Ganesh Kumar Neurosurgery

04/11/2025

Tiny vessels. Big decisions.
ACom aneurysm clipped with meticulous perforator protection.
Pre Op and Post Surgery Angiogram - shows how effective is Microsurgical Clipping

02/11/2025

🧠 A complex, giant ruptured aneurysm of the right Middle Cerebral Artery (MCA) — managed microsurgically.

The pre-operative angiogram showed a large, multilobulated aneurysm arising from the M1–M2 bifurcation with compromised distal flow.
The post-operative angiogram demonstrates complete clipping and preservation of distal branches, marking a successful surgical outcome.

a balance between life and precision. 🔬

12/10/2025

30/09/2025

Privileged to share my journey in aneurysm surgery, presenting a novel technique during my invited faculty talk.
Grateful for the platform to exchange ideas and contribute to the evolving field of neurosurgery.

30/09/2025

My Friend, a great Neurosurgeon, Dr. Jagath lal and Myself with Prof. Hirotoshi Sano, a legend in cerebrovascular neurosurgery and one of the world’s foremost experts in aneurysm surgery. His pioneering work in microsurgical clipping and multi-clip strategies for complex aneurysms has set benchmarks in our field.

Emeritus Professor at Fujita Health University and a lifelong mentor to countless neurosurgeons, Prof. Sano continues to inspire with his dedication, skill, and commitment to teaching.

A privilege to stand beside a true giant in neurosurgery. 🙏🧠✨

29/09/2025

An honor to meet Dr. Michael Lawton, a pioneer in cerebrovascular neurosurgery. As the world explores frontiers like Elon Musk’s Neuralink,

08/08/2025

🧠 Cerebellopontine Angle Tumor – Completely Excised with Facial Nerve Preservation

The left image shows a contrast-enhancing tumor at the left cerebellopontine (CP) angle, compressing the brainstem and cerebellum — classic for a vestibular schwannoma, also known as an acoustic neuroma. These tumors arise from the vestibular division of the 8th cranial nerve and often present with hearing loss, imbalance, or facial numbness.

🎯 Surgical management was done via a retrosigmoid suboccipital craniotomy using microsurgical dissection under high magnification.

⚡️ Intraoperative neuromonitoring (IONM) was employed throughout the procedure to continuously monitor facial nerve function, enabling safe dissection and preventing nerve damage.

📈 The post-operative MRI (right) shows complete tumor excision with no residual lesion and beautifully decompressed brainstem.

👇 And most importantly, the patient is doing well — fully alert, facial nerve function completely preserved, no deficits, and recovering smoothly.

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27/07/2025

Case Update

Today the First CAROTID AI OCT GUIDED CASE performed from Velammal Hospital Madurai in which we have Performed the assessment of post carotid artery stenting today.

Patient: 77-year-old male with recent TIA
Diagnosis: 85% stenosis of proximal ICA
Procedure: DSA with carotid stenting ( 5*24)

Post-stenting:

Used Optical Coherence Tomography (OCT) to assess stent apposition, plaque morphology, and vessel wall integrity.

About OCT:
OCT is a high-resolution intravascular imaging technique using near-infrared light, offering ~10–20 micron resolution. It allows precise visualization of stent expansion, apposition, and detection of subtle issues like edge dissection or thrombus, often missed by angiography.

OCT MAX( Malapposition | Apposition | Expansion) and Pathophysiological Findings of this case,

OCT confirmed Distal malapposition | Mild under expansion with 15.69 Area | Prox edge mild Tissue prolapse | No Dissections @ Both the edges.

Dimensions-
Distal Area - 26
MSA- 15.69
Prox Area - 16.55

Proximal EEL - 5.5
Proximal Lumen- 4.55
Distal EEL -7
Distal Lumen- 5.75

Plaque characteristics - Tight segment has Fibrofatty plaque with superficial thin sheet of calcium.

Final Optimisation done with 6 mm balloon..

Dr. Ganesh Kumar
Neurosurgeon

11/06/2025

A Tribute to Prof. Gazi Yaşargil
1925 – 2025

Today, we mourn the passing of a legend—Prof. Gazi Yaşargil, the father of modern microneurosurgery. To those of us who had the privilege of knowing him, he was more than a pioneer—he was a mentor, an inspiration, and a symbol of surgical excellence.

His hands transformed neurosurgery. His vision reshaped our understanding of what was possible. Through Zurich, he touched the lives of thousands of patients, and mentored countless surgeons who carry his legacy into every operating room.

To know him personally was to witness humility wrapped in genius. He taught not just techniques, but philosophy—the elegance of precision, the importance of discipline, and the quiet power of compassion.

Rest in peace, Professor. Your scalpel may be still, but your legacy will forever guide our hands.

02/04/2025

The Leica ARveo 8 is now part of our OR at Velammal Hospital.
With cutting-edge augmented reality visualization, 4K digital optics, and seamless navigation integration, this microscope elevates neurosurgical precision to the next level

26/02/2025

Challenging conus medullaris tumor—successfully excised with precision microsurgery, aided by intraoperative neuromonitoring (IONM).

Given the critical location, IONM played a crucial role in preserving neural function by providing real-time feedback on spinal cord integrity.

This ensured safe tumor removal while minimizing the risk of neurological deficits. A delicate procedure with a rewarding outcome for the patient.

24/02/2025

Brain Tumor Resected – Safe & Successful

A young patient with a large right insular cortex tumor underwent a meticulous trans-Sylvian approach for complete tumor resection. The challenge? Achieving total removal while preserving critical normal structures.

The before and after imaging speaks for itself—precision, expertise, and patient safety at the forefront of neurosurgical care.

Every tumor demands a tailored strategy. Every surgery is a commitment to excellence.