Brain Surgery India - An Overview

On the timescale of medical advances, the brain was one of the last frontiers. Today, brain surgery has advanced dramatically with a series of radical and path breaking innovations. Keeping pace with global developments, brain surgery in India has become truly state-of-the-art.

Today there are about 250 hospitals in India which offer basic neurosurgery, an additional 130 hospitals which offer complex neurosurgeries. Of these, 20 are super specialty brain surgery hospitals in India which perform highly advanced neurosurgeries and neuroendoscopic procedures on par with the best neurosurgery centres anywhere in the world. These centres for neurosurgery are manned by neurosurgeons from India -many with extensive training and work experience abroad. India has over 1000 neurosurgeons actively performing brain surgeries and spine surgeries across hospitals in India.

The brain surgeries performed by some of these hospitals in India include:

  • Neuroendoscopy
  • Skull base surgery
  • Vascular surgery
  • Stereotactic radiosurgery
  • Interventional neuroradiology
  • Deep Brain Stimulation for Parkinson's Disease
  • Brain surgery for epilepsy, etc.

Apart from general neurosurgery, many brain surgeons in India have qualified in various sub-specialities such as paediatric neurosurgery, skull base surgery, interventional neuroradiology, stereotactic radiosurgery, functional neurosurgery, epilepsy surgery, etc.

The success rate for brain surgeries in India is extremely high, being on par with global benchmarks.

Brain Surgery in India - Key Advantages

  • Brain surgery in India is performed by highly qualified neurosurgeons with very strong academic credentials.
  • Many brain surgeons in India have super specialty academic qualifications and training in the UK, USA, etc
  • Brain surgery in India is performed in state-of-the-art operation theatres.
  • Brain surgery in India is preceded by investigations that are carried out on machines with cutting edge technology from companies like Siemens, Phillips, GE, etc
  • The success rate of brain surgery in India is on par with global benchmarks
  • The success rate of brain surgery at some Indian hospitals is further enhanced by the use of Brain Suite with intra-surgery MRI imaging capability
  • The cost of brain surgery in India is amongst the world's lowest, about 15-20% of the cost in the USA
  • The low cost of brain surgery in India is without any compromise on quality or success rate


Cost of Brain Surgery in India

The cost of brain surgery in India is amongst the world's lowest.

Some examples:

  • Pituitary Tumour Excision Surgery in India: Brain surgery at leading hospitals in India for the removal of pituitary tumour will cost approximately US dollars 3000 to 6000, depending on the hospital and the Ward in which you opt for treatment.

    The corresponding cost in the USA would be about $ 15,000 -30,000
  • Skull Base Surgery in India for Tumour Excision: This surgery will cost approximately US dollars 4000 to 8000 depending on the hospital and the Ward in which you opt for treatment.

    The corresponding cost in the USA would be about $ 20,000 -45,000

  • Stereotactic/navigation guided biopsy in India: This procedure would cost between US dollars 1500- 3000 depending on the hospital and the Ward in which you opt for treatment

    The corresponding cost in the USA would be about $ 5,000 -10,000

List of Brain Surgeries Performed in India:

( This is a partial list. Please Enquire for the procedure you need and we will respond! )

The following brain procedures are offered at one or more of our associate hospitals across India:

Craniotomy/Brain Tumour Excision Surgery in India

Under general anaesthesia, the surgeon makes an incision along the planned line, exposes the skull and uses a special tool to cut away a section of the skull.  The objective of the surgery would be the total removal of the tumour. Leading hospitals in India use extremely sophisticated surgery navigation.  The sophisticated imaging and mapping technology enables a very close identification of tumour location.  This facilitates very precise planning of the incision to avoid/minimise trauma to healthy brain tissue in the course of the surgery

Read more..

Minimally Invasive Endoscopic Neurosurgery in India

Revolutionary technology has today made it possible for even complex brain surgeries to be carried out in a minimally invasive manner.  In the past open surgery, with large incisions, was the norm for carrying out brain related procedures. 

The development of the neuro endoscope has changed the way brain surgeries can be done.  The neuro endoscope uses a video camera and micro-surgical instruments mounted on the tip of a flexible tube which can be maneouvred through complex body and brain anatomy.  The endoscope can be as small as 2.7 mm, and the skin incision can be tiny - as small as that of a small coin.

Read more..

Stereotactic surgery in India         
Stereotactic Radiosurgery, contrary to the way it sounds, is not an invasive surgery.  It is a non-invasive procedure that uses high-powered x-rays or gamma rays in a highly focused mode on a precisely defined portion of the body.  This procedure has been used to treat brain disorders for several years but is now finding application in treating medical conditions in other parts of the body such as the lung, liver abdomen, prostate, head and neck as well.

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Ventriculoperitoneal (V P) shunting for hydrocephalus in India
The VP shunt is a commonly performed neurosurgical procedure for the treatment of hydrocephalus, a condition in which there is a buildup of excess pressure within the brain.  This procedure aims to transfer excess fluid from within the brain to either the abdominal cavity or the chest region of the body.  The transfer of this excess fluid normalises the intracranial pressure (pressure within the brain)

Read more..

Extratemporal Cortical Resection ( Epilepsy Surgery) in India
This procedure for the treatment of epilepsy is performed on an area of the brain other than the temporal lobe. The most common extratemporal site for seizures is the frontal lobe. The brain surgeon removes through a surgical procedure brain tissue that contains a seizure focus. Depending on the diagnosis and the location of the seizures, the surgeon may need to remove tissue from other areas of the brain as well.

Temporal Lobe Resection ( Epilepsy Surgery) in India:
This procedure for the treatment of epilepsy is performed on an area of the brain known as the temporal lobe. The temporal lobe is that portion of the brain which is located on either side of the head just above the ear. The brain surgeon removes through a surgical procedure brain tissue that contains a seizure focus.  The front and middle portions of the temporal lobe are the sections of the brain that most often require surgery for epilepsy

Deep Brain Stimulation Surgery ( DBS) in India

Deep brain stimulation surgery is offered as a solution for patients suffering from Parkinson's disease, multiple sclerosis and tremors. In a surgical procedure, electrodes are placed in those parts of the brain that are causing the symptoms.  The electrodes are connected to a kind of pacemaker placed under the collar bone.  Electrical impulses sent from the pacemaker modify brain activity leading to control of tremors. 

 Endoscopic transsphenoidal surgery in India

This is a minimally invasive surgery in which tumour sites located in the brain such as the pituitary gland, sellar region, and sphenoid sinus of the skull are removed by using an endoscope or a microscope. The endoscope is inserted through the nostril to reach the tumour. Instruments for the removal of the tumour are inserted through the other nostril to carry out the surgery.

Treatment of Arteriovenous Malformation ( AVM) in India

An arteriovenous malformation is an abnormal connection between arteries and veins which causes the draining off of oxygenated blood directly from the arteries to the veins. The abnormal section of the blood vessels is inherently weak and is prone to bursting, causing internal haemorrhage.  Other symptoms of AVM are seizures, headaches, etc. AVM's are treated with medication, surgery, stereotactic radiotherapy or interventional neuroradiology/endoscopy.  The choice of treatment will depend on the size and the location of the AVM.

Skull Base Surgery in India

The skull base in that portion of the head which comes between the brain and the following sensory organs: eyes, ears, nose and mouth. Skull base disorders normally take the form of tumours, which can be benign or malignant. Examples of benign tumours are meningiomas, pituitary adenomas and acoustic neuromas.  Benign tumours may also need to be removed if they interfere or impact brain function.  Surgery on this portion of the brain is called skull base surgery.

Brain Surgery hospitals in India

The best brain surgery hospitals in India are amongst the most advanced in the world. These hospitals bring together top-flight neurologists, neurosurgeons, interventional neurologists and radiologists in India to form multi-skilled teams that are able to offer holistic solutions to manage even the most complex neurological disorders and injuries.

Brain surgery hospitals in India offer world class investigations:

Our associate hospitals have some of the latest in imaging and diagnostics, such as:

  • 3 Tesla MRI
  • 256 slice CT scan
  • PET scan
  • State of the art neuro-physiology lab with video EEG, VEP, BAEP and NCV capabilities

Brain surgery hospitals in India offer world class operation theatres:

Brain Surgery in India's leading hospitals and is extremely successful on account of the world class operation theatres and cutting edge technology that is available to neurosurgeons in India:

  • Brain Suite (with Miyabi Intra-operative MR)
  • Biplane neuro-intervention laboratory
  • Endoscopic neurosurgery theatre
  • Spine Surgery theatre with image guidance
  • Elekta Radio surgery suite.
  • X-Knife for SRS (Stereotactic RadioSurgery) procedure, with the added ability to deliver fractioned treatment (Stereo Tactic Radiotherapy-SRT) for benign and malignant tumors
  • Computer Assisted Neurosurgery with an accuracy of 1mm in which images of the patient's brain can be directly transferred from the MRI or CT Scan to the Operating Theatres
  • Frame Based Stereotaxy featuring the Radionics CRW System
  • Microsurgical Instruments
  • Gamma Knife
  • Linear Accelerators ( LINACs) / CyberKnife

Brain surgery hospitals offer the latest in Interventional Neuro Radiology, in India:

Interventional neuroradiologists in India perform a range of procedures: angioplasty and stenting, embolization of AVM's (arteriovenous malformation), treatment of large aneurysms and endovascular packing, carotid-cavernous fistula hemangiomas of the head and neck, vascular tumors, etc

Brain surgery hospitals in India offer dedicated and specialised Neurosurgery and Neurology ICUs:

Highly trained intensivists work in close collaboration with neurosurgeons to provide high-quality support to patients as they recuperate from the surgeries. Trans-cranial Doppler is used routinely for head injury patients and patients with sub-arachnoid hemorrhage.

Brain surgery hospitals offer Neuro-rehabilitation in India:

Given the nature of several neurological problems, neuro- rehabilitation is an important requisite for many patients. Some of the leading hospitals in India have dedicated modules for neuro -rehabilitation:

  • ARMEO for functional therapy of the upper limbs
  • ERIGO for speedy rehabilitation and mobilization of patients
  • LOKOMAT for accelerated locomotion therapy

FAQ's about Brain Surgery in India

How common are brain surgeries in India?

About 380 hospitals in India perform neurosurgeries. Of these hospitals, about 250 perform basic neurosurgeries, about 130 perform complex neurosurgeries. Of these 130 hospitals, 20 can be described as Centres for Excellence In Neurosurgery in India. These super specialty neurosurgery hospitals perform surgeries and interventions which are as complex as those performed at the best institutions in other parts of the world.

How qualified are neurosurgeons in India to perform brain surgeries?

India's medical schools are very rigorous in terms of course content, hands on training and post qualification training. Specialists in neurosurgery have often studied and trained for 10 years or more before they join hospitals in an independent capacity. Several neurosurgeons who are practising in India today, have also acquired super speciality qualifications at the best institutions in the UK, USA, Japan, etc.

After specialising in general neurosurgery, many brain surgeons in India have gone on to super specialise in various sub-specialities such as paediatric neurosurgery, skull base surgery, interventional neuroradiology, stereotactic radiosurgery, functional neurosurgery, epilepsy surgery, etc.

How experienced are neurosurgeons in India at brain surgeries?

A large number of the neurosurgeons at super speciality neurosurgery hospitals in India have experience working at leading hospitals not only in India but also abroad. Having learnt the latest techniques abroad, these brain surgeons are able to apply this knowledge on the large number of patients seeking treatment at Indian hospitals. It is common knowledge that, by virtue of their large number of patients, Indian hospitals offer their doctors the opportunity to acquire a great deal of hands-on experience in the shortest possible time. The end result is that doctors working at Indian hospitals are highly qualified and have great experience at handling a wide range of complex brain surgeries.

Do hospitals have specialised equipment for carrying out investigations prior to brain surgeries in India?

The most complex brain surgeries in India are performed at the super speciality neurosurgery hospitals, or in the high-tech neurosurgery departments of India's best hospitals. In either case, these institutions have invested in state of the art investigation equipment, for example: State of the art neuro-physiology lab with video EEG, VEP, BAEP and NCV capabilities, Brain Suite (with Miyabi Intra-operative MR), 3 Tesla MRI, 256 slice CT scan, PET-CT scan, etc

Do surgeons perform neuroendoscopic surgeries in India ?

Yes, several minimally invasive endoscopic procedures are performed, typically for the removal of certain tumors (eg. intraventricular and pituitary tumors), third ventriculostomy in the treatment of hydrocephalus, drainage of brain abscesses and cysts, etc

Do neurosurgery hospitals in India have formal Quality Certifications?

Yes, hospitals that offer complex brain surgery in India do have formal Quality Certifications. These may include:

  • JCI-USA certification issued by the Joint Commission International, a US government body. This certification implies that the hospital meets or exceeds the standards defined for hospitals in the USA.
  • NABH Certification issued by National Accreditation Board for Hospitals & Healthcare Providers (NABH), an institutional member of the International Society for Quality in Health Care (ISQUA)
  • ISO certification

What is the success rate I can expect if I were to have a brain surgery in India?

You can expect a success rate on par with global benchmarks when you have your treatment at the leading neurosurgery hospitals in India.

The extremely high success rates in India are a result of high-quality investigations, state-of-the-art infrastructure for surgeries and a truly well-qualified and highly experienced class of medical professionals.

10 Reasons why you should have your brain surgery in India through Aarex Medical Services?

  1. We offer you a network of 30 associate hospitals in India to choose from
  2. Every hospital has distinct areas of excellence. Aarex Medical Services, on account of its ongoing referrals to leading hospitals and on account of its close networking with the medical community in India, is able to identify the best hospital for your specific condition
  3. In a similar vein, it is very often important to choose the right specialist in order to get access to some very specific expertise required for a very complex procedure. We are able to choose for you the right doctor, whichever hospital in India he might be in. On the other hand, if you were to choose a hospital directly, without knowing the strengths of the hospital, you will be limited to the expertise of the doctors at that specific hospital.
  4. We have affiliations with institutions that rank amongst the best hospitals in India while also being amongst the lowest cost hospitals in the world, in relation to the value they offer
  5. Aarex Medical Services is ranked as one of the best medical tourism companies in India
  6. No extra charges for our services to facilitate your neurology/ neurosurgery in India. We receive an administration fee from the hospitals directly.
  7. Quick responses.. Within 24-hours
  8. Single point of contact for all your needs
  9. Personalised attention at all times
  10. Our team of professionals have facilitated treatment in India for patients from 31 countries…we understand and anticipate your needs

The brain surgery procedures listed above represent ONLY A PARTIAL LIST of what is available at hospitals in India. We offer the full range of brain related treatment in India, both surgical and nonsurgical. If you did not see the procedure that you need above, please contact us with the details of your diagnosis and we will be happy to respond to you with a detailed medical opinion and a customised cost estimate.