A neurosurgeon is a physician who specializes in the diagnosis and surgical treatment of disorders of the central and peripheral nervous system including congenital anomalies, trauma, tumors, vascular disorders, infections of the brain and spine, stroke, or degenerative diseases of the spine.

 CyberKnife
 Deep Brain Stimulation (DBS)
 Gamma Knife Radiosurgery
 Minimally Invasive Spine Surgery
 Nerve Decompression
 Nerve Reconstruction
 Aneurysm Clipping
 Stereotactic Radiosurgery (SRS)

The Cyber Knife is a most advanced radio surgery. CyberKnife offers a non-invasive alternative to surgery with high-tech, real-time image guidance that accurately target tumors anywhere in the body with pinpoint accuracy and delivers strong doses of radiation. This treatment system has been used to successfully treat lesions in patients who are otherwise not candidates for surgery or for lesions that are not amenable to open surgical techniques. It’s highly effective, clinically proven for both cancerous and noncancerous tumors. It uses a robotic arm to deliver highly focused beams of radiation.
CyberKnife may be used as an alternative to standard neurosurgical operations or as an adjunctive therapy in the treatment of residual or recurrent lesions malignant gliomas /glioblastomas left unresected by conventional surgery. CyberKnife can be especially useful for those patients who are not suitable for standard surgical techniques due to illness or advanced age. In many neurosurgical cases, the Cyberknife is the only feasible treatment.

CyberKnife offers several advantages to patients as it treats not curable tumors, with stereotactic bloodless radiosurgery anywhere in the body. It also has high levels of comfort, as it is a relatively pain-free treatment procedure and requires no anaesthesia. CyberKnife also significantly reduces treatment time as it treats only the affected areas and offers minimal side effects allowing the patient to go back to leading a routine life.

CyberKnife treatment is a bloodless, pain-free, & non-invasive type of radiosurgery, CyberKnife significantly reduces the treatment time and treats the affected areas with pinpoint accuracy with minimal side effects.
The duration of the treatment is reduced from 5-6 weeks to a maximum of 5-7 days with one session per day, lasting about 30-40 minutes (Time is depending on tumor size).
The treatment can be performed as an outpatient procedure, Patients does not require hospitalization. Patients can immediately return to daily activities after the session is over.

 Acoustic neuroma.
 Meningioma.
 AVMs (Arteriovenous Malformations)
 Brain metastases.
 Trigeminal neuralgia  Pituitary Adenoma  Gliomas  Glioblastomas

The Gamma Knife Radiosurgery offers a non-invasive alternative for many patients for whom traditional brain surgery is not an option. Gamma Knife Radiosurgery removes the physical trauma and the majority of risks associated with conventional surgery. The same as neurosurgery, the Gamma Knife Radiosurgery allows noninvasive cerebral surgery to be performed in one session and with extreme precision, sparing tissues adjacent to the target. Based on preoperative radiological examinations, such as CT scans, MR scans and angiography, the unit provides highly accurate irradiation of deep-seated targets, using a multitude of collimated beams of ionizing radiation with scalpel-like precision.
Like other radiosurgery, Gamma Knife Radiosurgery surgery is unique in that no surgical incision is made, thereby reducing the risk of surgical complications and eliminating the side effects and dangers of general anesthesia. The blades of the Gamma Knife Radiosurgery are the beams of gamma radiation programmed to target the lesion at the point where they intersect. In a single treatment session, 201 beams of gamma radiation focus precisely on the lesion. Over time, most lesions slowly decrease in size and dissolve. The exposure is brief and only the tissue being treated receives a significant radiation dose, while the surrounding tissue remains unharmed.
Gamma Knife Radiosurgery may be used as an alternative to standard neurosurgical operations or as an adjunctive therapy in the treatment of residual or recurrent lesions left unresected by conventional surgery. Radiosurgery can be especially useful for those patients who are not suitable for standard surgical techniques due to illness or advanced age. In many neurosurgical cases, the Gamma Knife Radiosurgery is the only feasible treatment.  Acoustic neuroma.
 Meningioma.
 AVMs (Arteriovenous Malformations)
 Brain metastases.
 Trigeminal neuralgia
 Pituitary Adenoma
 Gliomas
 Glioblastomas
Different beam sizes are available by using different helmets with holes of various sizes. Lesions from 5-40 millimeters can be treated. Surgeons can perform multiple exposures by readjusting the helmet and head position to achieve different lesion shapes. This procedure takes approximately 30 minutes.

The surgeons have extensive training and experience in performing microscopic and minimally invasive spinal surgeries.
During minimally invasive techniques, Surgeons make a small incision and use advanced computer technology and specialized instruments to repair back and spine conditions. In microscopic surgery, we combine minimally invasive techniques with highly sensitive, cutting-edge surgical microscopes to access even the most delicate areas with precision.
Minimally invasive techniques offer to patients:
 Faster recovery time than traditional spinal surgery
 Reduced infection
 Reduced blood loss
 Less scarring
 Faster return to your regular lifestyle

Nerve decompression surgery is a minimally invasive surgical procedure to relieve pressure caused by a neuroma, a pinched or entrapped nerve. Your surgeon relieves the pressure on the nerve by cutting tight tunnels around it. This way, even though the nerve is still swollen, there is no pressure on it from surrounding structures in your body, enabling the nerve to start functioning normally again.
Patients suffering symptoms (numbness, pain, and/or functional loss) from such conditions, who have not found relief through other, more conservative methods, may consider nerve decompression surgery. The specialists at swastik Health Consultancy can address the following with this treatment:
 Upper extremities: Surgery for carpal tunnel, cubital tunnel, or decompression of radial nerve
 Lower extremities: Surgery for femoral nerve, peroneal (foot drop) nerve, tarsal tunnel release
 Trunk: Thigh pain, burning or numbness (called meralgia paresthetica), release of lateral femoral cutaneous nerve
 Chronic migraine headaches: Decompression of nerves in the back, side and/or front of the head.
 Diabetic neuropathy

In order to preserve function when nerves are damaged, surgeons use microsurgical suturing techniques. However, surgeons are often not able to reconnect the nerve fibers because of the amount of damage at the injury site. Instead, our surgeons use a combination of the following to repair the nerves:
 Nerve conduits (tubes to bridge small nerve defects)
 Nerve allografts (processed human nerve to bridge small-large nerve gaps)
 Nerve allografts (used from the patient him/herself from other, less critical nerves)
 Some examples of the types of injuries that are candidates for this treatment include: Hand/finger injuries with sharp objects (usually knife) resulting in scar, pain, and/or numbness
 Traumatic or surgical injuries or any major upper or lower extremity nerve injury resulting in acute or delayed loss of the nerve function
 Nerve deficit following nerve tumor removal
 Patient with peroneal nerve neuropathy

The aneurysm clipping is a surgical procedure that is performed to treat a balloon-like bulge of an artery wall known as an aneurysm which becomes weaker and thinner with growth. This may lead to rupture or leakages and release blood into the spaces surrounding the brain, also called as a subarachnoid hemorrhage (SAH).

There are several potential treatment options for brain AVM. The main goal of treatment is to prevent hemorrhage, but treatment to control seizures or other neurological complications also may be considered.
Doctor will determine the most appropriate treatment for your condition, depending on your age, health, and the size and location of the abnormal blood vessels.
Medications also may be used to treat symptoms caused by the AVM, such as headaches or seizures.
• Surgery is the most common treatment for brain AVMs. There are three different surgical options for treating AVMs: Surgical removal (resection). If the brain AVM has bleed or is in an area that can easily be reached, surgical removal of the AVM via conventional brain surgery may be recommended. In this procedure, your neurosurgeon removes part of your skull temporarily to gain access to the AVM.
With the help of a high-powered microscope, the surgeon seals off the AVM with special clips and carefully remove it from nearby brain tissue. The surgeon then reattaches the skull bone and closes the incision in your scalp.
Resection is usually done when the AVM can be removed with slight risk of hemorrhage or seizures. AVMs that are in deep brain regions carry a higher risk of complications. In these cases, your doctor may recommend other treatments.

In endovascular Embolization procedure, doctor inserts a long, thin catheter into a leg artery and threads it through blood vessels to your brain using X-ray imaging.
The catheter is positioned in one of the feeding arteries to the AVM, and injects an embolizing mediator, such as small particles, a glue-like substance, micro coils and other materials, to block the artery and reduce blood flow into the AVM.
Endovascular embolization is less invasive than conventional surgery. It may be performed alone, but is frequently used prior to other surgical treatments to make the procedure safer by sinking the size of the AVM or the risk of bleeding.
In some large brain AVMs, endovascular Embolization may be used to reduce stroke-like symptoms by redirecting blood back to normal brain tissue. Most patients spend about two-three days in the hospital before they are allowed to go home. The patients are advised to follow light restricted activities for one to two months post surgery.

Different modalities are available to deliver SRS. The most commonly used ones are the Gamma Knife and LINAC (Linear Accelerator) based systems, such as the CyberKnife or X-Knife. Each of these systems has advantages and disadvantages, but they share certain similarities they all use a radiation source, or generator, in order to deliver photons to a target and they use computerized algorithms and head frames (or custom-fitted thermoplastic masks) to deliver the radiation accurately.

This technology makes it possible for neurosurgeons to reach the deepest recesses of the brain and correct disorders not treatable with conventional surgery. Since there is no incision, there are minimal surgical risks and little discomfort. Adult patients may be lightly sedated but are awake throughout the procedure. Hospitalization is short and at most, requires an overnight stay. The majority of patients are treated on an outpatient basis. While a result, patients experience less discomfort and have much shorter recovery periods than having undergone conventional surgery.

Subsequent stereotactic radiosurgery, bandages are placed over the pin sites from the stereotactic frame, and the bandages should be removed the next day. Patients may be observed for a specified time after the treatment before they go home, or they may be kept in the hospital overnight for observation. Some people experience minimal tenderness around the pin sites. rarely, swelling also may occur around the pin sites.