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Yashoda Hospital is one of the unique and advanced centers for functional neurosurgery that offer high-end surgical treatment for various movement disorders, neuropsychiatric disorders, epilepsy trigeminal neuralgia, and psychiatric conditions such as obsessive-compulsive disorder and intractable pain.

Our hospital has brought advanced treatment for Parkinson’s disease- Sub Thalamic Nucleus (STN) and Globus Pallidum (GPI) Deep Brain Stimulation (DBS).

Our neurosurgeons meet regularly to review each patient’s case and, provide customised treatment to our patients and recommend the least invasive, most effective surgical treatment.

What Is Functional Neurosurgery?

Functional Neurosurgery broadly deals with procedures that modify the nervous system's functioning and a wide range of chronic neurological symptom disorder associated with movement disorders and neuropathic pain syndromes.

Functional neurosurgeons work with people experiencing such neurological disorders as complex regional pain syndrome, essential tremor, epilepsy, dystonia, nerve injuries, Parkinson’s disease, spinal cord injury, trigeminal neuralgia, multiple sclerosis, Tourette syndrome, failed back surgery syndrome, and brain trauma.

What Are The Indicators For Functional Neurosurgery?

Some of the significant indicators where the patient might need functional neurosurgery are:

  • Deafness or hearing difficulties
  • Difficulty swallowing
  • Difficulty concentrating
  • Memory problems
  • Fatigue
  • Numbness
  • Loss of balance
  • Impaired movement
  • Lack of responsiveness
  • Loss of the senses, such as smell or touch
  • Pain in the muscles, skin, or joints
  • Seizures
  • Tingling sensations in the skin
  • Tremors
  • Twitches
  • Vision problems
  • Weakness
  • Speech problems
  • Paralysis

What Are The Conditions Treated Under Functional Neurosurgery?

At Yashoda, some of the significant conditions we treat under Functional Neurosurgery treatment include:

  • Parkinsons Disease
  • Hemifacial Spasm
  • Dystonia
  • Idiopathic Dystonia
  • Essential Tremor
  • Trigeminal Neuralgia
  • Additional movement disorder Pain
  • Trigeminal Neuralgia
  • Spinal Cord
  • Glossopharyngeal
  • Nerve Root Pain (Phantom Limb)
  • Herpetic Neuralgia
  • Cancer Pain
  • Spasticity

Are You A Candidate For Functional Neurosurgery?

Our doctors at Yashoda Hospital provide a personalized approach by creating a customized treatment plan depending on the patient's current medical condition. You may have to undergo Functional Neurosurgery if:

  • You experience more than one symptom that is outside of your conscious control and affects your movement or senses
  • You may be suffering physical or neurological condition for unknown reasons.
  • Due to a traumatic or stressful event, you might be suffering these symptoms.

However, treatments are beneficial for those with:

  • Recurrent symptoms
  • Severe FND symptoms
  • Other (co-occurring) psychological conditions
  • Symptoms that are slow to resolve

What Are The Various Types of Diagnostic Procedures Required Before Functional Neurosurgery?

Your doctor might ask you to take the following diagnostic tests:

  • MRI
  • CT scan
  • Positron emission tomography (PET)
  • Electroencephalography (EEG)
  • Functional tests to check for stability.

What Is The Procedure Of Functional Neurosurgery?

In functional neurosurgery, the procedure used is based on the use of electrical stimulation to correct the function of neural tissue – the nerve tissue. The treatment includes areas of the brain, spinal cord, and peripheral nerves.

During The Procedure:

The surgeons use an implantable pulse generator with a thin insulated wire with four microelectrodes attached to its tip. The team of highly experienced surgeons implant these microelectrodes in the area of the brain, spinal cord, or an occipital nerve and position it with submillimeter accuracy using state-of-the-art surgical navigation technology.

After the procedure:

After the recovery, the affected area is stimulated with the help of a surgically implanted stimulator resembling a heart pacemaker is implanted under the skin of the chest. It is used to deliver the small pulses of electricity to the target area. The adjustment of the stimulation parameters of the implant across a wide range is done, which helps in relieving symptoms. This implanted system helps change the functioning of the brain (the ultimate neural structure), the spinal cord, cranial nerves, and the peripheral nerves.

Common procedures performed using Functional Neurosurgery are

  • Deep Brain Stimulation: In this technique, a doctor uses electricity to change the brain's function.
  • Spinal Cord Stimulation: In this technique, a doctor uses electricity to alter the spinal cord's function.
  • Occipital Nerve Stimulation: In this technique, a doctor uses electricity to change the occipital nerve's functioning.

What Are The Precautions You Should Take After The Functional Neurosurgery?

The crucial precautionary measures one must consider after the surgery are:

  • Take all the medications prescribed by the doctors
  • Do not drive any vehicle without the consent of the doctor
  • Do not take an MRI scan after the operation
  • Ultrasound treatment is not permitted
  • Do not indulge in sexual activities.
  • Eat a very healthy diet.
  • Avoid the use of tobacco.
  • Heavy consumption of alcohol is prohibited.
  • Visit your doctor for regular checkups in the outpatient clinics

What Are The Complications Associated With Functional Neurosurgery?

Some of the risk factors associated with Functional Neurosurgery include:

Short term adverse effects of stimulation:

  • Anxiety and nausea
  • Difficulty talking
  • Eyelids closing
  • Visual flashes
  • Jerky movements
  • Limb or face contractions
  • Numbness or tingling in limbs or face

These risk factors are very mild and usually reversible with adjustments in stimulation or with the help of some medication.

General adverse effects of stimulation:

  • Short term confusion
  • Blood clot
  • Infection of the leads
  • Stroke or other neurological deficit
  • A weakening of the voice
  • Seizures

However, if the patient experiences these symptoms for a longer duration, they must immediately see a doctor.



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