Neurosurgery King Edward Medical University-KEMU Lahore

Official Account of Oldest Government Sector Neurosurgery Department in Punjab, Providing world class services to People of Punjab & Pakistan free of cost since 1966. Shahzad Shams (FCPS FRCS Fellow skullbase) since 01.11.2017. CLINICAL SERVICES:

The Department of Neurosurgery of King Edward Medical University/Mayo Hospital Lahore consists of 68 bedded Neurosurgery ward, 6 bedded Neurosurgery ICU, 4 fully equipped elective operation theaters (old east operation theater suite ) and a dedicated emergency operation theater(which is functional 24/7). 2 Modular thearters have started functioning on emergency floor as well. For serious patients, we have beds reserved in Emergency ICU and main ICU. The bed occupancy is above 95%. Besides running regular outdoor and indoor service we are providing 24/7 neurosurgical emergency coverage supervised by a consultant Neurosurgeon. Treatment is free for all poor and deserving patients. The department is dealing with all sort of Pediatric and Adult Neurosurgical problems ( related to brain and spine). Our Out Patient is carried out 3 times a week in Room Number 5 & 7 of OPD Block of Mayo Hospital Lahore. The OPD Days Are Tuesday, Thursday & Saturday. In addition to normal outpatient clinic, we are carrying our dedicated DBS Clinic 3 times a week. The Elective List Days are Monday, Wednesday & Friday. The following Neurosurgical Conditions are treated Free of Cost:

1) Minimally Invasive (Endoscopic & Microscopic) Brain Surgery
a) Pituitary Tumor Surgery
b) Endoscopic Brain Tumor surgery
c) Endoscopic Brain Abscess aspiration
d) Endoscopic skull base tumor surgery (for meningeoma and glioma)
e) Micro vascular Decompression for Trigeminal Neuralgia
f) Brain Aneurysm Clipping
g) Pituitary Adenoma Tumour
h) Third VENTRICULOSTOMY For Hydrocephalus
i) Intraventricular Brain Tumours
j) Colloid Cyst
k) Arachnoid Cyst
l) Pediatric Neurosurgery For Children
m) Cerebrospinal Fluid Fistula( CSF FISTULA ) Leading to RHINORREA
n) Endoscopic minimally invasive keyhole brain surgery

2) Minimally Invasive Stereotactic Brain Surgery
a) Deep-seated lesions like brain tumors
b) Lesions in Eloquent areas of brain like Thalamus and Brain Stem. c) Multiple lesions like Metastatic lesions
d) Diffuse Infiltrative lesions like Encephalitis and Diffuse Glioma
e) Lesions in patients who cannot tolerate anesthesia like old aged
f) For Aspiration of Brain abscess and cystic lesions
g) For Aspiration of hematomas

3) Minimally Invasive (Endoscopic & Microscopic) Spine Surgery
a) Microsurgical Spinal Tumor Surgery
b) Spine Slipped Disc Surgery
c) Endoscopic Cervical, Thoracic and Lumbar Discectomy
d) Minimally Invasive Percutaneous Spinal Fusion surgery

4) Functional Neurosurgery Services
a) Parkinson’s Disease Treatment by Deep Brain Stimulation (DBS)
b) Tourette’s Syndrome Treatment by Deep Brain Stimulation (DBS)
c) Essential Tremors Treatment by Deep Brain Stimulation (DBS)
d) Dystonia Treatment by Deep Brain Stimulation (DBS)
e) Obsessive Compulsive Disorder (OCD) Treatment by Deep Brain Stimulation (DBS)
f) Severe Depression Treatment by Deep Brain Stimulation (DBS)
g) Writer’s Cramp & Task Specific Dystonia Treatment by Deep Brain Stimulation (DBS)
h) Epilepsy Treatment by Deep Brain Stimulation (DBS)
i) Hemifacial Spasm Treatment by Deep Brain Stimulation (DBS)
j) Chorea Treatment by Deep Brain Stimulation (DBS)
k) Alzheimer's Disease Treatment by Deep Brain Stimulation (DBS)
l) Secondary Epilepsy Treatment by Vagus Nerve Stimulation (VNS)
m) Medial temporal lobe epilepsy (MTLE), (that is often associated with hippocampal sclerosis)Treatment by Vagus Nerve Stimulation (VNS)
n) Lesional focal epilepsies caused by discrete structural lesionsTreatment by Vagus Nerve Stimulation (VNS)
o) Catastrophic unilateral or secondary generalized epilepsies of infants and young children, related to disturbances confined to one hemisphere such as hemimegalencephaly, Sturge–Weber syndrome, Rasmussen encephalitis, cortical dysplasias, and porencephalic cysts, Treatment by Vagus Nerve Stimulation (VNS)
p) Medically refractory epilepsy with disabling drop attacks Treatment by Vagus Nerve Stimulation (VNS)
q) Failed Intra-cranial Epilepsy surgery Treatment by Vagus Nerve Stimulation (VNS)
r) Intractable generalized epilepsies Treatment by Vagus Nerve Stimulation (VNS)
s) Lennox-Gastaut type epilepsies Treatment by Vagus Nerve Stimulation (VNS)
t) Idiopathic (genetic) generalized epilepsies Treatment by Vagus Nerve Stimulation (VNS)
u) Treatment Resistant Depression Treatment by Vagus Nerve Stimulation (VNS)
v) Urge Incontinence treatment by Sacral Nerve Stimulation
w) Fecal Incontinence treatment by Sacral Nerve Stimulation
x) Chronic Anal Fissure treatment by Sacral Nerve Stimulation
y) Overactive Bladder treatment by Sacral Nerve Stimulation
z) Multiple Sclerosis treatment by Sacral Nerve Stimulation
aa) Non-obstructive urinary retention treatment by Sacral Nerve Stimulation
ab) Severe migraine headaches treatment by Occipital Nerve Stimulation
ac) Occipital neuralgia treatment by Occipital Nerve Stimulation
ad) Cluster headaches treatment by Occipital Nerve Stimulation
ae) Treatment of Failed Back Syndrome, Spasticity by Spinal Cord Stimulation
af) Implantation of Intrathecal Baclofen Pump for Spastic Paraplegia

5) Conventional Neurosurgery
a) Meningioma Surgery
b) Glioma surgery
c) Skull base tumor surgery
d) Spinal tumor surgery
e) Arnold Chiari Malformation
f) Spina Bifida
g) CSF Diversion (VP Shunt) for Hydrocephalus
h) Aneurysm Clipping
i) Anterior Cervical Discectomy & Fusion for Cervical Disc
j) Anterior Thoracic corpectomy and titanium mesh cage replacement
k) Vertebroplasty
l) Decompression surgery for Spinal Stenosis
m) Free hand Brain Tumor Biopsy
n) Disc surgery
o) Trans Pedicular Screw Fixation
p) 360 degree fixation of spine
q) Surgery for Tuberculos (Caries) spine
r) Brain Abscess Surgery
s) Syringo subarachnoid shunts for syringomyelia
t) Carpal Turnnel Syndrome treatment
u) Treatment of Spine Injury
v) Acoustic Neuroma surgery

Our Panel of Consultants:

The Department has following Consultants:
1) Prof Shahzad Shams (FRCS FCPS Fellow Skull base USA), Chairman of the Department
2) Dr Azam Niaz (MS) Associate Professor
3) Dr Irfan Sheikh (MS) Asst Professor
4) Dr Waqas Mehdi (FCPS) Asst Professor
5) Dr Mudassir Rasheed (FCPS) Senior Registrar

The Admin Registrar of the department is Dr Ammar Bin Ahsaan. The average waiting period is 3 days and the patient is discharged within 3 days of surgery. The results of our department are comparable to International Institutes. Operation Theater Suites:

For Elective Surgery, there are 4 operation theaters in Neurosurgery Operation theater suite (old east OT). The Elective list is carried out 3 days a week. After complete workup, a patient is admitted to ward and operated within a week. These operation theaters are equipped with State of The art Neurosurgical Equipment which include Zeiss Operating Microscopes (02), Karl Storz Endoscopy Tower, Inomed C2 Nerve Monitor (02), Endoscopic System for Brain & Spine surgery, Inomed RM Stereotactic Frame (for DBS & Stereotactic Brain Tumor Biopsy) and standard Neurosurgical Equipment. We have option of Percutaneous Spine System & Neuronavigation system on call, if needed. For Emergency surgery, we have a dedicated Operation theater on Ground floor of Emergency, functional 24/7 & 2 modular theaters on 2nd floor. Academic Activities:

The Department is recognized for FCPS Neurosurgery Training (by College of Physicians & Surgeons of Pakistan) & MS Neurosurgery training. The residents are inducted as per rules of SHC & ME department GOP. After induction, the residents have to register with Pakistan Medical & Dental Council. To date, the department has produced over 50 Neurosurgeons who have been serving in Pakistan & Abroad. Every week, there is an academic meeting where cases are discussed. Bi Weekly Morbidity & Mortality Meeting is carried out. Every Resident is assigned a research project in addition to his/her own Synopsis/Dissertation/Thesis. These original Researches are published later on in renowned journals of Pakistan & Abroad. The residents are encouraged to present their original research papers in National & International Conferences. Daily morning and evening rounds. Daily Case discussion in Hands on skills Lab regarding operative and post-operative management. Weekly short and long case discussions. Weekly topic presentation and Journal club presentation

Weekly Neuro-radiology conference

Bi-monthly rare case discussion in Neuroscience club, Lahore. Regular paper presentation in annual neurosurgical meeting

Annual conference organized by Pakistan Society of Neurosurgeons. Visit Our Departmental profile: https://kemu.edu.pk/neurosurgery