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

Prof Shahzad Shams is the  Pioneer and First Neurosurgeon in Pakistan to use the Spinal Cord Stimulation in patients with intractable pain or burning sensation secondary to above reasons. He is the best in Spinal Cord Stimulation.

Spinal cord stimulator is a device placed under the scan which gives electrical impulses to spinal cord through a wire which masks the Chronic 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 Used for Brain Tumour Surgery Prof Shahzad Shams

LATEST TECHNIQUES USED FOR  BRAIN TUMOUR SURGERY BY    PROF SHAHZAD SHAMS  

 

Prof. Shahzad Shams presently works as Chairman and Head of Neurosurgery Department at King Edward Medical University & Mayo Hospital, Lahore.

 

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. Computer Assisted Neuronavigation  Brain Tumor surgery used to precisely target the lesion and for complete removal.

4. Stereotactic Brain Tumor surgery a minimally invasive keyhole surgery technique for deep seated lesions with         1 mm accuracy

5. High Powered Microscopic Brain Tumor surgery are used to magnify the tumour for safe removal .

6. Endoscopic surgery ETV for Hydrocephalus attached to camera with images on monitor.

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.

About Stereotactic Brain Biopsy done through Keyhole surgery

Prof Shahzad Shams is the first Neurosurgeon in Punjab and KPK to start Stereotactic neurosurgery in the Private sector which involves mapping the brain in a three dimensional coordinate system. With the help of MRI and CT scans and 3D computer workstations, he is able to accurately target any area of the brain in stereotactic space (3D coordinate system). He uses RM frame system and Inomed IPS Planning software for this purpose. Stereotactic brain biopsy is a minimally invasive procedure that uses this most advanced and cutting edge technology to obtain samples of brain tissue for diagnostic purposes and for aspiration of cystic lesions.

Indications

This procedure is used to obtain tissue samples of areas within the brain that are suspicious for tumors or infections. The main indications for stereotactic biopsy are :-

  • Deep-seated lesions
  • Lesions in Eloquent areas of brain like Thalamus and Brain Stem.
  • Multiple lesions like Metastatic lesions
  • Diffuse Infiltrative lesions like Encephalitis and Diffuse Glioma
  • Lesions in patients who cannot tolerate anesthesia like old aged
  • For Aspiration of Brain abscess and cystic lesions
  • For Aspiration of hematomas

Technique

On the afternoon of surgery a head ring is placed on the patient. This involves giving local anaesthesia to the skin in four areas and placing the ring on the head with four pins. A CT scan is then performed.
In the operating room, the patient receives light sedation. An incision only a few millimeters long is made in the scalp and a small hole is drilled into the skull. A thin biopsy needle is inserted into the brain using the coordinates obtained by the computer workstation. The specimen is then sent to the pathologist for evaluation. Patients are monitored for several hours following the procedure and usually go home the same day.
Accuracy of the RM frame and IPS Planning system is of sub millimeter level and is considered to be the best system in the world giving 100% results to reach diagnosis.

 

 

 

Brain Tumor Surgery

BRAIN TUMORS OPERATED BY PROF. SHAHZAD SHAMS BY ENDOSCOPIC MINIMALLY INVASIVE KEY HOLE BRAIN SURGERY :-
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.
 MENINGIOMAS , MALIGNANT Brain Tumour(Glioma, Astrocytoma, Metastatic)Cerebellopontine angle tumoursAcoustic Neuroma Schwannoma Tumor, Pituitary tumor, Prolactinoma, Colloid cysts, Craniopharyngioma, Rathke’s Cleft Cyst, Sellar and Parasellar tumors and Brain Tuberculomas

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.

OCD Treatment with DBS Surgery Prof Shahzad Shams

OCD or Obsessive compulsive disorder is one of the most devastating brain disorder which can cripple the life of a person suffering from OCD.

Prof Shahzad Shams is the only neurosurgeon in Pakistan to offer DBS surgery for intractable OCD Obsessive compulsive disease which is not responsive to medical therapy.

DBS stands for Deep Brain Stimulation which is a minor surgery done under local anaesthesia and patient is discharged next day. DBS patients have responded excellently world wide and manged to live a normal life afterwords.

Prof Shahzad Shams is one of the Pioneers of DBS Deep Brain Stimulation surgery for OCD Obsessive compulsive disease in Pakistan and is referred cases from abroad also. He is the first in Pakistan to start DBS surgery in the Private sector at Omar Hospital, Lahore, Pakistan.

He is the best neurosurgeon for DBS Deep Brain Stimulation Surgery for OCD Obsessive compulsive disease in Pakistan and Asia.

DBS DEEP BRAIN STIMULATION

SURGERY FOR MOVEMENT DISORDERS

 

Prof Shahzad Shams is the best Neurosurgeon for the treatment with most latest and Advanced techniques for OCD Obsessive compulsive disease with DBS Deep Brain Stimulation Surgery in Lahore, Pakistan.

Programming after deep brain stimulation is a very specialized process for which Prof Shahzad Shams is the best in Pakistan.

Best Neurosurgeon for treatment and  dbs deep brain stimulation surgery for OCD Obsessive compulsive disease in Lahore, Pakistan

Prof Shams MOVEMENT DISORDER CLINIC is the most comprehensive and has robust program for treatment of Coma in Pakistan.

DEEP BRAIN STIMULATION OR DBS PROCEDURE-:

DBS surgery involves putting the tip of a hair-thin wire inside the brain in a special area that controls movement. The patient is awake during surgery to allow the surgical team to assess the patient’s brain functions. The small wire runs up through a small hole in the skull and under the scalp, down to a small device implanted under the collarbone. Local anesthetic is applied to these areas, and the patient is occasionally sedated.

While the electrode is being advanced through the brain, the patient does not feel any pain. Most patients have two implants — one on each side of the brain.

Steps of Procedure-:

  • Patient Evaluation by Neurophysician
  • Patient eligibility for DBS by ANFN team
  • Hospital admission

Surgical Steps

  • Pre op imaging
  • Appilication of stereotatic frame
  • Imaging with frame
  • Surgical planning and localization of target radiologically
  • Burr hole under local analgesia
  • Physiological confirmation of target by MER
  • Implantation of electrodes in brain
  • Implantation of battery (IPG) infront of chest
  • Programming of DBS to obtain best results

HOW DBS or DEEP BRAIN STIMULATION WORKS ? 

Deep brain stimulation (DBS), or Electric subcortical stimulation, illustrates functional Neurosurgical intervention with Stereotactic placement of Electrodes into Target brain regions. Propagating from an external stimulation device, which becomes internalized via subdermal implantation, Electric impulses traverse the electrodes, stimulating the desired target and invoking therapeutic responses within the patient giving Miraculous cure from all the diseases listed above. Whole procedure is performed in awake patient and they are discharged the next day.