Department of Neurosurgery

Because the most critical needs demand the finest care.

The Department of Neurosurgery offers comprehensive neurosurgical care to all patients, from basic trauma to highly complicated procedures such as skull base and vascular neurosurgery. It is equipped with all necessary state-of-the-art gadgets at Operation Theatres for safe and effective neurosurgical work. We also do all complicated neurosurgeries with results on par with international standards.
Our department also has DrNB (Doctorate in National Board) residency programme in affiliation with National Board of Examination in Medical Science (NBEMS), Delhi for post graduate training in Neuro Surgery and we receive two residents every year under this programme from all around the country. Our residents also participate in various national and international conference and also achieved many awards like best research paper award in World Federation of Neurological Societies (WFNS), Neurological society of India Conference (NSI), Tamil Nadu Neurological Society (TANS) etc.,
Our department also participated in various multinational, multicentric studies like Global Neuro Trauma Outcome Study (GNOS) in collaboration with Cambridge University. We have also started full time in house endovascular services like mechanical thrombectomy for acute stroke, coiling and flow diverter procedure for ruptured and unruptured aneurysms, embolization for AVM and AV fistulas etc. We are planning to establish a centre of excellence for Neurovascular science both microvascular and endovascular in a world class quality in the near future.
neurosurgery

Facilities

The department is equipped with an advanced operating microscope. The availability of 64-slice CT scanning and MRI scanning with SPECT within the hospital has allowed a far more precise diagnosis and localization for surgical procedures.

Brain Surgeries

Specialized Services – Brain operations
Brain Tumor
The management of brain tumors requires a comprehensive, multidisciplinary approach. Treatment is often made possible by the cooperation of a team comprising neurosurgeons, oncologists, radiation oncologists, and neuropathologists.
Typical neurosurgical procedures done at MSSH include
  • Supratentorial tumors
  • Posterior fossa and tumors of CP angle
  • Pituitary tumors (Transphenoid procedures)
  • Neuroendocopic procedures are done for certain intraventricular tumor
  • Skull base tumor
  • Minimally invasive surgery for certain brain tumor
Vascular Surgery
  1. Arteriovenous malformation of brain: Team of interventional neurologist, neurosurgeon and radiation oncologist helps in giving good patient outcome
  2. Aneurysm: Both chipping and coiling procedures are done regularly.
Head Injury Care

MSSH is certified to treat trauma patients with severe head injuries. A vast majority of the patients are from southern and eastern parts of Tamil Nadu. The Trauma Center team provides 24-hour coverage for trauma and emergency surgery cases. The presence of neurosurgeons, along with excellent multidisciplinary collaboration with specialists in Orthopedics, Plastic Surgery, Oral and Maxillofacial Surgery and many other services, provides ideal management and treatment options for trauma patients. It takes a whole team of surgeons, nurses, physical and occupational therapists, social workers, chaplains, respiratory therapists, and others to help patients get back to normal life.

Spinal Procedure
  • Spine stabilization procedure
  • Intramedullary tumor removal are technically challenging procedure
  • Spinal vascular malformation are done with help of neuro interventionist
Spinal And Neck Surgery

The Department of Neurosurgery, MSSH offers comprehensive treatment for:

  • Skull fracture
  • Brain & Spinal cord tumor
  • Spinal trauma
  • Disc herniation
  • Disc disease
  • Bone spurs
  • Compressed nerve root
  • Degenerative spine diseases
  • Spinal stenosis
  • Spinal cord injury
  • Spondylolisthesis
Pediatric Neurosurgical Problems
  • Craniosynostosis surgery
  • Pediatric brain tumor
  • Chiari Malformation
  • Meningomyelocele
Functional Neurosurgery
  • Comprehensive epilepsy care with help of neurologist is given and all type of epilepsy procedures are been done
    The epilepsy procedure done are temporal lobectomy, VNS
  • Surgery for pain: Pain procedure like micro vascular decompressive for facial pain and MVD for trigeminal neuralgia
  • DBS for movement disorders

Achievements:

  • Endoscopic Transnasal Transpterygoid Excision
  • Vagal nerve stimulation for intractable seizures
Pioneering Minimally Invasive Neurosurgery: A Year of Achievement

In a relentless pursuit of excellence, our Neurosurgery department break new ground in the realm of minimally invasive brain and spine surgery. Through the integration of cutting-edge technologies such as Intraoperative Neuromonitoring (IONM), Intraoperative Angiography, Intraoperative Neuronavigation, Operating Microscope and Endoscopes, we have not only expanded the scope of neurosurgical procedures but also elevated safety standards to unprecedented levels.

The past year has been marked by significant milestones that commitment to innovation and superior patient care

Comprehensive Micro vascular and Endovascular Management
Among these milestones are the comprehensive micro endovascular management of cerebrovascular pathologies, tackling complex cases including posterior circulation aneurysms, AVMs, fistulas, and multiple intricate aneurysms. Our multidisciplinary approach ensures personalized treatment plans tailored to each patient’s unique needs.
Minimally Invasive Spine Surgeries
Utilizing advanced tools such as endoscopes and microscopes, we have successfully performed minimally invasive spine surgeries for complex spinal pathologies. These techniques minimize tissue damage and accelerate patient recovery, setting new standards in spinal care.
Minimally Invasive Spine Surgeries
Utilizing advanced tools such as endoscopes and microscopes, we have successfully performed minimally invasive spine surgeries for complex spinal pathologies. These techniques minimize tissue damage and accelerate patient recovery, setting new standards in spinal care.
Active Participation in Stroke Management

Active participation in stroke management, particularly in acute ischemic stroke cases, led to the successful completion of 21 mechanical thrombectomies, with outcomes that rival those reported in Western literature. These achievements were showcased at the Tamil Nadu Innovations in Functional

Neurological Surgeons Annual Congress (TANS 2024), solidifying our position at the forefront of neurosurgical advancements.

We have expanded our expertise to include functional and epilepsy surgeries, such as Vagal Nerve Stimulation and lesionectomy for cortical dysplasia under Neuronavigation guidance, providing comprehensive care for patients with epilepsy related disorders.

Pediatric Cerebrovascular Pathologies

Our commitment to excellence extends to pediatric patients with pathologies. Our dedicated team ensures comprehensive care for young patients, addressing their unique needs with compassion and expertise.

Furthermore, our team’s contributions to the global neurosurgical recognized on multiple fronts

International Recognition
Notably, Dr. Senthil Kumar, one of our esteemed recognized as an international fellow by the American Association of Neurological Surgeons, a testament to our team’s expertise and global recognition within the neurosurgical community.
Academic Leadership

Our Head of Department, Dr. Selvamuthukumaran, has shared insights and expertise at prestigious conferences worldwide, including the World Federation of Neurosurgical Societies annual congress in Cape Town, South Africa, where he gave a talk about “Endoscopic management of CFS rhinorrhoea”, was invited to give a lecture about “Future Advances in Head Injury” CME organized by Tamil Nadu MGR University in Chennai and also about “Endoscopic Management of Intracerebral Hemorrhage” in TANS congress at Salem.

Our consultant Dr Gowtham Kuncha also gave presentations about Mechanical Thrombectomy in Acute Ischemic Stroke in SNVICON, Chennai and in TANS, Ooty.

Research Excellence

Our postgraduates actively contribute to the field through their participation in national and international conferences, with notable achievements such as Dr. Kaveeze’s best platform presentation at the Neurological Society of India – Young Neurosurgeons Forum in Hyderabad and Dr. Shubha Dip Nandi’s second prize for the best research paper at the TANS 2024 conference. Collectively, our postgraduates presented 37 research papers during the past one year at various platforms out of which 4 were international conferences and 33 were national.

Academic Publications
Our commitment to advancing neurosurgical knowledge is evident in our numerous publications in prestigious medical journals such as The Lancet. Through these publications, we share our insights and experiences with the broader medical community, contributing to the collective advancement of neurosurgery worldwide.
Recognition of Excellence

We are honored to receive the ET Excellence Award by The Times Group for “Pioneer in Management of Brain Tumors” in the South Tamil Nadu zone, recognizing our dedication to providing the highest quality of care to our patients.

Looking ahead, our vision is to continue our pursuit of excellence in cerebrovascular sciences and establish a center of excellence for epilepsy surgery. As we continue to push the boundaries of neurosurgical innovation and excellence, our commitment to advancing patient care remains unwavering, cementing our position as pioneers in the field of neurosurgery. As we reflect on the achievements of the past year, we are commitment to improving patient outcomes and shaping the future of neurosurgery.

Doctors​

selvamuthukumarnan

DR.SELVAMUTHUKUMARAN.K

SR. CONSULTANT

M.Ch., (Neuro Sur)
Dr.senthilkumar

DR.K. SENTHILKUMAR

SR. CONSULTANT

M.S., (Gen.Sur). DNB., (Neu. Sur) M.Ch., (Neuro Sur)
Dr.Gowtham

DR. GOWTHAM KUNCHA

CONSULTANT

DrNB (Neuro Sur), FINR (Italy)
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