Bangalore Neuro & Spine surgery

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Bangalore Neuro & Spine surgery

DR AVINASH KM
NEURO/SPINE & INTERVENTIONAL NEUROSURGEON @ SPARSH HOSPITAL, YELAHANKA, BANGALORE

09/05/2026

🩺✨ Complex Cervical Spine Surgery Successfully Performed ✨🩺
A 43-year-old gentleman presented with severe neck pain radiating to the left upper limb, associated with significant radicular symptoms affecting his routine activities and quality of life.
Imaging studies revealed multilevel cervical disc disease with severe nerve root compression causing cervical radiculopathy. After detailed evaluation and counselling, he underwent a successful 3-level Anterior Cervical Discectomy and Fusion (ACDF). 🦴🔬
The surgery was uneventful, achieving excellent neural decompression and cervical spine stabilization. The patient tolerated the procedure well and is recovering satisfactorily with significant symptomatic improvement. 🙏💪
Timely surgical intervention in cervical spine disorders can dramatically improve pain, function, and overall quality of life. Cases like these continue to remind us of the impact of precision spine surgery and multidisciplinary care. 🌟

01/05/2026

Motion Preservation in Cervical Spine

A 37-year-old lady presented with acute onset right upper limb radicular pain, significantly limiting her routine activities.

Clinical and radiological evaluation revealed a cervical disc pathology corresponding to her symptoms. Considering her age, activity level, and need for motion preservation, she was planned for cervical disc replacement.

The surgery was uneventful, and she experienced remarkable relief from radicular pain in the immediate postoperative period, with no added neurological deficits.

She continues to do well on follow-up.

Cervical disc replacement remains an excellent option in selected patients, offering pain relief while preserving segmental motion and potentially reducing adjacent segment disease.

20/02/2026

Restoring Mobility & Reliving Pain

A 68-year-old lady presented with persistent back pain affecting her daily activities following a trivial fall at home two months earlier.
Imaging revealed compression fractures at D10, D11, and D12 levels.

After detailed evaluation and counseling, she underwent an uneventful balloon kyphoplasty.
The procedure was successful with no added neurological deficits. She has experienced significant pain relief and is now recovering well with improved mobility and quality of life.

Early recognition and timely intervention in osteoporotic vertebral fractures can dramatically improve patient comfort and functional independence.

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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13/02/2026

Spine Surgeries of the Week – Infection & Instability Managed with Minimally Invasive Precision

Every week in spine practice brings unique challenges — this week highlighted two very different pathologies requiring thoughtful planning and precise ex*****on.

Case 1: D10–11 Spondylodiscitis with Vertebral Collapse:

A 51-year-old gentleman (retroviral positive) presented with persistent back pain for 3 months and recent onset mild weakness in the left lower limb.
Imaging revealed D10–11 spondylodiscitis with vertebral body collapse and significant spinal canal stenosis causing cord compression.
After detailed counseling, he underwent minimally invasive D9–D12 pedicle screw fixation with limited decompression and biopsy.
The procedure was uneventful.
PCR from biopsy confirmed Mycobacterium tuberculosis, and he has been initiated on anti-tubercular therapy.

➡️ Early stabilization + decompression + microbiological confirmation = optimal neurological and infectious control.
Timely intervention prevented further neurological deterioration.

Case 2: L5–S1 Spondylolisthesis with Severe Claudication:

A 58-year-old lady, a medical doctor by profession, presented with long-standing low back pain and severe neurogenic claudication limiting her routine activities.
Evaluation showed L5–S1 spondylolysis with spondylolisthesis, severe canal and foraminal stenosis, and dynamic instability.

She underwent minimally invasive L4–5–S1 instrumentation with L5–S1 fusion using autologous bone graft.

Surgery was smooth, and she was discharged without any new neurological deficits.

➡️ Restoration of stability and decompression of neural elements resulted in significant symptomatic relief.

Minimally invasive spine techniques continue to allow:
✔️ Adequate decompression
✔️ Stable fusion
✔️ Reduced tissue trauma
✔️ Faster recovery

Grateful to my surgical team for their precision and dedication — and to my patients for their trust.

09/02/2026

Thalamic Cavernoma | Complex Case Successfully Managed
A 34-year-old female initially presented with an acute thalamic hemorrhage, which was managed conservatively. Detailed evaluation during the same admission revealed a thalamic cavernoma with bleed.
A few months later, she re-presented with severe headache, vomiting, and altered sensorium. Imaging showed development of acute hydrocephalus, for which she underwent VP shunt placement, resulting in good neurological recovery.
Six weeks after VP shunting, she was planned for definitive surgical excision of the cavernoma. After detailed counseling regarding risks and possible outcomes, she underwent surgery via a contralateral interhemispheric transcallosal transchoroidal approach.
The patient tolerated the procedure well and made an excellent recovery with no added neurological deficits.
🔹 A challenging deep-seated lesion managed successfully with a staged and strategic microsurgical approach.

05/02/2026

Case Highlight | Minimally Invasive Management of Spinal Tuberculosis with Neurological Deficits
A 40-year-old obese male (140 kg) presented with a one-month history of severe low back pain, along with progressive weakness in both lower limbs. He had become bed-ridden for the last 4 days, highlighting rapid neurological deterioration.
Detailed evaluation revealed L2–L3 spondylodiscitis with vertebral body collapse and critical spinal canal stenosis, resulting in significant spinal cord/nerve compression.
After comprehensive counseling, the patient underwent minimally invasive spinal fusion from L1 to L4, along with a focused minimally invasive approach for limited decompression and biopsy of the affected segment.
🔬 Histopathology and PCR confirmed Koch’s disease (spinal tuberculosis).
💊 The patient was immediately started on anti-tubercular therapy (ATT).
✨ Post-surgery, the patient demonstrated dramatic improvement in pain and neurological function, with significant recovery of lower limb strength — allowing early mobilization and renewed independence.
This case highlights the importance of: ✅ Early diagnosis
✅ Timely surgical intervention
✅ The role of minimally invasive spine surgery even in complex infections
✅ Multidisciplinary management of spinal tuberculosis

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

30/01/2026

Balloon Kyphoplasty: Restoring Mobility & Relieving Pain in Osteoporotic Spine Fractures:

Osteoporotic vertebral compression fractures can cause severe pain and prolonged immobility in elderly patients — even after trivial falls. Early intervention can dramatically improve quality of life.

🔹 Case 1:
A 70-year-old female presented with severe acute back pain after a minor fall at home. She was unable to turn in bed due to pain. Imaging revealed a D12 osteoporotic vertebral compression fracture. She underwent uneventful balloon kyphoplasty, resulting in rapid pain relief and early mobilization.
🔹 Case 2:
A 74-year-old female with a similar history of slip and fall presented with acute back pain. She also underwent balloon kyphoplasty with excellent immediate pain relief and early ambulation.

✨ Why Balloon Kyphoplasty?
✔️ Minimally invasive, day-care procedure
✔️ Immediate pain relief
✔️ Early mobilization — crucial in elderly patients
✔️ Reduced complications related to prolonged bed rest
✔️ Helps restore vertebral height and spinal stability.

Early diagnosis and timely intervention can make a significant difference in recovery and functional outcomes for our elderly patients.

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.

Address

SPARSH Hospital, YELAHANKA BRANCH, NEW AIRPORT Road, KOGILU CROSS, NEHRUNAGARA
Bangalore
560064

Telephone

+918151999199

Website

http://www.avinashkm.com/

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