DEPARTMENT OF NEUROSURGERY

Prof. Dr. Shahzad Shams

FRCS (Glasgow) , FCPS (Neurusorgery)

Professor

CHAIRMAN / HOD

Email: prof.shahzadshams@gmail.com

Prof. Dr. Shahzad Shams

INTRODUCTION OF DEPARTMENT

Established in 1966 the department has always been progressive. It is now chaired by Prof. Shahzad Shams (FCPS FRCS Fellow skullbase) since 01.11.2017.

OBJECTIVES AND GOALS

To become the Centre For Excellence for Minimally Invasive Brain & Spine Surgery & Functional Neurosurgery

FACULTY

List of Faculty Members

Name

Designation

Qualification

Prof. Dr. Shahzad Shams Chairman & HOD BSc, MBBS, FRCS, FCPS, Fellowship Skullbase
Dr. Azam Niaz Assistant Professor        MD, MS
Dr. Muhammad Irfan Assistant Professor        MD, MS
Dr. Muhammad Tariq Assistant Professor       MBBS, FCPS
Dr. Waqas Mehdi Assistant Professor        MBBS, FCPS
RESEARCH

1. Audit of cases of Cervical Spine injury at Mayo Hospital, Lahore (2016 to date).
2. Deep Brain Stimulation for Parkinson’s Disease, Impact on Quality of life of patient
3. Role of anterior cervical decompression fusion and plating in patients with lower cervical caries spine
4. Endoscopic vs Microscopic Disectomy, Retrospective Review of Literature.
5. Eosionophilic Granuloma, A case series of 3 Cases
6. Exoscopic vs Microscopic Excision of Spinal Cord tumors
7. Endoscopic Endo Nasal Trans-sphenoidal Pitutiary Surgery, a review of 100 cases

PROJECTS / DEPARTMENTAL EXTENSION /SPECIAL FEATURES

The Department is equipped with state of the art latest equipments. Department of Neurosurgery KEMU/MHL is the referral centre for Functional Neurosurgery Cases (Deep Brain Stimulation, Neuromodulation, Vagus Nerve Stimulation).

HEALTH SERVICES / STATE OF ART FACILITIES

Clinical Services:

The Department of Neurosurgery of King Edward Medical University/Mayo Hospital Lahore consists of 40 bedded Neurosurgery ward, 6 bedded Neurosurgery ICU, and 3 fully equipped elective operation theaters (in Albert Victor Hospital) and a dedicated emergency operation theater (which is functional 24/7). 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 sorts of Pediatric and Adult Neurosurgical problems (related to brain and spine). Our Out Patient is carried out 3 times a week in Room Number 7 of OPD Block of Mayo Hospital Lahore. The OPD Days Are Tuesday, Thursday & Saturday.

The Elective List Days are Monday, Wednesday & Friday.

The Admin Registrars are Dr. Khurram Hameed Khan and Dr. Waheed.

The following Neurosurgical Conditions are treated Free of Cost:

1)  Minimally Invasive (Endoscopic & Microscopic) Brain Surgery

  1. Pituitary Tumor Surgery
  2. Endoscopic Brain Tumor surgery
  3. Endoscopic Brain Abscess aspiration
  4. Endoscopic skull base tumor surgery (for meningioma and glioma)
  5. Micro vascular Decompression for Trigeminal Neuralgia
  6. Brain Aneurysm Clipping
  7. Pituitary Adenoma Tumour
  8. Third VENTRICULOSTOMY For Hydrocephalus
  9. Intraventricular Brain Tumors
  10. Colloid Cyst
  11. Arachnoid Cyst
  12. Pediatric Neurosurgery For Children
  13. Cerebrospinal Fluid Fistula( CSF FISTULA )Leading to RHINORREA
  14. Endoscopic minimally invasive keyhole brain surgery

2)  Minimally Invasive Stereotactic Brain Surgery

  1. Deep-seated lesions like brain tumors
  2. Lesions in Eloquent areas of brain like Thalamus and Brain Stem.
  3. Multiple lesions like Metastatic lesions
  4. Diffuse Infiltrative lesions like Encephalitis and Diffuse Glioma
  5. Lesions in patients who cannot tolerate anesthesia like old aged
  6. For Aspiration of Brain abscess and cystic lesions
  7. For Aspiration of hematomas

3)  Minimally Invasive (Endoscopic & Microscopic) Spine Surgery

  1. Microsurgical Spinal Tumor Surgery
  2. Spine Slipped Disc Surgery
  3. Endoscopic Cervical , Thoracic and Lumbar Discectomy

4)  Functional Neurosurgery Services

  1. Parkinson’s Disease Treatment by Deep Brain Stimulation (DBS)
  2. Tourette’s Syndrome Treatment by Deep Brain Stimulation (DBS)
  3. Essential Tremors Treatment by Deep Brain Stimulation (DBS)
  4. Dystonia Treatment by Deep Brain Stimulation (DBS)
  5. Obsessive Compulsive Disorder (OCD) Treatment by Deep Brain Stimulation (DBS)
  6. Severe Depression Treatment by Deep Brain Stimulation (DBS)
  7. Writer’s Cramp & Taste Specific Dystonia Treatment by Deep Brain Stimulation (DBS)
  8. Epilepsy Treatment by Deep Brain Stimulation (DBS)
  9. Hemi facial Spasm Treatment by Deep Brain Stimulation (DBS)
  10. Chorea Treatment by Deep Brain Stimulation (DBS)
  11. Alzheimer’s Disease Treatment by Deep Brain Stimulation (DBS)
  12. Secondary Epilepsy Treatment by Vagus Nerve Stimulation (VNS)
  13. Medial temporal lobe epilepsy (MTLE), (that is often associated with hippocampal sclerosis)Treatment by Vagus Nerve Stimulation (VNS)
  14. Lesional focal epilepsies caused by discrete structural lesions Treatment by Vagus Nerve Stimulation (VNS)
  15. 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)
  16. Medically refractory epilepsy with disabling drop attacks Treatment by Vagus Nerve Stimulation (VNS)
  17. Failed Intra-cranial Epilepsy surgery Treatment by Vagus Nerve Stimulation (VNS)
  18. Intractable generalized epilepsies Treatment by Vagus Nerve Stimulation (VNS)
  19. Lennox-Gastaut type epilepsies Treatment by Vagus Nerve Stimulation (VNS)
  20. Idiopathic (genetic) generalized epilepsies Treatment by Vagus Nerve Stimulation (VNS)
  21. Treatment Resistant Depression Treatment by Vagus Nerve Stimulation (VNS)
  22. Urge Incontinence treatment by Sacral Nerve Stimulation
  23. Fecal Incontinence treatment by Sacral Nerve Stimulation
  24. Chronic Anal Fissure treatment by Sacral Nerve Stimulation
  25. Overactive Bladder treatment by Sacral Nerve Stimulation
  26. Multiple Sclerosis treatment by Sacral Nerve Stimulation
  27. Non-obstructive urinary retention treatment by Sacral Nerve Stimulation
  28. Severe migraine headaches treatment by Occipital Nerve Stimulation
  29. Occipital neuralgia treatment by Occipital Nerve Stimulation
  30. Cluster headaches treatment by Occipital Nerve Stimulation
  31. Treatment of Failed Back Syndrome, Spasticity by Spinal Cord Stimulation
  32. Implantation of Intrathecal Baclofen Pump for Spastic Paraplegia

5)  Conventional Neurosurgery

  1. Meningioma Surgery
  2. Glioma surgery
  3. Skull base tumor surgery
  4. Spinal tumor surgery
  5. Arnold Chiari Malformation
  6. Spina Bifida
  7. CSF Diversion (VP Shunt) for Hydrocephalus
  8. Aneurysm Clipping
  9. Anterior Cervical Discectomy & Fusion for Cervical Disc
  10. Anterior Thoracic corpectomy and titanium mesh cage replacement
  11. Vertebroplasty
  12. Decompression surgery for Spinal Stenosis
  13. Free hand Brain Tumor Biopsy
  14. Disc surgery
  15. Trans Pedicular Screw Fixation
  16. 360 degree fixation of spine
  17. Surgery for Tuberculous (Caries) spine
  18. Brain Abscess Surgery
  19. Syringo subarachnoid shunts for syringomyelia
  20.  Carpal Turnnel Syndrome treatment
  21. Treatment of Spine Injury
  22. Acoustic Neuroma surgery

Operation Theater Suites:

For Elective Surgery, there are 3 operation theaters in Albert Victor Hospital. 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.

For Emergency surgery, we have a dedicated Operation theater on Ground floor of Emergency, functional 24/7