http://drlaxminadhneurospecialist.co.in/

Dr. Laxminadh Neurosurgeon, financial district Gachibowli Hyderabad, Hyderabad (2026)

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Financial District Gachibowli Hyderabad

23/05/2026

Brain tumor excision in 9 months baby

A 9-month-old infant presented with progressive head enlargement, poor activity, refusal to feed, and sluggish lower limb movements. Neuroimaging, including CT and contrast MRI, revealed a large intraventricular tumor accompanied by severe hydrocephalus.

A single-stage procedure was conducted, involving VP shunt placement followed by craniotomy and tumor excision. The biopsy revealed a Papillary Glioneuronal Tumor, an extremely uncommon diagnosis in infants.

Postoperative recovery was encouraging. By three weeks, the child was alert, active, feeding well, and showing improved limb movements.

Managing brain tumors in infants under one year poses unique challenges—both surgically and from anesthesia point. Limited physiological reserves, delicate neural structures, and intraoperative difficulties make every step critical.

This case highlights the importance of early recognition, timely intervention, and coordinated care, which can significantly improve outcomes even in the rarest and most complex situations.

15/05/2026

A young patient came with severe low back pain, unresponsive to medications.
Imaging revealed a very large intradural tumor involving the conus–cauda equina, extending from L1 to L5—a challenging region where every millimeter matters.

Surgery was performed under a microscope with CUSA and neuromonitoring, with continuous assessment of:

Lower limb function
Bowel and bladder pathways

The goal was clear: maximum safe resection without neurological compromise.

A meticulous gross total excision was achieved, preserving all critical nerve roots and the sensitive conus region.

Post-op outcome:

Complete pain relief
No weakness
No bowel/bladder deficits
Walking independently
Uneventful wound healing
Discharged on Day 2

In similar extensive intradural tumors, CSF leak and wound complications can often be the limiting factors. Avoiding them is as important as the tumor removal itself.

26/04/2026

Operating on a 25-day-old baby with a large lipoma.

I've come to realize that delays in timely surgery often stem not from the complexity of the condition, but from hesitation at the first point of care. When imaging is not advised early, or when a clear lipomeningocele or tethered cord is met with undue fear about surgical risks, it creates doubt in parents' minds. This leads to delays in referral and missed opportunities for early, safer intervention.

For neurosurgeons, the pathway is clear:

- Meticulous dissection of the sac
- Precise identification of the dural defect
- Careful separation of the lipoma from the cord
- Complete detethering
- Watertight closure to prevent CSF leak

Early diagnosis, timely referral, and thoughtful counseling are just as crucial as surgical skill. In these tiny patients, timing is not just important—it’s everything.

02/04/2026

When you carry the entire decision on your shoulders.

In an independent neurosurgical practice, there’s no diffusion of responsibility. Every call—from diagnosis to incision—rests with you.

A recent case tested that responsibility.
A patient, treated empirically with ATT for 3 months elsewhere, presented with worsening symptoms. Re-evaluation suggested a deep temporal, highly vascular lesion—demanding both clarity and conviction.

I chose to proceed with an awake craniotomy. A technically demanding surgery, given the depth and vascularity—but with continuous neurological feedback, gross total excision was achieved. The outcome that matters most: Patient is neurologically intact.

Histopathology: high-grade glioma.
This case is a reminder: When the diagnosis is uncertain, tissue is the truth. When the location is critical, awake surgery is the edge.

Independent practice demands ownership—but it also allows decisive, patient-centered care without compromise.

11/10/2025

From the UK to India — Trust Beyond Borders

A patient from the UK, diagnosed with a spinal tumor and scheduled for surgery under the NHS, chose to come to India for treatment — solely based on the trust and experience shared by their relatives I had operated on earlier.

Witnessing such unwavering confidence is truly humbling — opting to leave the comfort of a familiar healthcare system to place faith in care here. The surgery proceeded seamlessly, achieving complete excision of the spinal tumor.

The tumor was adherent to the lateral dura, was meticulously dissected from the pia of the spinal cord under the microscope using CUSA, with continuous neuromonitoring (D-waves, SSEPs, MEPs) ensuring structural and functional preservation of spinal cord.

Following the procedure, the patient made a remarkable recovery, regaining the ability to walk normally the very next day. Subsequent biopsy results confirmed a benign Meningioma Grade 1.

As a surgeon, the trust bestowed by a patient, coupled with a successful outcome and the ensuing smiles, brings profound satisfaction — especially following years of rigorous neurosurgical training.

A heartfelt token of appreciation from the patient's family during the follow-up visit made the experience truly memorable.

15/09/2025

In a recent surgical case, an 8-month-old underwent a complex procedure for complicated Split Cord Malformation, Syringomyelia, and Tethered Cord. The patient presented a challenging spinal dysraphism scenario involving intricate anatomical anomalies.

The surgical intervention consisted of:

- Removal of the bony septum and fibrous band.
- Reconstruction of the spinal cord into a single dural sac.
- Precise detethering of the cord to enhance mobility and prevent neurological deficits progression.

These procedures were technically intricate due to the distorted anatomy and the high risk of neurological damage. Surgical success relied on precise ex*****on and patience during dissection to ensure a safe and thorough release.

The rewarding outcome included a smooth recovery, well-healed incision, and absence of neuro deficits post-surgery. For the parents, particularly the mother, the operation signified more than a medical procedure. It brought relief from the fear of irreversible complications like loss of bladder control, progressive leg weakness, and lifelong disabilities. Their relief and happiness post-surgery underscore the significance of such complex medical interventions.

A crucial takeaway for surgeons is in addressing complex split cord malformations comprehensively, focusing on both extradural bony anomalies and intradural fibrous bands. Complete untethering and unification of the dural sac are paramount to prevent recurrence and progressive neurological decline. A meticulous, stepwise approach grounded in an understanding of embryological variations is key to achieving a safe and lasting outcome.

09/03/2025

Large skull base meningioma surgery. Received a heartfelt feedback.

18/02/2025

The intricate relationship between mental health and physical health is a complex one, and it's important to see how emotional distress can manifest as physical symptoms.

Mental health significantly impacts physical well-being, as evidenced by recent patient cases:

- A 29 year-old male presenting with severe headache, paresthesias, and giddiness, requesting himself MRI brain. Lost his father recently with a sudden brain stroke. His unresolved grief has led to fear complex and neglect of self-care, resulting in deficiencies in Vit D and B12. Addressing his emotional state through detailed counseling is crucial before resorting to symptomatic treatment alone.

- A 38 -year-old experiencing radiating pain in limbs, headaches, and dizziness post job transfer, highlighting workplace stress as a potential trigger for his symptoms.

- A 35-year-old female, obese, with neck and shoulder pain, panic attacks, and PCOD history. Despite cardiac assessments and X-rays, her emotional struggles manifest in somatic symptoms and requiring two antihypertensives to manage high blood pressure.

It's common to encounter patients with varied physical complaints like chest pain, joint pains, and neuro-related symptoms seeking extensive medical evaluations. However, without addressing their mental well-being and tailoring advice accordingly, complete recovery may remain elusive.

In all these cases, a mere symptomatic treatment or advising imaging tests like MRI would not be sufficient. A thorough history taking, detailed counseling, and addressing the underlying psychological and emotional factors are essential in providing effective treatment and improving the patient's overall well-being. Prioritizing mental health support alongside medical interventions is key to holistic healing.

It's also important to note that mental health can affect physical health in many ways, including:

- Increased stress and anxiety, which can lead to physical symptoms such as headaches, muscle tension, and sleep disturbances
- Neglect of self-care, including poor diet, lack of exercise, and inadequate sleep
- Increased inflammation and oxidative stress, which can contribute to chronic diseases such as diabetes, hypertension, cardiovascular disease.

By recognizing the complex relationship between mental health and physical health, healthcare providers can provide more comprehensive and effective care, addressing both the physical and emotional needs of their patients.

17/02/2025

Life threatening IC bleed in young adult:

A 26-year-old individual experienced a life-threatening intracerebral bleed, presenting with sudden collapse and a massive brain clot as shown in CT scan. Initial assessments revealed a Glasgow Coma Scale score of 6/15, high blood pressure (240/140 mmHg), elevated creatinine levels (1.8), and an INR of 3.8 indicating coagulopathy.

Underwent surgery, could extubate after 24 hours, started obeying commands. Glad that we could avoid tracheostomy, coma stage and prolonged ventilator support.

The surgical technique involved multiple dural openings, trans-sulcal approach to minimize brain tissue damage, and microscopic hematoma evacuation with blood vessel preservation.

Postoperatively, the patient's recovery was remarkable:

- Swift extubation within 24 hours.
- Compliance with commands, signifying improved consciousness.
- Avoidance of tracheostomy, coma, and ventilator assistance, a significant feat given the initial severity.

The patient's current condition is uplifting:

- Responsiveness to commands.
- Mobility with a wheelchair.
- Communication abilities, fostering emotional well-being.
- Intact memory.
- Enhanced left-side body movements.

The patient's journey showcases resilience and progress, highlighting the importance of timely intervention and comprehensive care in critical situations.

04/02/2025

What a remarkable and heartwarming story!

It's truly inspiring to see a patient who sustained a life-threatening bullet injury to the head, and was initially unable to speak and confined to a wheelchair, make such significant improvements after surgery. The fact that they were able to regain some of their speech and mobility is a testament to the power of medical intervention and the human body's capacity for healing.

The patient's journey from being unable to speak and confined to a wheelchair to making significant improvements in speech and mobility is a powerful reminder of the impact that medical care can have on people's lives. It's a testament to the human spirit's capacity for resilience and recovery, and it's a privilege to be a part of such stories.

Dr. Laxminadh Neurosurgeon

23/05/2026

15/05/2026

26/04/2026

02/04/2026

11/10/2025

15/09/2025

09/03/2025

18/02/2025

17/02/2025

04/02/2025

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