NEURO Sphere - Dr Goutham Cugati

01/12/2025

Spinal cystic Schwannoma: These are little uncommon tumours, which can cause weakness in the lower limbs and difficulty to walk. This can be safely removed by using micro neurosurgical techniques. These are the patients who find significant improvement soon after the surgery and can lead a normal life.

18/11/2025

Consultation details. DRM Hospital 9 AM to 4 PM. Impulse medical Centre 5 PM to 8 PM.

16/10/2025

World Spine Day 2025: A Neurosurgeon’s Perspective – Invest in Your Spine

As a neurosurgeon, World Spine Day—observed every year on October 16—holds profound significance for me. The spine is much more than a column of bones; it is the axis of human mobility, supporting every movement, posture, and vital function our body performs. This year’s theme, “Invest in Your Spine,” is both a timely call to action and an urgent public health imperative.

Spinal pain is now recognised as the leading cause of years lived with disability globally—a staggering reality that affects millions across all age groups. In India, both lifestyle and occupational hazards have spurred an alarming rise in spinal disorders, while delayed recognition and lack of preventive care add to the burden. As a specialist who witnesses the life-changing impact of spinal disease daily, I urge everyone to treat spinal health as an essential investment, not an afterthought.

What does it mean to “invest” in your spine? Preventive care must take center stage. Simple yet powerful strategies should become a part of your daily routine:
• Maintain optimal posture at work and home; avoid prolonged sitting and use ergonomically designed furniture.
• Integrate regular movement into your daily life—whether through stretching, walking, yoga, or core-strengthening exercises.
• Safeguard your spine while sleeping by choosing a suitable mattress and pillow, and refrain from sleeping on your stomach.
• Lift objects with your knees—not your back—and never hesitate to seek help with heavy loads.

Let’s pledge, as a community and as individuals, to “invest in our spine.” This small, consistent effort will yield lifelong dividends in health, mobility, and quality of life.

01/09/2025

“Grateful heart! ❤️ My patient, who underwent a life-changing spine surgery, takes a moment to express heartfelt thanks. 🙏 With a warm smile and a gentle touch, they showed appreciation for the skilled care that restored their mobility and alleviated pain. 🌈 This moment is a testament to the power of medical expertise, compassion, and the human spirit’s resilience. 💪

Special thanks to the patient’s little artist, who gifted a beautiful drawing - a sweet gesture of appreciation for the care that brought her dad back to life be relieving pain! 🎨❤️ ”

21/04/2024

16/02/2024

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NeuroSphere Gossips

This is an informative series of Neuro & Medical facts shared by Dr Goutham Cugati - Neurosurgeon.

13/01/2024

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SPINE SURGERIES
A patient asked me, can I return back to normal life after spine surgery?
There are more than 90% of patients who have undergone complex spine surgeries, returning back to their normal life and being relieved of their previous problems.
In patients who have undergone surgeries such as lumbar discectomies, the numbers are even higher

03/01/2024

Headache and Women Health



More than 20% of women experience these kinds of headache.

Headaches and migraines are three to four times more common in women than in men

Not all headaches are the same.

Some types can be intensified by hormonal changes, such as with PMS or during menopause.

Let's break it down:

Tension Headaches: The most common type - feels like a tight band around your head. Triggers include muscular strain, poor posture, stress and anxiety.

Migraines: Intense, throbbing pain, usually on one side of the head. Can be accompanied by nausea and sensitivity to light and sound. Triggers can include stress, specific foods/drinks, lack of sleep, changes in air pressure, and hormonal changes.

Sinus Headaches: Pain around the forehead, cheeks, and eyes, usually with sinusitis symptoms.

Cluster Headaches: Severe pain behind or around one eye. Not fully understood but linked to the brain's hypothalamus, which regulates hormone metabolism and body temperature (as in, hot flashes).

TMJ Headaches: Pain in the jaw from temporomandibular joint issues, radiating to the head. Can be due to increased stress.

Neck pain: muscle stress in the neck can cause radiation of the pain from the nape of the neck to the posterior part of the head.

Hormones: Headache from hormone fluctuations feels as pulsating pain at the back of the head. Hormone fluctuations can cause fluctuation in blood pressure increasing the risk of this type.

Stress: Being similar to tension type of headache it can extend beyond head to neck and shoulders as well.

Amidst various triggers, hormonal changes are often ignored yet significant factors causing more frequent or intense headaches in some women.

23/11/2023

For Appointments - 91102 61102

05/11/2023

Chronic Subdural Hematoma




A chronic subdural hematoma (SDH) is an old clot of blood on the surface of the brain beneath its outer covering.

These liquefied clots most often occur in patients aged 60 or older, especially who have brain atrophy, shrinking of brain tissue due to age or disease

Symptoms of a subdural haematoma can include:

# Headache that keeps getting worse
# Feeling and being sick
# Confusion
# Personality changes, such as being unusually aggressive or having rapid mood swings
# Feeling drowsy and finding it difficult to keep your eyes open
# Speech problems, such as slurred speech
# Problems with your vision, such as double vision
# Paralysis (loss of movement) on one side of the body
# Problems walking and frequent falls
# Fits (seizures)
# Loss of consciousness

Burr hole surgery is the main treatment for chronic subdural haematomas that develop a few days or weeks after a minor head injury.

During the procedure, one or more small holes are drilled in the skull and a flexible rubber tube is inserted to drain the haematoma

23/05/2023

When a doctor saves a life,
he also saves a family.

20/05/2023

Burst Spinal Fractures

A burst fracture is an injury in which the vertebra, the primary bone of the spine, breaks in multiple directions.

Trauma such as a car accident or a severe fall are the leading causes for burst fractures.

Treatment depends on how bad the burst fracture is. Options may include either nonsurgical approaches or surgery. If there is pressure on the spinal cord, the nerve roots or both, surgical treatment is usually recommended.

The surgeon makes an incision in the back of the spine in order to place rods, screws and hooks in order to hold the spine in place.

Following spinal surgery for a burst fracture most patients will remain in the hospital for three to five days.

Patients are usually allowed to walk within one or two days of surgery with the help of a physical therapist.

The degree of recovery may depend on the timing of surgery, the degree of spinal canal compromise and the stability of the spine.