A neurosurgeon is a highly trained medical professional who specializes in surgery on the brain, spine, and peripheral nervous system, in short he is a brain & spine surgeon. The neurosurgeons work is usually regarded as some of the most complex within the medical field, in part because of how specialized, intricate and important these parts of the body are.
The aim of the best neurosurgeons is cure with the least or no morbidity. We use various tools to accomplish this aim- Microscope, Endoscope, Stereotaxy system, Neuronavigation, drills, CUSA. We also uses techniques like awake craniotomy, intraop neuromonitoring, combination of techniques like microscope and endoscope or surgery and radiation to produce the best possible results.
Microsurgery is utilized and fundamental to many aspects of neurosurgery. The clipping of aneurysms, brain and spinal tumor removal is performed using a microscope. Minimally invasive spine surgery utilizes these techniques. Minimally invasive endoscopic surgery is also utilized by neurosurgeons. Techniques such as endoscopic endonasal surgery is used for pituitary tumors, craniopharyngiomas, chordomas, and the repair of cerebrospinal fluid leaks. Ventricular endoscopy is used for colloid cysts and neurocysticercosis. Endoscopic techniques can be used to assist in the evaculation of hematomas and trigeminal neuralgia.
Repair of craniofacial disorders and disturbance of cerebrospinal fluid circulation ( hydrocephalus) Conditions such as chiari malformation, craniosynostosis, and syringomyelia are also treated by neurosurgeons. Procedures such as microdiscectomy, laminectomy, and artificial discs rely on microsurgery. More extensive procedures of Spine fixation for instability due to degenerative spine diseases, infection and fractures are done by neurosurgeons using spine instrumentation systems.
As a neurosurgeon Dr. Sunil Kutty deals with these myriad diseases and disorders daily and he strives to give his patients the best possible evidence based treatment.