Dr Avinash-Neurosurgeon/ Neurointerventions

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Dr Avinash-Neurosurgeon/ Neurointerventions

Dr.Avinash is a senior Neurosurgeon and Interventional Neurosurgeon working in Sparsh hospital, Yelahanka branch, Bangalore. for consultations: 08061222000

09/04/2026

Case of the Week 🧠⚡
A 43-year-old female presented with recurrent TIAs (4 episodes) along with a recent minor stroke, raising concern for an evolving cerebrovascular event.
Neuroimaging revealed a critical stenosis of the distal intracranial ICA, significantly compromising cerebral perfusion.
Given the high risk of a major stroke, a timely decision was made—after detailed discussions with the family—to proceed with intracranial ICA balloon angioplasty and stenting.
✨ Outcome: • Smooth and uneventful procedure
• Marked improvement in cerebral circulation
• No new neurological deficits
• Patient recovering well
This case highlights the importance of early recognition and proactive endovascular management in preventing disabling strokes.
Intervening at the right time can make all the difference.

11/03/2026

Endovascular Management of ACom Aneurysms

Sharing two cases of aneurysmal subarachnoid hemorrhage (SAH) successfully treated with endovascular coiling.

Case 1:
A 40-year-old male presented with acute SAH (WFNS Grade 1). Cerebral angiography revealed an anterior communicating artery (ACom) aneurysm. He underwent uneventful endovascular simple coiling, achieving complete aneurysm occlusion with no additional neurological deficits. The patient recovered well.

Case 2:
A 54-year-old female presented with aneurysmal SAH. She underwent successful endovascular coiling of the aneurysm, with smooth intra-operative and post-operative recovery and no new neurological deficits.

These cases highlight the effectiveness and safety of endovascular techniques in managing ruptured intracranial aneurysms, offering minimally invasive treatment with excellent outcomes when performed promptly.

🧠 Timely diagnosis and intervention remain key in improving outcomes in SAH.

06/03/2026

Cases of the Week 🧠
Case 1:
A 40-year-old male presented with sudden onset altered sensorium, breathing difficulty with stridor, and right-sided limb weakness. Emergency imaging revealed an acute basilar artery stroke, a life-threatening condition requiring immediate intervention.
He was taken up for emergency mechanical thrombectomy, and the blocked vessel was successfully recanalized within 2 hours. The patient showed remarkable neurological recovery with near-normal function following the procedure.
Case 2:
A 60-year-old lady presented with repeated transient ischemic attacks (TIAs). Further evaluation revealed critical stenosis of the left internal carotid artery (ICA), putting her at high risk for a major stroke.
She underwent carotid artery stenting, which was completed uneventfully with successful restoration of blood flow.
These cases highlight the importance of early diagnosis and timely endovascular intervention in preventing devastating neurological outcomes and saving lives.

23/02/2026

When Minutes Decide Life: Two Acute Basilar Artery Stroke Rescues
Basilar artery stroke is among the most devastating neurological emergencies, with extremely high mortality and disability if circulation is not restored immediately.
Case 1
A 60-year-old gentleman was brought to the emergency department with sudden altered sensorium and unconsciousness of 4 hours duration. Imaging revealed an acute basilar artery occlusion.
He was immediately taken up for mechanical thrombectomy to restore cerebral circulation. During the procedure, a critical stenosis in the V4 segment of the vertebral artery was identified as the underlying cause. Gentle balloon angioplasty combined with thrombectomy achieved complete re-establishment of blood flow.
Timely intervention proved lifesaving.
Case 2
A 40-year-old young male presented with similar symptoms and was diagnosed with an acute basilar artery stroke. He underwent urgent mechanical thrombectomy, resulting in full restoration of circulation.
Basilar artery strokes demand rapid recognition, decisive action, and seamless teamwork.
🧠 Every minute of delay risks irreversible brainstem injury.
🧠 Timely endovascular intervention can dramatically change outcomes.
Proud of the coordinated stroke team effort that made these recoveries possible.

17/02/2026

Brain Tumor Surgery

A 25-year-old woman presented with long-standing headaches and a recent episode of seizures.

Detailed evaluation revealed a large intracranial meningioma causing significant mass effect.

She underwent complete microsurgical excision of the tumor. The surgery was uneventful, and she made an excellent recovery with no new neurological deficits.

Early recognition and timely surgical intervention remain key to achieving optimal outcomes in brain tumor patients.

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12/02/2026

Case Highlight | Chronic Subdural Hematoma – Multimodality Management
A 70-year-old male with significant cardiac comorbidities — coronary angioplasty, left ventricular dysfunction (EF 39%), ICD for MMVT, diabetes mellitus, and hypertension — presented with 2 weeks of headache and dizziness, with a history of a trivial fall 3 weeks earlier.
CT brain revealed a chronic subdural hematoma with mass effect and midline shift.
Considering his high cardiac risk, he underwent burr hole evacuation under local anesthesia, with an uneventful recovery and discharge.
At 2-week follow-up, imaging showed residual / recurrent acute-on-chronic SDH. After detailed discussions with the family, we proceeded with Middle Meningeal Artery (MMA) embolization as a minimally invasive adjunct treatment.
✅ At 12 weeks post-embolization, follow-up CT scan showed complete resolution of the subdural hematoma.
This case highlights the evolving role of MMA embolization as a safe and effective option for managing recurrent or residual chronic subdural hematomas, particularly in high-risk surgical patients.

03/02/2026

Falcine Meningioma:

A 48-year-old lady presented with a single episode of seizures along with chronic mild headaches. Detailed evaluation revealed a falcine meningioma.
After thorough counseling and preoperative planning, she underwent uneventful craniotomy and complete excision of the tumor. The procedure went smoothly, and she recovered well with no added neurological deficits.

She is doing well postoperatively and continues on regular follow-up.

✅ Early diagnosis
✅ Safe surgical excision
✅ Excellent neurological outcome

28/01/2026

Case Highlight-Elderly with Large Brain tumour

A 71-year-old gentleman presented with a single episode of seizure two days prior, along with long-standing mild headaches. Detailed evaluation revealed a large left temporal lobe lesion.

After thorough counselling and shared decision-making, the patient underwent an uneventful craniotomy with complete excision of the tumour yesterday. Intraoperatively, the lesion was found to be arising from the choroid plexus of the left temporal horn.

The patient tolerated the procedure well and is recovering excellently, with no added neurological deficits.

Cases like these reinforce the importance of timely diagnosis, meticulous surgical planning, and teamwork for optimal outcomes.

22/01/2026

🧠 Pediatric Neurosurgery | Successful Management of Suprasellar Tumor-
CRANIOPHARYNGIOMA

A 5-year-old child presented with progressive headaches, blurred vision, and recent worsening symptoms including repeated vomiting, excessive crying, and loss of appetite.
Detailed evaluation revealed a suprasellar tumor with calcification, associated hydrocephalus, and elevated prolactin levels on hormonal work-up.

After detailed discussions with the family, the child underwent craniotomy and near-total excision of the tumor. The postoperative course was excellent, with no added neurological deficits.

She developed permanent diabetes insipidus, which is being effectively managed with oral medication
📸 Six-month follow-up imaging shows complete excision with no residual lesion, and the child continues to do well clinically.

Cases like these highlight the importance of early diagnosis, meticulous surgical planning, and multidisciplinary care in pediatric neurosurgery.

17/01/2026

🩺 Neurointervention Cases of the Week

Case 1:

A 45-year-old male presented with acute severe headache due to aneurysmal subarachnoid hemorrhage (SAH).
Imaging revealed an ACOM artery aneurysm.
➡️ He underwent uneventful simple coiling with an excellent result and was discharged neurologically intact.

Case 2:
A 40-year-old female presented with sudden severe headache and loss of consciousness, followed by complete recovery. She was referred from another hospital for definitive management.
Evaluation showed a bilobed MCA aneurysm.

➡️ She underwent uneventful simple coiling, achieving excellent angiographic and clinical outcome.

Timely diagnosis, appropriate endovascular strategy, and team-based care continue to make a meaningful difference in patient outcomes.

🙏 Grateful to the entire neurology, anesthesia, and nursing teams for their coordinated efforts.

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Address

Bangalore
560055

Website

http://www.avinashkm.com/

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