Best Doctors in India for Hemispherectomy

Profile Highlights:

  • Dr. Abhaya Kumar is a leading name in the field of Neurosurgery who is an expert in Minimally Invasive Spine Surgery, Brain surgery, and Stereotactic Radiosurgery and has performed more than 1400 spine surgeries and 1100 brain surgeries in KDAH alone.
  • Dr. Abhaya Kumar’s primary focus includes Minimally Invasive Spine Surgery (MISS) and has handled over 800 MISS cases till date in the hospital with 96% successful results.

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.

Profile Highlights:

  • Dr. Madhusudan H V is an expert Neurosurgeon in South India with 22+ years of experience in neuro and spine surgery.
  • With a specialization in minimally invasive neurosurgeries, Dr. Madhusudan holds the credit for more than 7000 neurosurgeries. He also finds interest in endoscopic interventions and frameless navigations.

Profile Highlights:

  • Dr. Prahraj S S is a leading Neurosurgeon who specializes in all types of neurological surgeries and has performed over 6000 neurosurgeries till date along with complex cranial and spine surgeries.
  • He is one of the most renowned neurosurgeons in the country and has provided his services to some of the premier medical institutes in India such as NIMHANS where he performed a large number of spinal surgeries.

Profile Highlights:

  • Dr. Praveen K S is a highly qualified neurosurgeon with over a decade of experience in handling all kinds of neurological diseases and disorders.
  • He specializes in Pediatric Neurosurgery, Neuro-Oncology, Endoscopic neurosurgery, Aneurysms, and Neuro- Trauma and has performed over 4000 neurosurgeries in his career.

Profile Highlights:

  • Dr. Rahul Modgi is a highly established neuro and spine surgeon in Mumbai specializing in all types of brain and spine surgeries.
  • Dr. Rahul Modgi’s name has been recorded in the Limca Book of Records in 2014 when he removed the heaviest iron rod from the brain of a 17-year-old patient. He has also performed various other risky surgeries for which he has greatly appreciated.

Profile Highlights:

  • Dr. Rajakumar V Deshpande is a renowned Neurosurgeon in Bengaluru. He performed the first pedicle screw fixation surgery for a spine injury in Bangalore.
  • Dr. D V Rajakumar specializes in endoscopic neurosurgeries and has performed some of the most complex brain and spine surgeries through the endoscopic approach. His other areas of interest include minimally invasive neuro surgeries, management of cerebrovascular diseases, and brain tumor surgeries.

Profile Highlights:

  • Dr. Shirish M Hastak is one of the best Stroke Specialists in India with a specialization in Neurology.
  • Dr. Hastak underwent training in stroke management under world-renowned neuroscientist, Dr. Vladimir Hachinski at the Western University of Canada.
  • He holds more than 30 years of experience as a neurologist among which he has spent 2 decades mastering stroke management.

Best Hospitals in India for Hemispherectomy

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.

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.

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.

Fortis Hiranandani Hospital, Mumbai

Hospital Highlights:

  • Fortis Hiranandani hospital was established in 2007.
  • The hospital is an advanced tertiary care, multi-specialty hospital equipped with 149 beds.
  • The hospital is equipped with a super ICU to provide emergency medical care to critically ill patients.
  • The hospital is NABH accredited.
  • The critical care facility in the hospital is augmented with the state-of-the-art facilities that facilitate speedier diagnosis and efficient monitoring.
  • The hospital provides specialty medical services in cardiology, orthopedic science, pediatric science, neurology, diabetic care, urology, nephrology, ENT, obstetrics, gynecology, cosmetic surgery, bariatric surgery, neuro and spine care.

Fortis Hospital, Anandpur, Kolkata

Hospital Highlights:

  • Fortis Hospital, Anandapur, Kolkata is a world-class super-speciality equipped with the latest technologies in the medical world.
  • The hospital is NABH accredited.
  • This state-of-the-art facility specializes in cardiology and cardiac surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency care and critical care.
  • The hospital, governed by integrated Building Management System (IBMS), has a pneumatic chute system, for quick vertical and horizontal transportation between floors, facilitating speedy transfer of patient specimens, documents, reports, and medicines to the concerned departments.
  • The hospital also has a nephrology department with over 28 advanced dialysis units.

Fortis Hospital Banerghatta, Bengaluru

Hospital Highlights:

  • Fortis Hospital Bannerghatta, Bengaluru was established in 2006.
  • The hospital is a 276 bedded multi-specialty tertiary care facility.
  • The hospital specializes in cutting-edge medical technology and dedicated patient care services.
  • The hospital is equipped with state-of-the-art technologies like trans-radial angioplasty, trans-abdominal cardiac surgery, and computerized TKR navigation surgery.
  • The hospital provides specialty medical services in cardiology, cardiac surgery, orthopedics, neurology, neuro-surgery, GI, and Minimal Access Surgery (MAS).

Fortis Hospital, Malar, Chennai

Hospital Highlights:

  • Fortis Malar was established in 1992 and was formerly known as Malar Hospital.
  • The hospital specializes in cutting-edge medical technology and dedicated patient care services.
  • The hospital is multi-specialty, tertiary care facility with 180 beds.
  • The hospital offers comprehensive medical care in specialties such as cardiology, cardio-thoracic surgery, neurology, neurosurgery, orthopedics, nephrology, gynecology, gastroenterology, urology, pediatrics, and diabetes.

Gleneagles Global Hospital, Parel, Mumbai

Hospital Highlights:

  • Gleneagles Global Hospital The 450-bed facility comprises of 17-stories, housing state-of-the-art infrastructure, and advanced medical care facilities.
  • The hospital offers end-to-end clinical, surgical, and diagnostic services. It is equipped with a team of eminent medical professionals aided by qualified nurses and medical staff
  • The Hospital offers advanced Endoscopic procedures, Hepatobiliary and Liver Surgeries, Surgical and Medical Gastroenterology, Bariatric Surgery, and Robotic surgery.
  • The hospital is a center of excellence for Orthopedics, Joint Replacement, Knee Replacement, and Hip Replacement surgery.

Jaypee Hospital, Noida

Hospital Highlights:

  • Jaypee Hospital is the flagship hospital of the Jaypee Group.
  • This hospital has commissioned 525 beds in the first phase and has been planned and designed as a 1200 bedded multi-specialty facility.
  • It holds the accreditation of the NABH and NABL.
  • The hospital has state-of-the-art infrastructure equipped with the latest technologies and modern equipment like 64 Slice PET CT, Dual Head 6 Slice SPECT CT, Gamma Camera, and Da Vinci Robotic Surgery for comprehensive robotic surgical solutions.
  • It has special Centers dedicated to the major specialties to provide hassle-free and high-quality clinical care.

Manipal Hospital, Dwarka, Delhi

Hospital Highlights:

  • Manipal Hospitals, Dwarka, is a super-specialty hospital in Dwarka, New Delhi, which is a part of Manipal Hospitals Group.
  • The hospital aims to provide the best treatment on par with international standards at a fraction of the cost.
  • Equipped with 380 beds, the hospital is also one of the new age hospitals which are equipped fully with state-of-the-art infrastructure, cutting-edge technology as well as the latest and advanced clinical practices. The hospital also has 13 modular Operation theatres with 118 beds which are solely meant for critical care.
  • The hospital comprises internationally acclaimed doctors and highly professional and experienced hospital and medical staff who are able to provide preventive, therapeutic, and diagnostic services all under one roof.

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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