Cerebrovascular Surgery
Cerebrovascular Surgery in Nagpur Cerebrovascular Surgery, a genre of neurosurgery is specifically oriented towards blood vessels of the brain. Another name for this type of surgery is Neurovascular, they open blockages in the pipes and ruptures as well as deal with blood clots that disrupt the flow to brain. Rapid administration of treatment is the key to avoiding death or long-term harm to brain cells.
Types of conditions typically treated by cerebrovascular surgeons include;
- Aneurysms
- Brain hemorrhages
Vascular malformations
Vascular brain tumors
Cavernous malformations
Carotid artery stenosis
Carotid-cavernous fistulas
Strokes
Why choose the Cerebrovascular Surgery and Interventions Center?
So, Our team provides state-of-the-art surgical as well as endovascular therapies for disorders like following:
Aneurysms: Once is also susceptible to aneurysm, in which the wall of a blood vessel in the brain weakens and bulges.
Arteriovenous Malformations (AVMs): This is the complex tangling connection between abnormal arteries and veins in this first category. Our Cerebrovascular Surgery and Interventions Center has advanced new treatments, made many of the laboratory discoveries, and uses some of the top 3D technology to improve the care for AVMs, especially in children.
Moyamoya Disease: Moyamoya disease is a rare condition involving the narrowing of the large, internal carotid arteries in the brain that can lead to strokes.
Cavernous Malformation: Cavernomas, cavernous hemangiomas or occult vapscular malformations are collections of queued enlarged and thin-wall blood vessels. We are proud to be recognized as one of the first pediatric Centers of the Excellence for treating cavernous malformations by the Alliance to the Cure Cavernous Malformation.
Common Conditions Treated by Cerebrovascular Surgery:
- Aneurysms
- A ballooning of a weakened section of a blood vessel in the brain that can rupture and cause hemorrhagic stroke.
- Arteriovenous Malformations (AVMs)
- Abnormal tangles of blood vessels in the brain that disrupt normal blood flow and can cause bleeding or seizures.
- Carotid Artery Stenosis
- Narrowing of the carotid arteries (major blood vessels in the neck that supply blood to the brain), which increases the risk of ischemic stroke.
- Cavernous Malformations
- Abnormal, cluster-like formations of blood vessels in the brain that can cause seizures or brain hemorrhage.
- Intracranial Hemorrhage
- Bleeding inside the brain due to trauma, aneurysm rupture, or hypertension.
- Stroke (Ischemic and Hemorrhagic)
- Ischemic strokes occur when a blood clot blocks a blood vessel in the brain, while hemorrhagic strokes are caused by the rupture of a blood vessel, leading to bleeding in or around the brain.
- Moyamoya Disease
- A rare condition where the carotid artery becomes narrowed or blocked, leading to the development of small, fragile blood vessels in the brain that are prone to rupture.
Types of Cerebrovascular Surgery:
- Craniotomy and Clipping (for Aneurysms)
Involves creating an opening in the skull (craniotomy) to access the brain. A metal clip is placed at the base of the aneurysm to the prevent it from rupturing. - Endovascular Coiling (for Aneurysms)
A minimally invasive procedure where a catheter is inserted into an artery (usually in the groin) and navigated to the aneurysm. Tiny platinum coils are placed in the aneurysm to promote clotting and prevent rupture. - Carotid Endarterectomy (for Carotid Artery Stenosis)
A surgical procedure to remove plaque buildup in the carotid artery, restoring normal blood flow and reducing the risk of stroke. - Carotid Artery Stenting
A less invasive alternative to carotid endarterectomy. A stent (small mesh tube) is inserted into the artery to keep it open and prevent blockage. - Arteriovenous Malformation (AVM) Resection
Surgical removal of an AVM to the prevent hemorrhage or reduce the risk of stroke or seizures. - Stereotactic Radiosurgery (for AVMs)
A non-invasive procedure that uses focused radiation beams to close off the blood vessels in an AVM, reducing the risk of rupture. - Bypass Surgery (for Moyamoya Disease)
Involves rerouting blood flow around a blocked and narrowed artery in the brain. The surgeon may connect a blood vessel from the scalp or another part of the body to a blood vessel in the brain to improve circulation. - Decompressive Craniectomy (for Stroke or Hemorrhage)
Performed to relieve pressure in the brain caused by swelling or bleeding. Part of the skull is temporarily removed, allowing the brain to expand and preventing further damage. - Thrombectomy (for Ischemic Stroke)
A catheter-based procedure used to remove blood clots from the brain’s arteries in cases of ischemic stroke, restoring blood flow and minimizing brain damage.
Surgical Process:
- Preoperative Imaging
Advanced imaging techniques like CT scans, MRIs, or cerebral angiography are used to map the brain’s blood vessels and pinpoint the location of the issue. - Anesthesia
General anesthesia is usually administered to ensure the patient is unconscious during the procedure. - Surgery
The type of a surgery depends on the condition being treated. Surgeons may use open techniques (craniotomy) or minimally invasive approaches (endovascular surgery). - Postoperative Care
Patients often need close monitoring in a neurological intensive care unit (ICU) to manage complications like swelling, bleeding, or stroke.
Recovery may involve rehabilitation to regain movement, speech, or cognitive functions.
Risks and Complications:
Cerebrovascular surgery can be complex and involves significant risks, including:
- Stroke
Surgery on blood vessels in the brain can lead to clotting or bleeding, increasing the risk of stroke. - Infection
Any surgical procedure carries the risk of infection, particularly when the brain is involved. - Bleeding
There is a risk of excessive bleeding during or after the surgery, especially in cases of hemorrhage or aneurysm. - Neurological Deficits
Some patients may experience temporary or permanent neurological changes, such as weakness, speech difficulties, or cognitive issues. - Seizures
Brain surgery can irritate or disrupt brain tissue, potentially causing seizures.
Outcomes and Recovery:
Aneurysm
If successfully clipped or coiled, the aneurysm may no longer pose a threat of rupture. Recovery may take weeks to months, depending on the size of the aneurysm and the complexity of the surgery.
AVM and Moyamoya Disease
Complete resection or bypass surgery can greatly reduce the risk of future bleeding or stroke. Recovery times vary based on a extent of the surgery.
Stroke and Carotid Artery Stenosis
Successful revascularization or clot removal can restore blood flow to the brain, improving long-term outcomes. Early intervention in ischemic stroke, especially through thrombectomy, can minimize permanent brain damage.
Best hospital for neurosurgery
No room for error: Neurosurgery is one of the most rigorous disciplines out there, understandably so as it deals with intra-body surgeries like brain & spine where every neuron lost is a monumental loss. Indeed, although precision is significant in every medical specialization, the impact critically context-sensitive due to potential fragility and heaviness of structures involved are particular high in neurosurgery.
Our Neurosys Multispeciality Center is well equipped to carry out all the major procedures viz Craniotomy (Used mainly for the removal of any type of brain tumors etc), V-P Shunt Surgery (used to treat hydrocephalus which means increase in CSF pressure), surgeries for Epilepsy (MVD, Hemispherectomy, Temporal in different types of epilepsy like temporal lobe epilepsy) and other advanced neurosurgical work targeting Brain Stem Gliomas etc. In addition to said treatments, we provide an array of other neurosurgical services. If you have any other question related unanswered, please click to our Contact Us or to Book your Appointment with us here.