Sub Specilities

Pediatric Neurosurgery

Pediatric Neurosurgery

What is pediatric neurosurgery?

This is a subspecialty of that specializes in the diagnosis, treatment, and management of children with various neurosurgical disorders. These problems involve the head, spine, and nervous system.

 

Why see a Pediatric Neurosurgeon?

Pediatric neurosurgeons treat neurosurgical problems that are quite different from those generally seen by general neurosurgeons. Pediatric neurosurgeons have specialized in treating pediatric neurosurgical diseases. Children with neurosurgical diseases often require frequent and regular follow-ups throughout their childhood. They forge a longstanding relationship with the child so that the child is comfortable and relaxed.

 

Children sometimes cannot say what is bothering them. Answering medical questions can be difficult and they may not be cooperative or patient while undergoing a medical examination. Pediatric neurosurgeons have the extra knowledge on how to interact with their patients. In addition, they decorate their offices and hospitals with bright colors and cartoons to make the environment-friendly to the child. They may also have toys, reading and writing materials, and videos for children. In addition, they use facilities and equipment that are specially designed for use by children.

 

Pediatric neurosurgeons work closely with another doctor to ensure that your child receives the best possible care. They make use of support services from nurses, pediatric physicians, nutritionists and others to ensure that your child has all the necessary care. This also ensures that the care provided is comprehensive and coordinated at the same time.

 

Conditions treated include:

Head deformities Spinal deformities Brain tumorsHead injuries Problems and injuries of the brain, spine or nerves Birth injuries (weakness of arms and legs) Hydrocephalus Intractable epilepsy Craniosynostosis Gait abnormalities (spasticity)Arachnoid cysts Spina bifida Brachial plexus injury also is known as obstetric brachial plexus palsy Movement disorders Cerebral palsy Craniofacial syndromes Chiari malformation Achondroplasia Congenital malformations of the brain and spine Vascular abnormalities Skeletal dysplasia

 

Common procedures include: 

Biopsy: This is the removal of tissues for further examination under a microscope by a pathologist. A biopsy can be further classified into incisional biopsy where only a sample of tissue is removed, excisional biopsy whereby an entire suspicious area or lump is removed and needle biopsy where a sample of fluid or tissue is removed suing a needle.Stereotactical biopsy: This procedure maps the brain in a three-dimensional system. It is used together with CT and MRI scans to accurately target the area in question.Debulking: This is the surgical removal of a part of the tumor. It aims at decreasing the tumor burden on the surrounding structures.Gross total resection: This removes the entire tumor that is visible. This procedure is done when the pediatric neurosurgeon believes that the tumor can safely be removed without risk of unacceptable injury.Endonasal endoscopy: This is a minimally invasive surgical procedure that allows the neurosurgeon to remove lesions or brain tumors through the sinuses r nose.

 

Training

Pediatric neurosurgeons have at least 4 years of medical school, 1 year of internship, at least 5 years of residency in neurological surgery. They also have additional training in pediatric neurosurgery. Pediatric neurosurgeons diagnose and treat children from infancy to their adolescence. Their unique and advanced training make them highly qualified for their chosen profession.

DR. ANTONY JOSEPH THEKKINEDATH

Paediatrics / Neonatology

Introducing to myself

Dr. T. J. Antony, M.D., MRCP(Paediatrics), FRCPCH, is an acclaimed and renowned Neonatologist in the country. He is the Director and Head of the Department of Neonatology at Fortis Memorial Research Institute, Gurgaon. With a rich experience of 32 years to his credit, Dr. Antony has been associated with many prestigious organizations like Lady Hardinge Medical College, New Delhi, the Ministry of Health, Oman, St. Peter's Hospital, Chertsey, England and Mayday University Hospital, Croydon, England. He takes keen interest in educational activities and research. He has been involved in undergraduate and postgraduate medical training in India, Oman and the United Kingdon. He was also involved in training of doctors under various WHO Programmes for children. He is a national trainer for Neonatal Resuscitation Programme. He is also interested in research and has several publications in peer reviewed journals.

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DR. RAKESH K JAIN

Paediatrics / Paediatric Neurology

Introducing to myself

Dr. Rakesh Jain is a UK trained and experienced Paediatric Neurologist with over 19 years of experience. He has been working as Senior consultant Paediatric Neurologist at Fortis Hospital for the last 6 years. He has presented his work at many conferences like Pedicon, European Paediatric Neurology, British Paediatric Neurology and the Royal College of Paediatric & Child Health Conference, to name a few. He is an active member of various international neurology societies. He has been instrumental in initiating various courses on Paediatric Epilepsyand PaediatricEEG in India. Paediatric Epilepsy courses have been conducted across India to train paediatrician in collaboration with BPNA, UK.

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DR. K S IYER

Paediatric Cardiac Surgery

Introducing to myself

Dr. Krishna S Iyer is is Executive Director in Paediatric Cardiac Surgery and is one of India's most experienced pediatric cardiac surgeons, recognised for his clinical expertise and involvement with cardiac care for children in India and other developing nations.

After his medical training he joined the faculty of cardiac surgery department of AIIMS, New Delhi. He then trained in infant cardiac surgery in Australia and then established neonatal cardiac surgery at AIIMS.

Dr. Iyer began the first dedicated pediatric cardiac care program in North India at EHIRC ( now FEHI ) in 1995. Under his guidance, this pediatric cardiac program has become the benchmark for cardiac care for children in India and its South East Asian neighbours. Dr. Iyer has operated on more than 14,000 patients with congenital heart diseases from all parts of India and International patients from over 15 countries. He has performed the first successful rapid two stage arterial switch and double-switch operation in India.

He has more than hundred research publications in national and international journals and travels extensively to cities across India and abroad to deliver lectures.

He has been the Founder President of Asia-Pacific Pediatric Cardiac Society, Society of Pediatric and Congenital Heart Surgeons and President of Pediatric Cardiac Society of India.

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