Brain Conditions

Dr. Biji had Clinical fellowship in Neurosurgical oncology (Brain and Spine tumors) from the prestigious Cleveland Clinic Foundation, Cleveland , USA

Brain tumors are removed with the aid of advanced MRI techniques like DTI, Neuro Navigation, 

Neuromonitoring (SSEP, MEP, phase reversal, 7th nerve monitoring) and awake craniotomy when needed

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Dr. Biji is also an expert in “Awake Brain Surgery” for eloquent region tumours. Please see his procedure videos here

Brain tumour

  • Acoustic neuroma
  • Astrocytoma
  • Choroid plexus Tumor
  • CP angle tumor
  • Craniopharyngioma
  • Epidermoid
  • Embryonal tumors
  • Ependymoma
  • Glioblastoma
  • Glioma
  • Jugular foramen tumor
  • Medulloblastoma
  • Meningioma
  • Metastases
  • Oligodendroglioma
  • Pineoblastoma and Pituitary tumors 
  • Schwannoma
  • Skull base tumor

Head injury

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

  • 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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Please see one of Dr. Biji’s endoscopic procedure video

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

Brain Abscess

A brain abscess is a collection of pus within the brain. These are  caused by bacterial, fungal and parasitic organisms. Surgical options for brain abscess includes;

  • Open surgical excision
  • Neuronavigation assisted needle aspiration
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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
  • future medicine , Volume 8; Issue 4: August 2021. About epilepsy surgery.

 

Awake craniotomy

Awake craniotomy is also called Awake brain surgery involves removal of brain tumours and epiletic lesion while the patient is awake and alert. This is done for lesions that are located in eloquent (important) regions of the brain like areas that control power of hands and legs, speech and vision. Dr. Biji has more than 15 years experience in awake brain surgeries. 

  • Eloquent area tumors
  • Eloquent area epileptic lesions
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Skull base tumours

Dr. Biji Bahuleyan has a Clinical Fellowship in Skull base surgery at Sree Chitra Tirunal Institute for Medical Sciences and Technology ( SCTIMST), Trivandrum and has received advanced training in skull base approaches at Case Western Reserve University,Cleveland USA.These surgeries are done in collaboration with Head & Neck surgeons and Maxillofacial surgeons.

These tumors are removed with the aid of advanced MRI techniques like DTI, Neuro Navigation and Neuromonitoring (SSEP, MEP &, 7th Nerve Monitoring). Acoustic neuromas. Pituitary tumors are removed endoscopically via the transnasal – transsphenoidal route with Neuronavigation assistance. 

  • Acoustic neuromas
  • Jugular foramen tumours
  • Petroclival meningiomas
  • Clival tumors
  • Sphenoid wing meningiomas
  • Clinoidal meningiomas
  • Anterior skull base tumors
  • Pituitary tumors 

Vascular diseases 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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Deep brain stimulation

Deep brain stimulation involves implanting electrodes within deep regions of the brain. Dr. Biji had a clinical fellowship from the prestigious Cleveland Clinic foundation, Cleveland USA. During his fellowship he gained vast experience in deep brain stimulation under world renowned pioneers in this field.  

  • Parkinson’s disease
  • Essential tremor
  • Dystonia
  • Epilepsy

Benign brain conditions

  • Arachnoid cyst
  • Colloid cysts
  • Epidermoid cysts
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