Bangalore Neuro & Spine surgery

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Bangalore Neuro & Spine surgery

DR AVINASH KM
NEURO/SPINE & INTERVENTIONAL NEUROSURGEON @ SPARSH HOSPITAL, YELAHANKA, BANGALORE

04/01/2026

Spinal Tuberculosis: Early Diagnosis & Minimally Invasive Surgery Can Restore Function

CASE 1:
60-year-old female presented with months of severe back pain and recent onset weakness in one leg.
Imaging revealed infective spondylodiscitis at L1–L2 with vertebral body destruction and significant spinal canal stenosis.
🔧 She underwent minimally invasive spinal fusion with limited exposure for neural decompression and biopsy.
🧪 PCR confirmed tubercular infection, and she was initiated on anti-tubercular therapy (AKT).
✅ She has made an excellent recovery with complete resolution of neurological deficit.

CASE 2:
67-year-old female presented with similar complaints and progressive weakness in both lower limbs.
She underwent a similar MIS procedure with remarkable neurological recovery.

✨ Key takeaways:
✔️ High index of suspicion for spinal TB
✔️ Role of MIS techniques in reducing morbidity
✔️ Importance of etiology-directed medical therapy.

01/01/2026

Ending 2025 and beginning 2026 where purpose meets passion — the operating room. 🏥✨
The year closed with a 57-year-old gentleman suffering from severe neck and right arm pain due to C6–7 cervical disc disease, successfully managed with ACDF. 🦴🔧
The new year began with a 62-year-old patient presenting with acute neck and left arm radicular pain from multilevel disc disease, who underwent an uneventful 3-level cervical disc replacement. 💪🧠
Grateful for the trust of patients and the unwavering support of the entire surgical and perioperative team. Looking forward to another year of learning, teamwork, and patient-centric care.
Wishing everyone a Happy, Healthy & Successful New Year 2026! 🎉✨

30/12/2025

🧠 Pediatric Neuro-Oncology | Case Highlight
A 1 year 8-month-old child presented with excessive crying, vomiting, poor feeding, and recent-onset squint.
Neurological exam revealed mild 6th & 7th cranial nerve paresis.
📸 Imaging showed a large 4th ventricular tumor causing obstructive hydrocephalus.
🔪 Surgical Management
➡️ Midline suboccipital craniotomy with near-total excision
➡️ Small sleeve of tumor left on brainstem to preserve function
➡️ Extubated on table
✨ Outcome
✔️ Immediate improvement in 6th & 7th nerve palsy
✔️ No new neurological deficits
🧪 Histopathology: Ependymoma – WHO Grade II

🎯 Key Message
Maximal safe resection remains the cornerstone in pediatric 4th ventricular ependymoma, even in very young children—preserving neurological function while achieving excellent outcomes.
🧠
🎗️

29/12/2025

Case Highlight | Neurointervention 🧠🩺
A 17-year-old girl presented with brief TIA-like episodes ⏱️. Imaging revealed a dissecting aneurysm of the petrous ICA.
Workup was normal and there was no history of trauma.

She was initially managed conservatively 💊, but follow-up angiography at 6 weeks showed interval growth of the aneurysm.
After discussion with the family , we proceeded with endovascular repair using a covered stent.
✅ Procedure successful
🧠 No neurological deficits
📅 >6 months follow-up – doing great
Devices 🛠️:
Cerebase 6F | Navien 5F | Traxcess 0.014 |
Graftmaster 4.5 × 26 mm

A reminder of the value of close follow-up, timely intervention ⚖️, and endovascular solutions in young patients 🌱.

28/12/2025

*Case Highlight:* 🚨 60-year-old male presented with seizures, dysarthria, & right-sided limb weakness.

Imaging revealed a large brain tumour causing severe mass effect & midline shift. ✅

Successful elective craniotomy & tumour excision* performed — patient showed immediate symptom improvement!

Histopathology: *Meningioma* (typically benign, slow-growing).

Treatment: Observation for asymptomatic; surgery for symptomatic/growing tumors.

⚕️

27/12/2025

39 years male with previous history of head injury due to road accident, decompression followed by bone flap replacement about 2 years back elsewhere.
Now he was brought with recent history of progressive worsning difficulty in balance, standing,not able to walk, neck pain, headaches, new onsets of speaking issues. When he presented to us, he was wheel chair bound, reduced speech, loss of apatite with severe loss of weight, significantly reduced social activities with bowel and bladder incontinence.
After evaluation we found resorption of bone with sinking of flap causing mild ipsilateral cerebral compression probably resultant secondary tonsilar herniation and cervico medullary compression.

After detailed discussions with patients family we took him for Bone flap replacement with 3 D recostructed titanium mesh and foramen magnum decompression with duroplasty in single sitting. His procedures were uneventful with surprising drastic improments with in 10 days. He regained strength in legs to normal walking, improved in his speech, improved social activities. Now after 3 months he is back to work with complete normalcy.

26/12/2025

4 years child was brought to emergency department with headaches, multiple episodes of vomiting associated with double vision, imbalance on walking. On imaging child was found to have large 4th VENTRICULAR TUMOUR with resultant hydrocephalus. Child was taken for emergency surgery in the late noon. 5 to 5½ hr surgery leading to near total excision of tumour with very thin sleeve of tumour adherent to brain stem was left over floor of 4th ventricle. Child was kept on elective ventilation over night and extubated next day. Child recovered well with no neurological symptoms. HPR showed high grade lesion needing Radiotherapy. Followup MRI after RT showed no residual tumour.

Fourth ventricle tumors in children, like medulloblastoma, ependymoma, and pilocytic astrocytoma, often cause headaches, vomiting, and lethargy due to blocked cerebrospinal fluid (CSF) flow, leading to increased brain pressure (hydrocephalus) or direct pressure on the brainstem/cerebellum (causing gait/eating issues). Treatment involves surgery (often using minimally invasive telovelar approach), and potentially chemo/radiation, with prognosis depending on tumor type, extent of surgical removal, and spread.

25/12/2025

57years female with few episodes of seizures and chronic mild headaches. she was found to have large MENINGIOMA in thebleftvtemporal region. She underwent uneventful excision of the lesion.
A meningioma is a slow-growing tumor that forms on the meninges, the protective layers covering the brain and spinal cord; most are benign (Grade 1) but some can be atypical (Grade 2) or malignant (Grade 3). Symptoms, if present, arise from pressure on surrounding tissues and include headaches, vision/hearing changes, seizures, or weakness, though many are found incidentally on scans. Treatment often involves observation, surgery, or radiation, with prognosis generally good for benign types but varying for higher grades.

24/12/2025

30 years Female presented with chronic headaches of few years with recent increase in intensity associated with few episodes of vomiting. She also had some visual disturbance, early morning headaches. She was evaluated and found to have large 3RD VENTRICULAR COLLOID CYST. She was suggested for surgery and they needed some time to decide and get back. 1 week following this she was brought to OPD with acute increase in headaches with imbalance on walking with multiple episodes of vomiting. Repeat CT showed increase in hydrocephalus. She was taken up for emergency surgery in the late evening and excision of the cyst occlusion the 3rd ventricle was done.
She withstood procedure well and discharged without any deficits.

A colloid cyst of the third ventricle is a rare, benign, gelatinous-filled cyst near the foramen of Monro (connection of lateral and third ventricles) that blocks cerebrospinal fluid (CSF) flow, causing symptoms like severe headaches, nausea, vision issues, or sudden death from obstructive hydrocephalus; treatment often involves surgery (endoscopic removal) for symptomatic or large cysts, though observation is an option for small, asymptomatic ones, with excellent prognosis post-removal.

23/12/2025

27 Years female presented with severe spinal tuberculosis with severe back pain, bed ridden for few days and paralysis of both legs. Imaging studies showed near total destruction of L3 ans L4 vertebra with severe spinal stenosis. She also had osteoporosis. She underwent decompression with biopsy and fusion from L1L2 to L5 S1 level. After confirmation of TB, She was started on ANTITUBERCULAR MEDICATIONS FOR 9 MONTHS. She showed remarkable complete recovery.

16/12/2025

54 years female presented with fall at home with severe back pain of 1 week duration. unable to turn on bed, or perform self care activities. she was found to have L2 compression fracture with fragment into the spinalcanal. She underwent MIS fusion with cement augmentation and vertebroplasty of L2 fracture.

Vertebroplasty is a minimally invasive procedure to treat painful spinal compression fractures (often from osteoporosis) by injecting bone cement (like PMMA) directly into the fractured vertebra to stabilize it, relieve pain, and restore mobility, often with high success rates.

15/12/2025

67 years female with back pain and claudication pain in both legs, night pain, disturbed sleep,early morning stiffness and pain in back. Imaging studies showed L5S1 spondylolisthesis with severe foraminal compression. She underwent MIS fusion with decompression with excellent recovery.

Spondylolisthesis - Spondylolisthesis is a spinal condition where one vertebra slips forward over the one below it, often in the lower back, causing instability, pain (low back, buttocks, legs), stiffness, tight hamstrings, and sometimes numbness or weakness, resulting from fractures (spondylolysis), degeneration (arthritis), birth defects, or injuries

Minimally Invasive Spinal Fusion (MISF) joins two or more vertebrae using small incisions, tubular retractors, and advanced imaging (like cameras/microscopes) to fuse painful spinal segments into a single bone, reducing muscle damage, pain, and recovery time compared to open surgery.

Benefits
1. Less pain after surgery.
2. Reduced blood loss and infection risk.
3. Faster recovery and shorter hospital stays.

Address

SPARSH Hospital, YELAHANKA BRANCH, NEW AIRPORT Road, KOGILU CROSS, NEHRUNAGARA
Bangalore
560064

Telephone

+918151999199

Website

http://www.avinashkm.com/

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