Best Doctors in India for Hemispherectomy
- Neurosurgeon, Mumbai, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Suresh Sankhla is an accomplished Neurosurgeon in Mumbai specializing in endoscopic neurosurgery and onco-neurosurgery.
- Dr. Sankhla acquired his training in neurosurgery under the guidance of the best trainers from well-known medical institutes and hospitals in Ireland, UK, USA as well as India.
- He has an equal interest in research and has published more than 100 articles, papers, and abstracts in renowned national and international peer-reviewed journals.
- Interventional Neuroradiologist, Gurugram, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Tariq Matin is a Neurologist in Gurugram specializing in Interventional Neuroradiology.
- He holds over a decade of experience in the field and holds a fellowship from Foch Hospital, France in interventional neurosurgery and also received his training from AIIMS in Delhi.
- He provides treatment for acute ischemic stroke with the use of mechanical and chemical thrombolytic agents and endovascular coiling of complex aneurysms.
- Neurologist, Chennai, India
- Over 33 years’ experience
Profile Highlights:
- Dr. Arulselvan V L is one of the finest Neurologists in India, with an overall experience of nearly 33 years.
- Dr. Arulselvan was bestowed with an Excellence Award for aptitude in Anatomy in his academics.
- He takes a holistic approach to treating conditions like Myelitis, Encephalitis, Meningitis, Cerebral or Brain Aneurysm, PSR, PBC, Brain Tumor Surgery, and Sleep Disorders and performs different therapies.
- He has a periodical ‘JIAN’ under his name.
- Neurologist, Chennai, India
- Over 30 years’ experience
Profile Highlights:
- Dr. Rajendran S is a veteran Neurologist in Tamil Nadu with nearly 3 decades of experience.
- Dr. Rajendran acquired advanced training in Neuropsychiatry from Cardiff, UK, and also obtained M.Sc. in Clinical Neurology from London.
- He treats conditions like Stroke, Parkinson’s Disease, Back & neck pain, Neurological dysfunction, Surgical Clipping, Endovascular Coiling, Cerebral Angioplasty, Lesionectomy, MVD, PSR, and Restless Leg Syndrome, etc.
- Neurologist, Chennai, India
- Over 24 years’ experience
Profile Highlights:
- Dr. S. Yogaraj is an experienced Neurologist in India, having over 24 years of experience in the field.
- He specializes in treating emergency neurology conditions like stroke, neuromuscular disorders, CNS infections, Peripheral Nerve issues, etc.
- Dr. Yogaraj is instrumental in designing, implementing, and reporting electrophysiological training. He trained physicians, neurologists, and paramedical staff.
- Neurologist, Chennai, India
- Over 45 years’ experience
Profile Highlights:
- Dr. Dhanaraj is a recognized neurologist in India with 45+ years of experience.
- Dr. Dhanaraj was awarded Life Time Achievement Award from Tamil Nadu DR. MGR University, Chennai for his exemplary services.
- He presented about 50 research papers and received awards for a couple of them. Dr. Dhanaraj also authored a book on Acute Cardiovascular disease.
- Neurologist, Chennai, India
- Over 45 years’ experience
Profile Highlights:
- Dr. Geetha Lakshmipathy is one of the most renowned Neurologists in India with a rich experience of more than 45+ years. Her experience stretches across academic, research, clinical, and administrative work.
- Dr. Geetha Lakshmipathy offers the best medical services for Nerve and Muscle Disorders, Brain mapping, Spinal Disorders, Digital Subtraction Angiography, Epilepsy Treatment, Deep Brain Stimulation, skull surgery, Peripheral Neuropathy (Diabetic/ CIDP/ CIDP), etc.
- Dr. Lakshmipathy presented and published many research studies at various places and guided students of DM-Neurology for their thesis.
- Neurologist, Chennai, India
- Over 50 years’ experience
Profile Highlights:
- Dr. Panneer is one of the most renowned Neurologists in India with huge 50+ years of research and clinical experience in the field.
- Dr. Panneer is believed to have expertise in Migraine treatment and neurological disorders management.
- He offers consultation and medical services for Neurosurgery, cerebral angioplasty, Stereotactic Radio Surgery, PBC, Alcohol Withdrawal Syndrome, sleep disorders, skull base surgery, etc.
- Pediatric Neurologist, Chennai, India
- Over 26 years’ experience
Profile Highlights:
- Dr. Sivaji Vani serves as a Pediatric Neurology Consultant at Apollo Hospitals, Chennai.
- Before Chennai, she served in the UK and has developed a sound knowledge in the field of Pediatric Neurology.
- Her overall experience of 26 years involves the treatment of patients with giddiness problems, neurological problems, vertigo, epilepsy, stroke, spinal disorders, etc.
Best Hospitals in India for Hemispherectomy
Paras Hospital, Gurugram
- City: Gurugram, India
Hospital Highlights:
- Paras hospital was established in 2006 and is the 250 bedded flagship hospital of Paras Healthcare.
- The is supported by a team of doctors of international and national repute.
- The hospital is NABH accredited and also the first hospital in the region to have a NABL accredited laboratory.
- The hospital provides specialty medical services in around 55 departments including Neurosciences, Joint Replacement, Mother & Child Care, Minimal Invasive Surgery, Gynecology and Obstetrics, Ophthalmology, Dermatology, Endocrinology, Rheumatology, Cosmetic and Plastic surgery.
- The hospital is equipped with state-of-the-art technologies.
S L Raheja Hospital, Mahim, Mumbai
- City: Mumbai, India
Hospital Highlights:
- SL Raheja hospital is a 140-bed multi-specialty tertiary care hospital that is being managed by Fortis Healthcare Ltd.
- The hospital is a benchmark in healthcare and medical facilities in the neighborhood of Mahim & the western suburbs.
- L.Raheja Hospital, Mahim has one of the most effective ICU and Casualty care services.
- The hospital provides specialty medical services in Cardiology, Oncology, Neurology, Orthopedics, Mother & Child Care, and in Diabetes.
Wockhardt Hospitals, Mumbai
- City: Mumbai, India
Hospital Highlights:
- Wockhardt Hospitals were established in the year 1973, originally called First Hospitals and Heart Institute.
- Wockhardt Hospitals are super specialty health care networks in India, nurtured by Wockhardt Ltd, India’s 5th largest Pharmaceutical and Healthcare company.
- Wockhardt Hospitals is associated with Partners Harvard Medical International, an international arm of Harvard Medical School, USA.
- Wockhardt Heart Hospital performed India’s first endoscopic heart surgery.
- The hospital has a state-of-the-art infrastructure equipped with the latest technologies and modern equipment.
- It has special Centers of Excellence dedicated to the major specialties to provide hassle-free and high-quality clinical care.
Pushpawati Singhania Hospital & Research Institute, New Delhi
- City: New Delhi, India
Hospital Highlights:
- Established in 1996, Pushpawati Singhania Research Institute is one of the top hospitals in the NCR region, as well as one of the top facilities in India for gastroenterology. The hospital is one of South Asia’s first institutes in medical and surgical treatment for diseases related to digestion.
- The hospital is equipped with state-of-the art facilities coupled with the latest equipment as well as renowned consultants from various parts of India as well as other parts of the world.
Indian Spinal Injuries Center, New Delhi, India
- City: New Delhi, India
Hospital Highlights:
- The Indian Spinal Injuries Center (ISIC), provides state-of-the-art facilities for the management of all types of spinal ailments.
- Staffed with internationally trained, acclaimed, and dedicated spine surgeons, the hospital provides cutting-edge medical & surgical technology. The hospital provides comprehensive management of spinal injury, back pain, spinal deformities, tumors, osteoporosis, etc.
- The hospital performs motion-preserving spine surgeries including disc replacement and dynamic fixation, and minimally invasive spine surgeries such as endoscopic disc excision.
- The orthopedic service of the hospital covers all orthopedic ailments including trauma, joint diseases & replacements, oncology, pediatric orthopedics & upper limb ailment.
W Pratiksha Hospital, Gurgaon
- City: Gurugram, India
Hospital Highlights:
- W Pratiksha Hospital, Gurugram, is one of the best hospitals in the NCR region. It is also a top hospital in India for IVF. Since its inception, the hospital has performed over 5500 successful IVFs. The hospital also specializes in gynecology.
- With over 20 years of experience in providing quality healthcare, the hospital is known as one of the most trusted and valued health providers in India.
- Equipped with world-class medical facilities and advanced technology, the hospital’s doctors and clinicians also have a track record of delivering excellent results. The hospital is also known for focusing on preventive well-being as much as on curative treatment.
- The hospital has earned the trust of its patients, by providing the best available treatments at affordable costs.
Narayana Superspeciality Hospital, Gurugram
- City: Gurugram, India
Hospital Highlights:
- Situated near DLF Cyber City, Gurugram, Narayana Superspecialty Hospital is one of the top medical facilities in the Delhi NCR region, catering to the needs of the people. Known for its commitment to quality medical care and patient service, the hospital is a state-of-the-art facility with planned and well-equipped sections, which includes a spacious OPD area as well as comfortable patient rooms.
- It is the closest super-specialty hospital from Indira Gandhi International Airport towards Gurugram, and also the nearest super specialty hospital from DLF Cyber City. It is also close to major residential areas in Gurugram.
- It is part of the renowned Narayana Health Group. Established in 2000, by Dr. Devi Shetty, a renowned cardiac surgeon, it has grown to be one fo India’s leading healthcare groups.
Sir Ganga Ram Hospital, New Delhi
- City: New Delhi, India
Hospital Highlights:
- Sir Ganga Ram Hospital, New Delhi is known to provide the latest medical procedures with the latest technology in all of its units.
- The hospital has a team of reputed doctors, nurses, and healthcare professionals that ensure that patients receive quality care at affordable costs.
- Staffed with a team of highly qualified doctors, dedicated nurses, and paramedical and non-medical staff, the hospital aims to lead in healthcare delivery, medical education, training, and research.
- As per the vision of the founder, the hospital also provides free treatment to the economically weaker sections of society.
- Sir Ganga Ram Hospital also provides training to young doctors under the Diplomate in National Board(DNB) program. The DNB program at the hospital was started in 1984 and it is known for currently running the maximum number of DNB specialties in the country. It also has the distinction of having the first bone bank in India.
KIMS Hospital, Hyderabad
- City: Hyderabad, India
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.
Fortis Hospital, Shalimar Bagh
- 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.
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.