Endoscopic Spine Surgery

Prof. Shahzad Shams worked as Head and Professor of Neurosurgery Department at Lahore General Hospital, LGH, Lahore, Pakistan and presently works as Chairman Department of Neurosurgery King Edward Medical University and Mayo Hospital, Lahore, Pakistan.

Endoscopic Minimally invasive Keyhole Spine Surgery

Prof. Shahzad Shams is one the best spine surgeon in Lahore Pakistan with vast experience of complex spine diseases and pathologies. He is an expert and master of Endoscopic Spine Surgery, Endoscopic cervical, thoracic and lumbar discectomy in Pakistan, Endoscopic back surgery, Best neurosurgeon for endoscopic spine surgery in Lahore Pakistan, Endoscopic decompression for spinal stenosis, Endoscopic spinal fixation for spinal Injury. ADVANTAGES OF ENDOSCOPIC MINIMALLY INVASIVE KEYHOLE DISCECTOMY

ADVANTAGES OF ENDOSCOPIC MINIMALLY INVASIVE KEYHOLE DISCECTOMY

  • STAY IN THE HOSPITAL IS ONLY FOR 24 HOURS
  • RESULTS ARE BETTER THAN OPEN SURGERY.
  • LESS TRAUMATIC THAN OPEN SURGERY

Prof. Shahzad Shams is the best neurosurgeon for ENDOSCOPIC MINIMALLY INVASIVE KEYHOLE  spine surgery and Endoscopy.

Prof. Shahzad Shams receives patients from within the country from cities in Pakistan like Lahore, Sialkot, Faisalabad, Bahawalpur, Gujranwala, Gujrat, Multan, Karachi, Hyderabad, Quetta, Peshawar, Rawalpindi and Islamabad, Abbottabad, Rahim Yar Khan and Sargodha.

Endoscopic Brain Surgery

Prof. Shahzad Shams presently works as Head and Professor of Neurosurgery Department at Lahore General Hospital, LGH, Lahore.

Endoscopic Brain Surgery

ENDOSCOPIC MINIMALLY INVASIVE KEYHOLE SURGERY IN NEUROSURGERY

It is Best and Latest Technique performed by Prof.Shahzad Shams for the following lesions:-

  1. PITUITARY ADENOMA TUMOUR
  2. THIRD VENTRICLE TUMORS
  3. ETV – THIRD VENTRICULOSTOMY FOR HYDROCEPHALUS
  4. BRAIN TUMORS
  5. INTRAVENTRICULAR BRAIN TUMOURS
  6. COLLOID CYST
  7. ARACHNOID CYST
  8. PEDIATRIC NEUROSURGERY FOR CHILDREN
  9. CEREBROSPINAL FLUID FISTULA( CSF FISTULA )LEADING TO RHINORREA

Intracranial Brain Endoscopy reduces

  1. Surgical morbidity
  2. Shortens the hospital stay of only 24 hours
  3. Minimizes the cosmetic concerns associated with many major
  4. neurosurgical conditions.
  5. In general, Brain Endoscopy does not require
  6. Large incisions on the scalp,
  7. Removal of skull flaps
  8. Extensive dissection through brain tissue.


Prof. Shahzad Shams receives patients from within the country from cities in Pakistan like Lahore, Sialkot, Faisalabad, Bahawalpur, Gujranwala, Gujrat, Multan, Karachi, Hyderabad, Quetta, Peshawar, Rawalpindi and Islamabad, Abbottabad, Rahim Yar Khan and Sargodha.

Endoscopic Neurosurgery

Prof. Shahzad Shams presently works as Head and Professor of Neurosurgery Department at Lahore General Hospital, LGH, Lahore.

 

ENDOSCOPIC MINIMALLY INVASIVE KEYHOLE SURGERY IN NEUROSURGERY

 

It is Best and Latest Technique performed by Prof.Shahzad Shams for the following lesions:-

1. PITUITARY ADENOMA TUMOUR

2. THIRD VENTRICLE TUMORS 

3. THIRD VENTRICULOSTOMY FOR HYDROCEPHALUS

4. SPINE  SLIPPED DISC SURGERY

5. INTRAVENTRICULAR BRAIN TUMOURS

6. COLLOID CYST

7. ARACHNOID CYST

8. PEDIATRIC NEUROSURGERY FOR CHILDREN

9. CEREBROSPINAL FLUID FISTULA – CSF LEAK LEADING TO RHINORREA 

 

I have now a clear belief that with the advent of Endoscopic neurosurgery and its advancement has greatly simplified the management of many intracranial ailments in Adults and Children.

Similar in concept to other endoscopic surgery,

 

 Intracranial neuroendoscopy reduces

  •  Surgical morbidity,
  •  Shortens the hospital stay of only 24 hours
  •  Minimizes the cosmetic concerns associated with many major neurosurgical conditions.

In general, neuroendoscopy does not require

  • Large incisions on the scalp,
  • Removal of skull flaps
  • Extensive dissection through brain tissue.

 

In the past several years the technological advancements in endoscope design have been substantial. A reduced size, improved resolution, and brighter illumination of the endoscope has allowed the benefits of endoscopic surgery to be applied in neurosurgery and it is definitely how the future neurosurgery would be performed.

Neuroendoscopy has dramatically altered the management of several diseases affecting the central nervous system of children and adults. At the centre of Minimal Access Neurosurgery at Omar Hospital, Jail road.

 

Endoscopic neurosurgical procedures have been used in the treatment of pituitary tumours, hydrocephalus, intracranial cysts, intraventricular brain tumors, lumbar discectomy and decompression for lumbar spinal stenosis and Pediatric neurosurgery in children, Cerebrospinal Fluid Fistula CSF Fistula leading to Rhinorrea. 

 

RESULTS:-
The results of  Endoscopic Minimally invasive Keyhole surgery in  Neurosurgery are one of the best and excellent.

 

 

Prof. Shahzad Shams is the best neurosurgeon for Endoscopic minimally invasive keyhole brain surgery and Endoscopic minimally invasive keyhole spine surgery Endoscopy.

Prof. Shahzad Shams receives patients from within the country from cities in Pakistan like Lahore, Sialkot, Faisalabad, Bahawalpur, Gujranwala, Gujrat, Multan, Karachi, Hyderabad, Quetta, Peshawar, Rawalpindi and Islamabad, Abbottabad, Rahim Yar Khan and Sargodha and abroad like from US United states of America USA , United Kingdom UK Britain England, Canada, Italy, Greece, Germany, Spain, Australia, Saudi Arabia, United Arab Emirates UAE, Dubai, Kuwait,India,Qatar, Bahrain and Afghanistan.

 

 

Trigeminal Neuralgia (MVD)

Prof. Shahzad Shams presently works as Head and Professor of Neurosurgery Department at Lahore General Hospital, LGH, Lahore.

TRIGEMINAL NEURALGIA

(ENDOSCOPIC MICROVASCULAR DECOMPRESSION)

This is a condition, which may be treated by General Practioner’s(GPs), Neurologists, Neurophysicians, Psychiatrists and finally end up with Neurosurgeons. It is characterised by a severe spasmodic and lancinating pain, which affects one part of the side of the face. The pain can be excruciatingly severe and may be triggered by various actions, including chewing, swallowing, drinking hot or cold liquids, brushing the teeth, or being exposed to a cold wind. The exact cause of the symptoms is not precisely known, but the pain usually affects one branch of the trigeminal nerve which supplies sensation to the side of the face.

Trigeminal neuralgia can often be adequately controlled with drug treatment alone, for instance Carbamazepine (Tegretol). If, in spite of large doses of medicine, the pain persists or is uncontrollable, there are various surgical measures which can be used.

In many cases symptoms seem to be related to a loop of a blood vessel within the brain itself pressing on the trigeminal nerve. Such loops can sometimes be seen using magnetic resonance imaging (MRI).

The most common surgical procedure is ENDOSOCPIC Microvascular decompression MVD. This is a micro surgical procedure where the trigeminal nerve is identified within the skull and any irritating or compressing blood vessels are carefully dissected off the nerve and held away from it using a variety of measures.

TREATMENT

ENDOSCOPIC MICROVASCULAR DECOMPRESSION – MVD

Endoscopic Microvasular decompression is a procedure in which a 2cm opening is made behind the ear and through this opening a endoscope of  4mm size is inserted to find the vessel which is offending the trigeminal nerve which is then separated from the nerve using micosurgical instruments and a small teflon graft is placed inbetween the vessel and nerve. Patient is immediately relieved of the severe  pain on the face and is disharged within 24 hours from the hospital.

 

RESULTS

The results for ENDOSCOPIC Microvascular decompression      MVD are excellent and once done patient is relieved of the pain forever and permanently. Hospital stay is only for 24 hours.

Hydrocephalus / NPH

 

 

Prof. Shahzad Shams presently works as Head and Professor of Neurosurgery Department at Lahore General Hospital, LGH, Lahore.

 

 

ENDOSCOPIC MINIMALLY INVASIVE KEYHOLE SURGERY AS TREATMENT OF HYDROCEPHALUS

ENDOSCOPIC TREATMENT OF HYDROCEPHALUS

 

LATEST TECHNIQUE FOR TREATMENT OF HYDROCEPHALUS – ENDOSCOPIC THIRD VENTRICULOSTOMY – ETV 

 

ENDOSCOPIC THIRD VENTRICULOSTOMY ETV DONE THROUGH A VERY SMALL 2cm OPENING and hospital stay is for only 24 hours. Professor Shahzad is one the best neurosurgeon for Endoscopic Third Ventriculostomy ETV and an expert in Endoscopic brain surgery.

Ventriculo – peritoneal shunt or VP Shunt is now an OBSOLETE METHOD of treatment for Hydrocephalus.

Hydrocephalus a condition in which the normal circulatory pathways of cerebrospinal fluid (CSF) are altered. Hydrocephalus can result from a number of conditions including congenital malformations, infection, hemorrhage, or brain tumors. With the accumulation of CSF, the intracranial pressure increases resulting in symptoms such as headache, vomiting, altered personality, and decreased cognitive performance. Hydrocephalus was previously treated by VP and VA shunts which had a significant rate of failure of tubing blockages and infections requiring frequent hospitalizations and additional surgery.

 ENDOSCOPIC THIRD VENTRICULOSTOMY- ETV FOR HYDROCEPHALUS

The procedure is performed through a small incision (approximately 1 inch) behind the hairline. THIRD VENTRICULOSTOMY ETV DONE WITH ENDOSCOPE THROUGH A VERY SMALL 2CM OPENING AND HOSPITAL STAY IS ONLY FOR 24 HOURS. From this site, the endoscope is inserted into the ventricular compartment of the brain and then navigated into the third ventricle. The floor of this compartment is then fenestrated, or opened. The endoscope is then removed and the wound is closed. The procedure is performed in approximately 30 minutes and patients can return home the following day.

 ADVANTAGES OF ENDOSCOPIC THIRD VENTRICULOSTOMY

 Advantage of this procedure is that no implanted shunt is needed thus avoiding the potential long-term risks of shunts including infection, migration, or disconnection.

HOSPITAL STAY IS ONLY FOR 24 HOURS.

 

Hydrocephalus/ NORMAL PRESSURE HYDROCEPALUS – NPH

It means an accumulation of fluid within the brain, and a concomittent rise in pressure within the head. Some of the more common causes of hydrocephalus include aqueduct stenosis, normal pressure hydrocephalus, hydrocephalus secondary to haemorrhage or infection, benign intracranial hypertension and Arnold Chiari malformation. Hydrocephalus can be investigated by a variety of means, including magnetic resonance imaging (MRI), to look at the ventricles within the head. Once the diagnosis has been confirmed, treatment may involve diverting the excess fluid from the brain to the abdomen by implanting a device called a  VP SHUNT( Ventriculo-peritoneal shunt). These consist of a silicone tube, the flow along which is controlled by a valve. There are many different varieties of these, some of which can have the valve’s pressure setting externally adjusted by the treating consultant using an electromagnet. Some types of hydrocephalus may be amenable to treatment with a neuro endoscope to create a drainage passage for the fluid within the brain itself this is the latest technique to treat NPH. This technique is called THIRD VENTRICULOSTOMY ETV DONE WITH ENDOSCOPE THROUGH A VERY SMALL 2CM OPENING AND HOSPITAL STAY IS ONLY FOR 24 HOURS. More detail on hydrocephalus and ventriculo-peritoneal shunts can be found under the special topics menu.

RESULTS
1.The results of  VP Shunt surgery are excellent.

2. LATEST TECHNIQUE FOR TREATMENT OF NORMAL PRESSURE HYDROCEPHALUS – ETV 

ENDOSCOPIC THIRD VENTRICULOSTOMY ETV DONE THROUGH A VERY SMALL 2cm OPENING and hospital stay is for only 24 hours. Professor Shahzad is one the best neurosurgeon for Endoscopic Third Ventriculostomy ETV which is minimally invasive keyhole surgery  and he is an expert in Endoscopic brain surgery.

 

 

Hemifacial Spasm and Trigeminal Neuralgia

Prof. Shahzad Shams presently works as Head and Professor of Neurosurgery Department at Lahore General Hospital, LGH, Lahore.

Trigeminal Neuralgia

 Vth Cranial nerve – Trigeminal  Nerve

Trigeminal neuralgia is the term applied to a particular facial pain which is unique amongst the neuralgia in that the pain can nearly always be completely controlled by treatment. If the same treatment is mistakenly give to patients with other forms of facial pain, they are unlikely to be improved and be made worse.

ENDOSCOPIC MINIMALLY INVASIVE KEYHOLE SURGERY

MICROVASCULAR DECOMPRESSION – MVD 

Endoscopic Microvasular decompression is a procedure in which a 2cm opening is made behind the ear and through this opening a endoscope of  4mm size is inserted to find the vessel which is offending the trigeminal nerve which is then separated from the nerve using micosurgical instruments and a small teflon graft is placed inbetween the vessel and nerve. Patient is immediately relieved of the severe  pain on the face and is disharged within 24 hours from the hospital.

RESULTS

The results for ENDOSCOPIC Microvascular decompression  MVD are excellent and once done patient is relieved of the pain forever and permanently. Hospital stay is only for 24 hours.

Hemifacial Spasms

Involve’s VIIth Cranial nerve – Facial Nerve

Hemifacial spasm is a facial disorder that is not painful, but its proposed aetiology is so similar to trigeminal neuralgia that it is best described in this chapter. The condition is characterized by unilateral spasm of the facial muscles supplied by the facial nerve.

LATEST TREATMENT

ENDOSCOPIC MICROVASCULAR DECOMPRESSION – MVD FOR TRIGEMINAL NEURALGIA OR HEMIFACIAL SPASMS

Endoscopic Microvasular decompression is a procedure in which a 2cm opening is made behind the ear and through this opening a endoscope of  4mm size is inserted to find the vessel which is offending the trigeminal nerve or the Facial Nerve which is then separated from the nerve using micosurgical instruments and a small teflon graft is placed in between the vessel and nerve. Patient is immediately releived of the severe  pain on the face  or facial spasms and is disharged within 24 hours from the hospital.
RESULTS
The results for ENDOSCOPIC MINIMALLY INVASIVE KEY HOLE SURGERY for Microvascular decompression MVD are excellent and once done patient is relieved of the pain or facial spasms forever and permanently. Hospital stay is only for 24 hours.