Department of Neurosurgery

Dr. Ravi Garg

MS, M CH (Neuro Surgery, PGI)

Endoscopic Spine Fellow (France)

Endoscopic Skull Base Fellow

Ex.Astt. Professor PGI Chandigarh

Field of Expertise

  • Headache
  • Migraine
  • Cervical Pain
  • Back Pain
  • Slip Disc Problems
  • Brain & Spine Tumours
  • Seizures
  • Head Injuries
  • Spinal Injuries
  • Brain Haemorrhage
  • Critical Care
  • Endoscopic Spine Surgery
  • Stroke Paralysis Management

Department of neurosurgery and spine is concerned with prevention, diagnosis and treatment ofdisorders of brain and spine.
We are proud to have Dr Ravi Garg as our leading neuro and spine surgeon who is fellowship-trained neurosurgeon who treats a variety of neurological disorders.
Dr. Ravi Garg is an experienced, enthusiastic, and passionate neurosurgeon trained from prestigious institute PGIMER. After completing his training from PGI, he worked there as a faculty member for many years. To add his skills further he got an endoscopic spine fellowship in France. He has very rich experience of operating brain and spine surgeries including most complex ones like an aneurysm, endoscopic spine, brain tumors with excellent results.
He is also an expert in all kinds of brain and spine surgery. He has successfully completed more than 2000 surgeries of brain and spine including most complex cases. 

DEPARTMENT’S SERVICES

  • Brain Tumours
  • Spine Tumours
  • Head Injury
  • Spinal Injuries
  • Critical Care
  • Endoscopic Spine surgery
  • Paediatric Neurosurgery
  • Aneurysm Surgeries
  • Hydrocephalus
  • Stroke Management
  • Headache/migraine
  • Seizures/epilepsy
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SPINAL TUMOUR

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Spinal Tumour is an abnormal mass of tissue within or surrounding The Spinal Cord. It can affect any region of Spinal Cord i.e Cervical, Dorsal, Lumbar, Sacrum. The patient may present with various symptoms like Pain, Numbness, Paresthesia, and Bladder Bowel Involvement. Treatment Options include excision of Tumour.

BRAIN TUMOUR

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Brain Tumour is the mass or growth of abnormal cells in the brain. these Tumours may be benign Or cancerous. Symptoms may Include Headache, Seizures, Vision Loss, Weakness of one Side of Body, Speech Difficulties, Hearing Loss, etc. Diagnosis is made by Ct or MRI scan. Treatment options Depend upon the type, size, and location of Tumour. 

HEAD INJURY

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Head Injury is the most common cause of Disability and Death in adults. The most common cause of head injury is road traffic Accidents. Symptoms Include Headache, Unconsciousness, Seizures, Limb Weakness, etc. The diagnosis of Head Injury is made by Ct Scan. most of the patients of head Injury are managed conservatively. Treatment should be started as soon as possible.   Prognosis depends upon the impact of an injury.

BRAIN ANEURYSM

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Brain Aneursym is a ballooning or bulge in the blood vessel of brain. a Brain Aneurysm can leak or rupture leading to Haemorhage in Brain. most of the Patients present with sudden severe Headache , the Headache is often described as worst Headache of the Life ever Experienced. Other Symptoms may include Seizures, Loss Of Vision, Loss of Consciousnesses, Hemiparesis, Dropping of Eyelid etc.Diagnosis is made by Ct Scan Head followed by Angiography. Treatment options depends upon the location, Configuration of Aneurysm and Condition of patient. Surgery is the option in majority of patients.

DISSECTOMY

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Dissectomy is a surgical procedure to remove the damaged portion of a herniated disk in your spine. A herniated disk can irritate or compress nearby nerves and cause pain, numbness or weakness.
These symptoms can affect your neck or back or may radiate down your arms or legs. Although most of the patients with slip disc can be managed conservatively with medication. Around 10% patient with slip disc may require surgery.

ENDOSCOPIC SPINE SURGERY

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In the past, the spine surgeries were considered painful and unsuccessful. But with the advancement in techniques and instruments, most of the dreadful spine surgeries can be performed by small incision and with precision.

There are many advantages of these endoscopic spine surgery like: Shorter hospital stay, Minimal blood loss, Lower surgical risks such as infection
Minimal postoperative pain & Very small incision

SPINE INJURY

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Spine injury is an injury to the spinal cord. It is often a result of road traffic accidents or other types of trauma. It can lead to significant disability. Some people can lead a normal life even after a spinal injury some people may be bedridden permanently. Spinal trauma can be managed by spinal fusion.

STROKE- TIME IS GOLD

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Stroke is a medical condition in which blood supply to brain is interrupted leading to death of brain cells. Stroke is of two types ischemic and hemorrhagic. Ischemic type is more common. Most of patients has weakness of face, arm or leg(paralysis).Other symptoms may be loss of speech, unable to understand, vision loss and difficulty in walking etc. stroke is a medical emergency. If reported and evaluated quickly, the
patients can be thrombolysed which can help them to live normal life with minimal deficits.

BACKPAIN – FACTS AND MYTHS

MYTHS BURST ABOUT BACK PAIN

Back pain, particularly lower back pain, is the most common form of pain. Chronic back pain is a leading cause of disability worldwide and one of the most common reasons for people of working age to drop out of the workforce. About 70-80% of the population experience back pain at some point of their life. There are a number of causes of back pain. Most of the time the cause is mechanical , means that it is because of strain on muscles. But some important causes may be slip disc, lumbar spondylosis, lordosis, spondylolisthesis, spinal stenosis etc.

Back pain may  be localised to back only or may there may be associated radiating pain in one or both the legs. Usually  pain is mechanical  settles by itself and may be on and off,  and not worrisome. But there are some symptoms or signs( as mentioned below) which should be taken seriously and one should  consult the doctor 

  • radiating pain in one or both legs( sciatica)
  • weakness of legs/foot/foot drop
  • tingling or numbness of legs
  • urinary or stool  retention
  • urinary or stool incontinence
  • perianal sensory loss/ anesthesia

Most of the time back pain and radiating pain get better with conservative treatment. But in some patients even after trial  of conservative treatment intractable pain persists or in some other conditions surgery is a good option. 

There are some myths and facts associated with back pain which should be considered as below.

  1. WEAR A SPINAL BELT

Wearing a spinal belt for a prolonged period should be avoided as it may weaken the spinal muscles which will not be able to provide support to the spine. Wearing a belt for a short acute period is still acceptable.

2.Complete bed rest

For acute pain bed rest for 3 to 5 days is recommended. In patient with chronic back pain bed rest is usually not helpful and actually may prolong the chronicity.

3. SLEEP ON HARD SURFACE

It is advisable to sleep on a firm mattress, using very soft or hard mattresses which do not maintain natural curves of spine actually may aggravate the pain.

4. Posture 

One should avoid prolonged sitting and bending forward while standing as these postures put maximum load on the spine. People  with back pain can bend forward by bending their knees ( half squad position).

5. Weight

There is positive correlation between weight and lower back pain. Overweight increases the load on the spine which leads to early and rapid degeneration of the spine. one should maintain ideal weight to avoid chronic back pain.

6. Pain killer is only treatment

Pain killers may be used for short duration of time for acute pain, prolonged use of painkillers may leads to side effects like gastritis,ulcers etc

7.

Exercise is bad for back and neck pain

Regular exercise of back, abdominal and neck muscles helps to strengths the muscles which lead to uniform distribution of weight which helps to prevent degeneration of spine

8. Traction is helpful

Various studies have shown that traction is not helpful. Actually it may be harmful especially in unstable spine.

9.SPINE SURGERY IS NOT SAFE

It is general myth that spine surgery is not safe or successful. Although most patients don’t require surgery. But in whom the surgery is required spine surgery has excellent results. But for that patient selection has to be perfect.

10. Life after spine surgery

It is a common myth that after spine surgeries one cannot live a normal life. Now with the advancement and use of modern technologies ( like endoscopic/microscopic) the patient can walk immediately after surgery and minimal bed rest is required. Most of the patients can lead normal life after spine surgeries.

PRE & POST OPERATION PICTURE

Aneurysm
Before After
Brain Tumor
Before After
Paediatric Brain Tumor
Before After

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