Consultant Neurosurgeon and Neuro-Interventionalist
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What is Minimally Invasive Brain Surgeries (MISS)?

Minimally Invasive Brain Surgery (MISS) refers to a set of advanced surgical techniques aimed at treating a wide variety of brain conditions through small incisions and less invasive approaches. These techniques allow surgeons to access specific areas of the brain without the need for large incisions or opening significant portions of the skull, as required in traditional brain surgeries. MISS utilizes advanced tools like endoscopes, microscopes, and computer-guided imaging systems to improve precision and minimize trauma to surrounding tissues. MISS is a breakthrough in neurosurgical care because it typically results in reduced postoperative pain, quicker recovery times, shorter hospital stays, and fewer complications. These procedures are highly beneficial for conditions such as brain tumors, vascular malformations, epilepsy, and functional disorders like trigeminal neuralgia. Patients who undergo MISS often experience improved outcomes and a faster return to normal life compared to those undergoing conventional brain surgery. MISS has revolutionized the field of neurosurgery, allowing surgeons to treat complex conditions while minimizing risks.

What are the major types of Minimally Invasive Brain Surgeries (MISS)?

There are several key types of Minimally Invasive Brain Surgery (MISS), each tailored to treat different neurological conditions. The major types include:

  • Endoscopic Brain Surgery
  • Stereotactic Brain Surgery
  • Keyhole Craniotomy
  • Laser Ablation Surgery (LITT)
  • Endovascular Neurosurgery

Explain their types

Endoscopic Brain Surgery

Endoscopic brain surgery involves using an endoscope, a thin tube with a camera and light, inserted through small incisions or natural openings like the nasal cavity. This technique is frequently used to treat conditions such as hydrocephalus, pituitary tumors, and certain skull base tumors. It offers a less invasive option compared to traditional craniotomies, reducing risks and improving recovery times.

Stereotactic Brain Surgery

Stereotactic brain surgery uses precise, computer-guided technology to locate specific areas within the brain using three-dimensional imaging. This allows for highly accurate targeting of tumors, blood vessel malformations, or epileptic foci, minimizing damage to surrounding tissues. Stereotactic surgery is also used for brain biopsies and functional surgeries like deep brain stimulation (DBS) for Parkinson’s disease.

Keyhole Craniotomy

In a keyhole craniotomy, a small opening is made in the skull, typically behind the ear or near the eyebrow, to access targeted regions of the brain. This technique is often used to treat aneurysms, brain tumors, and certain neurological disorders. The small incision size means less disruption to the brain and faster recovery, with fewer risks than traditional open craniotomies.

Laser Ablation Surgery (LITT)

Laser Interstitial Thermal Therapy (LITT) involves the use of laser technology to heat and destroy abnormal brain tissue, such as tumors or areas causing seizures. Guided by MRI imaging, surgeons insert a laser fiber through a small opening in the skull to target the affected area with minimal harm to nearby structures. LITT is particularly useful for deep-seated tumors or cases where conventional surgery is too risky.

Endovascular Neurosurgery

Endovascular neurosurgery is a minimally invasive technique used to treat blood vessel abnormalities in the brain, such as aneurysms or arteriovenous malformations (AVMs). Surgeons navigate a catheter through the blood vessels, often entering through the groin, and use imaging guidance to treat the affected area without making large incisions in the skull. Techniques like coiling or stenting can be used to repair or block blood vessels, reducing the need for open surgery.

What causes Minimally Invasive Brain Surgeries (MISS)?

Minimally Invasive Brain Surgeries (MISS) are performed in response to a variety of brain and neurological conditions that require surgical intervention. These conditions may include:

  • Brain tumors (e.g., gliomas, meningiomas, pituitary tumors)
  • Blood vessel abnormalities, such as aneurysms and AVMs
  • Epilepsy that cannot be controlled by medication
  • Hydrocephalus (fluid accumulation in the brain)
  • Functional disorders, including Parkinson’s disease and trigeminal neuralgia
  • Skull base tumors that are difficult to access through traditional surgery

Minimally Invasive Brain Surgeries (MISS) include:

MISS procedures address a variety of brain and neurological conditions, using advanced techniques that aim to minimize disruption to surrounding tissue. Minimally Invasive Brain Surgeries (MISS) include:

  • Endoscopic brain surgery
  • Stereotactic brain surgery
  • Keyhole craniotomy
  • Laser ablation surgery (LITT)
  • Endovascular neurosurgery

What are the symptoms of a Minimally Invasive Brain Surgeries (MISS)?

The need for Minimally Invasive Brain Surgery (MISS) arises from symptoms caused by the underlying neurological condition. These symptoms may vary depending on the specific disorder, but common indicators include:

  • Persistent headaches or migraines
  • Seizures, particularly if they are drug-resistant
  • Vision problems such as blurred or double vision
  • Cognitive impairment, memory loss, or difficulty concentrating
  • Balance and coordination difficulties
  • Numbness or tingling in the limbs or face
  • Facial pain or neuralgia (e.g., trigeminal neuralgia)
  • Difficulty walking or speaking

Risk Factors

Several risk factors increase the likelihood of developing conditions that may require Minimally Invasive Brain Surgery (MISS). These include:

  • Genetic predisposition to brain tumors or neurological disorders
  • History of radiation exposure to the head or brain
  • High blood pressure and cardiovascular disease, increasing the risk of aneurysms
  • Smoking, which raises the risk of vascular disorders
  • Chronic infections or inflammation of the nervous system
  • Head trauma or injury, leading to conditions like hydrocephalus
  • Aging, as the risk of vascular and degenerative conditions increases with age
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Call: +91 9654170684