DEPARTMENT OF NEUROSURGERY

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.

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

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

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).

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. Asim Andrabi and Dr. Waheed.

The following Neurosurgical Conditions are treated Free of Cost:

1) Minimally Invasive (Endoscopic & Microscopic) Brain Surgery

• Pituitary Tumor Surgery
• Endoscopic Brain Tumor surgery
• Endoscopic Brain Abscess aspiration
• Endoscopic skull base tumor surgery (for meningioma and glioma)
• Micro vascular Decompression for Trigeminal Neuralgia
• Brain Aneurysm Clipping
• Pituitary Adenoma Tumour
• Third VENTRICULOSTOMY For Hydrocephalus
• Intraventricular Brain Tumors
• Colloid Cyst
• Arachnoid Cyst
• Pediatric Neurosurgery For Children
• Cerebrospinal Fluid Fistula( CSF FISTULA )Leading to RHINORREA
• Endoscopic minimally invasive keyhole brain surgery

2) Minimally Invasive Stereotactic Brain Surgery

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

3) Minimally Invasive (Endoscopic & Microscopic) Spine Surgery

• Microsurgical Spinal Tumor Surgery
• Spine Slipped Disc Surgery
• Endoscopic Cervical , Thoracic and Lumbar Discectomy

4) Functional Neurosurgery Services

• Parkinson’s Disease Treatment by Deep Brain Stimulation (DBS)
• Tourette’s Syndrome Treatment by Deep Brain Stimulation (DBS)
• Essential Tremors Treatment by Deep Brain Stimulation (DBS)
• Dystonia Treatment by Deep Brain Stimulation (DBS)
• Obsessive Compulsive Disorder (OCD) Treatment by Deep Brain Stimulation (DBS)
• Severe Depression Treatment by Deep Brain Stimulation (DBS)
• Writer’s Cramp & Taste Specific Dystonia Treatment by Deep Brain Stimulation (DBS)
• Epilepsy Treatment by Deep Brain Stimulation (DBS)
• Hemi facial Spasm Treatment by Deep Brain Stimulation (DBS)
• Chorea Treatment by Deep Brain Stimulation (DBS)
• Alzheimer’s Disease Treatment by Deep Brain Stimulation (DBS)
• Secondary Epilepsy Treatment by Vagus Nerve Stimulation (VNS)
• Medial temporal lobe epilepsy (MTLE), (that is often associated with hippocampal sclerosis)Treatment by Vagus Nerve Stimulation (VNS)
• Lesional focal epilepsies caused by discrete structural lesions Treatment by Vagus Nerve Stimulation (VNS)
• 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)
• Medically refractory epilepsy with disabling drop attacks Treatment by Vagus Nerve Stimulation (VNS)
• Failed Intra-cranial Epilepsy surgery Treatment by Vagus Nerve Stimulation (VNS)
• Intractable generalized epilepsies Treatment by Vagus Nerve Stimulation (VNS)
• Lennox-Gastaut type epilepsies Treatment by Vagus Nerve Stimulation (VNS)
• Idiopathic (genetic) generalized epilepsies Treatment by Vagus Nerve Stimulation (VNS)
• Treatment Resistant Depression Treatment by Vagus Nerve Stimulation (VNS)
• Urge Incontinence treatment by Sacral Nerve Stimulation
• Fecal Incontinence treatment by Sacral Nerve Stimulation
• Chronic Anal Fissure treatment by Sacral Nerve Stimulation
• Overactive Bladder treatment by Sacral Nerve Stimulation
• Multiple Sclerosis treatment by Sacral Nerve Stimulation
• Non-obstructive urinary retention treatment by Sacral Nerve Stimulation
• Severe migraine headaches treatment by Occipital Nerve Stimulation
• Occipital neuralgia treatment by Occipital Nerve Stimulation
• Cluster headaches treatment by Occipital Nerve Stimulation
• Treatment of Failed Back Syndrome, Spasticity by Spinal Cord Stimulation
• Implantation of Intrathecal Baclofen Pump for Spastic Paraplegia

5) Conventional Neurosurgery

• Meningioma Surgery
• Glioma surgery
• Skull base tumor surgery
• Spinal tumor surgery
• Arnold Chiari Malformation
• Spina Bifida
• CSF Diversion (VP Shunt) for Hydrocephalus
• Aneurysm Clipping
• Anterior Cervical Discectomy & Fusion for Cervical Disc
• Anterior Thoracic corpectomy and titanium mesh cage replacement
• Vertebroplasty
• Decompression surgery for Spinal Stenosis
• Free hand Brain Tumor Biopsy
• Disc surgery
• Trans Pedicular Screw Fixation
• 360 degree fixation of spine
• Surgery for Tuberculous (Caries) spine
• Brain Abscess Surgery
• Syringo subarachnoid shunts for syringomyelia
• Carpal Turnnel Syndrome treatment
• Treatment of Spine Injury
• 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