Sacral Nerve Stimulation SNS

Sacral nerve stimulation permits electrical stimulation of the sacral nerves via an implantable neurostimulator device.

It is meant to treat following conditions:

  • Refractory urgency, urge incontinence
  • Voiding difficulty
  • Pelvic pain
  • Faecal incontinence
  • Constipation
  • Anal pain
  • faecal incontinence
  • Interstitial cystitis
  • Spinal injury
  • Neurodegenerative disease
  • Sexual dysfunction

Stimulation of the sacral nerve causes contraction of external sphincter and pelvic floor muscle which causes the inhibition of bladder contractions which may be involuntarily releasing urine. Researchers currently believe that the sacral neuromodulation blocks the c-afferent fibers, which are an important  part of the afferent limb of a reflex pathway believed to be responsible for incontinence.

Sacral nerve stimulation is a promising and durable treatment for  refractory conditions. All patients have reported major benefit for above mentioned conditions.

It is a most latest and advanced method of treatment which is advised when all medicines have failed to provide relief  in the world and is now available in Lahore, Pakistan.

 

Intrathecal Baclofen Pump IBP

Intrathecal Baclofen Pump is meant to treat Spasticity of lower limbs and  in few cases of upper limb due to spinal cord injury and spinal diseases.

It is a method of treatment where all other methods have failed to reduce spasticity which can lead to irritabilty of lower limds and sudden jerks making life uncomfortable for the patient.

Spasticity causes severe muscle spasm leading to feeling of tightness and pain around joints and also back. It can also cause uncontrollable painful muscle  contractions and involuntary crossing of the legs. Muscle and joint deformities.

Following are the major causes of Spasticity in which Baclofen Pump implant placement is indicated:

  • Spinal cord injury (SCI)
  • Traumatic brain injury (TBI)
  • Multiple Sclerosis
  • Cerebral Palsy
  • Brain damage due to a lack of oxygen
  • Stroke
  • Encephalitis
  • Meningitis

Long term results are satisfying and excellent.

It is a most latest and advanced method of treatment which is advised when all medicines have failed to provide  relief  in the world and is now available in Lahore, Pakistan.

Vagal Nerve Stimulation VNS

Vagal nerve Stimulation is meant for intractable epilepsy which fails to be controlled by medication and all medicines have failed.

It is a pace maker placed underneath the skin which sends electrical impulses through vagus nerve to stop epileptic fits.

The benefits of VNS in EPILEPSY can include the following:

  • Decreased seizures
  • Less severe seizures or shorter seizures
  • Improved quality of life

It is a most latest and advanced method of treatment which is advised when all medicines have failed to provide relief in the world and is now available in Lahore, Pakistan.

 

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Spinal Cord Stimulation SCS

Spinal cord stimulation is a treatment meant to cure severe chronic pains because of following reasons:

  1. Failed back syndrome
  2. Phantom limb pain after Amputation
  3. Chronic leg and arm pain
  4. Chronic burning pain
  5. Stump pain
  6. Angina pain
  7. Peripheral vascular disease pain
  8. Multiple sclerosis pain
  9. Spinal cord injury pain

Spinal cord stimulator is a device placed under the scan which gives electrical impulses to spinal cord through a wire which masks the Cronic pain and burning sensations by stimulating the nerves causing pain.

It is a most latest and advanced method of treatment which is advised when all medicines have failed to provide relief  in the world and is now available in Lahore, Pakistan.

Latest Techniques

Latest Techniques are used by Prof Shahzad Shams to remove brain tumours which are as following:
 1. Endoscopic minimally invasive keyhole brain surgery
2. Endoscopic minimally invasive keyhole removal of brain tumours through nose.
3. Neuronavigation used to precisely target the lesion and for complete removal.
4. Stereotactic neurosurgery a minimally invasive keyhole surgery technique for deep seated lesions with 1mm accuracy
5. High Powered Microscopes are used to magnify the tumour for safe removal .
6. Telescopes attached to camera with images on monitor are used to treat Hydrocephalus.
7. Per operative neurophysiological monitoring is done to protect important nerves and areas of Brain.
8. Safest and best technique performed by only one Team of Prof Shahzad Shams in Pakistan called Translabyrinthine minimally invasive keyhole surgery and approach for Acoustic Neuroma surgery.
All these methods help in safe and complete removal of tumors giving excellent results.
 

Brain Tumor Surgery

MALIGNANT BRAIN TUMORS

Malignant  brain tumors also called Gliomas and most aggressive in nature.

They need to be dealt as soon as possible basis as their growth rate which  is rapid and their local spread in the brain causes damaging effects.

Prof shahzad Shams has operated on more than 5000 Gliomas.

First step for him is diagnosis by MRI with contrast. Then planning about surgery and decision about safe approach to tumor and clean and safe removal so that no deficits are given so that patient has a good quality of life. Surgery is performed by using the Latest techniques and gadets like Endoscopes, microscopes, Stereotactic surgery and best microsurgical techniques. After surgery biopsy report reveals the grading of tumor which helps to make decision about Radiotherapy and chemotherapy. Biopsy also gives information about prognosis.

BENIGN BRAIN TUMORS

Meningiomas, Schwanomas, Neurofibromas, Tuberculomas and Fungal granulomas are few examples.

First step for him is diagnosis by MRI with contrast. Then planning about surgery and decision about safe approach to tumor and clean and safe removal so that no deficits are given so that patient has a good quality of life. Surgery is performed by using the Latest techniques and gadets like Endoscopes, microscopes, Stereotactic surgery and best microsurgical techniques. After surgery biopsy report reveals the type of tumor which helps to make decision about further treatment. Biopsy also gives information about prognosis.

Acoustic Neuroma

Acoustic neuroma is a benign tumor which lies in the region of brain where many important nerves and brain structures are present.

Acoustic neuroma surgery is one of the complicated surgeries and should be attempted by an experienced and trained neurosurgeon.

Prof Shahzad has operated on more than 2000 cases of Acoustic neuroma also called cerebellopontine schwanoma.

He suggests following options according to size and involvement of  adjacent structures:-

1. Gamma Radiosurgery

2. Sub occipital craniotomy

3. Translabyrinthine approach

He is one of the best neurosurgeon who has given excellent results and many patients operated for acoustic neuroma are livivng a normal life since decades.