Neuroendoscopy

Neuroendoscopy is a specialized technique that uses endoscopes to gain minimally invasive access to the brain, spine, and peripheral nervous system, allowing for the treatment of different lesions. It is noted for its role in pioneering procedures, such as using endoscopes for hematoma removal, which diminishes incision sizes and overall surgical impacts.

Applications:

• Ventriculoperitoneal (VP) Shunt Placement and Revision
• Third Ventriculostomy
• Septostomy
• Tumor Excision and Biopsy
• Transsphenoidal Procedures for Pituitary Tumors
• Spinal Discectomy

These advancements are particularly significant in treating pituitary tumors, as they minimize anatomical disruptions, improving recovery experiences compared to older, more invasive techniques.

Neurostimulation

Neurostimulation is a surgical technique that applies electrical stimulation to modulate the nervous system. It’s primarily used to address chronic pain unresponsive to conventional treatments, providing pain relief through induced paresthesia. Over the past five decades, the prevalence of neurostimulation has risen owing to technological enhancements that facilitate safer, less invasive interventions.

Spinal Cord Stimulation (SCS)

SCS is widely recognized for managing unresponsive back and leg pain. The process involves the patient being awake for precise positioning and utilizes minimally invasive exposure to implant a small battery connected to a stimulator next to the spinal cord or peripheral nerve.

Breakthroughs in BMP Study:

A groundbreaking study on the efficacy of Bone Morphogenic Protein (BMP) in lumbar spine fusion has yielded unparalleled insights into BMP’s role in promoting bone fusion in the lumbar spine.
Biodynamic Products – Bone Morphogenic Proteins (BMP):
BMPs, notably RHBMP-2, are transformative in bone healing, negating the need for bone graft harvesting. They are produced through recombinant techniques due to their scarcity in naturally occurring forms.

Usage in Surgery:

During surgeries, RHBMP-2, applied onto a temporary sponge, triggers cellular bone production and disappears after initiating bone-healing, avoiding iliac crest harvesting— a principal source of post-surgery pain and complications.

The innovations in Endoscopic Neurosurgery and Neurostimulation signify a revolutionary step in the evolution of neurosurgical practices, emphasizing patient-centric methodologies and surgical efficacy. The incorporation of neuroendoscopy for meticulous and minimal interventions and neurostimulation for advanced pain management, combined with the pioneering use of BMP in bone healing, collectively denote a paradigm shift in holistic neurosurgical care and patient recovery pathways.

For specialized neurological and spinal care, set up an appointment with Dr BSV Raju, a foremost expert in the field.