Pediatric Neurosurgery

Dr. Biji Bahuleyan is an expert in treating Pediatric patients with brain and spinal cord disorders. 

The spectrum of diseases related to the brain include pediatric brain tumours (gliomas, medulloblastomas and craniopharyngiomas), brain infections (brain abscess, tuberculosis etc), pediatric head injuries,  congenital diseases of the brain, pediatric epilepsies, hydrocephalus etc. He also has been providing advanced care for pediatric spinal disorders like Chiari malformation, syringomyelia, split cord malformations, tethered cord, craniovertebral junction anomalies and spinal cord tumours.
He has had a three year fellowship at Rainbow Babies and children’s hospital, Case Western Reserve University, Cleveland under Dr. Alan Cohen (former Director of the Pediatric Neurosurgery program at Harvard University and now the head of Pediatric Neurosurgery at John Hopkins University) 

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Dr. Biji is also an expert in Pediatric Brain and Spinal Cord surgery. Please see his procedure videos here

Pediatric Brain and Spinal Cord tumours

A childhood brain or spinal cord tumor is a disease in which abnormal cells form in the tissues of the brain or spinal cord. The brain controls many important body functions. The spinal cord connects the brain with nerves in most parts of the body. Brain and spinal cord tumors are a common type of childhood cancer.

  • Glioma
  • Medulloblastoma
  • Craniopharyngioma
  • Pilocytic astrocytoma
  • Ependymoma
  • Choroid plexus papilloma

Pediatric epilepsy surgery

Dr. Biji Bahuleyan has done more than 150 cases of epilepsy surgeries and other functional neurosurgeries. He was a former epilepsy surgeon at Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum.He has vast experience in surgically treating complex epilepsies. He is currently a visiting neurosurgeon at Kovai Medical Center and other centers in India. He is an invited faculty to various national level epilepsy surgery workshops. 

During his fellowship training in the USA he demonstrated novel endoscopic epilepsy procedures which became the cover illustration for the journal of american Association of Neurosurgeon. Epilepsy surgery is are done with the aid of  NeuroNavigation, Neuromonitoring (Electrocorticogram, SSEP, MEP & Phase reversal) and awake craniotomy

  • Amygdalohippocampectomy
  • Lesionectomy
  • Hypothalamic hamartoma resection 
  • Hemispherotomy
  • Hemispherectomy
  • Vagal nerve stimulator placement
  • Invasive monitoring
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Hydrocephalus

Two methods of surgical procedures are currently used in treating hydrocephalus. They include:Endoscopic third ventriculostomy (ETV) and Ventriculo-peritoneal shunt. Dr. Biji has completed three years of endoscopic training at the Case Western Reserve University , Cleveland ,USA and is a pioneer in endoscopic brain surgeries. Michael Gaab, the pioneer in neuro endoscopy from Hannover, Germany has written a commentary article in the journal “World Neurosurgery” on the endoscopic work published by Dr. Biji Bahuleyan.  Dr. Biji conducted and published a research article on Endoscopic third ventriculostomy (ETV) in the official journal of american Association of Neurological Surgeons (AANS). 

  • Endoscopic third ventriculostomy (ETV)
  • Ventriculo-peritoneal shunt

Head and Spine injuries

Head injury is managed with the aid of intracranial pressure (ICP) monitoring 

  • Traumatic Brain Injury (TBI): Mild, Moderate & Severe
  • Penetrating Head Injury
  • Depressed Skull Fracture
  • Skull Base Fracture
  • Craniofacial Trauma
  • Epidural Hematoma
  • Subdural Hematoma: Acute, Subacute & Chronic
  • Traumatic Subarachnoid Hemorrhage
  • Traumatic Intracerebral Hemorrhage
  • Traumatic Cerebrospinal fluid leak
  • Blunt Cerebrovascular injury
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Arachnoid cysts

Spastic disorders - Cerebral palsy

This involves implantation of a catheter into the space around the spinal cord and delivery of baclofen to reduce spasticity

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Chiari malformation

Surgical procedures include Foramen magnum decompression, Syringo-subarachnoid shunt and Tonsillectomy

  • Type I Chiari Malformation
  • Type II Chiari malformation
  • Type III Chiari malformation
  • Type IV Chiari malformation
  • Syringomyelia

Congenital malformations of the brain and spine

  • Chiari malformation
  • Syringomyelia
  • Split cord malformations
  • Tethered cord
  • Craniovertebral junction anomalies
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Pediatric vascular disorders of the brain

His neurosurgery department has endovascular and open surgical options to treat vascular disorders of the brain 

  • Aneurysms
  • Arteriovenous malformations
  • Cavernomas
  • Venous angiomas
  • Moyamoya disease
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