Brain and Spine Surgery

Brain and Spine Surgery Dr Himanshu Champaneri
Clinical Director, Neurosurgeon
- Epilepsy and Functional Neurosurgeon
- Endoportal Spine Surgeon

26/12/2025

๐Ÿ”ฅ TRIGEMINAL RF ABLATION FOR TRIGEMINAL NEURALGIA

Advanced Functional Neurosurgery for Severe Facial Pain

Trigeminal Neuralgia is one of the most painful neurological conditions, often described as sudden electric shockโ€“like facial pain.

Simple daily activities like talking, chewing, or brushing teeth can become extremely difficult for patients. โšก๐Ÿ˜ฃ

๐Ÿ” WHY THIS PROCEDURE IS IMPORTANT:

โ€ข ๐Ÿง  Caused by abnormal pain transmission along the trigeminal nerve
โ€ข ๐Ÿ’Š Many patients stop responding to medications or develop side effects
โ€ข ๐ŸŽฏ Radiofrequency Ablation (RFA) selectively targets pain-carrying nerve fibers
โ€ข ๐Ÿ› ๏ธ Performed under image guidance for high precision and safety
โ€ข โšก Provides immediate and long-lasting pain relief in selected patients
โ€ข ๐Ÿšถ Minimally invasive procedure with quick recovery

๐Ÿ”ฅ TRIGEMINAL RF ABLATION

PRECISION-BASED, MINIMALLY INVASIVE PAIN RELIEF

By accurately targeting the source of pain while preserving surrounding structures, RF ablation offers a reliable solution for patients suffering from refractory trigeminal neuralgia.

๐ŸŽฅ Sharing this surgical video to highlight how modern functional neurosurgery can significantly improve quality of life.



18/12/2025

๐Ÿ”ฌ ๐’๐“๐„๐‘๐„๐Ž๐“๐€๐‚๐“๐ˆ๐‚ ๐‹๐„๐’๐ˆ๐Ž๐๐ˆ๐๐† ๐…๐Ž๐‘ ๐„๐๐ˆ๐‹๐„๐๐’๐˜ | ๐๐‘๐„๐‚๐ˆ๐’๐ˆ๐Ž๐-๐†๐”๐ˆ๐ƒ๐„๐ƒ ๐๐„๐“๐–๐Ž๐‘๐Š ๐“๐€๐‘๐†๐„๐“๐ˆ๐๐†

Today, sharing a closer look at one of the most refined techniques in functional neurosurgery โ€” stereotactic lesioning for drug-resistant epilepsy.
A procedure where microns matter, and every trajectory shapes the outcome. ๐Ÿง โœจ

๐Ÿ” ๐—ช๐—›๐—ฌ ๐—ง๐—›๐—œ๐—ฆ ๐—”๐—ฃ๐—ฃ๐—ฅ๐—ข๐—”๐—–๐—› ๐— ๐—”๐—ง๐—ง๐—˜๐—ฅ๐—ฆ:

โ€ข Epilepsy is rarely a โ€œsingle-spotโ€ problem โ€” it is a network disorder involving abnormal circuits.

โ€ข ๐ŸŽฏ Stereotactic lesioning allows us to precisely target the seizure-generating node within this network using millimetre-accurate coordinates.

โ€ข ๐Ÿ“ก Using neuronavigation + functional imaging, we plan the safest pathway to reach the epileptic focus without disturbing healthy brain regions.

โ€ข ๐Ÿ› ๏ธ This minimally invasive technique requires only a small burr hole, but delivers a powerful impact on seizure control.

โ€ข ๐Ÿ’ซ For selected patients, this offers a faster, safer alternative to open epilepsy surgery โ€” with less pain, less recovery time, and high accuracy.

๐Ÿง โœจ ๐—ง๐—›๐—˜ ๐—š๐—ข๐—”๐—Ÿ:

To interrupt the seizure-causing circuitโ€ฆ
Without disrupting the rest of the network.
Precision. Safety. Stability.

๐ŸŽฅ Sharing the surgical footage to highlight how modern functional neurosurgery is redefining epilepsy treatment โ€” giving real hope to patients who continue to have seizures despite medications.

08/12/2025

๐Ÿš€ ๐„๐๐ƒ๐Ž๐๐Ž๐‘๐“๐€๐‹ ๐๐‘๐€๐ˆ๐ ๐“๐”๐Œ๐Ž๐‘ ๐’๐”๐‘๐†๐„๐‘๐˜ | ๐“๐‡๐€๐‹๐€๐Œ๐ˆ๐‚ ๐“๐”๐Œ๐Ž๐‘ ๐‘๐„๐Œ๐Ž๐•๐€๐‹

Today, sharing a glimpse of one of the most challenging neurosurgical procedures we perform โ€” ๐—˜๐—ก๐——๐—ข๐—ฃ๐—ข๐—ฅ๐—ง๐—”๐—Ÿ ๐—ฅ๐—˜๐— ๐—ข๐—ฉ๐—”๐—Ÿ ๐—ข๐—™ ๐—” ๐——๐—˜๐—˜๐—ฃ-๐—ฆ๐—˜๐—”๐—ง๐—˜๐—— ๐—ง๐—›๐—”๐—Ÿ๐—”๐— ๐—œ๐—– ๐—ง๐—จ๐— ๐—ข๐—ฅ.
A space where millimetres matterโ€ฆ and precision defines outcome. ๐Ÿง โœจ

๐Ÿ” ๐—ช๐—›๐—ฌ ๐—ง๐—›๐—œ๐—ฆ ๐—œ๐—ฆ ๐—ฆ๐—ฃ๐—˜๐—–๐—œ๐—”๐—Ÿ:
โ€ข Thalamic tumors lie ๐——๐—˜๐—˜๐—ฃ ๐—œ๐—ก๐—ฆ๐—œ๐——๐—˜ ๐—ง๐—›๐—˜ ๐—•๐—ฅ๐—”๐—œ๐—ก, surrounded by critical pathways.
โ€ข ๐ŸŒฑ Traditionally, ๐— ๐—ข๐—ฆ๐—ง ๐—–๐—”๐—ฆ๐—˜๐—ฆ ๐—จ๐—ก๐——๐—˜๐—ฅ๐—š๐—ข ๐—ข๐—ก๐—Ÿ๐—ฌ ๐—” ๐—•๐—œ๐—ข๐—ฃ๐—ฆ๐—ฌ because safe access is difficult.
โ€ข ๐Ÿ› ๏ธ Using the ๐—˜๐—ก๐——๐—ข๐—ฃ๐—ข๐—ฅ๐—ง๐—”๐—Ÿ ๐—ง๐—˜๐—–๐—›๐—ก๐—œ๐—ค๐—จ๐—˜ + ๐—ก๐—˜๐—จ๐—ฅ๐—ข๐—ก๐—”๐—ฉ๐—œ๐—š๐—”๐—ง๐—œ๐—ข๐—ก, we can now reach these lesions ๐—ง๐—›๐—ฅ๐—ข๐—จ๐—š๐—› ๐—ก๐—”๐—ง๐—จ๐—ฅ๐—”๐—Ÿ ๐—–๐—ข๐—ฅ๐—ฅ๐—œ๐——๐—ข๐—ฅ๐—ฆ, minimising collateral damage.
โ€ข ๐ŸŽฏ Achieved a ๐—š๐—ข๐—ข๐—— ๐—ฅ๐—˜๐—ฆ๐—˜๐—–๐—ง๐—œ๐—ข๐—ก while ๐—ฃ๐—ฅ๐—˜๐—ฆ๐—˜๐—ฅ๐—ฉ๐—œ๐—ก๐—š ๐—ฉ๐—œ๐—ง๐—”๐—Ÿ ๐—ฆ๐—ง๐—ฅ๐—จ๐—–๐—ง๐—จ๐—ฅ๐—˜๐—ฆ โ€” the true goal of modern minimally invasive neurosurgery.
โ€ข ๐Ÿ’ก This approach gives ๐—ฅ๐—˜๐—”๐—Ÿ ๐—›๐—ข๐—ฃ๐—˜ ๐—™๐—ข๐—ฅ ๐—ฅ๐—˜๐—ฆ๐—˜๐—–๐—ง๐—”๐—•๐—œ๐—Ÿ๐—œ๐—ง๐—ฌ in cases previously marked โ€œinoperableโ€.

๐Ÿง โœจ ๐—˜๐—ก๐——๐—ข๐—ฃ๐—ข๐—ฅ๐—ง๐—”๐—Ÿ + ๐—ก๐—”๐—ฉ๐—œ๐—š๐—”๐—ง๐—œ๐—ข๐—ก = ๐—ฃ๐—ฅ๐—˜๐—–๐—œ๐—ฆ๐—œ๐—ข๐—ก, ๐—ฆ๐—”๐—™๐—˜๐—ง๐—ฌ & ๐—•๐—˜๐—ง๐—ง๐—˜๐—ฅ ๐—ข๐—จ๐—ง๐—–๐—ข๐— ๐—˜๐—ฆ

๐ŸŽฅ Sharing the surgical video to showcase what advanced techniques can achieve today.

Honoured to be invited as Faculty at Episurg 2025, Bangalore ๐ŸŽค๐Ÿง โœจSharing a moment from my talk on Neuromodulation in Epil...
03/12/2025

Honoured to be invited as Faculty at Episurg 2025, Bangalore ๐ŸŽค๐Ÿง โœจ

Sharing a moment from my talk on Neuromodulation in Epilepsy Surgery at Episurg 2025, Bangalore โ€” a conference that brought together some of the finest minds in epilepsy care in India ๐Ÿ‡ฎ๐Ÿ‡ณ.

Hereโ€™s what I spoke about ๐Ÿ‘‡

๐Ÿ”น Neuromodulation โ€” modern techniques like DBS, ANT stimulation, RNS & VNS that help control seizures when medicines fail
๐Ÿ”น Network-guided lesioning โ€” identifying & targeting the โ€œhubsโ€ that drive seizures
๐Ÿ”น Individualised epilepsy surgery โ€” shifting from large resections to precision-based, minimally invasive functional procedures
๐Ÿ”น Hope for patients โ€” especially those who are not candidates for conventional surgery

Why this matters ๐Ÿ’ก
Neuromodulation is transforming the lives of patients with drug-resistant epilepsy, giving them control, independence and a better quality of life. Itโ€™s the future โ€” and itโ€™s happening now.

Grateful to the organizing committee for the invitation and the opportunity to share our experience ๐Ÿ™

22/11/2025

10 days post-DBSโ€ฆ
and heโ€™s walking independently again.
๐— ๐—ผ๐—ฑ๐—ฒ๐—ฟ๐—ป ๐—ป๐—ฒ๐˜‚๐—ฟ๐—ผ๐˜€๐˜‚๐—ฟ๐—ด๐—ฒ๐—ฟ๐˜† ๐—บ๐—ฎ๐—ธ๐—ฒ๐˜€ ๐˜๐—ต๐—ถ๐˜€ ๐—ฝ๐—ผ๐˜€๐˜€๐—ถ๐—ฏ๐—น๐—ฒ.

๐ŸŒŸ Another Successful DBS Surgery for Parkinsonโ€™s Disease! ๐ŸŒŸ     โœจ Todayโ€™s highlight: Another patient with advanced Parki...
13/11/2025

๐ŸŒŸ Another Successful DBS Surgery for Parkinsonโ€™s Disease! ๐ŸŒŸ


โœจ Todayโ€™s highlight: Another patient with advanced Parkinsonโ€™s regained hope and stability through a precisely performed Deep Brain Stimulation (DBS) procedure. ๐Ÿ™Œ๐Ÿง 

๐Ÿ” What made this surgery special?
โ€ข ๐ŸŽฏ Precise lead placement โ€“ the most crucial step in DBS.
โ€ข ๐Ÿ“ธ Confirmed in real-time using intra-operative CT scan for perfect accuracy.
โ€ข ๐ŸŸข Post-op SureTune software mapped the lead exactly inside the Subthalamic Nucleus (STN) โ€“ the โ€œgreen zoneโ€ where therapy works best.
โ€ข โš™๏ธ Guided, personalised programming started immediately to tailor stimulation to the patientโ€™s symptoms.

๐Ÿ’ก Why DBS?
It helps control tremors, stiffness, slowed movements and significantly improves quality of life for patients with advanced Parkinsonโ€™s disease. ๐ŸŒˆ

๐Ÿ™ Grateful to my team and proud to deliver cutting-edge functional neurosurgery at Marengo Asia Hospitals, Gurugram

10/11/2025

๐—”๐—ด๐—ฒ ๐—ถ๐˜€ ๐—ท๐˜‚๐˜€๐˜ ๐—ฎ ๐—ป๐˜‚๐—บ๐—ฏ๐—ฒ๐—ฟ ๐˜„๐—ต๐—ฒ๐—ป ๐—ฐ๐—ฎ๐—ฟ๐—ฒ ๐—บ๐—ฒ๐—ฒ๐˜๐˜€ ๐—ฝ๐—ฟ๐—ฒ๐—ฐ๐—ถ๐˜€๐—ถ๐—ผ๐—ป.

Watch this inspiring recovery of an 81-year-old patient who underwent Dorsolumbar Fixation Surgery under the expert care of ๐ƒ๐ซ. ๐‡๐ข๐ฆ๐š๐ง๐ฌ๐ก๐ฎ ๐‚๐ก๐š๐ฆ๐ฉ๐š๐ง๐ž๐ซ๐ข, Consultant Neurosurgeon at ๐— ๐—ฎ๐—ฟ๐—ฒ๐—ป๐—ด๐—ผ ๐—”๐˜€๐—ถ๐—ฎ ๐—›๐—ผ๐˜€๐—ฝ๐—ถ๐˜๐—ฎ๐—น๐˜€, Gurugram.

๐—” ๐—ฟ๐—ฒ๐—บ๐—ถ๐—ป๐—ฑ๐—ฒ๐—ฟ ๐˜๐—ต๐—ฎ๐˜ ๐˜„๐—ถ๐˜๐—ต ๐˜๐—ถ๐—บ๐—ฒ๐—น๐˜† ๐—ถ๐—ป๐˜๐—ฒ๐—ฟ๐˜ƒ๐—ฒ๐—ป๐˜๐—ถ๐—ผ๐—ป, ๐—ฎ๐—ด๐—ฒ ๐—ถ๐˜€ ๐—ป๐—ฒ๐˜ƒ๐—ฒ๐—ฟ ๐—ฎ ๐—ฏ๐—ฎ๐—ฟ๐—ฟ๐—ถ๐—ฒ๐—ฟ ๐˜๐—ผ ๐—ต๐—ฒ๐—ฎ๐—น๐—ถ๐—ป๐—ด. ๐Ÿ’™

This Diwali, may every spark of light bring new hope, healing, and harmony.Wishing everyone a bright and healthy festive...
20/10/2025

This Diwali, may every spark of light bring new hope, healing, and harmony.
Wishing everyone a bright and healthy festive season!
โ€“ ๐ƒ๐ซ. ๐‡๐ข๐ฆ๐š๐ง๐ฌ๐ก๐ฎ ๐‚๐ก๐š๐ฆ๐ฉ๐š๐ง๐ž๐ซ๐ข โœจ๐Ÿ˜Š

16/10/2025

Every patient with back pain teaches one lesson โ€”
that prevention is always better than surgery.
Our spine silently bears the stress of modern lifestyle โ€” long hours at desks, poor posture, and lack of movement.

On this ๐—ช๐—ผ๐—ฟ๐—น๐—ฑ ๐—ฆ๐—ฝ๐—ถ๐—ป๐—ฒ ๐——๐—ฎ๐˜†, I encourage everyone to take small daily steps for a healthier spine โ€”
โœ” Maintain correct posture
โœ” Exercise regularly
โœ” Lift properly
โœ” Avoid prolonged sitting
โœ” Listen to your back before it starts shouting through pain.

A healthy spine means a healthy you.
โ€“ ๐——๐—ฟ. ๐—›๐—ถ๐—บ๐—ฎ๐—ป๐˜€๐—ต๐˜‚ ๐—–๐—ต๐—ฎ๐—บ๐—ฝ๐—ฎ๐—ป๐—ฒ๐—ฟ๐—ถ, Neurosurgeon

๐ŸŒŸ LIFE TRANSFORMED WITH SCOLIOSIS SPINE SURGERY! ๐ŸŒŸ๐Ÿ‘ง๐Ÿป 19-year-old girl with congenital scoliosis and split spinal cord (d...
09/10/2025

๐ŸŒŸ LIFE TRANSFORMED WITH SCOLIOSIS SPINE SURGERY! ๐ŸŒŸ

๐Ÿ‘ง๐Ÿป 19-year-old girl with congenital scoliosis and split spinal cord (diastometamyelia) struggled with:
๐Ÿšถโ€โ™€๏ธ Tilted posture
โš–๏ธ Gait imbalance
๐Ÿ’จ Limited lung capacity
โค๏ธ Heart compression
๐Ÿšซ Inability to run

๐Ÿ’ช TWO-STAGE LIFE-CHANGING SURGERY:
1๏ธโƒฃ Stage 1: Split cord malformation correction with neuromonitoring โ€” preventing further nerve damage and deficits.
2๏ธโƒฃ Stage 2: Complex scoliosis deformity correction using advanced instrumentation and staged manoeuvres.

๐Ÿฆด KEY SURGICAL STEPS:
โ€ข Pedicle screws & osteotomies
โ€ข Rib resections & costotransverse disconnections
โ€ข Cantilever & rotation manoeuvres
โ€ข Differential compressionโ€“distraction techniques

โœ… RESULT: Deformity corrected >75%, patient intact and walking confidently again ๐Ÿ™Œ

๐Ÿง  Performed at MAIINS โ€“ Marengo Asia Institute of Neuro & Spine
โ€” Functional & Spine Neurosurgery Team

๐ŸŒŸ ๐Œ๐ข๐ง๐ข๐ฆ๐š๐ฅ๐ฅ๐ฒ ๐ˆ๐ง๐ฏ๐š๐ฌ๐ข๐ฏ๐ž ๐„๐ง๐๐จ๐ฉ๐จ๐ซ๐ญ๐š๐ฅ ๐’๐ฉ๐ข๐ง๐š๐ฅ ๐‚๐จ๐ซ๐ ๐’๐ญ๐ข๐ฆ๐ฎ๐ฅ๐š๐ญ๐ข๐จ๐ง (๐’๐‚๐’) ๐ŸŒŸ๐Ÿ”น ๐˜๐˜ฐ๐˜ณ ๐˜ฑ๐˜ข๐˜ณ๐˜ต๐˜ช๐˜ข๐˜ญ ๐˜ด๐˜ฑ๐˜ช๐˜ฏ๐˜ข๐˜ญ ๐˜ค๐˜ฐ๐˜ณ๐˜ฅ ๐˜ช๐˜ฏ๐˜ซ๐˜ถ๐˜ณ๐˜บ ๐˜ธ๐˜ช๐˜ต๐˜ฉ ๐˜ฑ๐˜ข๐˜ณ๐˜ข๐˜ฑ๐˜ข๐˜ณ๐˜ฆ๐˜ด๐˜ช๐˜ด๐Ÿ”น ๐˜—๐˜ฆ๐˜ณ๐˜ง๐˜ฐ๐˜ณ...
07/10/2025

๐ŸŒŸ ๐Œ๐ข๐ง๐ข๐ฆ๐š๐ฅ๐ฅ๐ฒ ๐ˆ๐ง๐ฏ๐š๐ฌ๐ข๐ฏ๐ž ๐„๐ง๐๐จ๐ฉ๐จ๐ซ๐ญ๐š๐ฅ ๐’๐ฉ๐ข๐ง๐š๐ฅ ๐‚๐จ๐ซ๐ ๐’๐ญ๐ข๐ฆ๐ฎ๐ฅ๐š๐ญ๐ข๐จ๐ง (๐’๐‚๐’) ๐ŸŒŸ

๐Ÿ”น ๐˜๐˜ฐ๐˜ณ ๐˜ฑ๐˜ข๐˜ณ๐˜ต๐˜ช๐˜ข๐˜ญ ๐˜ด๐˜ฑ๐˜ช๐˜ฏ๐˜ข๐˜ญ ๐˜ค๐˜ฐ๐˜ณ๐˜ฅ ๐˜ช๐˜ฏ๐˜ซ๐˜ถ๐˜ณ๐˜บ ๐˜ธ๐˜ช๐˜ต๐˜ฉ ๐˜ฑ๐˜ข๐˜ณ๐˜ข๐˜ฑ๐˜ข๐˜ณ๐˜ฆ๐˜ด๐˜ช๐˜ด
๐Ÿ”น ๐˜—๐˜ฆ๐˜ณ๐˜ง๐˜ฐ๐˜ณ๐˜ฎ๐˜ฆ๐˜ฅ ๐˜ถ๐˜ด๐˜ช๐˜ฏ๐˜จ ๐˜”๐˜๐˜š ๐˜Œ๐˜ฏ๐˜ฅ๐˜ฐ๐˜ฑ๐˜ฐ๐˜ณ๐˜ต๐˜ข๐˜ญ ๐˜ต๐˜ฆ๐˜ค๐˜ฉ๐˜ฏ๐˜ช๐˜ฒ๐˜ถ๐˜ฆ ๐˜ธ๐˜ช๐˜ต๐˜ฉ ๐˜”๐˜Œ๐˜›๐˜™๐˜น ๐˜ด๐˜บ๐˜ด๐˜ต๐˜ฆ๐˜ฎ

โœจ ๐™’๐™๐™ฎ ๐™ฉ๐™๐™ž๐™จ ๐™ฉ๐™š๐™˜๐™๐™ฃ๐™ž๐™ฆ๐™ช๐™š ๐™ข๐™–๐™ฉ๐™ฉ๐™š๐™ง๐™จ:
1๏ธโƒฃ Minimal dissection โ†’ less tissue trauma & faster recovery
2๏ธโƒฃ Prevents lead displacement & migration
3๏ธโƒฃ Prevents dural injury
4๏ธโƒฃ Ensures ๐ฉ๐ซ๐ž๐œ๐ข๐ฌ๐ž ๐ฅ๐ž๐š๐ ๐ฉ๐ฅ๐š๐œ๐ž๐ฆ๐ž๐ง๐ญ at the optimal level

๐Ÿ’ก ๐˜š๐˜ฑ๐˜ช๐˜ฏ๐˜ข๐˜ญ ๐˜Š๐˜ฐ๐˜ณ๐˜ฅ ๐˜š๐˜ต๐˜ช๐˜ฎ๐˜ถ๐˜ญ๐˜ข๐˜ต๐˜ช๐˜ฐ๐˜ฏ (๐˜š๐˜Š๐˜š) helps ๐—ฎ๐—บ๐—ฝ๐—น๐—ถ๐—ณ๐˜† ๐—บ๐—ผ๐˜๐—ผ๐—ฟ ๐—ป๐—ฒ๐˜‚๐—ฟ๐—ผ๐—ป๐—ฎ๐—น ๐˜€๐—ถ๐—ด๐—ป๐—ฎ๐—น๐˜€ in patients with partial spinal cord injury โ€” promoting motor recovery and functional improvement.

๐Ÿ‡ฎ๐Ÿ‡ณ This ๐ง๐จ๐ฏ๐ž๐ฅ ๐„๐ง๐๐จ๐ฉ๐จ๐ซ๐ญ๐š๐ฅ ๐’๐‚๐’ ๐ญ๐ž๐œ๐ก๐ง๐ข๐ช๐ฎ๐ž ๐ข๐ฌ ๐ฎ๐ง๐ข๐ช๐ฎ๐ž๐ฅ๐ฒ ๐ฉ๐ž๐ซ๐Ÿ๐จ๐ซ๐ฆ๐ž๐ ๐š๐ญ ๐จ๐ฎ๐ซ ๐œ๐ž๐ง๐ญ๐ซ๐ž ๐ข๐ง ๐ˆ๐ง๐๐ข๐š, setting new benchmarks in ๐‘ต๐’†๐’–๐’“๐’๐‘ด๐’๐’…๐’–๐’๐’‚๐’•๐’Š๐’๐’.

๐Ÿค ๐˜›๐˜ฆ๐˜ข๐˜ฎ๐˜ธ๐˜ฐ๐˜ณ๐˜ฌ ๐˜ฎ๐˜ข๐˜ฌ๐˜ฆ๐˜ด ๐˜ช๐˜ต ๐˜ฑ๐˜ฐ๐˜ด๐˜ด๐˜ช๐˜ฃ๐˜ญ๐˜ฆ!

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Marengo Asia Hospital, Sector 56, Golf Course Extension Road, Delhi NCR
Gurugram
122011

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