Neurosurgery Services
Advanced Brain and Spine Care with Precision, Safety, and Expertise
At Dr. Bansal’s Arogya Hospital, we provide comprehensive neurosurgical evaluation and treatment for disorders of the brain, spine, and peripheral nerves. Our approach combines meticulous clinical evaluation, advanced imaging correlation, and modern endoscopic, microsurgical and minimally invasive techniques to deliver safe, effective, and outcome-driven treatment.
We specialize in complex spine conditions, spinal tumors, and advanced cranial surgery with a strong emphasis on neurological preservation and functional recovery.
Spine Surgery & Spinal Disorders
Spinal conditions are a leading cause of pain, disability, and neurological compromise. We offer comprehensive management ranging from conservative therapy to advanced minimally invasive and reconstructive spine surgery.
Degenerative & Structural Spine Conditions
These are the most common spinal diseases that occur as a result of natural wear and tear of spinal intervertebral discs and joints associated with aging of the spine. They may be accelerated as a result of poor posture, smoking and sedentary lifestyle. These include
- Lumbar and cervical disc herniation
- Sciatica and radiculopathy
- Lumbar canal stenosis
- Cervical myelopathy
- Spondylolisthesis
- Degenerative spine disease
- Osteoporotic and traumatic spine fractures
We prioritize motion-preserving techniques whenever feasible and recommend fusion only when biomechanically necessary. This ensures that we handle only the diseased segments and let normal levels remain functional and healthy.
Spinal Tumors – Specialized Surgical Care
Spinal tumors are masses that grow within the spine that either disturb the joints or compress the spinal cord or the nerves arising from it. In some cases, benign tumours may be just observed. In most cases, these tumours need to be excised to get a biopsy and a confirmed diagnosis. They require precise planning, careful neurological preservation, and often multidisciplinary coordination.
We treat:
- Intradural tumors (e.g., meningiomas, nerve sheath tumors) – These are tumours that arise from nerves within the dural cover of the spinal cord.
- Intramedullary spinal cord tumors (eg. Astrocytoma, Ependymoma etc.) – These are tumours that arise and grow within the spinal cord. They are highly destructive and destroy the connections from the brain and the control structures in the spinal cord.
- Extradural tumors – The tumours outside the dural cover of the spinal cord or nerves
- Metastatic spinal tumors – These tumours migrate to the spine from other sites such as the breast, lungs, prostate and kidneys.
- Vertebral body tumors (eg. Haemangioma, Plasmacytoma etc.) causing spinal cord compression or nerve compression or disturb movements and joints
Our Approach to Spinal Tumors
- Detailed imaging based surgical planning using both MRI images and CT images
- Microsurgical tumor excision to ensure millimetre precision during tumour excision
- Intraoperative monitoring of nerve and cord integrity to ensure functional preservation
- Neural tissue preservation
- Spinal stabilization when required
- Minimally invasive techniques when appropriate
Early diagnosis and timely decompression are critical in preventing permanent neurological deficits.
Minimally Invasive & Endoscopic Spine Surgery
The bones of the spine are stabilised by large muscles and ligaments that hold it and assist it in movement. When operating on the spine our primary goal is to ensure that muscles and ligaments are preserved while the offending agent such as the disc or thickened ligaments can be removed.
We utilize:
- Endoscopic spine surgery – Small scope on a camera is introduced in the spine
- Tubular retractor-based minimally invasive surgery (MISS) – A small tube is introduced and either a microscope or a loupes are used to see inside through the tube.
- Microdiscectomy
- Laminectomy and decompression
- MIS TLIF and instrumented fusion
- Revision spine surgery
As the incisions are smaller there is
- Reduced muscle damage
- Less blood loss
- Faster mobilization
- Shorter hospital stay
Many patients are mobilized within hours after surgery.
Brain & Cranial Neurosurgery
We provide advanced surgical management for complex intracranial conditions using microsurgical techniques.
Brain Tumors
- Primary brain tumors – Tumours arising from the brain or the layers surrounding it
- Metastatic brain tumors – Tumours arising from else and migrating to the brain
- Deep-seated lesions – Tumours arising near the centre of the brain
- Tumors near eloquent brain areas
Awake Brain Surgery
For tumors located near critical speech or motor areas, we offer Awake Craniotomy techniques. The patient sleeps during the initial phase and then is woken up during the surgery to test for a specific speech function or hand or leg function. The scalp and bones numbed using local anesthesia.
This approach allows real-time neurological monitoring during surgery, helping preserve:
- Speech
- Motor function
- Cognitive abilities
Awake brain surgery allows us to remove more tumour tissue while ensuring that the patients abilities and function are preserved. It helps increase surgical precision while minimizing functional deficits.
Skull Base Surgery
The base of the skull supports the brain, the blood vessels and the nerves arising from the brain. Skull base tumours and conditions affect the skull base and the structures such as the nose, the eyeballs and the ears that connect with the brain. Skull base tumors demand specialized surgical planning due to proximity to vital nerves and blood vessels. Skull base specialists need to be well versed in both endoscopic and open microsurgical techniques.
We manage:
- Meningiomas
- Pituitary tumors
- Schwannomas
- Complex skull base lesions
Using advanced endoscopic and microsurgical techniques, we aim for:
- Maximal safe tumor removal
- Preservation of cranial nerve function
- Reduced complications
Other Cranial Conditions
- Chronic subdural hematoma – typically seen in elderly patients. As the brain shrinks with age, the space around the brain increases and blood may collect in this space
- Head injury
- Intracranial hemorrhage – Bleed in the brain due to high blood pressure, or blood vessel abnormalities
- Hydrocephalus (VP shunt surgery) – accumulation of excess fluid in the brain leading to the dilatation of CSF ventricles
- Cranioplasty post decompressive craniectomy – Removal of part of the skull after stroke, head injury or infection is known as decompressive craniectomy. Replacement with the removed bone or an artificial substitute is known as cranioplasty
- Trigeminal neuralgia, Hemifacial spasm – Problems of the nerves controlling the face due to any blood vessel irritating the trigeminal nerve or the facial nerve
- Brain infections – Bacterial infections causing abscesses or tuberculosis of the brain
- Stroke-related surgical conditions
Peripheral Nerve Surgery
Nerves that travel through the body to the skin, the joints or muscles and may get stuck or trapped in their natural pathways. This may happen in the elbow (ulnar neuropathy) or wrist (carpal tunnel) or in the leg (peroneal nerve palsy). Tumours may arise from the nerves or their outer layers and either destroy the nerves from within or press the nerve from outside.
- Carpal tunnel syndrome
- Ulnar neuropathy
- Peripheral nerve injuries
- Nerve decompression surgeries
- Peripheral nerve tumour
Non-Surgical Spine & Neurosurgical Care
Most degenerative spinal conditions and a large number of incidental benign brain and spine tumours need not be operated. Many incidental tumors such as pituitary adenomas, meningiomas or small vestibular schwannomas may not grow larger throughout the patient’s lifespan. It is important for a neurosurgeon to recognise conditions that are manageable without surgery and conditions that would benefit from an early surgery. Knowledge about the natural history of these diseases ensures that the correct decision is made for your patient.
We emphasize:
- Detailed clinical evaluation
- Advanced imaging studies and their interpretation
- Appropriate correlation between Imaging and patients clinical condition
- Evidence-based conservative management
- Structured physiotherapy protocols
- Specialised Neurophysiotherapy and neurorehabilitation services
- Image-guided nerve root blocks
- Long-term spine health counseling
Surgery is advised only when clearly indicated.
Surgery is advised only when clearly indicated.
At Dr. Bansal’s Arogya Hospital, we provide advanced and compassionate care for brain, spine and peripheral nerve diseases. Our neurosurgical team has over a decade of experience managing conditions such as slipped discs, spinal stenosis, spine injuries, brain tumours, skull base tumours, brain haemorrhage, infections of the brain and spine, carpal tunnel syndrome and peripheral nerve tumours. The hospital is equipped with a state-of-the-art modular operating theatre with laminar airflow and advanced endoscopic systems, allowing us to perform modern minimally invasive spine surgeries with precision and safety. Our trained staff focuses on patient comfort, clear communication, and attentive care throughout treatment. We believe in personalized treatment, recommending surgery only when truly necessary and supporting patients through recovery and rehabilitation. We have a highly qualified and dedicated neurophysiotherapist for neuro-rehabilitation of patients with weakness or having difficulty walking. Our care continues till our patient has the best possible recovery and functionality.
When Should You See a Neurosurgeon?
Dr. Puru Bansal
Dr. Puru Bansal specializes in the diagnosis and treatment of diseases of the brain, spine, and nerves. In the Indian setting, many patients first consult a general physician or orthopaedic doctor, but certain symptoms indicate that evaluation by a neurosurgeon may be necessary.
You should consider consulting Dr. Puru Bansal, if you experience persistent severe headaches, seizures, weakness of the arm or leg, difficulty speaking, imbalance while walking, or problems with vision, as these may indicate brain conditions such as tumors, bleeding, or other neurological disorders.
For spine problems, symptoms such as severe neck or back pain radiating to the arms or legs, numbness, tingling, weakness, difficulty walking, or loss of bladder or bowel control may suggest nerve compression, slipped discs, or spinal canal narrowing.
Early consultation helps diagnose these conditions accurately and allows timely treatment, preventing long-term neurological damage.