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I was awake during brain surgery, Modern Day Neurosurgery

I was awake during brain surgery. I spoke with the surgeon and he actually laughed during the operation. This is what my patient told his brother the night of surgery.This patient had a mild glioma in his left frontal brain. I performed the neurosurgery while the patient was awake so as not to impair his speech. I had the tumor removed and was able to save his speech, and the patient came to me regularly for follow-up, recounting the experience as unique and memorable. increase.

Dr. Abida Shah

Neurosurgery Associate Professor

Seth GS Medical College and KEM Hospital

consultant neurosurgeon, KJ Soumeya Hospital/Medical College

consultant neurosurgeon, Apollo Hospitals, CBD Verapool

The brain is the most magnificent and enigmatic organ in the body, making neurosurgery one of the most technically challenging and demanding fields of medicine. This is a relatively “young” discipline that developed as an organized branch in the late 1800s and early 1900s. However, as our understanding of brain function deepens and new technologies converge to allow neurosurgeons to perform surgery safely, it is now becoming a rapidly evolving field.

For a long time, the field of neurosurgery was considered a “no man’s land.” The outcome of surgery is often worse than the natural course of the disease itself. Over the past decade, the goal of neurosurgery has changed from simply ‘saving lives’ to achieving a better quality of life that allows patients to return to their normal lives and occupations. What changed to make this possible?

Philosophy of neurosurgeons and neurosurgeons:

Surgery for tumors in the brain differs from surgery for tumors elsewhere in the body, where removal of the tumor in the surrounding tissue, which is free of tumor, is suggested. In the brain and spine, we neurosurgeons cannot afford to remove normal tissue far beyond the tumor in most patients. This normal tissue contains functions essential to a person’s daily performance.

Best Brain Tumor Surgery Hospital

Human neural networks are composed of ‘nodes’ (cortical regions) connected by a series of ‘edges or links’ (subcortical networks) to create the most fascinating grid of motor, sensory, autonomic, and emotional functions. create. Understanding this neural circuit is the key to success. brain surgery.

I believe that mastering the 3D structure of brain anatomy is a building block to becoming an accomplished neurosurgeon. I love spending hours studying the anatomy of the brain and unlocking its secrets.

Brain mapping helps connect anatomy with brain function, and initiatives like the Human Connectome Project help build maps of the surgical realm, resulting in surgical victories. Examples of this triumph include maintaining or improving motor function in motor strip gliomas, maintaining facial function and smiling in patients, maintaining hearing in acoustic schwannoma, and gait in tetraplegic patients with craniovertebral junction abnormalities. . This victory brings a deep sense of satisfaction and allows us to stand tall among our breed.

“Only a neurosurgeon can improve five billion years of evolution in a matter of hours.

human brain. A trillion nerve cells storing more electrical patterns than the water molecules in the world’s oceans. The tapestry of the soul is woven into the neural threads of the brain.

The delicate, uninvaded brain floats quietly in the vault of bones, like a jewel in the crown of biology. What is the motivation for the giant leap in intellectual horsepower between chimpanzees and humans? between tree-dwellers and moonwalkers?Is the brain a gift from God, or is it just A jackpot of 1 trillion DNA dice? “

— Frank Barthick Jr.

Neurosurgical techniques and techniques

Technology has rapidly paved the way for neurosurgery. A modern neurosurgery operating room might look a lot like a space station. The ‘brain suite’ includes a microscope, neuronavigation station, CUSA, intraoperative ultrasound, neurophysiological monitoring system, endoscope and intraoperative CT/MRI. The Hybrid Brain Suite enables intraoperative cerebral angiography while performing neurovascular surgeons. A neurosurgeon is at the heart of this machine and directs its use. But the clutter of this gadget cannot replace elaborate neurosurgical techniques.

A pilot’s skill is measured by manual flight skill in which maneuvers are performed by analyzing raw information obtained from airspeed, altitude, weather and heading without the use of modern technology. Similarly, the pilot’s skill is neurosurgeon
Measured by his neurosurgical technique.

Mastering the technical skills of neurosurgery requires great passion and practice, a blend of mind, spirit and soul until perfection is achieved. This skill defines the capabilities of a neurosurgeon, much like any artist. Without mastery of this technique, there are no flashy gadgets to help you perform excellent neurosurgery.

Overall, neurosurgery is an art. Modern neurosurgery is advancing to make brain and spine surgery safer. As neurosurgeons, we have a great responsibility, but we also have the unique joy of seeing our patients regain consciousness, walk again, and talk again after a good surgery. neurosurgery procedure was done. I couldn’t be happier.

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