Neurology Care

A section of the skull (bone flap) is temporarily removed to give the surgeon direct access to the brain, allowing the tumor to be excised or sampled, after which the bone flap is replaced and secured.

Recommended when imaging identifies a mass causing symptoms such as headaches, seizures, neurological deficits, or when a tissue diagnosis is required to guide further cancer treatment.

Under general anaesthesia, with neuronavigation and often intraoperative monitoring to protect eloquent brain regions, the surgeon accesses and removes the tumor; the operation typically takes 3-6 hours depending on tumor location and size.

Most patients see improvement or stabilization of pre-operative symptoms within weeks, with final pathology guiding any additional radiation or chemotherapy.

Thin electrodes are implanted into specific brain nuclei and connected to a pacemaker-like pulse generator placed under the skin, delivering electrical impulses that regulate movement-control circuits.

Considered for Parkinson's disease, essential tremor or dystonia when medication response becomes inconsistent or side effects such as dyskinesia limit further dose increases.

Under a combination of local and general anaesthesia, with MRI/CT-guided targeting, electrodes are placed through small skull openings and tested for symptom response before the pulse generator is implanted; the full process spans 4-6 hours.

Most patients experience a meaningful reduction in tremor, rigidity and medication-related fluctuations once the device is activated and programming is optimized over subsequent visits.

An aneurysm is secured either by placing a small clip across its base during open surgery (clipping) or by packing it with platinum coils via a catheter threaded through the blood vessels (coiling), both aimed at preventing rupture or re-bleeding.

Recommended for an unruptured aneurysm judged at meaningful risk of rupture, or urgently after a rupture has caused a subarachnoid haemorrhage.

Under general anaesthesia, the neurosurgical or neuro-interventional team accesses the aneurysm either through a craniotomy or via a catheter from the groin or wrist; clipping generally takes 3-5 hours and coiling 1-3 hours.

Successful treatment substantially reduces the risk of future rupture, with recovery trajectory depending heavily on whether the procedure was elective or performed after a bleed.

The portion of the temporal lobe identified as the source of recurring seizures is carefully removed, following detailed pre-surgical mapping of the seizure focus and nearby functional areas.

Considered for epilepsy that continues despite trials of two or more appropriate anti-seizure medications, once video-EEG and imaging confirm a well localized, resectable seizure focus.

Under general anaesthesia, and guided by pre-operative video-EEG, MRI and often intracranial monitoring, the surgeon removes the affected tissue while preserving language and memory function; surgery typically takes 3-5 hours.

A substantial proportion of well-selected patients achieve significant reduction or freedom from seizures, with medication tapering considered gradually under specialist supervision.

The surgeon opens the carotid artery in the neck and removes the fatty plaque narrowing it, restoring more normal blood flow to the brain.

Recommended for significant carotid artery narrowing, particularly when it has already caused a stroke or transient ischaemic attack, or when narrowing is severe even without prior symptoms.

Under general or regional anaesthesia, with continuous monitoring of brain blood flow, the surgeon opens the artery, removes the plaque and closes the vessel, often with a patch; the procedure typically takes 1.5-2.5 hours.

Most patients recover without new neurological deficit, with a meaningfully reduced risk of future stroke on the treated side confirmed through follow up imaging.