Best Doctors in India for Hemispherectomy
Best Hospitals in India for Hemispherectomy
Hospital Highlights:
- Apollo Hospitals is a private healthcare group in India, with its headquarters based in Chennai. Established in 1983 by Dr. Prathap C. Reddy, the group offers a wide range of medical treatments and services across various specialties.
- It is renowned for emphasizing innovation and utilizing cutting-edge medical technologies into patient treatment.
- Known as India’s first corporate hospital, Apollo Hospitals is often credited for pioneering the private healthcare revolution in the country.
- With clinics and hospitals located all throughout India, Apollo Hospitals is a nationwide healthcare organization. Its presence can also be found in foreign countries.
- Preventive health examinations, medical and surgical treatment, and diagnostic centres are just a few of the services that the Apollo group provides.
- The group has several centres of expertise, including Cardiac Sciences, Neurosciences, Orthopedics, Emergency Care, Cancer Care, and Organ Transplantation.
- City: Chennai, India
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.
- City: New Delhi, India
Hospital Highlights:
- Fortis Hospital in Shalimar Bagh is a multi-super specialty hospital that strives to provide world-class patient care by leaving no stone unturned.
- Fortis, Shalimar Bagh, with 262 beds and a 7.34-acre footprint, provides the best level of medical care through its team of doctors, nurses, technicians, and management professionals.
- City: Bengaluru, India
Hospital Highlights:
- Established in 2007, the Apollo Hospitals Bangalore is a 300-bed multispecialty hospital situated in Bannerghatta Road, Bangalore.
- Equipped with the state-of-the-art technology, it is a leading hospital dedicated to providing healthcare needs to patients with compassion and expertise.
- It is the first hospital to have completed the highest number of Robot Assisted Heart Surgeries in India.
- Over the years, it has successfully conducted some of the rarest medical procedures such as spinal angiolipoma excision, autologous chondrocyte implantations, and tibial tuberosity shift with MPSL reconstruction.
- The Apollo Hospitals Bangalore has the reputation of performing the greatest series of airway stents in the country.
- Additionally, the hospital is known for providing comprehensive treatment in specialties such as gastroenterology, urology, gynecology, oncology, colorectal surgery, etc.
- The “The Minimal Access Surgery Centre” (MASC), one of Apollo Hospitals, Bangalore’s premier Centres of Excellence, is devoted to the use of minimally invasive surgical procedures.
- In 2013, THE WEEK-A C Nielsen, Best Hospital Survey ranked Apollo Hospitals Bangalore as the 2nd best multi-speciality hospital in Bangalore.
- City: Mumbai, India
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.
- City: Hyderabad, India
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.
- City: Mumbai, India
Hospital Highlights:
- Fortis Hospital in Mulund is a 315-bed multi-speciality tertiary care hospital with five JCI accreditations that offers a wide variety of diagnostic and treatment services. The Fortis Hospital in Mulund delivers patient-centred treatment with cutting-edge technology, highly skilled and experienced surgeons, and paramedical staff.
- This institution houses Maharashtra’s largest multi-organ transplant centre. It is also the first heart transplant centre in western India to conduct 100 or more consecutive heart transplants in under four years. It is the only hospital in the city to have multi-organ transplants and has handled the youngest patient for angioplasty. Fortis Hospital Mulund now boasts the first advanced surgical robot in central Mumbai.
- Cardiology and heart surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency and critical care, and maternity care are among the services provided by the hospital.
- City: New Delhi, India
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.
- City: Chennai, India
Hospital Highlights:
- Located in Chennai, India, MGM Healthcare is a top multispecialty hospital that provides all medical services under one roof.
- Since its founding in 2019, MGM Healthcare has quickly become a leading national referral centre, creating several innovative flagship initiatives.
- MGM Healthcare combines next-generation medical and digital technologies to provide better patient results.
- With 12 centres of excellence, more than 400 inpatient beds, 100 intensive care unit beds, and 24/7 emergency care, MGM Healthcare leaves no chance in redefining the patient experience in Chennai.
- MGM Healthcare boasts 250+ expert doctors across 30+ departments, including Cardiology, Pulmonology, Neurology, Obstetrics & Gynaecology, and more.
- They house 12 specialized Centres of Excellence, including Neurosciences, Orthopaedics, and Multi-Organ Transplantation.
- Their team of doctors, nurses, and paramedics works together to give every patient individualized treatment.
Hospital Highlights:
- Lilavati Hospital & Research Centre is India’s premier multi-speciality tertiary care hospital and has been recognised as a global medical excellence centre.
- Lilavati Hospital & Research Centre has built an unrivalled level of trust with its patients over the years, thanks to a solid foundation that comprises cutting-edge facilities, the best medical competence, research, education, and charity endeavours.
- The hospital is quite proud of the fact that it now serves patients from all kinds of backgrounds, not just from the United States but from all around the world.
- The hospital has a total of 323 beds, one of the largest Intensive Care Units (ICUs), 12 Operation Theatres with modern amenities, over 300 consultants, and almost 1,800 personnel.
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.