Real-Time Visualization for Brain & Spinal Cord Injury Treatment

Intraoperative Neuromonitoring & Neuronavigation Techniques at Medanta Hospital, Lucknow

What is Intraoperative Neuromonitoring & Neuronavigation?

Intraoperative Neuromonitoring (IOM) is a real-time technique that continuously monitors the functional integrity of the nervous system during surgery. It uses electrophysiological methods to detect changes in neural function and alert surgeons to potential nerve damage before it becomes permanent.

Neuronavigation is an advanced imaging-guided surgical technique that provides real-time, 3D visualization of the operative field. It uses pre-operative CT/MRI scans to create a precise map, allowing surgeons to navigate complex anatomical structures with submillimeter accuracy.

Fast Referral Process

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Major Conditions Treated

We treat all major conditions related to brain, spine and pain management.

Who Needs Neuronavigation & Monitoring?

These techniques are essential for patients with:Brain tumors (especially near critical functional areas)Spinal cord tumors and lesions.Traumatic brain injuries requiring surgical intervention. Spinal cord compression causing neurological deficits. Vascular malformations (AVMs, aneurysms)Tethered spinal cordPatients with cervical myelopathy or stenosisSyrinx (fluid accumulation in spinal cord)Any condition where preserving neurological function is critical

How are These Techniques Performed?

Intraoperative Neuromonitoring:

Pre-operative Setup: Electrodes are placed on the patient’s scalp and limbs under anesthesia.Baseline Recording: Initial neural signals are recorded before surgery begins

Continuous Monitoring: Throughout surgery, signals are continuously recorded from motor pathways (spinal tracts), sensory pathways, and cranial nerves

Real-time Analysis: Neurophysiologists analyze waveforms and alert surgeons to any significant changes (>50% amplitude reduction or increased latency indicates risk)

Intra-operative Adjustments: Surgeons modify technique if warning signs appear

Neuronavigation:

Pre-operative Planning: High-resolution MRI/CT scans are acquired
Image Registration: Patient’s anatomy is registered into the navigation system
3D Reconstruction: Computer creates a 3D map of tumor, blood vessels, and vital structures
Intra-operative Tracking: A tracked pointer/microscope shows the surgeon’s exact position relative to pre-operative imaging
Real-time Guidance: Surgeons follow a planned surgical corridor, minimizing damage to healthy tissue

Are You a Candidate for AVM Treatment?

At Medanta Hospital, Lucknow

Medanta’s advanced neurosurgery unit utilizes state-of-the-art technologies and expertise:
Intraoperative neuromonitoring systems with real-time electrophysiological monitoring
Navigation-guided microscopes for precision during complex procedures
Experienced neurophysiologists who interpret signals in real-time
Multidisciplinary teams combining neurosurgeons, anesthesiologists, and neurophysiologists
This combination ensures optimal outcomes for patients with complex brain and spinal cord pathologies, particularly in challenging cases where functional preservation is paramount.

Why Choose Our Centre for AVM Treatment in Lucknow?

Brain AVM treatment requires a rare combination of skills: endovascular expertise, microsurgical mastery, and radiosurgical precision. We offer all this under one roof.

Cerebrovascular Sub-Specialisation: Dr. Kamlesh Singh Bhaisora possesses focused expertise in the surgical and endovascular management of complex brain AVMs. His training and experience ensure that these high-risk lesions are treated with the highest standard of care.
Multimodal Treatment Capability: We do not believe in a single approach for all. We offer the full spectrum:
Endovascular Embolisation: Minimally invasive glue or coil placement to block feeding arteries.
Microsurgical Resection: Complete removal of the AVM through precision microsurgery.
Stereotactic Radiosurgery (CyberKnife VSI): Non-invasive radiation for small, deep, or inoperable AVMs.
Advanced Imaging & Planning: We use high-resolution cerebral angiography, CTA, MRA, and 3D rotational angiography to map every detail of your AVM, its size, location, feeding arteries, and draining veins before planning treatment.
Dedicated Neuro ICU: Post-treatment care is critical. Our intensivist-led Neuro ICU provides 24/7 monitoring for complications like cerebral edema, re-bleeding, or vasospasm.
Proven Track Record: With extensive experience managing complex cerebrovascular cases, our centre is a trusted destination in Lucknow for AVM treatment.

Dr. Kamlesh Singh Bhaisora

MBBS, MS, MCh

Best Spine Surgeon In Lucknow

Post-Doctoral Fellowship (Paediatric Neurosurgery) SGPGI Lucknow
Post-Doctoral Fellowship (Skull Base and Spine Surgery) SGPGI Lucknow
MS (General Surgery) King George’s Medical University (KGMU) Lucknow
MBBS King George’s Medical University (KGMU) Lucknow.

Our Advanced AVM Treatment Modalities

We tailor the treatment to your specific AVM using a multidisciplinary approach.

Endovascular Embolisation (Minimally Invasive)

The Procedure: A microcatheter is threaded from an artery in the groin up to the brain. A liquid embolic agent (glue or Onyx) is injected to block the abnormal vessels feeding the AVM.
Purpose: Can cure small AVMs alone, reduce the size of large AVMs before surgery or radiosurgery, or target dangerous components like aneurysms.
Recovery: Typically 1-2 days in hospital; minimally invasive with no cranial incision.

Microsurgical Resection (Open Surgery)

The Procedure: Under an operating microscope, Dr. Bhaisora performs a craniotomy to access the brain, meticulously dissects around the AVM, and removes it completely while preserving normal blood vessels and brain tissue.
When Used: For AVMs that are small to moderate in size, located in non-eloquent (non-critical) brain areas, or after embolisation has reduced blood flow.
Cure Rate: Approaches 95-100% for appropriately selected AVMs when completely resected.

Stereotactic Radiosurgery (CyberKnife VSI)

The Procedure: Highly focused radiation beams are precisely targeted at the AVM. Over 1-3 years, the blood vessels gradually thicken and close off.
When Used: For small AVMs (<3 cm), located deep or in eloquent brain areas where surgery carries high risk.
Success Rate: 70-85% obliteration rate at 2-3 years, with low risk of complications.

Combined (Staged) Approach

Embolisation + Surgery: To reduce blood flow before resection, making surgery safer.
Embolisation + Radiosurgery: To shrink the AVM size so radiosurgery becomes effective.
Radiosurgery after Partial Embolisation: To treat residual nidus.

Hear from Our Patients

Dr. Kamlesh Bhaisora is considered the Best Neurosurgeon in Lucknow. Read our 5 star reviews on Google

Vishvajit Singh

Hear from patients who trusted our expertise and experienced life-changing results through advanced brain and spine care. Their journeys reflect our commitment to compassionate treatment, precision, and successful recovery.

Shiv_R

I came to know Dr Kamlesh while Sir was in SGPGI, he was kind yet authoritative and gave due attention to patients concerns and always trying to give best advice whether it’s surgical or conservative. Sir has a good team spirit and that’s reflected in people around him.

Priyanshu

I am extremely grateful to Dr. Kamlesh Singh Bhaisora and the neurosurgery team at Medanta Lucknow for the exceptional care I received during my brain tumour surgery. Dr. Bhaisora’s expertise, precision, and calm reassurance from diagnosis through recovery made an incredibly difficult time much easier.

Meet Our Specialist for AVM Treatment

Dr. Kamlesh Singh Bhaisora

Director & Head – Neurosurgery

Dr. Kamlesh Singh Bhaisora, Director & Head of Neurosurgery, is a cerebrovascular specialist uniquely skilled in both endovascular embolisation and microsurgical resection, allowing unbiased, optimal treatment for brain AVMs. He has significant experience managing high-grade, complex AVMs using advanced navigation and neuro-monitoring. His mastery of AVM angioarchitecture enables meticulous pre-treatment planning, and he provides balanced counselling for a unruptured AVMs. Trained at SGPGIMS, Dr. Bhaisora offers the expertise needed for complete cure and long-term safety, making him the ideal AVM specialist in Lucknow.

Don't Live with the Fear of the Unknown. Consult Our AVM Specialist.

If you have been diagnosed with a brain AVM, whether ruptured or unruptured, expert evaluation is essential. Let our team provide the clarity and advanced treatment you deserve.

Schedule a consultation with Dr. Kamlesh Bhaisora’s cerebrovascular team today. Call us at 0120 516 6225 Or visit us at Medanta, B Wing, Floor 2, Shaheed Path, Golf City, Lucknow and Check Appointment Availability now.

Frequently Asked Questions (FAQs)

Q. Best treatment for a brain AVM?

No single “best” treatment exists, it depends on the AVM’s size, location, and rupture status. Endovascular embolisation, microsurgery, and radiosurgery are complementary tools. Our team recommends a personalised plan, often combining two or more modalities.

Q. Can a brain AVM be cured completely?

Yes. Microsurgery offers a complete cure if the entire nidus is removed. Radiosurgery achieves obliteration over 1–3 years. Embolisation alone can cure small AVMs but is often a bridge to surgery or radiosurgery for larger ones.

Q. Success rate at your centre?

For low-grade AVMs (Grade I–II), the microsurgery cure rate exceeds 95%. For complex, high-grade AVMs, our multidisciplinary approach focuses on reducing rupture risk through staged procedures.

Q. Is treatment risky? Can it cause a stroke?

Risks include bleeding, stroke, or neurological deficit, but these are generally lower than the lifetime rupture risk, especially in young patients. Dr Bhaisora’s expertise minimises these risks with meticulous planning.

Q. Treatment or just observation?

Dr. Bhaisora calculates your AVM’s annual rupture risk based on size, deep drainage, and associated aneurysms. For unruptured, low-risk AVMs, observation may be appropriate. For high-risk or ruptured AVMs, treatment is strongly recommended.

Book Your Arteriovenous Malformation (AVM) Treatment Consultation in Lucknow Today!

An arteriovenous malformation (AVM) is a serious condition that can increase the risk of brain bleeding, seizures, headaches, and neurological complications if left untreated. Early evaluation by an experienced neurosurgeon is essential for accurate diagnosis and timely treatment. Schedule your consultation with Neurosurgery By Dr. Kamlesh Bhaisora by calling 0120 516 6225, or visit Medanta Hospital, B Wing, Floor 2, Shaheed Path, Golf City, Lucknow. Our team provides advanced arteriovenous malformation treatment in Lucknow using microsurgical techniques, endovascular procedures, and personalized treatment planning, with 24×7 emergency neurosurgical care available.