Best Doctors in India for Hemispherectomy

Profile Highlights:

  • Dr. Veena Kalra is one of the renowned Paediatric Neurologists in India who has garnered much respect for her contribution to a new area of Pediatrics which is Pediatric Neurology for the country.
  • She practices as a senior consultant at Apollo Hospital, New Delhi.
  • The President of India has awarded Dr. Veena Kalra three medals for her work in treating kids with critical illnesses and contributions to the field of pediatrics.
  • She has a passion for Malnutrition and brain development, Neurocysticercosis, Childhood Epilepsy, Childhood Cirrhosis, Neuro Infections, and Neurometabolic & Neurogenetic disorders.
  • Dr. Kalra not only treated children during her 37 years of practice, but she also gained experience in teaching and leading the Pediatric department.
  • Dr. Veena Kalra contributed significantly towards the research on Indian childhood cirrhosis, neurocysticercosis, learning disabilities, epilepsies, neurometabolic and neurogenetic illnesses, and lead poisoning.

Profile Highlights:

  • Dr. Vineet Bhushan Gupta is a renowned pediatric neurologist with nearly three decades of experience in treating neurological disorders in children.
  • Currently, he is practicing as a senior consultant at Indraprastha Apollo Hospital, New Delhi.
  • Dr. Gupta is a certified fellow in Pediatric Neurology from London and the Pediatric Intensive Care Unit, Alder Hey Children’s Hospital of Liverpool.
  • Dr. Vineet Bhushan Gupta specializes in Spinal fusion surgery. He also treats Spondylolisthesis, Epilepsy, pediatric stroke, Disc Desiccation, Spinal Stenosis, Fractured vertebrae, Herniated Disc, Disc Degeneration, Scoliosis, and developmental problems.
  • Dr. Gupta has authored numerous research papers and studies that have appeared in a host of medical journals.

Profile Highlights:

  • Dr. Puneet Agarwal is one of the renowned neurologists in India known for his outstanding performance in the field of neuroscience.
  • He is considered to be one of the first few doctors to successfully complete the Inflammatory Genes study in stroke patients and IV Valproate in status epilepticus.
  • Dr. Agarwal is highly experienced in the Management of Parkinson’s disease, Deep Brain Stimulation, and Injection of Botulinum Toxin and is currently functioning as the Director of the Neurology Department of Stroke.

Profile Highlights:

  • Dr. Mukul Varma is one of the best Neurologists in India, specialized in treating brain and spine disorders. With over 27 years of experience, the doctor has expertise in Parkinson’s disease, Speech and movement disorder, headache, and multiple sclerosis treatment.
  • He is working as a senior consultant Neurologist with the prestigious Apollo Hospital, New Delhi.
  • Dr. Varma is excellent at diagnosing and providing holistic treatment for meningitis, brain stroke, epilepsy, brain cancer, and many others. The doctor also performs stereotactic procedures for Brachial Plexus injuries.
  • He has contributed 20 literary works to medical journals of national and international repute.

Profile Highlights:

  • Dr. Anoop Kohli is one of the well-known Neurologists in India, having 42 years of clinical experience.
  • He is interested in the treatment of Migraine, Brain Haemorrhage, Paralysis, Parkinson’s disease, Stroke, Paraplegia, Fits, and Meningitis.
  • Dr. Kohli is a senior consultant at Apollo Hospital, New Delhi, and a pioneer, who first devised an intravenous thrombolytic treatment and developed the first Trans-Cranial Doppler Lab of India at Apollo Hospitals, New Delhi.
  • Dr. Anoop Kohli is excellent at surgical intervention and therapies. He has contributed 40 publications to national and international journals.

Profile Highlights:

  • Dr. Sumit Singh is a well known Neurologist in India currently associated with Artemis Hospital in Gurgaon as the Director of the department of Neurology.
  • He has an experience of 20+ years and specializes in the treatment and management of headache and movement disorders.
  • He is the first Neurologist in India to introduce Botulinium toxin for the treatment of headache in 2002 and also used it for trigeminal neuralgia treatment.
  • He has years of knowledge and experience in the treatment of neuromuscular disorders and is one of the best neurologists for the management of patients who have undergone Deep Brain Stimulation surgery.
  • Dr. Singh is known to be the best for the planning and management of patients with Parkinson’s disease. He also provides treatment for patients suffering from Multiple sclerosis, Myasthenia gravis and Polymyositis.
  • He has been associated with other prestigious hospitals before joining Artemis that includes All India Institute of Medical Sciences where he established the first Headache Clinic in North India. He also had an important role in starting the unit of Neuromuscular Disorders in the hospital.
  • A member of esteemed medical societies and associations, he is equally interested in research and has been actively involved in clinical trials for Myasthenia gravis and Multiple sclerosis.
  • Dr. Singh has also taught and trained several undergraduate and post graduate students and was a Faculty of Neurology during his stint at AIIMS.
  • He holds credit of over 100 publications to his name in world renowned medical and scientific journals and has also authored and co authored several text books on neurology.

Profile Highlights:

  • Dr. Vipul Gupta is one of the most highly experienced and skilled interventional neurologists in India with expertise in AVMs, Intracranial Aneurysms embolization, tumor embolization, and angioplasty.
  • He holds the credit of performing over 300 brain AVM procedures and more than 1000 intracranial aneurysms along with 100 DAVF procedures for the endovascular treatment of intracranial aneurysms and arteriovenous malformations.
  • Dr. Gupta specializes in stenting of arterial stenosis as well as carotid stenting and intra- arterial thrombolysis for acute stroke. His expertise also lies in neurovascular imaging techniques and procedures.

Profile Highlights:

  • Dr. (Prof.) V S Mehta is a leading Neurosurgeon in India and is considered among the best neurosurgeons in the world.
  • He holds an experience of over 4 decades in the field and is an expert in Brachial Plexus surgery, brain stem surgery, spinal tumor surgery, brain aneurysms, and brain tumor surgery.
  • He has been honored with the Padma Shri for his dedication and contributions to neurosurgery and spine surgery in India.
  • In Paras Dr. V S Mehta has been part of the team to first use the Image-Guided Brain Tumor Navigation Technology for Brain tumor surgery in India.

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:

  • With 18+ years of experience in the field of neurology, Dr. Mukesh Kumar is one of the most prominent names in neuroscience, renowned for his expertise in the treatment of diseases like Myasthenia Gravis, Parkinson’s Disease,  Botulism, and Movement Disorders.
  • He is  Gold Medalist in MBBS from Banaras Hindu University, India.

Best Hospitals in India for Hemispherectomy

Indraprastha Apollo Hospital, New Delhi

Hospital Highlights:

  • Indraprastha Apollo Hospital is a 700-bedded multispecialty hospital in the heart of the capital of India. It is a part of Apollo Hospital group, one of India’s most reputed healthcare chains. Indraprastha Apollo Hospital has been accredited by Joint Commission International, making it the first internationally accredited hospital in the country in 2005.
  • There are 52 specialties in the hospital with one of the best cardiology centers in the country. The hospital is also equipped with State of the art infrastructure facilities with the largest Sleep Lab in Asia and the largest number of ICU bed facilities in India.
  • The hospital also has one of the largest dialysis units in India along with a dedicated Bone Marrow Transplant unit.
  • The latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR Brachytherapy, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.

Fortis Memorial Research Institute, Gurugram

Hospital Highlights:

  • Fortis Memorial Research Institute is a multi-super-specialty, quaternary care hospital with 1000 beds. The hospital comprises reputed clinicians, and international faculty and is also equipped with cutting-edge technology. The hospital is a part of Fortis Healthcare Limited, a reputed chain of private hospitals in India.
  • It is a NABH-accredited hospital that is spread across 11 acres of land and has a capacity of 1000 beds. The hospital has 55 specialties and is one of the premier health care centers in the Asia Pacific region popularly known as “the Mecca of Healthcare”.
  • The hospital has 260 diagnostic centers and is also equipped with the latest and advanced techniques that include 3 Telsa which is the world’s first Digital MRI technology. The hospital also has world-class Radiation Therapy techniques which have been developed by leading technology experts from Elekta and Brain Lab.

Medanta-The Medicity, Gurgaon

Hospital Highlights:

  • One of India’s best and largest multi-specialty hospitals, Medanta was built with the aim to bring India to the highest standards of medical care. The hospital has been providing the best medical services to its patients, since its inception, with care, commitment, and compassion.
  • Equipped with 1250 beds, the hospital was founded by Dr. Naresh Trehan in the year 2009 with an aim to provide the best medical care at affordable costs. The hospital is spread across 43 acres and includes 45 operation theatres and 350 beds dedicated solely to ICU. The hospital includes over 800 doctors, and more than 22 specialty departments and has a dedicated floor for individual specialty in order to offer the best services under one roof.
  • The hospital is considered one of the premier institutes in India for Cardiac Care and includes staffs and members of high caliber. The hospital has 6 distinct centers of excellence.

Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • One of the well-regarded providers in India committed to the highest standards of clinical excellence and patient care, Max Super Specialty Hospital is a part of Max Healthcare, which is the second-largest healthcare chain in India. Regarded as one of the most well-regarded healthcare providers in the country, Max Super Specialty Hospital is committed to the highest standards of clinical excellence as well as patient care. The hospital is also equipped with the latest technology as well as cutting-edge research. The hospital is known to deliver and ensure the highest level of patient care.
  • The hospital has more than 500 beds and offers treatment for over 35 specialties. The hospital also holds the credit of having installed the first Brain Suite in Asia. This is a highly advanced Neurosurgical machine that allows MRI to be taken while surgery is ongoing.
  • Other advanced and latest technologies are also installed in the hospital such as the 1.5 Tesla MRI machine, 64 Slice CT Angiography, 4D ECHO, LINAC, and 3.5T MRI machine.

Fortis Escorts Hospital, New Delhi

Hospital Highlights:

  • Over the last 33 years, the Fortis Escorts Heart Institute has set new standards in cardiac treatment with groundbreaking research. It is now known around the world as a centre of expertise for Cardiac Bypass Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology, and Paediatric Cardiac Surgery.
  • The hospital has cutting-edge laboratories that perform a wide range of diagnostic tests in Nuclear Medicine, Radiology, Biochemistry, Haematology, Transfusion Medicine, and Microbiology.
  • Fortis Escorts Heart Institute boasts a diverse group of bright and experienced doctors who are backed up by a team of highly qualified, experienced, and devoted support professionals as well as cutting-edge equipment such as the recently installed Dual CT Scan.
  • Approximately 200 cardiac doctors and 1600 personnel currently collaborate to manage over 14,500 admissions and 7,200 emergency situations each year. The hospital now has a 310-bed infrastructure, as well as five cath labs and a slew of other world-class amenities.

Apollo Hospital, Chennai

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.

Rela Hospital, Chennai

Hospital Highlights:

  • RIMC is a multi-specialty hospital in a sprawling area of ​​36 acres located in Chromepet, Chennai, Tamil Nadu, India.
  • The facility has 450 beds including 130 critical care beds, 9 operating rooms, modern reference laboratories and radiology services, and is conveniently located near road, rail and air transportation.
  • RIMC is led and managed by world-renowned physicians committed to healthcare.
  • RIMC offers the broadest range of clinical care, education, and research. The hospital offers state-of-the-art technology and modern treatment facilities designed to provide health care at an affordable cost.
  • Rela Institute is driven by patient needs, comfort and confidence.

Artemis Hospital, Gurugram

Hospital Highlights:

  • One of the most well-known hospitals in the Delhi NCR, Artemis Hospital is the first hospital in Gurugram to get accredited by the Joint Commission International.
  • With more than 40 specialties, the hospital has been designed to be one of the most technically advanced hospitals in the country, with the best medical and surgical health care. The hospital has eleven special and dedicated centers, for Heart, Cancer, Neurosciences, etc.
  • The latest technologies in the hospital include Endovascular Hybrid Operating Suite and Flat panel Cath Labs for the cardiovascular department, 3 Tesla MRI, 16 slice PET CT, 64 Slice Cardiac CT Scan, HDR Brachytherapy, and highly advanced Image Guided Radiation Therapy techniques (LINAC) are installed in the hospital.
  • The hospital has won several awards as well, since its inception.

BLK Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • Equipped with 650 beds, BLK Superspecialty 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 Bone Marrow Transplant 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. It is one of the largest tertiary care private hospitals in India which was spread across 5 acres and has a capacity of 650 beds.
  • The hospital has 80 consultation rooms spread across two floors, especially for OPD services.
  • With one of the largest critical care programs, the hospital is equipped with 125 ICU beds specifically dedicated to the surgical, medical, neonatal, cardiac, pediatric, neuroscience and organ transplant units.

CARE Hospitals, Hyderabad

Hospital Highlights:

  • CARE Hospitals were established in the year 2000, by CARE Group.
  • The multispecialty hospital has 435 beds, including 120 critical care beds, with an annual inflow of 180000 outpatients and 16,000 in-patients.
  • The hospital provides specialty medical services in Cardiology, Cardiothoracic Surgery, Pediatric Cardiology, Pediatric Cardiothoracic Surgery, Neurology, Neurosurgery, Nephrology, and Urology.
  • The hospital has the first dual source, 128 slice CT scanner (for high precision cardiac imaging) – the first of its kind in south India.
  • The hospital offers a wide range of accommodation facilities for the convenience of its varied patient base, ranging from general wards to super deluxe rooms.

Hemispherectomy

Hemispherectomy is a surgical treatment for epilepsy. In this procedure, one of the two cerebral hemispheres, which make up the majority of the human brain, is removed. There are generally many surgical procedures which can fall under the broad category of hemispherectomy.

The main goal of each procedure is to completely stop seizures by disconnecting one cerebral hemisphere from the other completely. This can prevent seizures from spreading to any other parts of the brain.

Purpose

This surgery is considered when epilepsy cannot be controlled easily by medications. Removing an entire hemisphere of the brain is generally considered an effective treatment, as the removed hemisphere is generally quite damaged by the effects of seizures. In addition, the other brain has already assumed many of the functions of the damaged side. The brain has many redundant systems, allowing healthy regions to make up for the loss of a damaged side.

Children can also be candidates for this procedure; children who usually show significant impairments due to their epilepsy, which can include partial or complete loss of sensation, partial or complete paralysis, or complete loss of sensation on the side of the body opposite to the affected brain region.

Preparation

To be considered a candidate for this procedure, first, you will need to undergo various tests, which can include electroencephalography, in which electrodes are placed on the scalp, on the surface of the brain, or within the brain to record electrical activity. This test helps in locating the focal points of the seizure activity.

Several neuroimaging procedures are also used for obtaining images of the brain, as these can help to reveal structural abnormalities that the neurosurgeon must be aware of. These procedures may include computed tomography (CT) scans, magnetic resonance imaging (MRI), x rays, or positron emission tomography (PET) imaging.

Neuropsychological tests might be done for providing a baseline against which the results of the surgery can be measured. A Wada test may be performed as well. In this test, a drug is injected into the artery putting one half of the brain to sleep. This can help the neurologist to determine where in the brain the language and other functions are localized. This might also be useful for predicting the result of the surgery.

Procedure

Hemispherectomy can be ‘anatomical’ or ‘functional’. In an anatomical hemispherectomy, a hemisphere is removed completely, while in a functional hemispherectomy, some of the tissues are left in place. However, its connection to the other brain is cut so that it is no longer able to function. Anatomic hemispherectomy is also of several types, which are designed to minimize complications.

Generally, most surgical centers prefer to perform functional hemispherectomy. First, the doctor will put you into sleep with general anesthesia.

The doctor will next make a cut in your scalp, after which a piece of bone from your skull will be taken out. He/she will move aside part of the dura, a tough membrane covering your brain. Then your doctor will take out parts of the hemisphere where your seizures start. Generally, it is the temporal lobe.

Finally, your doctor will cut the corpus callosum so the hemispheres of your brain are not able to send signals to each other anymore. This way, if there is a seizure in the hemisphere that doesn’t work properly, it will not spread to the healthy one. This will allow the healthy hemisphere to continue to develop in a proper way without the danger of damage by seizures.

Once the surgery is finished, your doctor will be putting the dura and bone back, and then close up the wound with stitches or staples.

Aftercare & recovery

You will be in intensive care for a day or two. Then you will spend a few days in a regular hospital room. The stitches or staples should come out around two weeks after the surgery.

You might experience some side effects in the first few weeks, though these should usually go away within a short time.

  • Headaches
  • Trouble concentrating
  • Trouble finding the right words
  • Forgetfulness
  • Feeling tired
  • Nausea
  • Numbness in the scalp
  • Feeling depressed
  • Puffy eyes
  • Muscle weakness on one side of your body

 

Generally, you should be able to resume your daily activities within 6 to 8 weeks after the surgery. It is likely that you will need to keep taking your seizure medication for at least 2 years, even if you don’t have any seizures. Your doctor will let you know when you need to lower the dose or stop taking it completely.

Risks

Like most major surgeries, there is a risk of infection, bleeding, or allergic reaction to the anesthesia.

Other problems that might occur include:

  • Loss of feeling or movement on the opposite side of your body
  • Loss of visual field
  • Fluid on your brain which can require a second procedure, such as a VP shunt

 

In around 70-85 percent of patients, seizures are eliminated. In around 10-20 percent of patients, it is reduced by 80 percent. Patients who suffer from Rasmussen disease, which is progressive, might not receive many benefits, though medications can be reduced and there might be some improvement in intellectual function.

Death is also a possibility, though it is known to occur in only 1-2 percent of patients, who undergo hemispherectomy.

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