Neurosurgery Procedures at KG Hospital
From the world’s first paediatric MINS to complex skull base and cerebrovascular surgery — we perform the complete spectrum without the need to travel to a metro city. MINS and Trigeminal Neuralgia have dedicated deep-dive pages — highlighted below.
KG Hospital achieved a global landmark: the world’s first Minimally Invasive Neurosurgery on a 22-day-old premature infant — the youngest MINS patient ever recorded globally. MINS uses small cranial access points, Stryker Neuronavigation, and the TIVATO 700 microscope to reach deep brain structures with minimal disruption — less blood loss, shorter stays, faster recovery versus open craniotomy.
- World’s first MINS on a 22-day-old premature infant — youngest MINS patient ever reported globally, performed at KG Hospital, Coimbatore
- ETV (Endoscopic Third Ventriculostomy) — shunt-free hydrocephalus treatment via tiny endoscope
- Endoscopic skull base surgery — trans-nasal access to pituitary, craniopharyngioma, clival tumours
- Endoscopic corpus callosotomy — minimally invasive epilepsy surgery for drug-resistant drop attacks
KG Hospital performs brain tumour surgery for the complete range of intracranial tumours — including thalamic tumours, brainstem lesions, and skull base lesions that most hospitals refer to metro centres. The TIVATO 700 microscope provides fluorescence imaging (5-ALA for glioma), while Stryker Neuronavigation gives GPS-precision guidance throughout. For tumours near speech or motor areas, awake craniotomy is performed.
Awake craniotomy is brain surgery performed with the patient awake during tumour removal, allowing real-time monitoring of speech, language, and motor function. This ensures maximum safe resection without causing neurological deficits. KG Hospital performs awake craniotomy as part of an integrated team including specialist neuroanaesthesiologist trained in awake-sleep-awake technique.
KG Hospital treats brain aneurysms (ruptured and unruptured) with microsurgical clipping and endovascular coiling via the Biplanar Neuro Cath Lab. Moyamoya disease — a progressive condition causing recurrent strokes — is treated with STA-MCA revascularisation bypass under the TIVATO 700 microscope using 1–2mm sutures.
DBS implants electrodes into specific deep brain targets using millimetre-precise stereotactic guidance. An implanted pulse generator delivers continuous stimulation, dramatically reducing tremor, rigidity, and dyskinesia. KG Hospital is among the few centres in South India actively performing DBS — a multidisciplinary team of movement disorder neurologist and functional neurosurgeon selects and manages candidates.
Trigeminal Neuralgia causes sudden, severe, electric shock-like facial pain triggered by eating, speaking, or light touch — one of the most painful conditions in medicine. The primary cause is a blood vessel compressing the trigeminal nerve in the posterior fossa. Microvascular Decompression (MVD) is the gold-standard surgical treatment with 80–90% long-term pain-free rate and preservation of facial sensation.
For drug-resistant epilepsy (approximately 30% of patients), surgery can offer seizure freedom. KG Hospital performs a full pre-surgical evaluation — video-EEG monitoring, high-resolution MRI, and neuropsychological assessment. Options include temporal lobectomy (70–80% seizure freedom for mesial temporal lobe epilepsy), lesionectomy, and endoscopic corpus callosotomy. Awake craniotomy is used when the focus is near eloquent cortex.
KG Hospital’s spine programme handles the complete range — from lumbar disc prolapse to complex deformity correction, spinal cord tumours, and CV junction anomalies. Minimally invasive spine surgery (MISS) is used wherever appropriate. Stryker navigation with C-arm fluoroscopy ensures accurate pedicle screw placement. Intraoperative neurophysiological monitoring (IONM) protects the spinal cord throughout all complex procedures.
KG Hospital performed the world’s first MINS on a 22-day-old premature infant — demonstrating extraordinary paediatric neurosurgical capability. Hydrocephalus is treated with VP shunting or ETV (preferred shunt-free option). Meningomyelocele repair is performed within 48 hours of birth. Tethered cord, craniosynostosis, and paediatric brain tumours (cerebellar astrocytoma, medulloblastoma, ependymoma) are regularly treated.
- World’s first MINS on a 22-day-old premature infant — youngest MINS patient ever recorded globally, at KG Hospital, Coimbatore
KG Hospital’s 24/7 emergency neurosurgery team is equipped to rapidly assess (128-slice CT) and operate on patients with intracranial haemorrhage, raised ICP, or herniation syndromes at any hour. Emergency procedures include EDH and SDH evacuation, intracerebral haematoma drainage, and depressed skull fracture elevation. Post-operative critical care in the dedicated Neuro ICU.
