Dr.Sudhair Alam Neuro Surgeon ڈاکٹر سدھیر عالم نیرو سرجن

07/09/2025

A 25-year-old male presented to the Emergency Department following a road traffic accident with head injury. On arrival, his GCS was 12/15 (E3V4M5), with airway, breathing, and circulation intact. He had multiple episodes of vomiting. After initial stabilization and imaging, he was admitted to the Neurosurgical ICU, where a right frontal pneumocephalus was identified.
The patient was initially managed conservatively. As there was no resolution, a burr hole procedure was performed with thorough irrigation of the cavity and placement of a drain. The drain was removed on postoperative day 1 following repeat imaging. The patient achieved complete resolution of the pneumocephalus and full neurological recovery, and was discharged on postoperative day 3.

The Department of Neurosurgery, SSGTH, continues to routinely perform both brain and spine procedures—elective as well as emergency—with the dedicated collaboration of the Neurosurgical and Anesthesia teams.

06/09/2025

A 52-year-old male presented to the Emergency Department with complaints of urinary incontinence, vomiting, and right-sided weakness. Imaging and further investigations revealed a left frontal atypical meningioma. The patient was a known hypertensive and was on regular antihypertensive medication.
Following comprehensive preoperative evaluation and optimization, We performed complete surgical excision of the tumor via craniotomy. The procedure was carried out successfully without intraoperative complications.
Postoperative recovery was uneventful. The patient exhibited no new neurological deficits and showed marked improvement in his presenting symptoms. Histopathology confirmed the diagnosis of a WHO Grade I meningioma.
The patient was discharged in stable condition on postoperative day 7 — Alhamdulillah.
Grateful to the dedicated Neurosurgery and Anesthesia teams at SSGTH for their excellent collaboration in managing such complex cases.

16/08/2025

08/08/2025

Today, I performed an L3-L4 laminectomy and discectomy on a patient suffering from severe lower back pain radiating to the left leg, along with numbness. Imaging revealed severe spinal stenosis at L3-L4. The patient was in significant discomfort, struggling with mobility and quality of life. Pain has dramatically improved post-op, and the patient is already on the path to recovery! Early intervention in such cases is crucial — it not only relieves pain but also prevents serious complications like lower limb weakness and urinary incontinence.

Thankful to the highly professional Neurosurgical Team of Shaheed Saif ur Rehman Government Teaching Hospital Gilgit.
🎯 Timely spine care truly transforms lives!

30/07/2025

Today I underwent a delicate and intricate procedure: the surgical correction of an occipital encephalocele - a congenital neural tube anomaly in which a sac-like herniation of brain tissue and meninges protrudes through a defect in the occipital bone at the posterior portion of the skull.

Occipital encephaloceles may be quite varied in extent and severity and usually present with neurological deficits, hydrocephalus, or concomitant brain malformations. Early surgery is important to avoid worsening of the complications and to guard against injury to the growing brain.

This case was planned meticulously, dissected delicately, and closed in layers so that both function and structure were restored. Thankful to the professional and coordination skills of the anesthesia, my neurosurgery resident Dr Farhan and my Neurosurgical staff.
Every such case reinforces the fine line of saving life and neurological function - one of the numerous responsibilities and challenges of neurosurgery.

27/07/2025

Did Posterior Transpedicular Screw Fixation with Laminectomy for fracture of L1 today.

The patient, who was from Shigar, Skardu, arrived late with worsening lower limb weakness after trauma. In spite of being late, successful surgical decompression and stabilization were done.

One of the many cases that underscore the need for early referral and intervention — and the strength of patients who travel miles for treatment.

26/07/2025

*Posterior fossa myelomeningocele ( MMC )* repair in an infant male. MMC stands for a type of spina bifida where the meninges and spinal cord protrude through a spinal defect, typically leading to neurological impairment if left untreated. Early repair is necessary to prevent further injury and improve quality of life.These are cases that demand precision, vigilance, and multi-disciplinary management - a testament to the art and science of neurosurgery. Humble to be on a quest to restore hope, function, and futures.

25/07/2025

*Multilevel lumbar laminectomy* in a 70-year-old man with severe spinal stenosis.

L3 – mild to moderate
L4 & L5 – severe stenosis
L5-S1 – mild

Decades of degeneration had pressed on his spine — each step was agony. We decompressed each level painstakingly, liberating the nerve roots and re-establishing that valuable space.

Best moment? Seeing the dura pulse freely after decompression - absolute magic.

Patient stable & already reporting relief. Onward to recovery!

19/06/2021

#ایڈمن۔۔۔
چلاس ست تعلق رکھنے والے نعیم الدین کی اچانک کمر رگ بلاک ہونے سے نعیم الدین کے ٹانگوں پر فالج کا حملہ ہوا ۔۔۔

۔نعیم الدین کو فورا سٹی ہسپتال لایا گیا۔۔

جہاں پر نیوروسرجن ڈاکٹر سودھیر عالم اور اس کی ٹیم نے کمال مہارت سے کمر کی بلاک رگ کا کامیاب آپریشن کیا۔۔

جس کے بعد اپریشن کے چند دن بعد نعیم الدین کے ٹانگوں میں حرکت انا شروع ہو گئے اور مکمل صحت یاب ہو کر ہپستال سے گھر روانہ ہوئے ۔۔۔۔۔

27/04/2021

کوہستان سے تعلق رکنھے والا ایک ماہ کے بچے کا پیدائشی طور پر موجود کمر میں پھوڑے کا کامیاب آپریشن سٹی ہسپتال کشروٹ میں ڈاکٹر سودھیر اور ڈاکٹر ضیاء نے بچے کا کامیاب آپریشن کیا۔۔۔۔بچہ صحت یاب

24/04/2021

#ایڈمن

دو ماہ کا بچہ جس کے کمر میں پیدائشی پھوڑا تھا ۔۔۔

۔ڈاکٹر سودھیر عالم اور بے ہوشی دینے والے ڈاکٹر کی کمال مہارت سے نومولود بچے کا اپریشن کامیاب ۔۔۔۔۔

والدین نے ڈاکٹر کا شکریہ ادا کیا اور کہا کہ گلگت شہر میں نیوروسرجن کی موجودگی کسی معجزے سے کم نہیں ۔۔۔

اج ڈاکٹر سودھیر عالم اور اس کی ٹیم کی وجہ سے اللہ نے میرے بچے کو نئی زندگی عطا کی۔۔۔۔