Department of Neurosurgery, Government Medical College Kozhikode provides tertiary level health care for approximately 12 million people residing in five northern districts of Kerala. It also takes referrals from a few neighboring districts of Tamilnadu and Karnataka state.
The vastly varying geographic, cultural and socio economic scenario of these regions provide the diversity of neurosurgical diseases, this apex institution is currently dealt with.
This department accepts referrals, comprehensively evaluate each case, and formulate treatment protocols and delivers highest possible individualized - neurosurgical treatment.
The Department of Neurosurgery was founded in 1968 under the pioneering leadership of Prof.C.A.Rajan. Keeping abreast with the developments of the specialty around the world, this unit has gained enough momentum to reach the present status of excellence, at par with some of the highest Neurosurgical centers inside the country and abroad.
At present the department is functioning through two independent units sharing 12 qualified neurosurgeons. It also has 6 senior residents, 2 junior residents and as many as 25 skilled Neuro nursing staffs to take care of the daily clinical services.
Neurosurgery department serves approximately 900 inpatients (excluding mild and moderate head and spine injuries) and performing more than 1000 surgeries in a year. The annual attendance of outpatient department is approximately 15000.
WORK SCHEDULE – OP DAYS
Tuesday, Thursday and Saturday - 11:00am to 2:00pm
SPECIALITY SERVICES
As the treatment cost is soaring up in every part of the country, this one department in Government sector, assures free of cost, quality Neurosurgical care, to the common public.
Almost all of the sub specialties of Neurosurgery are being offered, here. The following are to list a few:
1. Vascular neurosurgery: Micro neurosurgery for cerebral aneurysms, AVMS and other complex vascular malformations of brain and spine. The list of such surgeries performed in this department out number that of any other centers in Northern Kerala or Malabar region.
2. Epilepsy surgeries: Kozhikode Medical College is the first Government medical college to start epilepsy surgeries under the pioneering guidance of Prof. Jacob P Alapatt. These surgeries are being performed regularly helping many with surgically curable forms of epilepsy.
3. Stereotaxy procedures: This day care procedure which helps in taking biopsies from deep seated lesions of the brain and treating small brain abscesses is the one that gives a cutting edge to this Institution.
4. Neuro navigation system: The state of the art technology in the field, the Neuronavigation, helps in precision and minimising deficits in complex micro neurosurgery procedures.
5. Endoscopic brain surgeries: Regularly doing endonasal surgeries for pituitary and sellar masses. Intra ventricular brain lesions like colloid cysts are dealt with endoscope. Third ventriculostomy is a procedure performed very frequently for hydrocephalus.
6. Cranio vertebral junction (CVJ) surgeries: Doing corrective, fixation or decompressive surgeries for atlanto axial dislocation, chiari malformations, basilar invagination etc.
7. Brachial plexus and peripheral nerve surgeries: Neurolysis, nerve suturing and nerve grafting or nerve transfer procedures. Neurotization procedure for brachial plexus injuries are done regularly and is the only department in Government sector to do such procedures since 2013.
8. Spine surgeries: The unit is performing all sorts of spine surgeries for tumors and trauma related to spine. discectomies, Laminectomy, laminoplasty, anteriorcervical fixation, lateral mass screw fixation, pedicle screw Moss Miami fixation, listhesis correction, lumbar interbody fusion surgeries to name a few. It also offers spinal endoscopy and minimally invasive spine surgeries.
9. Minimally invasive brain and spine procedures
10. Skull base surgeries: Microsurgical skull base surgeries for complex tumors and other lesions are being performed with excellent results.
11. Pediatric neurosurgery: Ventriculo peritoneal shunts for hydrocephalus, endoscopic 3rd ventriculostomy, myelomeningocele repair, tumor surgeries like medulloblastoma, teratoma, astrocytomas; and craniosynostosis correction.
12. Orbital tumor surgeries
13. Stroke surgeries: Decompressive craniectomy
14. Brain and spinal cord tumor and Neuro oncological surgeries. (glioma, metastatic tumors, chordoma, plasma cytoma, chondrosarcoma, etc.)
15. Surgeries for trigeminal neuralgia, hemifacial spasm, and tinnitus: MVDs
16. Posterior fossa tumor surgeries: CP angle tumors, meningiomas, hemangioblastomas, ependymomas, gliomas, metastases, medulloblastomas.
17. Multi disciplinary approaches: In this era of ever expanding field of medical knowledge and technologies, it is very prudent to integrate various departments, specialties and sub specialties to offer optimum treatment to a person in need. The Neurosurgery department is obliged to hold a pivotal role in providing this multi disciplinary care to its patients.
• Neuro anaesthesia and critical care unit
• General surgery and Orthopedics department
• Paediatric surgery department, general pediatrics and critical care unit.
• Oncology and Radiotherapy department.
• Radiology department- DSA, 128 slice CT, CT angiogram, MRI, endovascular interventions – stenting, coiling etc.
• Thoracic surgery unit – helping spine surgeries and dealing with mediastinal masses with spinal extension.
• ENT – Sino nasal surgeries and extended endo nasal skull base surgeries.
• Plastic surgery and OMFS departments- cranio facial resections
• Neurology and epileptology department
• Neuro rehabilitation unit
|
In the department of Neuro Surgery. |
|
|
OPD |
19244 |
|
IPD (Total Number of Patients admitted) |
1598 |
|
Parameters |
Year 1 (2017) |
Year 2 (2018) |
Year 3 (2019) |
|
Total number of patients in OPD |
14834 |
15262 |
19244 |
|
Total number of patients admitted (IPD) |
1276 |
1386 |
1598 |
|
Total number of Major Operations |
944 |
1135 |
1286 |
|
Total number of Minor Operations |
216 |
228 |
244 |
|
Total number of Day care operations |
118 |
132 |
124 |
|
Total number of V.P. Shunt |
162 |
176 |
206 |
|
Total number of Tracheostomy |
368 |
370 |
478 |
|
Total number of Lumbar puncture |
172 |
186 |
212 |
|
Total number of External Ventricular drainage |
108 |
112 |
118 |
|
Total number of EEG |
NA |
NA |
NA |
|
Total number of Evoke Potentials |
NA |
NA |
NA |
|
Total Neuro Radiology (CT/MRI) investigation |
2986 |
3146 |
3458 |
|
Total M.R. Angiogram |
489 |
560 |
612 |
|
Total carotid Doppler studies |
590 |
614 |
470 |
|
Others |
NA |
NA |
NA |
ACADEMIC ACTIVITIES
Seminars: Every Saturday 8:00 -9:30am
Neuroradiology discussion: Every Tuesday 8:00-9:30am
Journal club discussion: Thursday 8:00-9:30am (Twice a month)
Clinical classes: Every Friday 12:00-2:00pm
Elective Theatre days: Monday, Wednesday, Thursday, Friday
• The department is admitting 2 MCh trainees a year as per MCI guidelines. It is open to any Indian eligible candidates. It is one of the reputed training centres for Neurosurgery. The rigorous training has produced many well established Neurosurgeons inside India and abroad.
• Post graduates from other departments like General surgery, ENT, OMFS, Emergency medicine and Psychiatry are also taking their training as per their respective curriculum.
• Bsc and Msc Nursing students are also gaining exposure of this specialty as per their schedules.
The Department has to its credit a number of scientific papers published in various journals of national and international repute, which attest to its commitment to clinical research and academic excellence.
Here we list the recent ones,
1. Vineeth K Kuthampulli, Rajeev M Parambil, Prakasan Kannoth, Radhakrishnan M, Vijayan P. Chronic Subdural Hematoma: A Comparative Analysis based on Age. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). E-ISSN: 2279-0853, p-ISSN: 2279-0861, Volume 20, Issue 7 Ser.10 (July, 2021), PP 10-16. DOI: 10.9790/0853-2007101016.
2. Chandramohan Unni, Vijayan Pettakkandy, Abdul Jaleel P, Subrat Kumar Soren, Vineeth K. K. Atlantoaxial Stabilization by Posterior C1 and C2 Screw-Rod Fixation for Various Pathologies: Case Series and Comprehensive Review of Literature. Journal of Neurosciences in Rural Practicem 2021. DOI: 10.1055/s-0041-1722838
3. Subrat Kumar Soren, Vijayan Peettakkandy, Chandramohan Unni, Shanavas Cholakkal, Abdul Jaleel P, Razvi Rasi. Study of Clinicoradiological Profile and Surgically Managed 41 Cases of Intracranial Infections in a Tertiary Care Institute of North Kerala. International Journal of Medical Reviews and Case Reports 2021; 5(4): 10-18.
4. Jaleel Abdul M, Pavithran V, Cholakkal Shanavas, Kuthampulli, Vineeth Kadangot. Concurrent Inverted Papilloma and Squamous Cell Carcinoma with Intradural Extension Presenting with Frontal Lobe Syndrome. Indian Journal of Neurosurgery 2021. DOI https://doi.org/ 10.1055/s-0040-1721561.
5. Rajeev MP, Premkumar S, Pavithran VM, Byjo V, Akhil Mohan. Spontaneous spinal hematoma: Experiences from a tertiary care centre in South India. Romanian Neurosurgery Dec 2020; XXXIV(4): 550-556. DOI: 10:33962/roneuro-2020-094.
6. Vijayan P, Shanavas C, Subrat KS, Harikrishnan S. Cervical extradural metastasis from follicular carcinoma thyroid after 14 years post-thyroidectomy with Elsberg phenomenon. Romanian Neurosurgery Dec 2020; XXXIV (4): 557-560. DOI: 10:33962/roneuro-2020-094.
7. Akhil Mohan, Prakasan Kannoth, Chandramohan U, Byjo V, Rajeev MP, Nandeesh BN. Rare neurohypophyseal tumor presenting as giant pituitary macroadenoma with cavernous sinus invasion – A case report and review of literature. Surgical Neurology International. 2020; 11: 261. Published online 2020 Aug 29. doi: 10.25259/SNI_316_2020.
8. Thavara BD, Yamada Y, Joshi G, Tanaka R, Miyatani K, Devareddy G, Nakao K, Kawase T, Kato Y. Analysis of the Surgical Outcome of Unruptured Intracranial Saccular Aneurysms in Octogenarians (80-89 Years). Asian J Neurosurg. 2020 Aug 28;15(3):640-643. doi: 10.4103/ajns.AJNS_44_20. PMID: 33145219; PMCID: PMC7591182. Corresponding author: Binoy Damodar Thavara.
9. Joshi G, Yamada Y, Thavara BD, Tanaka R, Miyatini K, Nakao K, Kawase T, Takizava K, Kato Y. EC-IC Bypass; Our Experience of Cerebral Revascularization with Intraoperative Dual-Image Video Angiography (Diva). Asian J Neurosurg. 2020 Aug 28;15(3):499-506. doi: 10.4103/ajns.AJNS_84_20. PMID: 33145198; PMCID: PMC7591183.
10. Nakao K, Joshi G, Hirose Y, Tanaka R, Yamada Y, Miyatini K, Thavara BD, Kawase T, Kato Y. Rare Cases of Contrast-Induced Encephalopathies. Asian J Neurosurg. 2020 Aug 28;15(3):786-793. doi: 10.4103/ajns.AJNS_68_20. PMID: 33145256; PMCID: PMC7591187.
11. Akhil Mohan, Chandramohan Unni, Prakasan Kannoth, Rajeev MP. A rare case of giant intradiploeic epidermal cyst of the frontal bone with intracranial extension. Asian Journal of Neurosurgery. 2020 Jul-Sept; 15(3): 670-673. doi:10.4103/ajns.AJNS_78_20.
12. Thavara BD, Rajagopalawarrier B, Ramaswamy JC, Kidangan GS. Central Nervous System Inflammatory Myofibroblastic Tumor Presenting as a Scalp Abscess. Neurol India. 2020 May-Jun;68(3):703-705. doi: 10.4103/0028-3886.289026. PMID: 32643697. Corresponding author: Binoy Damodar Thavara
13. Nakao K, Thavara BD, Tanaka R, Yamada Y, Joshi G, Miyatani K, Kawase T, Kato Y. Surgeon Experience of the Surgical Safety with KINEVO 900 in Vascular Neurosurgery: The Initial Experience. Asian J Neurosurg. 2020 May 29;15(2):464-467. doi: 10.4103/ajns.AJNS_40_20. PMID: 32656156; PMCID: PMC7335124.
14. Vijayan P, Subrat KS, Shanavas C. Landouzy sepsis (Atypical ARDS like features) and paradoxical reaction of tubercular meningitis complications, in a case of disseminated extrapulmonary tuberculosis CASE REPORT. International Journal of Contemporary Medical Research April 2020; 7(4): D1-D5. DOI: 10.21276/ijcmr.2020.7.4.6
15. Thavara B D, Rajagopalawarrier B, Kidangan GS. A case of multiloculated hydrocephalus. J Pediatric Neurosci 2020;15:426-31. Corresponding author: Binoy Damodar Thavara
16. Thavara BD,Rajagopalawarrier B. A rare case of calvarial tuberculosis. BLDE Univ J Health Sci 2020;5:216-8. DOI:10.4103/bjhs.bjhs_61_19. Corresponding author: Binoy Damodar Thavara
17. Thavara BD, Rajagopalawarrier B, Balakrishnan S, Kidangan GS. A Case of Adult Orbital Intraconal Lymphangioma. Asian J Neurosurg. 2020 Feb 25;15(1):168-171. doi: 10.4103/ajns.AJNS_282_19. PMID: 32181195; PMCID: PMC7057866. Corresponding author: Binoy Damodar Thavara
18. Sreenath Kuniyil, Bijukrishnan Rajagopalawarrier, Vijayan Peettakkandy. A study comparing open and minimally invasive surgery for one- or two-level thoracolumbar intradural extramedullary (IDEM) spine tumors. J Spinal Surg. 2019;6(2):53–9.
19. Vijayan Peettakkandy, Bijukrishnan Rajagopalawarrier, Sreenath Kuniyil, Jithin Veliyath Thankaraj. Factors predicting the occurrence of syringomyelia in patients with Chiari I malformations. Int J Res Med Sci. 2019;7(8):2967-2969.
20. Bijukrishnan Rajagopalawarrier, Vijayan Peettakkandy, Sreenath Kuniyil. A Retrospective analysis of clinical and radiological features of symptomatic chiari I malformations. International Journal of Current Research. Vol.11, Issue 06, pp.4446-4448, June 2019.
21. Thavara B D, Rajagopalawarrier B. Metastatic mucinous adenocarcinoma presenting as cerebellopontine angle tumor. J Sci Soc 2019;46:63-6. Corresponding author: Binoy Damodar Thavara.
22. Thavara BD, Veettil HP. Hyponatremia correction causing extrapontine myelinolysis. BLDE Univ J Health Sci 2019;4:34-8. DOI: 10.4103/bjhs.bjhs_19_19
23. Kidangan GS, Thavara BD, Rajagopalawarrier B. Bedside Percutaneous Twist Drill Craniostomy of Chronic Subdural Hematoma-A Single-Center Study. J Neurosci Rural Pract. 2020 Jan;11(1):84-88. doi: 10.1055/s-0039-1698485. Epub 2019 Sep
PMID: 32140008; PMCID: PMC7055627. Corresponding author: Binoy Damodar Thavara
24. Rajeev MP, Shinihas V, Pankaj SC. Epidemiologic characteristics of patients presenting with head injury due to Road traffic accident and factors associated with outcome: Experience of a Tertiary Care Center in Northern Kerala. Indian Journal of Neurosurgery April 2019; 8(1): 39-46. DOI: 10.1055/s-0039-1678468.
25. Thavara BD, Kidangan GS, Rajagopalawarrier B. Analysis of the Surgical Technique and Outcome of the Thoracic and Lumbar Intradural Spinal Tumor Excision Using Minimally Invasive Tubular Retractor System. Asian J Neurosurg. 2019 Apr-Jun;14(2):453-460. doi: 10.4103/ajns.AJNS_254_18. PMID: 31143261; PMCID: PMC6516036. Corresponding author: Binoy Damodar Thavara.
26. Thavara BD, Kidangan GS, Rajagopalawarrier B. Comparative Study of Single Burr-Hole Craniostomy versus Twist-Drill Craniostomy in Patients with Chronic Subdural Hematoma. Asian J Neurosurg. 2019 Apr-Jun;14(2):513-521. doi: 10.4103/ajns.AJNS_37_19. PMID: 31143272; PMCID: PMC6516027.
27. Aparna Govindan, Rajeev MP, Jacob P Alapatt. Paediatric intracranial tumors over a 5-Year period in a Tertiary Care Centre of North Kerala, India: A retrospective analysis. Asian Journal of Neurosurgery. 2018 Oct-Dec; 13(4): 1112-1117. doi: 10.4103/ajns.AJNS_251_17.
28. Rajeev MP, Pavithran VM, Unnikrishnan EP. Orbital tumours: An overview of surgical management and histopathology. Journal of Medical Science and Clinical Research June 2018; 6(6): 109-114. DOI: https://dx.doi.org/10.18535/jmscr/ v6i6.19.
29. Rajeev MP, Pavithran VM, Premkumar S, Pravin WY, Ambresh AK. Outcome analysis of distal anterior cerebral artery aneurysms with and without neuronavigation. IP Indian Journal of Neurosciences. April-June 2018; 4(2): 59-63. Doi No:-10.18231/2455-8451.2018.0016.
30. Rajeev MP, Premkumar S, Pavithran VM, Pravin WY. Neurotisation in brachial plexus injury: A 3 year experience in tertiary Government institution. IP Indian Journal of Neurosciences Jan-Mar 2018; 4(1): 18-22. Doi No:-10.18231/.2018.0005.
31. Rajeev MP, Waykule PY, Pavitharan VM, Nandeesh BN. Spinal epidural capillary hemangioma: A rare case report with a review of literature. Surgical Neurology International. 2017; 8:123. doi:10.4103/sni.sni_94_17.
32. Rajeev MP, Premkumar S, Muralikrishnan VP. Solitary hemangioblastoma of the fourth ventricle in an adult male.Interdisciplinary Neurosurgery 2016 Sept; 5: 32-34.
33. Suma R Radhakrishnan, Asjeena Andru, Vijayan Peettakkandy. Follicular carcinoma of Thyroid Metastasizing to the Sphenoid Sinus. Clin rhinol. 2015;8(2):53–57.
34. Suma R, Jeena KJ, Pavithran VM, Govindan A. Glial heterotopia of sphenoid in association with a patent sternberg’s canal presenting with meningitis. Otorhinolaryngology Clinics: An International Journal 2015; No.1: 23-25.
35. Aparna Govindan, Premkumar S, Suma Radhakrishnan, Jacob P Alapatt, Aravindan KP. Nonfunctioning Ectopic Pituitary Adenoma Presenting as epistaxis: A report of Two Cases. Otorhinolaryngol Clin. Int J. 2014;6(3):130–3.
36. Jacob P Alapatt, Ajayakumar A. Ajaya, Aparna Govindan, Rajeev MP, Radhakrishnan M. Solitary fibrous tumor of the tentorium: a case report. Turk Neurosurg. 2012; 22(4): 454–457. doi: 10.5137/1019-5149.JTN.3223-10.
37. Ramnarayanan R, Dominic A, Jacob P Alapatt, Buxton N. Congenital spinal dermal sinuses: poor awareness leads to delayed diagnosis. Childs Nervous System. 2006 Oct; 22(10): 1220-4. doi: 10.1007/s00381-006-0073-z.
38. Anterior Cervical Discectomy for Spondylotic Myeloradiculopathy. The Journal of Calicut Ortho Alumni Association Oct-Dec 2003; 1(3): 47-50.
39. Jacob P Alapatt. Scimitar Sacrum. Neuroimage. Neurology India June 2004; 52(2): 288.
40. Jacob P Alapatt, Dominic A, Ajayakumar A. Falcotentorial Plasmacytoma: A Case Report. Surgical Neurology. 2004 Aug; 62(2):178-179.
41. Calvarial Tuberculosis: A Case Report. Vol.52, Issue No.2, June 2004.
42. Cranioplasty A Review Article. Indian Journal of Plastic and Reconstructive Surgery Vol.35 No: 2 Dec 2002, P 95-108.
43. Jacob P Alapatt, Baiju, Praveen, Jayakumar K, Sanalkumar P. Delayed Extradural Haematoma: A Case Report. Neurology India Sept 2002; 50(3): 313-5.
44. Growing Intracerebral Haematoma A Case Report, Journal of the Indian Medical Association
45. Marthandapillai A, Jacob P Alapatt. Ectopic Meningioma: A Case Report. Neurology India 2000; 48(1): 94.5.
46. Ramachandran PV, Jacob P Alapatt, Madhusudan KS, Vijayan VP, Sanal Kumar. Cerebral Toxoplasmosis in a Patient with AIDS. Letter to the Editor. Indian Journal of Radiology & Imaging 1999; 9(4): 202-203.
47. Jacob P Alapatt, Mathew CF, Jayakumar K, Suresh IC, Kumar S. A case of Cerebral Toxoplasmosis. Neurology India March 2000; 48(2): 185-7.
48. Approaches to Malignant Lesions of Skull Base. Progress in Clinical Neurosciences, 1997, Chapter 23, P.303-316.
49. Jacob P Alapatt, Marthanda Pillai A, Prasanna D, Sambasivan M. Giant cell reparatory granuloma of the craniofacial complex: Case report and review of the literature. British Journal of Neurosurgery. February 1992; 6(1): 71-74.
50. Colloid Cysts of the Third Ventricle, Kerala Medical Journal, 1991.
51. OPLL A Rare Cause of Cervical Myelopathy. Kerala Medical Journal. January, 1991.
52. Metastasis of Carcinoma Breast to an Intracranial Meningioma, Neurology India, 1990.
53. Intradural Disc Rupture L4-L5 Level, Neurology India, 1990.
TEXTBOOKS
A Colour Atlas on Cranio-Cerebral Trauma ISBN No.81-7179-914-9. (Funded by the National Book Trust, New Delhi)
1. DACA aneurysms – seven year experience. Dr.Ambresh, Dr.Rajeev.M.P: NSI state conference 2016 Kozhikode (won first prize)
2. Vestibular schwannommas over seven year experience. Dr.Vineeth.D, Dr.Rajeev.M.P: NSI state conference Kozhikode 2016.
3. Gyrus rectus resection needed or not in Acom artery aneurysm, Dr.Rajeev M.P, Dr.Jacob Alapatt: Neurovascon Manipal, 2007
4. Giant MCA bifurcation aneurysm, Dr. Rajeev.M.P, Dr.Sivakumar. NSI state conference Trichur 2005( best paper award)
5. Subarachnoid Hemorrhage Our Initial Surgical Experience, Annual Conference of NSI Kerala Chapter, Calicut, March 2000.
6. Anterior Cervical Discectomy in Cervical Spondylotic Myelopathy, Annual Conference of NSI Kerala Chapter, Calicut, March 2000. (Best Paper Award for the year 2000).
7. The Biomechanics of Head Injuries Due to Falling Coconuts A Retrospective Analysis, 5th World Conference of Injury, Prevention and Control, New Delhi, March 2000.
8. Myths and Facts about Helmets Neurosurgeon Perspective, 5th World Conference of Injury, Prevention and Control, New Delhi, March 2000.
9. Retrospective Analysis of Fatal Head Injuries 100 Consecutive Cases with Special Reference to Autopsy Studies, 5th World Conference of Injury, Prevention and Control. New Delhi, March 2000.
10. The Golden Rules in Head Injury, 5th World Conference of Injury, Prevention and Control. New Delhi, March 2000.
11. Diffuse Axonal Injury and Hypoxic Brain Injury – A Histopathological Study. Golden Jubilee Annual Conference of Neurological Society of India, December 2001, Mumbai.
12. Lumbar Disc Prolapse with Sphincter Involvement Calicut Experience, National Spine Conference, Kodaikanal 2001
13. Subarachnoid Haemorrhage Our Initial Experience, Indian Society of Cerebrovascular Surgery, 2nd Annual Conference, Cochin, December 2002.
14. Subdural Empyema A Prospective and Retrospective Study, 51st Annual Conference of Neurological Society of India, December 2002.
15. Intracranial Rosai Dorfman Disease – A Rare Entity, 51st Annual Conference of Neurological Society of India, December 2002.
16. Acute Subdural Hematomas A Five Year Retrospective Study, 51st Annual Conference of Neurological Society of India, December 2002.
17. Extradural Arachnoid Cysts of the Spinal Cord A Case Report, Annual Conference of NSI Kerala Chapter, Kottayam, February 2003.
18. Neurenteric Cysts of the Spinal Cord A Case Report, Annual Conference of NSI Kerala Chapter, Kottayam, February 2003.
19. Neuroendoscopy Our Initial Experience, Midterm Conference of NSI Kerala Chapter, Perinthalmanna, October 2003.
20. Acoustic Schwannomas A Retrospective Study, Midterm Conference of NSI Kerala Chapter, Perinthalmanna, October 2003.
21. Rare Intramedullary Lesions, Midterm Conference of NSI Kerala Chapter, Perinthalmanna, October 2003.
22. Spontaneous Subarachnoid Haemorrhage Our Initial Experience from Medical College, Calicut, NSI Annual Conference, Chandigarh, December 2003.
23. Trans-lamina terminalis Approach to Retrochiasmatic Lesions, NSI Annual Conference, Chandigarh, December 2003.
24. Spinal Arachnoid Cyst 3 Case Reports, NSI Annual Conference, Chandigarh, December, 2003 (poster presentation).
25. CSF Rhinorrhoea Combined Intradural Extradural Repair, NSI Annual Conference, Chandigarh, December, 2003 (poster presentation).
26. Ventriculoscopy A Good Approach for Thalamic lesions, Mid term Conference, Vaikom 2004.
27. Two Rare Congenital Anomalies Cervical Meningocoele and Hemimegalencephaly, Neurocon, Thrissur, 2005.
28. All that is Black is Not Melanin, Neurocon, Thrissur, 2005.
29. Third Ventriculostomy and Biopsy of Thalamic Lesion– Video Presentation, Neurocon, Thrissur, 2005.
30. Rhizotomy for Spasticity – A Case Report– Dr Prem Kumar S, Dr Jacob Alapatt; Mid-term Neurocon, Thiruvalla, 2005.
31. Plagiocephaly A Case Report Dr Ramesh C V, Dr Jacob Alapatt, Mid termNeurocon, Thiruvalla, 2005.
32. Two Cases of Sacrococcygeal Chordoma, Dr Radhakrishnan M, Dr Jacob Alapatt; Mid-term Neurocon, Thiruvalla, 2005
33. Post-Op Angios in Aneurysm Surgery, Callosum 06 – Annual Conference of NSI Kerala Chapter, Cochin April 2006
34. Endoscopic Excision of Colloid Cysts Dr.Radhakrishnan M, Dr.Jacob P Alapatt, 2nd Best Paper Award.
35. Post-op Angios in Aneurysm Surgery – Dr. Tharun Krishna, Dr. Jacob P Alapatt, Callosum 2006 Annual Conference of NSI Kerala Chapter, Cochin, Fen 25-26, Taj Residency, Cochin.
36. Endoscopic Surgery for Colloid Cysts– Prof. Jacob P Alapatt, Dec. 20-23. Neurocon 2006 55th Annual Conference of NSI, Madurai.
37. Fusiform Aneurysm of Cerebral Vasculature: Contentions and Dilemmas in Management – Dr. Tharun Krishna, Prof. Jacob P Alapatt. Award Paper at the 4th South Asian Neurosurgical Congress (SANC 2007), Feb 16-18, India Habitat Centre, New Delhi.
38. Our initial experience in Stereotactic surgery 18 case series National Stereotactic surgery at Vellore 2009.
39. Head Trauma Golden Jubilee CME of Dept. of Anaesthesiology, CMC at IMA Hall, Calicut March 25, 2007.
40. Neuroendoscopy – A Necessity in Our Armamentarium – NSI Mid-term Meet, Oct 22 nd 2006 Kollam
41. Surgical Management of Spontaneous Intracerebral Hemorrhage 26th August 2006, IMA Calicut.
42. Hydrocephalus in Children – Management Algorithms Child Neurology Update 2006 of Calicut Neurological Society, 02 April 2006, Calicut.
43. Tribute to a Legend: A Eulogy on Prof. M. Sambasivan Callosum 2006, Annual Conference of the NSI Kerala Chapter, February 2006, Cochin
44. Neuroendoscopy – Present and Future, Calicut Surgical Club, Jan 10, 2006, Calicut
45. Surgical Interventions in Pain Management, CME on Pain, Physiatrists Society, December 2005, Calicut
46. Methods of Brain Relaxation in Surgery for CP Angle Lesions at Neurocon, Trichur, 2005
47. Acoustic Neuroma, Annual Conference of AOI, Malabar branch, May 2003.
48. Head Injury, CME Session of IMA State Conference, November 2000, Thiruvananthapuram.
49. Peripheral Nerve Repair – Surgical Aspects, National Annual Conference of Physiatrists, Calicut, 2000.
1. Dr Vineeth KK, second prize in NSI - Midterm conference held at Kannur in December 2019 for presentation titled" Craniovertebral junction instability - our experience".
2. Dr Shanavas C and Dr Harikrishnan S, 3rd prize in All Kerala quiz competition held at NSI - ANNUAL MEET ESSENCE 2020,Perinthalmanna in Feb 2020.
3. Dr Shanavas C, second prize for paper titled "SPINAL ARACHNOID CYSTS - OUR EXPERIENCE AND LITERATURE REVIEW" presented in the Midterm virtual meeting 2020 of Kairaly Neurosciences society (Neurological Society of India - KERALA CHAPTER) in Nov 2020.
4. OTHER PAPERS PRESENTED in the Midterm virtual meeting 2020 of Kairaly Neurosciences society (Neurological Society of India - KERALA CHAPTER) in Nov 2020
a. Dr Harikrishnan S - "Surgical Clipping In Posterior Circulation Aneurysms - Our Experience".
b. Dr Adarsh I Nath - "Clival Chordoma – An Experience From Tertiary Care Center In North Kerala
c. Dr Vishal Mangla – “Spontaneous intracranial hypotension – is it a rare entity?"
The Department has successfully completed the following research projects:
1. Congenital Hydrocephalus
2. Anterior Cervical Discectomy and Clinico - Radiological Correlation (Project funded by the State Board of Medical Research)
3. Subarachnoid Hemorrhage
4. Correlation between CT Scan and Post-mortem Finding in 200 Consecutive Cases of Trauma
1. CRASH Trial I (Methyl Prednisolone in Severe Head Injury) [Coordinated by the London School of Tropical Medicine and Hygiene, London, UK]
2. CRASH II Trial (Tranexamic Acid in Post-Traumatic Hemorrhage) [Coordinated by the London School of Tropical Medicine and Hygiene, London, UK]
1. Genetics of Intracranial Aneurysms and Subarachnoid Hemorrhage [Collaboration with Rajiv Gandhi Centre for Biotechnology, Trivandrum]
The department was equipped with Operating microscope in 1997; this was a revolutionary step in surgical management.
Additional high end operating microscope was purchased in 2006(Carl Zeiss)
Neuro endoscope was procured in the year 2003. Now the department is having cranial, nasal and spinal endoscope systems.
Cavitron ultrasound surgical aspirator (CUSA) was a main surgical tool of the department since 2006.
Neuro navigation system (Medtronic Stealth station) was a big leap for the Neurosurgery department in 2012, being the first in a Government Medical Colleges of Kerala state.
Four land mark workshops were organized by the department which were holding the pivotal roles for the introduction of the
respective surgical techniques
1. Epilepsy surgery workshop in 2011 –Episurge
2. Work shop on Cranio vertebral junction spinal instrumentation (The Juncture) in 2012
3. Work shop on brachial plexus surgery (Brachicon) in 2013
4. Hands on course on posterior cervical stabilization techniques was held in August 2013.
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