Microsurgical technique has been used where indicated.

The surgeries performed have been classified as follows:

Tumours:

Gliomas - lobar as well as deep seated (e.g. Thalamic)

Meningiomas - Para-Sagittal, Convexity, Falx, Olfactory groove/ Planum Sphenoidal.

Tuberculum sella, anterior and post clinoidal [97 cases]

Intra-ventricular - Ependymomas, Choroid Plexus Papillomas

Others - Metastasis, PNET, Lymphomas,

Infections:

Tuberculomas - lobar as well as deep seated (e.g. Thalamic)

Abscess - otogenic, traumatic, systemic

Subdural Empyema - inter-hemispheric, surface

Hematomas:

Spontaneous - hypertensive, AVM, tumors

Traumatic - EDH,SDH, Intracerebral

Brain biopsies

Sellar/Supra-sellar

Pituitary Adenoma:

Transsphenoidal, Pterional approaches

Craniopharyngioma [no. of cases 66]

Pterional approach

Hypothalamic/ Opto-Chiasmatic Glioma

Pterional, Inter-hemispheric Transcallosal approaches

Pineal Region

Pineocytoma/Pineoblastoma

Infra-tentorial supra-cerebellar approach

Sub-occipital Trans-tentorial

Infra-tentorial

Cerebello-pontine Angle [over 200 cases]

Acoustic Neurinomas - Retro-sigmoid approach [75 cases]

Trigerninal Neurinomas - Retro-mastoid, Sub-temporal Trans-tentorial

& combined ( Malis) approaches

Meningiomas – Petrous, Petro clival, Retro-mastoid, Sub-temporal Trans-tentorial & combined approaches

9th/ 10th Neurinomas - Retro-mastoid approach (included in CPangle)

Others - Epidermoid, Hemangioblastoma,Exophitic Brainstern

Midline and Retro-sigmoid approach

Midline Posterior Fossa (Midline Sub-occipital Trans vermian approach)

Medulloblastoma

Cerebellar Astrocytoma

Ependymoma

Brainstem Glioma

Lateral Cerebellar / Hemispheric lesions (Lateral Sub-occipital approach)

Astrocytomas

Metastasis

Tuberculomas

Abscess

Hematomas

Skull Base Surgery

Foramen Magnum tumors (Far Lateral Transcondylar approach)

Meningiomas

Chordomas

Neurofibromas

Spheno-Petro-Clival Meningiomas / Glomus Jugulare

Post auricular Infra temporal approach

External Ear Malignancies

Lateral Temporal bone resections

Nasopharangeal Malignancies / Angiofibromas

Pre auricular Infra temporal approach

Anterior & Antero-lateral Craniolacial Resections

Transsphenoidal / Transoral Transpalatal approaches

Vascular Lesions

Aneurysms (Clipping of Aneurysms) [ 250 cases]

Anterior Circulation: A. Com., P. Com.; (Pterional), MCA (Pterional) ICA including Carotico-ophtalmic, Doral ICA, ICA bifurcation (Pteriona), (Orbitozygomatic), (drilling anterior clinoid) ,Pericallosal (Parasagittal )

Posterior Circulation: PCA, (Orbitozygomatic)Basilar (Sub-temporal) ( Pterional), SCA, (Sub-temporal)
(Pterional), (drilling posterior clinoid), PICA (Retrosigmoid)

Arteriovenous Malformation (Excision) [ 40cases]

Supra tentorial:

Motor strip / Lateral and medial paratrigonal / perisylvian / Corpus Callosal / basifrontal, Parieto-occipital

Infratentorial:

Cerebellar: Hemisphric

Vermian

Dural Fistulae (assisted)

Craniovertebral Anomalies

Atlanto-axial Dislocation

Posterior approach - wiring / graft, Hartshill / graft with or without excising posterior arch of Atlas

Anterior approach - odontoid excision (assisted)

Basilar Invagination

Posterior approach - wiring / graft, Hartshill / graft with Foramen Magnum Decompression & excision of post. arch of Atlas

Anterior approach - odontoid excision (assisted)

Chiari Malformation / Syringohdromyelia

Foramen Magnum Decompression / Duraplasty

Syringo-peritoneal Shunt

Miscellaneous

CSF Rhinnorhea

Anterior Fossa Floor Repair

Transsphenoidal (assisted)

Hydrocephalus

Venticulo-peritoneal / Atrial Shun

Theco-peritoneal Shunt

Third Ventriculostomy (endoscopic)

Arachnoid Cyst

Excision

Cysto-peritoneal Shunt

Colloid Cysts

Excision (transcallosal)

Orbital tumors

Lateral Orbitotomy / Anterior Orbitotomy

SubFrontal approach (Dandy)

Fronto Zygomatic Approach- Supero-lateral Orbitotomy (Maroon)

Peripheral/ Crainal nerve surgery:

Facial to hypoglossal anastomosis

Cable grafting (sural graft)

End to end/side repair (assisted)

Brachial Plexus surgery (assisted)

SPINAL:

Tumours / Granulomas

lntramedullary (midline Myelotomy)

Astrocytomas

Ependymomas

Epidermoids/Dermoids

Aspergilloma

Lipoma

Intradural

Neurofibroma

Meningioma

Tuberculoma

Arachnoid cysts (included)

Lipoma

Extradural

Metastasis

Tubercular Abscess / Granuloma

Neurofibroma

Hemangioma

Lipoma

Developmental Anomalies

Meningomyeloceole / Meningoceole / Diastomatomyelia / Tethered cord

Repair/Duraplasty, Detethering,cutting Filum Terminal,

Excising bony spur

Syringohydromyelia

Syringoperitoneal Shunt

Foramen Magnum Decompression with Duraplasty

Degenerative disorders

Disc

Anterior Cervical Fusion - Smith Robinson, Cloward

Trans-thoracic

Microlumbar

Laminectomy with discoidectomy

Canal Stenosis

Laminectomy

Corpectomy (Cervical)

Internal Decompression For Spinal Stenosis (IDSS)

Instability

cervical

Anterior - Fusion with plating

Posterior - Hartshill / Lateral mass screws (Roy Camille)

Dorsal

Anterior - Fusion with Plating

Posterior - Hartshill / Steffi screws & plates

Lumbar

Anterior - ALIF with plating

Posterior - PLIF with Steffi screws & plates / Hartshill