You have not yet permanently registerd with Jaslok hospital, please go for the permanent registration to get premium benifits.
Click on Submit Button for permanent registrationSubmit
The Department of Neurosurgery at Jaslok Hospital is one of the oldest Department of Neurosurgery in Mumbai, in the private sector; but has ensured that it keeps pace with the latest developments in the neurosciences. Neurosurgery is a highly specialised area of medicine and requires intense training as it deals primarily with brain and nervous system. These are the only areas of the body which are unforgiving, i.e. if you make a mistake you cause permanent damage and there is no way to correct any error.
The Neurosurgical Department offers treatment for brain tumours, vascular pathology, spinal cord dysfunction, Paediatric Neurosurgical Disorders, endoscopic surgery. The only department in our city with capabilities to offer all the above with a high level of expertise under one roof. Add to this, the Best Deep Brain Stimulation program for Parkinson’s in India, plus a functional Neurosurgery Department dedicated entirely to Functional Neurosurgical domain involving movement disorder surgeries, epilepsy surgeries, surgery for chronic pain and spasticity.
The Neurosurgery Department is supported by high end technology and equipment like navigation system, microscope, micro electrode recording machine, radiofrequency lesion generator etc. which are mostly not available in any other institutes across the city. The aim and mission of the Neurosurgical Department is to offer highest level of patient care with safety and compassion.
Neurovascular surgery encompasses both microsurgical excision/obliteration of a vascular lesion or percutaneous endovascular approach to coil or stent without surgery by an advanced DSA machine along with embolization of a vascular lesion.
Minimally invasive techniques like use of endoscopes for excision of tumors through nose or small incisions in brain bring minimum or scarless surgery.
Minimally invasive techniques for spine, disc herniation, trauma, excision of tumor or instrumental fixation of spinal instability under neuromonitoring provides added safety.
A dedicated team of neuro-anesthetist and intensivists provide round the clock perioperative care yielding optimum benefit to our patients.
What is Endocrine Surgery?
Endocrine surgery is surgery that is done on the endocrine glands of body. These are the thyroid, parathyroid and adrenal glands.
A condition called familial Endocrine Neoplasia is also treated by experts in endocrine surgery.
With advances in minimally invasive surgery, laparoscopic and robotic surgery, as well as advances in nuclear medicine and diagnostic technologies, management of conditions of the endocrine glands has become more safe.
What are parathyroid glands? What is hyperparathyroidism?
We have 4 parathyroid glands, secreting parathyroid hormone, or PTH. PTH helps to control blood calcium levels.
An overactive parathyroid gland is called hyperparathyroidism. The most common cause of hyperparathyroidism is a parathyroid adenoma in a single gland. Hyper-functioning of parathyroid gland may also be caused by kidney diseases, vitamin D deficiency, or genetic conditions. The diagnosis of hyperparathyroidism is made based on blood levels of calcium and PTH. Vitamin D levels are also important when the diagnosis of hyperparathyroidism is considered and will affect its management.
What are the types of Parathyroid Surgery?
Focused or mini-invasive parathyroidectomy
Minimally invasive parathyroid surgery is performed through very small neck crease incisions (1 to 1½ inches). The incision is almost invisible when closed by a sutureless technique.
Before the diagnosis is made it is important to localize the hyper-functioning parathyroid gland by nuclear medicine scans and ultrasonography. Excision of the gland is confirmed measuring the PTH levels intraoperatively.
Bilateral Neck Exploration
In case localization facilities are not available in a hospital or in cases with multi-glandular parathyroid diseases, all four parathyroid glands are explored to remove the diseased gland. Typically performed through a neck incision, 5 to 6 inches long, all four glands are explored during surgery.
What are the symptoms of hyperparathyroidism?
As medical students are taught, symptoms of hyperparathyroidism should be remembered with the mnemonic of stones, bone and groans. Calcium stone in the kidney, bone pain due to bone loss or osteoporosis and abdominal cramps, peptic ulcer and altered bowel habits. Physicians should have a high level of suspicion and consider the presence of hyperparathyroidism when these symptoms are present. Patients reporting with such symptoms should have a serum calcium level with PTH ordered.
What is an adrenal gland? What hormones does it produce?
There are two adrenal glands as part of our endocrine system, located just above each kidney. They are very small glands but several important lifesaving hormones are produced by them.
Medical mnemonic sugar, salt and sex, defines cortex of adrenal gland, As one moves layers into the adrenal cortex, compounds that control salt, mineralocorticoids, aldosterone, control sugar, glucocorticoids, cortisol, and sex hormone, androgens are produced. Adrenal medulla is source of Catecholamine, such as: epinephrine (adrenaline), norepiniphrine, and dopamine - affect heart rate and blood pressure.
Aldosterone - regulates salt balance and blood pressure, Cortisol - controls immune system, metabolism, salt balance and response to other hormones, Small amounts of androgens & estrogens are Sex hormones.
What is a Pheochromocytoma?
A pheochromocytoma is an adrenal tumour that secretes catecholamines (i.e. adrenaline & Nor-adrenaline). When bursts of catecholamines are secreted, patients often have symptomatic spells of High blood pressure, Palpitations, headache, panic attacks, Flushing, sweating and finally Fatigue, that lasts up to an hour.
What is Cushing's Syndrome?
Cushing's syndrome is excessive amounts of cortisol secretion by adrenal glands. The symptoms are High blood pressure, Weight gain, Fatigue, Acne or facial hair, truncal obesity, i.e. rounding of the face and Buffalo hump (fat pad at back of neck), Straie (purplish stretch marks on the skin), Elevated blood sugars.
There are many potential causes of excessive cortisol, and extensive testing is needed for diagnosis. There is considerable variation in steroid production throughout the day. Adrenalectomy may be performed to remove one or both adrenal glands, depending on the cause of cortisol excess. After surgery most patients require additional steroids that are tapered over several months.
What are advances in Surgery of adrenal gland?
Laparoscopic adrenalectomy has almost replaced open operation with large 8 to 10 inches for adrenal. Laparoscopic adrenalectomy involves making 3 or 4 very small incisions of 1 to 1½ inches and removing the adrenal gland using a telescope, laparoscopic instruments and advanced energy devices. There is drastic reduction in pain and morbidity due to laparoscopic procedure with early recovery. Patients after laparoscopic procedure could be discharged within 48 hours of admission. Jaslok hospital is equipped with surgeons and instrumentations to offer laparoscopic adrenalectomy to almost all patients.
What is Multiple Endocrine Neoplasia (MEN) Syndromes & their treatment?
Multiple endocrine neoplasia syndromes are endocrine disorders related to genetic mutation, manifested as tumours of various endocrine glands in combination.
Types, MEN 1, MEN 2, FMTC
MEN 1 frequently involve tumours of the parathyroid glands, the pituitary gland, and the pancreas. Tumours in these glands can lead to the overproduction of hormones. The most common presentation of MEN 1 is hyperparathyroidism.
MEN 2 A is associated with a form of thyroid cancer called medullary thyroid carcinoma. Some people with this disorder also develop a pheochromocytoma, which is an adrenal gland tumour that can cause dangerously high blood pressure and hyperparathyroidism
MEN 2B is also associated with medullary carcinoma thyroid, pheochromocytoma and mucosal neuromas.
FMTC, familial medullary thyroid carcinoma
The treatment of these conditions is by multidisciplinary approach involving various specialities. Jaslok hospital is well equipped to offer comprehensive treatment for such conditions.
What is Thyroid Goitre or enlargement?
Enlargement of the thyroid is called goitre and lumps within it are called thyroid nodules. They may be obvious to the naked eye or can be found incidentally by imaging studies of the neck, such as a sonography of neck. Most goitres and thyroid nodules will not interfere with a person's health.
When thyroid goitre needs surgical attention?
Goitres and thyroid nodules needs surgical attention if they cause symptoms or cosmetically unacceptable for the patient.
1. Large goitres could become uncomfortable and cause breathing, swallowing difficulties, airways, esophagus constriction or blood vessels obstruction.
2. Thyroid nodules that have an indeterminate diagnosis or suspicious for cancer need surgical attention.
3. Nodular goitre causing hyperthyroidism
What is a Thyroid Nodule?
A thyroid nodule is simply a lump or mass in the thyroid gland. Thyroid nodules are relatively common; that can be felt on examination or sonographic imaging. Thyroid nodules are evaluated by sonography, aspiration cytology, thyroid function tests and treated accordingly.
What are the causes of Thyroid Goitre?
Physical and physiological strain on body metabolism, iodine deficiency, certain drugs such as lithium carbonate, genetic mutation for the proteins that permit the thyroid gland to make thyroid hormone, typically develop a thyroid goitre.
Inflammation of the thyroid gland (thyroiditis) can produce gland swelling, such as autoimmune thyroiditis and painless postpartum thyroiditis. Autoimmune thyroiditis (Hashimoto thyroiditis) occurs when a person's immune system turns against their own thyroid gland, causing thyroid inflammation. Progression of these conditions leaves thyroid permanently under active.
What are symptoms of Hyperthyroid?
Loss of weight, heat intolerance, tremors in hands, palpitations, insomnia, anxiety, increased frequency of bowel movements or diarrhoea.
What are symptoms of Hypothyroid?
Weight gain, cold intolerance, constipation, very dry skin, slowed thinking, depressed mood,
Risk factors for thyroid cancer
What are advances in Thyroid surgery?
Convention surgery, video-scopic surgeries, minimally invasive surgeries and robotic surgeries, there are tremendous advances in thyroid surgeries. Highly precise energy sources, magnified viewing loops, ultrasonic devices have made thyroid surgery safer and effective.
Collar incision in neck is till date cosmetically the best incision offered in thyroid surgery. With sub-cuticular stitching and post operatively wound care this neck incision is almost not detectable after surgery.
Videoscopy in thyroid has very limited scope for unilateral small thyroid lesions; minimally invasive thyroid surgery reduces neck incision length. Robotic surgery through axillary incision is still evolving.
What is post-operative care in thyroid surgery?
Two important structures, recurrent laryngeal nerve and parathyroid glands are in close proximity to thyroid, and special precautions are taken to prevent injuries to these structures. Post operatively patients are monitored for such complications and treated accordingly. Major complications are negligible and correctable by proper post-operative care.
What about thyroid supplement after surgery?
Not all patients need thyroid supplement; small amount of thyroid gland is enough to take care of body’s requirement. Those patients, who need Thyroid hormone or thyroxin supplement, find no change in their routine lifestyle.
What about scar after surgery
Neck scar is almost not visible and is hidden in neck crease. Stitches in thyroid surgery are absorbable and placed subcuticular, not visible on skin. They dissolve by themselves in body in course of 2 to 4 weeks. Postoperatively avoidance to sun exposure and operative placement of scar in neck crease and technique of wound closure leaves behind no scar after surgery.
ENDOSCOPIC SKULL BASE SURGE
For certain conditions in the brain that are located at the base of the skull such as a pituitary tumor or tumors located towards the front of the brain, surgery may be possible endoscopically.
The treatment for these conditions is provided by a multidisciplinary team of neurosurgeon, ENT surgeon, ophthalmic surgeon and endocrinologist.
The treatment involves a type of surgery that is carried out through the sphenoid sinus, which is located directly behind the nose. Using this method, the doctor does not enter the brain cavity itself. This approach is called the Endoscopic Endonasal Approach.
Under anaesthesia, your surgeon will place an endoscope which has a very small diameter through one nostril. The endoscope has a powerful camera at the end of it which allows the surgeon to view the area directly. With the help of micro-instruments inserted through either nostril, the surgeon will carefully remove your tumor after which the floor of the skull base is repaired and the endoscope is removed. The endoscope allows the surgeon to see the areas around the tumor as well.
The Endoscopic Endonasal Approach allows surgeons to treat many hard-to-reach tumors, even those once considered "inoperable," without disturbing the face or skull.
Being less invasive than traditional open surgical techniques it results in faster recovery and less pain.
At Jaslok Hospital, these surgeries are performed by a team of experts in dedicated and state-of-the-art operation theatres that incorporate sophisticated imaging technology.
The concept of team surgery has allowed our centre to expand the role of the Endoscopic Endonasal Approach (EEA) to include all pituitary tumors, regardless of size or invasiveness, and to access tumors of the skull base from the sphenoid sinus all the way down to the upper cervical spine and out to the cavernous sinus, Meckel’s cave, jugular foramen and beyond.
In addition, our center has experience with these techniques for pediatric patients as well as for challenging lesions such as aneurysms and angiofibromas.
These are some of the growths and conditions that may be treated by skull base surgery:
Symptoms
You may have many possible symptoms arising from a growth or abnormality in the skull base area. Symptoms will depend on the size, type, and location of the growth or abnormality, and may include:
The diagnosis of growths or abnormalities that may require skull base surgery is based on your symptoms and a physical exam. Because this area cannot be seen directly, these exams and imaging studies are important parts of the diagnosis:
After skull base surgery, you will be closely cared for by your medical team. Some people need continued therapy, and many will need repeated testing to make sure that a growth is not coming back over time.
Area of expertise
He has special interest in Skull base surgery. He is trained in operating complex Cranio-vertebral abnormalities and skull base tumors like acoustic shwannoma, pituitary adenomas and skull base meningiomas.
Introduction
Dr. Ramdasi is currently a Consultant in Neurological Surgery at the Jaslok Hospital and Research Centre since 1 year. He has completed his neurosurgical training from Seth G.S. Medical Collage and KEM hospital one of the best institutes in India.
Awards/Fellowship
"2nd Rank in the university in Mch exam 2013
Got Best paper awards at various national and international conferences.
Has published over 25 peer reviewed journal articles in international journals.
Has renowned research in complex Cranio-vertebral junction abnormalities and rare brain tumors. "
"Dr. Ambekar is currently a Consultant in Neurological Surgery at the Jaslok Hospital and Research Centre. Previously, he graduated cum laude with a M.B.B.S. from JIPMER, Pondicherry, which is one of the primer institutes in India. He completed a 5-year neurosurgical residency at NIMHANS, which is the best University for training in Neurosurgery in India, followed by a 1- year skullbase surgery fellowship and a 2-year endovascular fellowship at the LSUHSC, Shreveport, LA and the University of Miami Department of Neurological Surgery, United States. Dr. Ambekar specializes in the treatment of brain aneurysms and AVMs (arteriovenous malformations).
He is one of the few dual-trained neurosurgeons in the country able to offer both surgical and minimally invasive endovascular solutions to complex cerebrovascular disease. The minimally invasive endovascular techniques allows for patients to be treated through a 1mm incision in the leg with no incisions in the head. Because of his dual training, he unbiased with regards to the treatment chosen. While most lesions can be treated endovascularly, there are some cases are safer with surgery. Dr. Ambekar is able to perform every procedure from the initial angiogram to the final embolization or surgery. He is also a specialist in pediatric vascular disease such as aneurysms and tumors, and treating children with surgical and endovascular techniques.
Dr. Ambekar also is specifically involved in mechanical thrombectomy for acute ischemic stroke, intracranial stenting for atherosclerotic disease, carotid endarterectomy/stenting and treatment of intracranial dural arteriovenous fistulae "
"Best Outgoing Resident in Neurosurgery (2011)
Has published over 75 peer reviewed journal articles and 5 book chapters
Research in the role of Computational Fluid Hemodynamics in characterizing the growth and rupture of intracranial aneurysms "
"I would like to place on record my deepest sense of gratitude to Dr.Paresh Doshi & his entire team.......More
"Everything is going very well. I started working 3 weeks ago, it's gone well. I am getting into the.......More
I was first admitted in Jaslok Hospital in 1988 for Neurogenic bladder problem, since then Jaslok.......More
I have been to various hospitals like Criticare, Lilavati but never seen so much attention on food,.......More
Hospital & staff were extremely warm & quick in getting me start with the procedures. Although it.......More
It was never a feeling as if I was in a hospital. I got the best care. The response of each staff,.......More
Thanks for all the services, no doubt it is the best hospital. My kidney, BP, diabetes problem make.......More
Jaslok is like a second home for me I have been admitted to Jaslok more than 9 times in last 1 and.......More
When I came with my mother, I was very nervous. But after entering here I felt warmed with smiling.......More
I am very much glad to note my feedback and grateful. Thanks to Dr. Chibber and assistants. I got.......More
Though my family was not in town during these day Jaslok Team was my extended family which took care.......More
Our Sansare Family believes in Jaslok Hospital for any medical treatment. Doctors and staff are.......More
Availability of advance testing equipments makes the patients experience less painful. Doctors &.......More
My husband suffered from a rare disease called GBS, which requires prolonged ICU stay, and in 7.......More
What to say? It is unexpected of all the staff cooperation, willingness to help round the clock. All.......More
We have travelled a long way from Australia for a very important operation for our daughter which we.......More
This hospital has very efficient and caring staff, all nurses attending me are expert in their work.......More
Thank you Dr. Bahadur for treating my mom with utmost care. Thanking all the nurses especially.......More
Dear Sir/Madam, I was admitted in the hospital on 20.11.2017 under Dr Ajit Desai and discharged on.......More
It was a very comforting and homelike atmosphere here with all the Nurses and Maushi around. I know.......More
I sincerely thank Jaslok Hospital for their excellent medical service and care. Especially Dr. G........More
What a wonderful experience! I can’t thank enough the Jaslok staff from a every senior doctor to.......More
Good services from 8th floor staff. Special thanks to sister Sissa, Sister Vanita and sister.......More
The entire team on 8th floor, from housekeeping to nursing to treating doctors, all are very helpful.......More
Very satisfied and happy with the service by staff. Sisters were very good and loving. God bless you.......More
Thanks to all who took care of me and special thanks to Dr. Shilpa who made me so comfortable to.......More
We really appreciate the help of Dr. G. N. Mansukhani during this period of pregnancy. All staff on.......More
We are thankful to Dr. Anahita, Dr. Sapna, Dr. Nitin, Dr. Fazal, all the nursing staff at 8th floor.......More
Very good treatment and care taking team of Dr. Firuza Parikh and all doctors of the same team. We.......More
I am thankful to Dr. Parekh, Dr. Anaita, Dr. Sangeeta, Dr. Sapna and Dr. Supriya for their support.......More
Thank you so much for the love I have received from both the nursing staff and the doctors. Dr........More
Many thanks to Dr. Mansukhani & her team for delivering our healthy and safe child to us. I am also.......More
We are really happy to choose Jaslok hospital for our delivery. The doctors over here are too good.......More
I would like to express my sincere appreciation to Dr. Indira Hinduja and Jaslok Staff members (8th.......More
Thank you very much in completing this wonderful journey of my life, which started with my visit to.......More
Since my reason for stay was a pleasant one, I was expecting the next few days to be good. But the.......More
Very pleased with the cordial and friendly staff. Their assistance has made my stay and my baby’s.......More
Dr. Sudeshna and her team are excellent. Took exceptional care of me during my LSCS and throughout.......More
By Profession i am Farmer. I had Kidney transplant in 2008. I take Dr. Rushi Despande and Jaslok.......More
Hospitalization of Mr.Mehroze Dadrewalla in Jaslok Hospital under Dr. Pettarusp wadia
I wish to thank you for having a "Migraine Clinic" at your hospital. Dr. Ravi Shankar an angel who.......More
Jaslok staff, security system are very sincere in their work. We give 100% marks, Being a doctor.......More
The overall experience in hospital is very well. The process follows all department in hospital very.......More
Very good hospital with ease in admission, Great consultation, careful nursing, good housekeeping,.......More
Food & service is good, nursing is good, Medical treatment & doctor is very good. Para medical.......More
ICU staff of Jaslok Hospital were amazing to my Dad, when he was seriously ill in their care........More
The staff was very good& friendly, very helpful & always smiling faces which is very good to create.......More
All the staff and nursing staff provided required patient help. They always taken care during our.......More
I really enjoyed my stay in Jaslok Hospital, the hospitality of everyone is really commendable........More
The services at the hospital are very good and where of the staff is good & makes you feel.......More
Service is beyond the smile, Helpful staff, nurse job fine. Cleanliness is very good and main thing.......More
The nursing care is superb, the cleaning staff & other staff is good. Care in Jaslok Hospital is.......More
I had a very good & comfortable stay in the hospital, received excellent medical care by nurses &.......More
The hospital support staff, sisters & doctors are exceptionally helpful & sincere. The room is clean.......More
We were here for angiography & everything went well. Nurses have been extremely helpful and caring........More
The Team Jaslok deserves to be lauded for the care they take of the patient, the conduct being the.......More
I come here in a state of medical emergency. With all the help of all the nurses, staff & doctors. I.......More
Here at Angioplasty ICU, met with highly professional nurses. Looking after each & individual.......More
That’s the kind of people we have here. They really take pride in helping and go the extra mile........More
I am overwhelmed and touched by the warmth and care given to me during my critical condition........More
We were very happy about this story in the hospital. The décor was pleasing and homely, Nurses &.......More
It’s a very good hospital, here the doctors, nurses and all the staff are very good and well behaved.......More
We are so glad that we decided to come to Jaslok Hospital for our delivery. Our little princess has.......More
All the staff was very efficient and helpful. The people who particularly pleased us & we show our.......More
The hospital is very good, the staff & doctors equally treated to all the patients. The doctors are.......More
A very good experience at Jaslok. All the staff, doctors, nurses, attendants, cleaners, security,.......More
We are totally happy & satisfied with doctor & staff treatment and behavior. Special thanks to Dr........More
We came here all the way from UDAIPUR and our experience was very good especially our doctor Shruti.......More
It’s one of its kind hospital where the patient is at easy & completely relaxed about all kind of.......More
All staff are very good & helpful, Nurses care was awesome. Thank you so much for doing my discharge.......More
I want to deeply appreciate the management, doctors, staff, Nursing staff & other ground staff for.......More
The services of Jaslok Hospital is of excellent quality. The doctors and nursing staff are caring &.......More