| | | | | pre-op mapping. Dedicated neuroradiologists can |
| Pediatric Neurosurgery in India is one of the recent | | | | provide preoperative tumor embolization when |
| advancement in medical healthcare industry in India. | | | | necessary to reduce bleeding during surgery – an |
| Pediatric Neurosurgery is a sub-specialty of | | | | important precaution for surgery in infants. |
| Neurosurgery and requires additional fellowship training | | | | Intraoperative technology includes the following: |
| after residency to specialize in the care of infants | | | | • Frameless stereotaxy – allows more precise, |
| and children. The specialty focuses on the particular | | | | and less invasive, incisions and craniotomies |
| problems seen, and sometimes unique to, the | | | | • Ultrasound – provides real-time information |
| pediatric age group. As such, our practice is | | | | on tumor location |
| exclusively dedicated to the care of children with | | | | • Brain mapping – enables placement of |
| neurosurgical disorders and incorporates a team | | | | subdural grids and mapping of the brain’s |
| approach involving many other pediatric specialists | | | | language and motor areas for treatment of tumors in |
| including pediatric anesthesia, neuro-radiology, | | | | eloquent locations |
| neuro-oncology, plastic surgery, and neurology. Many | | | | • Awake craniotomy – allows continuous |
| hospitals in metros like Mumbai, Delhi Chennai and | | | | neurological testing to ensure that no new deficits |
| Bangalore in India are providing international quality | | | | are incurred during the tumor resection |
| healthcare services to international patients who are | | | | • Neuro-physiological monitoring – monitors |
| wishing to have their pediatric neurosurgery in India. | | | | changes in brain stem, spinal cord and nerve ending |
| Pediatric Subspecialties Brain and Spinal Cord Tumors | | | | signals to alert the surgeon of potential danger |
| The preoperative evaluation for brain and spinal cord | | | | before permanent injury can occur |
| tumors involves MRI and interventional | | | | • Instrumented spinal fusion – enables spinal |
| neuroradiology. For MRI UVa has an anesthesiology | | | | surgeons to perform spinal fusions unique to children, |
| team dedicated to pediatric cases, and employs MR | | | | where future spinal growth must be accounted for. |
| spectroscopy and functional MRI to provide precise | | | | |