Neurosurgery

Neurosurgery

Government Kilpauk Medical College Hospital is one of the premier hospitals located in the middle of a densely populated Chennai , especially catering to the poor /lower socioeconomic status people. The hospital is unique in providing tertiary health services not only for the state of Tamil Nadu, but also to the neighboring state of Andhra Pradesh.

Government Kilpauk Medical College Hospital is one of the premier hospitals located in the middle of a densely populated Chennai , especially catering to the poor /lower socioeconomic status people. The hospital is unique in providing tertiary health services not only for the state of Tamil Nadu, but also to the neighboring state of Andhra Pradesh.

NEUROSURGICAL OPERATING ROOM:

Our state-of-the-art Neurosurgical Operating Room, where precision meets compassion to redefine neurosurgical care. Our round-the-clock services ensure that urgent neurosurgical procedures are performed promptly by our specialized team of neurosurgeons and surgical staff. Equipped with cutting-edge technology, including neuro-endoscopy, neuro-navigation systems, and neuro-physiological monitoring, we guarantee the highest level of accuracy and safety in every surgical procedure.From intricate brain surgeries such as tumor resections, custom-made Neuroplastic surgery, and epilepsy surgeries to delicate spine procedures like spinal fusions, laminectomies, endoscopic surgery and disk replacements, our Neurosurgical Operating Room is equipped to handle a wide range of neurosurgical interventions. Our commitment to excellence extends beyond the operating room, as we prioritize patient comfort and recovery through meticulous post-operative care and rehabilitation support.

NEUROCRITICAL CARE:

Within our Neurosurgical ICU, a team of dedicated professionals collaborates to create individualized care plans tailored to the unique needs of each patient. From neurosurgeons to rehabilitation specialists, our staff works diligently to provide round-the-clock monitoring and specialized care to promote healing and recovery. Equipped with the latest technologies and resources, including advanced neuroimaging capabilities and neurophysiological monitoring tools, our Neurosurgical ICU is designed to facilitate accurate diagnoses and effective treatment strategies.

Our dedicated team of neurosurgeons, critical care physicians, and specialized nurses provides round-the-clock monitoring and tailored treatment plans for patients with critical neurological conditions such as:

• 1. Traumatic brain injury
• 2. Stroke
• 3. Subarachnoid hemorrhage
• 4. Brain tumors
• 5. Spinal cord injury
• 6. Intracranial hemorrhage

Trust our Neurocritical Care Unit to provide compassionate, expert care for you or your loved ones during the most critical times.

Under Graduate teaching

Our neurosurgeons are not only dedicated to delivering exceptional patient care, but also training and inspiring the next generation of doctors, sharing their expertise and passion for neurosurgery.

Post Graduate Teaching

Through our rigorous Neurosurgical Residency Program, we train and mentor four selected residents each year, providing them with unparalleled opportunities to develop the knowledge, skills, and expertise necessary to excel in this demanding field.
Our resident training program emphasizes hands-on experience and continuous learning. Residents participate in daily rounds, engaging in discussions and case presentations that foster critical thinking and decision-making. They attend seminars, journal clubs, and multidisciplinary conferences, gaining exposure to the latest advancements in neurosurgical research and techniques.
In the operating room, our residents receive guided hands-on training from our experienced neurosurgeons. They observe and assist in a wide range of surgeries, progressively taking on greater responsibilities as their skills advance. This immersive training ensures that our residents develop the confidence and competence they need to become skilled neurosurgeons

Publications of the Department

• 1. Kodeeswaran, Omsaran1; Bajaj, Jitin, Priyadharshan, Kodeeswaran. Indian Neurosurgeons at the Forefront: A Comprehensive Exploration of their Pioneering Contributions to Neuroendoscopy. Neurology India 72(1):p 4-10, Jan–Feb 2024. | DOI: 10.4103/neurol-india.neurol-india_80_24
• 2. Kodeeswaran, M; Priyadharshan, K P; Manoharan, Kiruba S, Senthamizh, Prasad, Chaurasia, Bipin. Sphenoid Surgery: Knock Knock, Who Is There? The Flight Door Technique. Neurology India 72(2):p 269-271, Mar–Apr 2024. DOI: 10.4103/neurol-india.Neurol-India-D-23-00685
• 3. Kakkar, S., Kodeeswaran, M., Priyadharshan, K. P., Narindar, A., Tyagi, A. K.,
• 4. Goswami, M. K., Scalia, G., Umana, G. E., & Chaurasia, B. (2024). Management of migrating spinal schwannomas: a surgeon’s dilemma. Illustrative case. Journal of Neurosurgery: Case Lessons, 7(1), CASE23689. https://doi.org/10.3171/CASE23689
• 5. Marappan K, Jothi R, Paul Raj S. Microendoscopic discectomy (MED) for lumbar disc herniation: comparison of learning curve of the surgery and outcome with other established case studies. J Spine Surg. 2018 Sep;4(3):630- 637. doi: 10.21037/jss.2018.06.14. PMID: 30547129; PMCID: PMC6261768.
• 6. Marappan, Kodeeswaran; Deiveegan, K.; Balasubramanian, D.; Sundaram, A.. Fungal cerebellar tonsillar abscess as a cause of quadriparesis. Neurology India 55(3):p 311-312, Jul–Sep 2007. | DOI: 10.4103/0028-3886.35699
• 7. M. Kodeeswaran, Reshmi Udesh, L. Ramya, S. Jothi Kumar, Multiple cerebrospinal cavernous angiomas, Journal of Surgical Case Reports, Volume 2016, Issue 9, September 2016, rjw157, https://doi.org/10.1093/jscr/rjw157
• 8. Kodeeswaran, M.1,; Ramesh, V. G.; Saravanan, N; Udesh, Reshmi. Percutaneous retrogasserian glycerol rhizotomy for trigeminal neuralgia: A simple, safe, cost-effective procedure. Neurology India 63(6):p 889-894, November–December 2015. | DOI: 10.4103/0028-3886.170103

Dr. Kodeeswaran M



• 1. Marappan, Kodeeswaran1,2,; Prabhu, M3; K, Balasubramani3; Raj, Sherina Paul1. Factors Influencing Outcome in Head Injury Patients with Glasgow Coma Scale < 8. Apollo Medicine 14(4):p 207-211, Oct–Dec 2017. | DOI: 10.4103/am.am_51_17
• 2. Marappan K, Jothi R, Paul Raj S. Microendoscopic discectomy (MED) for lumbar disc herniation: comparison of learning curve of the surgery and outcome with other established case studies. J Spine Surg. 2018 Sep;4(3):630-637. doi: 10.21037/jss.2018.06.14. PMID: 30547129; PMCID: PMC6261768.
• 3. Marappan, Kodeeswaran; Sankaran, Arrjun1; Deiveegan, K.2; Ross, Kannan1. A Known Complication of Posterior Fossa Tumor Rarely Encountered-Reverse Coning. Apollo Medicine 15(4):p 183-185, Oct–Dec 2018. | DOI: 10.4103/am.am_9_17
• 4. Kodeeswaran, M; Priyadharshan, K P; Manoharan, Kiruba S, Senthamizh, Prasad, Chaurasia, Bipin. Sphenoid Surgery: Knock Knock, Who Is There? The Flight Door Technique. Neurology India 72(2):p 269-271, Mar–Apr 2024. DOI: 10.4103/neurol-india.Neurol-India-D-23-00685
• 5. Marappan, Kodeeswaran; Deiveegan, K.; Balasubramanian, D.; Sundaram, A.. Fungal cerebellar tonsillar abscess as a cause of quadriparesis. Neurology India 55(3):p 311-312, Jul–Sep 2007. | DOI: 10.4103/0028-3886.35699
• 6. Marappan, Kodeeswaran; Ramamurthy, Saravanan; Beevi, J. Sharmila. Enterogenous Cyst from Craniovertebral Junction to D2 – Rare Presentation. Apollo Medicine 15(4):p 186-189, Oct–Dec 2018. | DOI: 10.4103/am.am_63_18
• 7. M. Kodeeswaran, Reshmi Udesh, L. Ramya, S. Jothi Kumar, Multiple cerebrospinal cavernous angiomas, Journal of Surgical Case Reports, Volume 2016, Issue 9, September 2016, rjw157, https://doi.org/10.1093/jscr/rjw157
• 8. Kodeeswaran, M.1,; Ramesh, V. G.; Saravanan, N; Udesh, Reshmi. Percutaneous retrogasserian glycerol rhizotomy for trigeminal neuralgia: A simple, safe, cost-effective procedure. Neurology India 63(6):p 889-894, November–December 2015. | DOI: 10.4103/0028-3886.170103

Dr. Priyadharshan K.P



• 1. Priyadharshan KP, Marappan K, Mathew M, Mani AK, Vakamala HR, Jayamoorthy T. Pleuro-spinal Hydatid Cyst Masquerading as Spinal Tuberculosis: A Rare Case Report. Apollo Medicine. 2024;21(3):271-274. doi:10.1177/09760016241245254
• 2. K P P, M K, Narindar A, Chaurasia B. Endoscopic Membranectomy's Role in the Treatment of Nonhomogeneous Chronic Subdural Hematoma (EMiT-CSDH): Prospective Single-arm Interventional Pilot Study. World Neurosurg. 2024;190:e281-e289. doi:10.1016/j.wneu.2024.07.112
• 3. Omsaran1; Bajaj, Jitin, Priyadharshan, Kodeeswaran. Indian Neurosurgeons at the Forefront: A Comprehensive Exploration of their Pioneering Contributions to Neuroendoscopy. Neurology India 72(1):p 4-10, Jan–Feb 2024. | DOI: 10.4103/neurol-india.neurol-india_80_24
• 4. Acute cerebellar infarction: management and outcome an institutional experience, dr. Syed ibrahim t., dr. Sureshbabu thirumal, dr. Priyadharshan k.p. Global journal for research analysis: volume -10/ issue-4/ april-2021
• 5. Epidimiology of traumatic spinal cord injury: experience at a tertiary care centre in south india, dr. Ramkumar v, dr. Priyadharshan k p, dr. Swarnarekha narayanan international journal of scientific research: volume-9/ issue-6/june-2020
• 6. Priyadharshan KP, Kumar N, Shanmugam D, Kadambari D, Kar SS. Quality of life in lower limb amputees: a cross-sectional study from a tertiary care center of South India. Prosthet Orthot Int. 2022 Jun 1;46(3):246-251. doi: 10.1097/PXR.0000000000000108. Epub 2022 Mar 22. PMID: 35315820.

Undergraduate publications via Aspire Program



• 1. M., K., Sathyabal, V.C., K. P., P. et al. A call for the need of a new neurosurgical sub-speciality in the asian continent- neuroplastic surgery. Neurosurg Rev 47, 290 (2024). https://doi.org/10.1007/s10143-024-02472-3
• 2. Mousa, A.H., Chavda, V., M, K. et al. Advancements in surgical skills through short-term training with surgical 3D exoscopes. Neurosurg Rev 47, 482 (2024). https://doi.org/10.1007/s10143-024-02707-3
• 3. Kakkar, S., Kodeeswaran, M., Priyadharshan, K. P., Narindar, A., Tyagi, A. K., Goswami, M. K., Scalia, G., Umana, G. E., & Chaurasia, B. (2024). Management of migrating spinal schwannomas: a surgeon’s dilemma. Illustrative case. Journal of Neurosurgery: Case Lessons, 7(1), CASE23689. https://doi.org/10.3171/CASE23689
• 4. Precious Fadele, Kehinde MBBSa; M, Kodeeswaran MChb; Chaurasia, Bipin MSc,*. Influence of social media in attracting future neurosurgeons to neurosurgery. Annals of Medicine & Surgery 86(9):p 4969-4970, September 2024. | DOI: 10.1097/MS9.0000000000002405
• 5. Kashif M, M K, Chavda V, de Sena Barbosa MG, Chaurasia B. Social Media Connecting Neurosurgeons Worldwide: A Boon to World Neurosurgery. World Neurosurg. 2024 Oct;190:520-521. doi: 10.1016/j.wneu.2024.08.013. Epub 2024 Aug 6. PMID: 39214780.

ONGOING RESEARCHES

• 1. Endoscopic evacuation vs craniotomy and evacuation of chronic membranous SDH: A randomized controlled trial
  Priyadharshan KP, Kodeeswaran M
  CTRI/2023/08/057000 [Registered on: 28/08/2023]
• 2. Role of transcutaneous spinal cord stimulation (TSCS) in neurogenic shock in sub-axial cervical spinal cord injury
  Priyadharshan KP, Kodeeswaran M
  CTRI/2023/08/057094 [Registered on: 30/08/2023]
• 3. Decompressive craniectomy versus cisternostomy in management of ischemic and hemorrhagic supra-tentorial stroke- a pilot randomized controlled study
  Investigator- Dr. Gaurav, Guide- Dr. Kodeeswaran.M. Co-guide- Dr. Radha, Dr. Priyadharshan K.P
• 4. GC bleed: navigation guided minimal access evacuation vs Decompressive Craniectomy- an Randomized control trial
  Investigator- Dr Aswin, Guide- Dr. Kodeeswaran.M. Co-guide- Dr. Radha, Dr. Priyadharshan K.P
• 5. Percutaneous retrogasserian glycerol rhizotomy in the management of trigeminal neuralgia: a prospective study
  Investigator- Dr. Chiraag , Guide- Dr. Kodeeswaran.M. Co-guide- Dr. Priyadharshan K.P
• 6. Functional outcome of Neuronavigation guided Full Endoscopic Lumbar Discectomy for Lumbar Disc Herniation: A Prospective case study Investigator- Dr.Naveen, Guide- Dr. Kodeeswaran.M. Co-guide-Dr. Priyadharshan K.P

TEACHING PROGRAMMES and WORKSHOPS CONDUCTED

• 1. Trigeminal Neuralgia treatment options- CME and Percutaneous Trigeminal Rhizotomy – Workshop, conducted on 27/10/2023 at Government Kilpauk Medical College.
• 2. Hands-on Cadaver workshop on Trans-nasal endoscopic anatomy for neurosurgeons approach to Sella, conducted on 30/12/2022 at Government Kilpauk Medical College.
• 3. Aspire to become a Neurosurgeon – Unique mentorship programme, conducted on Feb 2023 at Government Kilpauk Medical College.
• 4. Medrelanine 2024, conducted hands on workshop to aspiring neurosurgeons at Government Kilpauk Medical College
• 5. First International Hybrid conference on 3D Neuroanatomy course and workshop, conducted on 30/3/2024-31/3/2024 at Government Kilpauk Medical College.
• 6. Hands-on Skull base cadaver workshop- endonasal and anterolateral approaches conducted on 12/07-2024 -13/07/2024 at Government Kilpauk Medical College.

CONFERENCES CONDUCTED

• 1. First International Hybrid conference on 3D Neuroanatomy course and workshop, conducted on 30/3/2024-31/3/2024 at Government Kilpauk Medical College.

NEW INITIATIVES STARTED

• 1. Neurosurgery Academy & Research Foundation unique teaching programme and initiative for young and aspiring neurosurgeons. Inaugurated by Former Director of Medical Education Prof Shanthimalar MD DA, & Former Director General of Police Mr Sylendrababu IPS.
• 2. Aspire to become a Neurosurgeon – Unique mentorship programme- It is an Unique Neurosurgical mentorship programme started to motivate and guide young doctors to take the demanding sub-speciality of Neurosurgery- to become a good quality Neurosurgeon..
• 3. World Trigeminal Neuralgia Foundation- It is an initiative to support and teach Neurosurgeons to learn the Percutaneous injection techniques to treat the patients suffering with Trigeminal neuralgia. It is also supporting the patients suffering with Trigeminal neuralgia to understand the disease ,treatment options and to support them to get treated by the day care procedure – Percutaneous Retrogasserian glycerol rhizotomy.
• 4. Journal of Neurosurgery Academy.ISSN: 3048-7994

BOOKS EDITED & PUBLISHED

• 1. White Fiber Dissection Manual ( March 2024) Published the manual under the Initiative of WFNS ( World federation of Neurosurgical societies- Web and Publication committee)
• 2. Neurosugery Update -Vol 1 ( March 2024)
• 3. டிரைஜமிநல்நியூரால்ஜியா ( Trigeminal neuralgia) - A Publication in Tamil for Better understanding of the disease and treatment options for Trigeminal neuralgia patients ( October 2023)
• 4. A practical manual for cisternostomy- essential for young neurosurgeons

Faculty List :

GALLERY: