Dr N I Kamali Brain and Spine care centre

14/02/2022

Today we celebrate international epilepsy day.
It's a curable medical problem. Key to good outcome is early identification and proper treatment.
Neurosurgery has very good outcome in patients where seizures are due to some brain tumors or any surgical lesion.
As a part of general awareness .....E for Epilepsy.

18/05/2021

https://youtu.be/ddKuXVik87o

कोरोना के सक्रमण तेजी से बढ़ रहा हैं. जिसके चलते सभी की चिंताए बढ़ गई हैं. सभी कोरोना से बचाव व इलाज के को लेकर सवाल कर र....

23/03/2021

NEUROSPINE
Spine is not just bone and muscles, rather the most important component are the nerves that travel through the orifices in spine. Pain in spine can arise from diseases of any of the component ( bone or muscle or nerves). Pain due to muscle and bone is limited to the place of problem but if u get a pain in back or neck that gives a feeling of electric shock and radiates along the limb then it’s time to consult a neurosurgeon.
Nerves are like electric cables that arise from spinal cord and travel a long way from through spine and muscles to reach the area supplied. Any compression along its path can give rise to neurogenic pain. so consider ur spinal pain due to nerve compression if it has following features
1. Severe, increases on standing, laying flat, coughing
2. Electric shock like that radiates along the limb involved ( SCIATICA)
3. BURNING SENSATION, pins and needle sensation
4. Loss of sensation, tendency to fall, difficulty in walking, feel like walking on cotton mattress
5. Loss of function, loss of power , inability to walk
6. Severe constipation , urinary retention, loss of sensation around buttocks,this is the most severe form, outcome is poor in long standing cases ( DONT WAIT THIS LONG, ITS AN EMERGENCY).
Operative intervention is very rewarding in patients backpain not responding to medicines.
Presenting a case of severe nerve compression in back with bowel bladder involvement who made very good recovery and is now living a painfree and disability free life.
Complete decompression of nerves was done and vertebrae were fixed using titanium screws.
LIVE LIFE PAINFREE.

15/03/2021

Vestibular schwannoma.
It's a benign tumor. Patient presents with hearing loss, difficulty in walking, facial deviation, giddiness, headache. Difficulty in swallowing and speech in advanced cases.
This man is a case of CP angle vestibular schwannoma operated 3 yrs back at some other hospital where only partial removal was done.
Patient presented with above mentioned complaints.
These tumors are dangerous and difficult to operate bcz of its area of origin. tumor is almost adhered to brain stem that carries all vital nerves necessary to life and function.
So risk of life and neurological deficit is high. So removal of such tumors require high degree of surgical expertise and experience.
Patient was operated at paras hospital successfully. Complete tumor removed.

19/01/2021

Catch me live tomorrow on management and outcome of brain tumors
Clear your doubts

14/11/2020

Happy dipawali to all

25/10/2020

As a part of awareness programme i shall post cases of different tumors and their outcomes. Remain updated.

17/04/2020

Sensations(pain, touch temperature) from face on each side is carried to our brain by a nerve called TRIGEMINAL NERVE.
Irritation of this nerve due to Certain abnormal blood vessel compression, tumor etc can cause severe electric shock like sensation with debilitating facial pain. There can be some specific triggers that can start this pain as shown in pic. Many a times it mimics toothache and hence land up in multiple tooth extraction if not seen by a qualified doctor well in time. This pain is usually not relieved in spite of multiple medications, and its near death experience for such patients.
Recently operated One such patient who presented with severe facial pain not relieved by medication. Clinical history was suggestive of trigeminal neuralgia. There was a blood vessel compressing the trigeminal nerve at the site of its origin( REZ) from brain stem ( Pons).
Removal of this compression provides best possible outcome. After explaining all risk and benefit of other available options patient opted for surgical intervention.
Vascular compression was removed. Patient recovered fully. Now he is asymptomatic and not on any medicine. Microvascular Decompression of trigeminal nerve provides best outcome in such cases.
Neuro vascular surgery is advanced branch in neurosurgery being done at selected centers now available at my center.

21/11/2019

Most severe type of brain hemorrhage occurs when wall of large blood vessels supplying brain gets thinned and finally ruptures. It's a death sentence unless appropriate measures are taken well in time.
Such thinning and protrusion of a part of wall of blood vessel is called ANEURYSM.
There are various modalities of management. Clipping ( open operation) and coiling (closed procedure). Each have it's own indication pros and cons.
Recently clipped a case of posterior communicating segment aneurysm in a young lady who presented with progressive drooping of right eyelids for one months and severe headache for a day.
CT SCAN SHOWED brain hemorrhage. Ct angioplasty of brain was done to look at blood vessels of brain. Bleed was from an aneurysm which was clipped and also brain hemorrhage was removed in same operation. Post op patient was discharged in a week.
Disclaimer:This post is for general awareness
Consent taken from patient party for publication of clinical images for education and awareness.

27/10/2019

Happy Deepawali to all of u.May this occasion fill our lives with happiness and richness of good health.

04/06/2019

Brain and spine care centre wishes u all a very very happy Eid ul fitr. Enjoy, pray for yourself and your country and most importantly for all those patients and their relatives who are in hospitals through out world and are not able to take part in festival. May Allah grant all of us with richness of physical and mental health