Brain blood vessels can be fixed by endovascular techniques

Three medical experts of specialised neurological streams from a Gurgaon-based institution highlighted the significance of new advances in neurological management for patients suffering from brain tumour, spinal disorders, stroke, epilepsy, sleep disorders, headache and movement disorders here over the weekend.

Addressing a continuing medical education programme, neurologists Aditya Gupta and Sumit Singh and endovascular neuro-intervention specialist Vipul Gupta explained the use of specialised treatments such as neuro-intervention for brain vascular diseases, deep brain stimulation for Parkinson's disease, surgery for uncontrolled epilepsy and brain tumour treatment by radio-surgery. The experts were earlier on the faculty of the All-India Institute of Medical Sciences (AIIMS), New Delhi.

The programme was organised here by the Medanta Institute of Neurosciences, Gurgaon, in collaboration with the Departments of Medicine and Neurology, Sawai Man Singh Medical College, Jaipur, and the Jaipur Chapter of the Association of Physicians of India.

Dr. Vipul Gupta said strokes and brain haemorrhages are the third most common cause of death and disability in India. “With advances in technology and expertise, we can [now] repair brain blood vessels by endovascular techniques, the way it is done in the heart,” he said.

Apart from reversing a paralytic attack by reopening blood vessels, endovascular procedures avoiding open surgery can also repair brain haemorrhage caused by weakness in brain vessels. The Medanta Institute has established dedicated neuro-intervention suites comparable to the best in the world, where over 1,000 intervention procedures have been performed so far.

While Dr. Sumit Singh said surgery in the later stage of Parkinson's disease could “dramatically change” the quality of life for patients, Dr. Aditya Gupta explained the utility of “brain suite” as an advanced intra-operative magnetic resonance imaging (MRI) with real-time navigation capabilities and a valuable tool for operations on tumours in the critical brain areas.

Experts pointed out that radio-surgery avoids exposure of the whole brain to radiation, which is the common method used presently. The entire brain not receiving exposure also helps in avoiding memory loss and other disturbances among patients.

It was pointed out that the Medanta Institute has introduced state-of-the-art technology for treatment, surgery and rehabilitation, such as brain lab, biplane neuro-intervention lab, endoscopic neuro-surgery theatre, spine surgery theatre, and robotic radio-surgery suite for the first time in South Asia.

Among others, eminent Jaipur-based neurologist Ashok Panagariya, Association of Physicians of India Jaipur Chapter president G.R. Singhvi, Sawai Man Singh Medical College's Renu Saigal (Department of Medicine) and C.M. Sharma (Department of Neurology) attended the programme.