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Dr Deepashu Sachdeva
Neuro & Spine Surgeon

Brain Problems

Brain Problems

The brain is the regulator, controller unit of the body that allows us to perform all functions and tasks. A disorder, dysfunctionality in the nervous system causes a lot of physiological and psychological problems. Unfortunately, modern times are recording an increase in the number of brain problems. The most common being Brain tumors. Technological advancement has revolutionized the medical sector well. It is possible to treat, cure the ailments and brain problems that earlier was the cause of high death toll and mortality rate. Brain Spine & Joint Clinic is one of the medical institutes that treat many brain disorders. The clinic has a team of experts and an expert neurosurgeon, Dr. Deepanshu Sachdeva, who are efficient in performing surgeries to eradicate the tumor. They are experts in conducting different brain surgeries that can help the patient to overcome and fight back fatal tumors. Depending on the Stage, level, and nature of the problem, surgeons recommend the surgical procedure. They make use of brain mapping techniques to be more precise and accurate while recommending the type of surgical procedure.

Skull Based Surgery

Skull base surgery can be an Open skull base surgery that needs an incision in a skull through which the affected part of the bone gets removed. Endoscopic surgery requires a small opening through which endoscope can penetrate to remove the affected area. Treatment of Aneurysm & Arterio-Venous Malformation (AVM) should be spontaneous to avoid further complications. Surgical procedures to remove it include craniotomy, embolization, and radiosurgery. Intraventricular Tumors call for a shunt, endoscopic surgery that can remove the obstruction and relieve the pressure. Pituitary Tumor surgery involves surgical procedures, and in some cases, medications can also help. Brain Spine & Joint Clinic aims at providing the best to all its patients so that all can cherish and replenish the gift, of Life.
A partial list of conditions that may be treated using skull base surgery includes:

  • Pituitary tumors
  • Meningiomas
  • Chordomas
  • Trigeminal neuralgia
  • Vestibulocochlear nerve disorders
  • Craniopharyngiomas
  • Hemifacial spasms
  • Craniostenosis
  • Cerebro-spinal fluid fistulas
  • Cerebral aneurysms
  • Arteriovenous Malformations (AVMs)

Aneurysm & Arterio-Vnous Macformation (AVM) Surgery

An aneurysm is an emergency condition that requires immediate medical attention to prevent further loss and damage to human anatomy. It occurs due to the weakening of the artery wall leading to the widening of the artery abnormally. The exact causes of the problem are not fully trackable. However, the reasons could be a congenital, accident, or fatal injury. It does have some record of getting transferred due to genetic factors, the problem of high blood pressure and cholesterol increase the risk for the same. If, aneurysm gets ruptured it, further aggravates the problem as it disturbs the ability of the blood vessel to handle the blood flow that can lead to excess or minimal blood supply to the brain, causing the formation of blood clots or in severe cases leading to death. Arterio-Venous Malformation (AVM) Surgery is to treat the abnormal blood vessels connecting arteries and veins. AVM disturbs the functioning of arteries and veins that carry oxygen-rich blood to the brain from the heart and oxygen deficit blood back to lungs, and heart respectively. As it sounds, so it is a complex problem that requires expertise when it comes to curing it and safeguarding the life of patients. Dr. Deepanshu Sachdeva is one such option in your city to visit and place yourself or your loved ones in safe hands for Aneurysm & Arterio-Venous Malformation (AVM) Surgery. The process at Bone, Spine, and Joint clinic begins with complete and comprehensive interrogation into the patient’s medical history and present scenario. To have better insight into the patient’s health neurosurgeons, at the clinic make use of Imaging, mapping, and monitoring devices and techniques. After having complete knowledge about the AVM location, nature, damage intensity, surgeons begin the process of surgery. Surgical removal of AVM includes temporarily removing the part of the skull facilitating access to AVM. The surgeon will seal the AVM ruptures using different procedures and sew the incision. The other way of treating AVM is Endovascular embolization. It involves inserting a catheter into the leg artery and threading it through blood vessels to reach the brain. The catheter carries with it substances to reduce the flow of blood into AVM and controls the leakage. SRS Stereotactic radiosurgery is another way of treating AVM. The process involves the use of radiation to destroy the AVM and cause blood scarring.

Symptoms of spinal AVMs
Spinal AVMs often don’t cause any symptoms. When they do, they’re usually minor and hard to notice. In a few people, however, the symptoms can be severe enough to affect their ability to function.

  • Muscles that feel weak or become paralyzed
  • Problems with balance and coordination (ataxia)
  • Pain or unusual sensations throughout your body, such as tingling or numbness

Intraventricular Tumour Surgery

Ventricles are cavities within the brain containing fluid that surrounds and cushions the brain and spinal cord. The ventricular system consists of four ventricles that have interconnection with each other, two lateral ventricles on either side of the cerebral cortex, third ventricle at the lower brain, and the fourth that runs along the brainstem. The ventricular system facilitates the functioning of the Central Nervous System. It acts as a fluid coating around the brain and also helps in absorbing shocks during head trauma. The cerebrospinal fluid that ventricles contain provides nutrients to the brain, and also maintains the chemical balance. Intraventricular Tumour Surgery relates to treating the tumors that arise in ventricles of the brain. They have different natures and causes of origin. Colloid cysts a mucous substance originating at the point where lateral ventricles extend into the third ventricle, thus obstructing the flow of fluid into the third ventricle. Some other ventricle tumors are astrocytomas, meningiomas, ependymomas. Although each one is different from the other in origin and cause, all calls for treatment for immediate relief from the pain and problems they cause in one’s life. Detailed imaging studies are essential before performing surgical procedures for ventricular tumors. Doctors make use of Magnetic resonance imaging MRI and Computer tomography CT scan to have better insight into the problem and varied aspects related to it. In many cases, there may be a need to analyze cerebrospinal fluid through a lumbar puncture. Endoscopic biopsy, shunt and resection are the treatment for ventricular tumors.

Pituitary Tumour Surgery

The pituitary gland is small in size. It has its location in a bone hollow at the base of the skull underneath the brain. Although small in size, it has many functions to perform so named as the master gland of the human body. It makes different organs and glands in the body to respond to the needs of the body. It does so secreting the hormones into the bloodstream that act as messengers transmitting the information from the gland to different cells and making them respond in the right way. Unfortunately, this area is also prone to the growth of tumors. It plays a vital role in facilitating different mechanisms. Therefore it is an essentiality to remove tumors and lesion growth from the pituitary gland and facilitate its functionality. Endoscopic pituitary surgery is one of the treatments for removing tumors from the pituitary gland. It involves the use of an endoscope which is a thin, rigid tube with a microscope, light, and camera. Surgeons insert it through the nose till it reaches a sphenoid sinus located at the back of the nose. Making an opening in the bony wall of the sphenoid sinus surgeons reaches the pituitary area from where they remove tumors in small pieces. Another way to treat the pituitary tumor includes Craniotomy which involves the removal of part of the skull or making an incision to reach the target area, remove the unwanted substance, and reseal the area. Pituitary Tumor Surgery involves surgical procedures, and in some cases, medications can also help. Brain Spine & Joint Clinic aims at providing the best to all its patients so that all can cherish and replenish the gift, of Life.

Endoscopic Brain Surgery

Technological and Monitoring advancements in the field of medicines are doing wonders in treating patients with minimal pain, incisions, and uncomfortableness. Endoscopic Brain Surgery is one such example of medical advancement and innovations. It makes use of an endoscope to get precise and particulars about the area in the brain which needs surgical operations. The visualization endoscope provides permits for the surgeon to have a complete insight into the problem. Second, change the endoscopic surgery has brought into medical science is the size of incisions has remarkably reduced as a thin, rigid tube with a microscope, the camera can pass through small openings like nose or mouth. Monitoring the images on the screen surgeons’ progress with their surgical procedures and remove tumors from the bain. The risk factor has remarkably declined with endoscopic brain surgery as it does not disturb the rest of the arrangements of nerves, fibers. It precisely hits the target area with minimum disturbance to other components, unlike open surgery. Benefits of less blood loss, less tissue disruption adds to the easy and fast recovery of the patient. The high success ratio is making it the first choice amongst the surgeons and patients. However, we cannot completely overrule the importance, need, and validation of conventional open surgeries.