The department of Neurosurgery for children at Lotus Hospital for Women & Children deals with surgical problems in newborns, infants, children and adolescents with nervous system diseases requiring surgical intervention. The diseases requiring such advanced surgery vary from age group to age group. In newborns and infants, most of the diseases pertain to birth defects of the brain, infections causing complications such as blockage of passages within the brain’s fluid circulation system, and bleeding into the brain or surrounding tissues. In young children, diseases such as infections, bleeding due to falls, injuries, accidents predominate.
In older children and adolescents, most instances of neurosurgical disorders pertain to trauma : falls, accidents leading to swelling of the brain substance, bleeding or blood clots within the cranial vault and infections. Rarely, tumours of the nervous system require surgical intervention. A subset of children with severe epilepsy or fits not responding to medications and amenable to surgery may benefit from highly specialised epilepsy surgery to disconnect triggering areas of the brain from the rest of the brain substance.
The surgical procedures are complex, need careful planning and intervention as needed. Sometimes, even in situations of a blood clot or bleeding into the brain substance, a wait and watch policy with medical treatment as the first choice may the best way. Decisions are made on a case to case basis and by our experts in children’s intensive care, children’s neurologists and the neurosurgeons as needed.
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