Understanding Common Neurosurgical Conditions:
Insights from Dr Kailash Narayan

About the Doctor

Kailash Narayan

Speciality: Neurosurgeon

Dr Kailash Narayan is a neurosurgeon and has several years of experience in treating patients with neurological disorders.

This blog discusses the key points from his session, where he addressed issues related to neurosurgery.

Latest approaches in neurosurgery

Over the past few decades surgical techniques have evolved from larger and more invasive approaches to smaller and less invasive options.

Brain tumor

The symptoms of a brain tumor can be very variable depending on the location, growth rate, and other factors. Seizures, dementia, headaches, weakness and unsteadiness are some of the possible symptoms though it is not uncommon for there to be no symptoms at all!

It can sometimes be discovered coincidentally when a patient is being tested for something else.

Screening tests for brain tumor

There are no particular screening tests that are done as part of a routine annual physical exam. Once there is a suspicion of an abnormality then there are excellent studies like CT and MRI scans among others.

Spinal cord tumors

Tumors involving the spinal cord itself are quite uncommon. Much more common are cancers in other parts of the body (such as breast,lung or prostate) that spread to the vertebral column causing fractures and compression of the spinal cord.This can result in severe pain in the back as well as weakness and numbness in the arms and legs .

Concussion

Concussion is traumatic injury to the brain that is hard enough to cause short term alterations in level of consciousness. If mild it usually recovers quickly but repeated episodes can result in long term consequences.

Hydrocephalus

Hydrocephalus can be defined as the accumulation of fluid in the brain. It can be very serious requiring treatment that can include placing a drainage device known as a shunt.

Spinal cord injury

A severe spinal cord injury is one of the most serious injuries that anyone can suffer from. In its complete form it causes total and permanent loss of movement and feeling in the body below the area of the injury.

Management of a herniated disc

This is a very common condition that in mild cases causes neck and back pain. In severe cases it can cause intense pain and even weakness in an arm or leg.

Treatments range from medications to massage and physical therapy, steroid injections to the spine and even surgery if necessary.

Brain aneurysms

An aneurysm is a weak spot in a blood vessel that can rupture and cause severe damage including sudden death.

There are now very effective treatments available if found early.

Conclusion

The modern management of neurological conditions often involves a multi specialty approach that provides the best opportunity to achieve an optimal diagnosis and outcome.

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