NIMHANS

Neurosurgery

Department of

 Neurosurgery

Clinical Services

Casualty and Emergency -

The department caters to neurosurgical patients primarily for the patients from the state of Karnataka and neighboring districts of the adjoining states. About 5-10% of the inpatients are drawn from the different parts of the country especially the northeast. It also provides quality emergency and trauma care. The casualty and emergency services are run 24 hours a day, manned by junior, senior residents and a member of the faculty. The casualty block has 3 areas identified according to the emergency patient care requirement as priority I, II and III areas. Ten beds are available separately for observing patients who need short-term emergency admissions.

Out Patient services -

Out patient services for non-emergency cases are run on Monday, Wednesday and Friday from morning 9.00 A.M. On an average about 150 new and old patients are seen per day in these services. Special Clinics attending to trauma follow-up patients function on Wednesdays and a clinic attending to the special problem of spina bifida patients function on Friday.

In Patient services -

To accommodate the patients for admission and surgery there are totally 123 beds available. Of these 67 are general ward beds (including 12 beds in recovery room), 14 single special rooms and 17 double-bedded special rooms. There is also a separate 10-bedded facility for postoperative patients.

A modern fully equipped intensive care facility is available and can manage 10 neurosurgical patients requiring respiratory and critical care at a time. This facility also has a modern ventilator, monitor and equipment to monitor intracranial pressure in each patient, in all the ten beds, with ideal nursing staff ratio. A resident neuroanaesthetist and a neurosurgeon man this intensive care facility round the clock.

There are 6 fully equipped operation theatres and one is reserved 24 hours a day round the year only for emergencies. The other 5 theaters run 5 days a week (Monday – Friday) for elective surgery.

The theaters have specialized apparatus and equipment required to deliver quality neurosurgical care. The list among various instruments includes -

• Modern operating Microscopes (5)
• Intra- Operative ultrasound
• Transcranial Doppler
• Intra Op Electrophysiological monitoring
• Intra Op fluoroscope
• Neuroendoscope
• Stereotactic apparatus
• RF lesion generator
• Ultrasonic surgical aspirator

Special services - -

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Facilities and expertise for the following sub-specialties are available in the department other than routine neurosurgical problems -

• Cerebrovascular surgery
• Cranial base surgery
• CVJ anomalies
• Spinal reconstructive instrumentation
• Neuroendoscopic procedures
• Stereotactic procedures
• Surgery for movement disorders and epilepsy
• Paediatric Neurosurgery
• Peripheral nerve surgery

The Gamma Knife facility is established.