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NEUROLOGY & NEUROSURGERY Procedure

Microsurgical 3D Neuronavigation Brain Tumor Surgery

Microsurgical craniotomy and 3D neuronavigation-guided resection of benign and malignant brain tumors (gliomas, meningiomas, acoustic neuromas) maximizing extent of resection while preserving speech and motor pathways.

Brain tumour surgery
Brain tumour surgery

Clinical Overview & Disease Information

Microsurgical craniotomy and 3D neuronavigation-guided resection of benign and malignant brain tumors (gliomas, meningiomas, acoustic neuromas) maximizing extent of resection while preserving speech and motor pathways.

Signs & Symptoms

Early Symptoms
  • Persistent morning headaches that worsen with coughing or straining
  • Unexplained nausea and projectile vomiting
  • New onset seizures or focal twitching
Common Symptoms
  • Focal neurological deficit (hemiparesis, facial asymmetry, dysphasia)
  • Visual field loss or optic disc papilledema
  • Personality changes, memory decline, or executive dysfunction
Emergency Symptoms
  • Sudden loss of consciousness / coma due to brain herniation
  • Status epilepticus refractory to antiepileptics

Causes & Risk Factors

Primary Causes & Etiology

  • Somatic gene mutations (IDH1/IDH2, TERT promoter, 1p/19q codeletion, MGMT methylation)
  • Prior ionizing radiation exposure to head
  • Hereditary neurofibromatosis (NF1 / NF2) & Von Hippel-Lindau (VHL) syndromes

Who is at Higher Risk?

  • Adults aged 30-70 with intracranial space-occupying lesions
  • Patients with systemic primary cancers (lung, breast, melanoma) with brain metastases

Diagnostic Evaluation & Testing

Diagnostic Test Clinical Purpose / What It Shows
3.0T Brain MRI with Contrast & DTI Tractography Maps tumor boundaries, peritumoral edema, and corticospinal motor/speech tract proximity
Functional MRI (fMRI) & MR Spectroscopy (MRS) Identifies eloquent speech/motor cortex and choline/N-acetylaspartate metabolite ratios

Comprehensive Treatment Options

Microsurgical 3D Neuronavigation Craniotomy with Intraoperative Ultrasound

Keyhole or stealth craniotomy with sub-millimeter electromagnetic guidance and Cavitron Ultrasonic Surgical Aspirator (CUSA).

Key Advantages:
Maximized Extent of Resection (EOR > 95%)
Preserves vital motor and speech tracts
Reduces neurological deficit risk

Fluorescence-Guided 5-ALA (Gliolan) Resection + Gliadel Wafer Implantation

Fluorescence-guided resection of high-grade glioblastomas under blue-light operating microscope.

Recommended For:
High-Grade Glioblastoma Multiforme (GBM)
Recurrent malignant gliomas

Advanced Medical Technologies Available in Partner Hospitals

Medtronic StealthStation S8 Neuronavigation Zeiss Kinevo 900 3D Microscope CUSA Ultrasonic Aspirator

Possible Complications If Untreated

Transient motor hemiparesis
Postoperative cerebral edema
CSF leak
Seizure activity

Recovery Timeline, Diet & Lifestyle Care

Recovery Timeline

Procedure / Stage Expected Recovery Duration
Neuro ICU Monitoring 24 to 48 hours
Neurosurgical Ward Walking 4 to 6 days
Outpatient Neuro-Rehabilitation 4 to 6 weeks

Recommended Post-Treatment Diet

  • High protein brain recovery diet
  • Adequate hydration
  • Swallow assessment prior to solid foods

Essential Lifestyle Changes

  • Take antiepileptic medications at exact scheduled times
  • No driving for 6 months post-seizure
  • Daily gentle physical therapy
When to Contact a Doctor Urgently:
Fever > 100.4°F (38°C)
Fluid dripping from surgical wound or nose
New onset weakness or severe headache

Prevention & Long-Term Health

Avoid unnecessary cranial radiation exposure
Regular brain MRI surveillance for known neurocutaneous syndromes

Frequently Asked Questions

What is the goal of brain tumor surgery?

The main goal is maximal safe tumor resection to relieve intracranial pressure while preserving speech and motor function.

Top Recommended Specialists Available

Dr. Ashish Chakravarty

Dr. Ashish Chakravarty

Head - Neurosciences Pain Medicine & Principal Consultant - Neuro Anaesthesia

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Dr. Ashu Kumar Jain

Dr. Ashu Kumar Jain

Chief – Pain Medicine & Palliative Care

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Dr. Rajesh Kumar Singh

Dr. Rajesh Kumar Singh

Head - Clinical, Emergency & Trauma Services

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Dr. Rahul Chandhok

Dr. Rahul Chandhok

Head - Mental Health and Behavioural Sciences

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Dr. Amit Jassal

Dr. Amit Jassal

Principal Consultant - Anaesthesia

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Dr. Amit Kalsotra

Dr. Amit Kalsotra

Sr. Consultant - Anaesthesia

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Dr. A.B. Dey

Dr. A.B. Dey

Chairperson - Geriatric Medicine

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Dr. Tariq Matin

Dr. Tariq Matin

Director & Chief - Neurointerventional Surgery

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Dr. Aditya Gupta

Dr. Aditya Gupta

Chairperson - Neurosurgery & CNS Radiosurgery & Co-Chief - Cyberknife Centre

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Dr. Ajit Singh Baghela

Dr. Ajit Singh Baghela

Sr. Consultant - Paediatric Neurology

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Dr. Anjana Kharbanda

Dr. Anjana Kharbanda

Sr. Consultant - Emergency & Trauma Services

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Dr. Deepak Solanki

Dr. Deepak Solanki

Sr. Consultant - Neuro Anaesthesia & Neuro Critical Care

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Dr. Puneet Dwevedi

Dr. Puneet Dwevedi

Chief - Mental Health and Behavioural Sciences

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Dr. Raman Deep Kaur

Dr. Raman Deep Kaur

Sr. Consultant - Neuro Anaesthesia & Neuro Critical Care

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Dr. Sachin Sethi (PT)

Dr. Sachin Sethi (PT)

Principal Lead - Physiotherapy & Rehabilitation

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Dr. Vivek Barun

Dr. Vivek Barun

Associate Director & Head of Epilepsy Services

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Dr. Ellora Nanda

Dr. Ellora Nanda

Admin Head & Sr. Consultant - Emergency & Trauma Services

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Ms. Chhaya Sinha Goel

Ms. Chhaya Sinha Goel

Co-Head - Psychological Services

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Dr. Pawan Goyal

Dr. Pawan Goyal

Associate Chief - Neurosurgery & Head - Neuroendoscopy

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Dr. Rajesh Kumar Singh

Dr. Rajesh Kumar Singh

Head - Clinical, Emergency & Trauma Services & Coordinator Medical Education

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Dr. Saurabh Anand

Dr. Saurabh Anand

Chief - Neuroanaesthesia and Neurocritical Care

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Dr. Seema Lachala

Dr. Seema Lachala

Sr. Consultant - Neuroanaesthesia and Neuro Critical Care

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Dr. SK Rajan

Dr. SK Rajan

Chief - Neuro Spine Surgery & Additional Director - Neurosurgery

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Dr. Snehal Deshpande

Dr. Snehal Deshpande

Consultant - Paediatric Physiotherapy & Neuro-Rehabilitation

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Dr. Sumit Singh

Dr. Sumit Singh

Chief - Neurology & Movement Disorders

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Dr. Sweetha Susanne Mohan

Dr. Sweetha Susanne Mohan

Sr. Consultant - Neuroanaesthesia & Neuro Critical Care

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Dr. Yatin Kukreja

Dr. Yatin Kukreja

Sr. Consultant - Emergency & Trauma Services

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Dr. Anjali Vaish

Dr. Anjali Vaish

Consultant - Physiotherapy and Rehabilitation Centre

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Dr. Anuvrat Sinha

Dr. Anuvrat Sinha

Consultant - Neurosurgery & Neuro-Trauma

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Dr. Prasun Chatterjee

Dr. Prasun Chatterjee

Chief - Geriatric Medicine & Longevity Care

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Dr. Sameer Arora

Dr. Sameer Arora

Senior Consultant - Neurology & Neurophysiology

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Global Cost Comparison Matrix

Procedure USA (Avg) India (ISG) Turkey (Avg) Thailand (Avg)
Brain tumour surgery $55,000 $7,500 $14,000 $16,000

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Commonly Prescribed Medications

  • Dexamethasone 8mg IV/oral
  • Levetiracetam (Keppra) 500mg twice daily
  • Mannitol 20% IV
  • Pantoprazole 40mg

International Patient Guide

Estimated Stay in India:
3.0T Brain MRI & fMRI Evaluation 1 - 2 days
Neurosurgery & ICU Stay 5 - 7 days
Rehab & Return Flight Clearance 12 - 14 days total stay
Documents to Bring:
  • Passport & Visa
  • 3.0T Brain MRI CDs & Histopathology Biopsy Reports