a severe sudden headache. It is sometimes referred to as the worst headache that you will experience. Some other symptoms of a ruptured aneurysm include:

  • Nausea
  • Double vision or blurred vision
  • Seizures
  • Loss of consciousness
  • Stiff neck
  • Drooping eyelids
  • Vomiting
  • Sensitivity to light
  • Confusion

Diagnosis of Brain Aneurysm

There are several tests and different types of scans that help in determining whether you have a Brain Aneurysm or not.

MRI

During MRI, your doctor will ask you to lie on a table that will slide into a scanner. It uses radio waves and a magnetic field to create detailed images of your blood vessels and brain. It has the ability to detect Brain Aneurysms that are larger than 5 millimeters.

CT Scans

During CT Scans, this type of examination creates the images of the brain. Similar to MRI, you will lie on a table that slides into the CT scanner. The technician will inject a dye into one of the veins to aid in seeing the blood flow while spotting aneurysms in your brain.

Angiogram

Cerebral Angiogram Image

Angiogram is one of the most reliable tests to detect aneurysms. It depicts the weaker spots of your blood vessels. Your doctor will be inserting a small flexible tube called a catheter through the blood vessels in your leg. He or she will guide the catheter into the blood vessels of your neck that extend up to the brain. He or she will take X-rays after injecting a contrast dye to view all the blood vessels in your brain. This helps the doctor to easily figure out the location of the Brain Aneurysm.

CSF test

During CSF test, your doctor may recommend you cerebrospinal fluid test if he or she notices the symptoms of a ruptured Brain Aneurysm. The technician will inject a needle to draw out the spinal fluid. Your doctor will test the fluid to check whether it has blood that indicates a ruptured Brain Aneurysm.

Treatment options for Brain Aneurysm

For Unruptured Brain Aneurysm

There may not be a need for the treatment of small and unruptured aneurysms. Some lifestyle changes can help you prevent the leaking of the aneurysm like:

  • Avoid stimulant drugs or cocaine
  • Take a proper diet and exercise regularly to lower your blood pressure
  • Avoid lifting heavy objects to avoid a rise in your blood pressure
  • Stop smoking
  • Restrict the consumption of caffeine because it may cause your blood pressure to elevate.

For Ruptured Brain Aneurysm

For a ruptured Brain Aneurysm, you need prompt treatment as it may bleed again. There’s a need to stop the blood flow into the ruptured aneurysm. Your doctor will recommend the best treatment possible based on the location, size, type of the aneurysm and your health.

Surgical clipping

Your doctor will remove a section of your skull to locate the aneurysm. He or she will place a metal clip at the opening of the ruptured Brain Aneurysm to cut off the flow of blood. The doctor will then shut the skull and seal it.

Endovascular coiling

Your doctor will insert a flexible tube called a catheter into the groin region of your body to reach the affected blood vessels. This will help to locate the aneurysm. He or she will then send platinum coils through the flexible tube and place it inside the aneurysm. The coils stop the blood flow to the aneurysm.

Flow diverter surgery

It is for aneurysms of a larger size where neither the clipping nor the coiling will work. This procedure involves the insertion of a stent inside the artery. It is usually a metal mesh. The stent acts as a wall inside the vessel to divert the blood flow away from the aneurysm.

Lifestyle changes​

  • Regular exercise
  • Quitting smoking
  • Managing the blood pressure and cholesterol level
  • Eating a balanced diet of whole grains, fruits, vegetables, meat and low-fat dairy products.

 

These small lifestyle changes may help significantly to manage Brain Aneurysms.

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