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Speciality

Neurosurgery

Brain & spine surgery

Surgical care for structural problems of the brain, spine and nerves that need an operative approach.

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Overview

Understanding neurosurgery

Neurosurgery focuses on conditions of the brain, spine and nerves that may need a surgical solution, such as growths pressing on brain tissue, injuries after accidents, or spinal problems causing persistent pain or weakness. While many nerve-related concerns are managed with non-surgical care, some situations call for an operative approach to relieve pressure, repair damage, or remove abnormal tissue.

Read more about Neurosurgery

A neurosurgeon works closely with the treating physician to review scans, understand the extent of a problem, and decide whether surgery is a reasonable option or whether the condition can first be observed and managed conservatively. This decision always considers the person's overall health, the specific findings on imaging, and what is realistically likely to help.

Neurosurgical care can be relevant to people of any age — from someone with a slipped disc affecting daily activities, to a person recovering after a significant head injury, or someone whose scan has shown a growth that needs specialist evaluation. Family involvement is often important, particularly around planning for recovery and rehabilitation after any procedure.

Your first visit

The first neurosurgery consultation typically involves a detailed discussion of symptoms, their duration, and any previous treatment tried. It is helpful to bring existing scan films or reports, blood test results, and a list of current medicines, along with details of any past surgery or ongoing health conditions.

What else to expect

A physical examination assessing strength, sensation, reflexes and coordination usually follows. Based on the findings and available reports, the neurosurgeon will discuss whether further imaging is needed and outline the range of options, from continued observation and conservative care to a surgical approach if appropriate.

Conditions

Conditions this speciality covers

General health information about some common conditions in this field — not a complete list, and not confirmation that every treatment mentioned is available at the hospital. Please speak to a doctor about your own situation.

Slipped or herniated disc

A spinal disc that has shifted out of place and may press on nearby nerves.

Learn more about Slipped or herniated disc

A slipped disc occurs when the soft cushioning tissue between spinal bones bulges or ruptures, sometimes pressing on a nearby nerve. This can cause pain that travels down an arm or leg, along with numbness or weakness. Most cases improve with conservative measures, but persistent or worsening symptoms sometimes need a surgical opinion.

Common symptoms

  • Pain radiating down a leg or arm
  • Numbness or tingling in a limb
  • Muscle weakness
  • Pain that worsens with movement
  • Reduced range of motion in the back or neck

How it is assessed

Assessment includes a nerve examination and imaging of the spine to identify the affected level.

Treatment options

Care generally starts with conservative measures, with surgery considered if symptoms persist or nerve function is significantly affected.

Brain tumours

Abnormal growths within the brain that may need specialist surgical evaluation.

Learn more about Brain tumours

A brain tumour is an abnormal growth of cells within the skull. Depending on its size and location, it can cause headaches, seizures, weakness or changes in vision, speech or personality. Evaluation typically involves detailed brain imaging to understand the tumour's characteristics before deciding on the most suitable approach.

Common symptoms

  • Persistent or worsening headache
  • New-onset seizures
  • Weakness on one side of the body
  • Vision or speech changes
  • Personality or memory changes

How it is assessed

Assessment relies on brain imaging along with a full neurological examination.

Treatment options

Management is planned individually and may involve surgery, further specialist treatment, or continued monitoring depending on the findings.

Traumatic brain and spinal injury

Injury to the brain or spinal cord following an accident or fall.

Learn more about Traumatic brain and spinal injury

Head or spinal injuries can range from mild concussion to more serious injury affecting brain or spinal cord function. Symptoms depend on which part is affected and can include confusion, weakness, or changes in sensation. Early assessment after any significant injury is important to check for internal bleeding or nerve damage.

Common symptoms

  • Confusion or drowsiness after injury
  • Repeated vomiting after a head injury
  • Weakness or numbness after a fall
  • Loss of consciousness
  • Neck or back pain after trauma

How it is assessed

Urgent imaging and a full neurological examination are used to assess the extent of injury.

Treatment options

Treatment ranges from close observation to surgical intervention depending on the severity of the injury.

Spinal stenosis

Narrowing of the spinal canal that can press on the spinal cord or nerves.

Learn more about Spinal stenosis

Spinal stenosis develops when the space within the spine narrows, often due to age-related changes, putting pressure on the nerves inside. It commonly affects the lower back or neck and can cause pain, numbness or difficulty walking long distances. Symptoms often build up gradually over months or years.

Common symptoms

  • Pain or cramping in the legs while walking
  • Numbness in the legs or feet
  • Weakness in the lower limbs
  • Neck pain with arm symptoms
  • Difficulty with balance

How it is assessed

Diagnosis is based on clinical examination together with spinal imaging.

Treatment options

Conservative management is generally tried first, with surgery reserved for significant or progressive nerve pressure.

Hydrocephalus

A build-up of fluid within the brain that can raise pressure inside the skull.

Learn more about Hydrocephalus

Hydrocephalus happens when the normal fluid within the brain does not drain properly, leading to a build-up that raises pressure. It can occur at any age and produce symptoms such as headache, vomiting, or in some cases, changes in gait or memory. Evaluation focuses on identifying the underlying cause and the extent of fluid build-up.

Common symptoms

  • Persistent headache
  • Vomiting without other cause
  • Blurred or double vision
  • Unsteady walking
  • Drowsiness or reduced alertness

How it is assessed

Brain imaging is central to confirming the diagnosis and understanding severity.

Treatment options

Management depends on the cause and may range from monitoring to a surgical procedure to manage fluid drainage.

Services

Tests, treatments and services

Charges and preparation apply to a consultation, test or procedure — not to a condition.

Common approaches in this speciality

General health information about how doctors in this field usually investigate and treat — not a list of services confirmed at Shreejii. Please ask reception what is available.

Consultations

  • Neurosurgical opinion

    A focused consultation to review scan findings and symptoms of the brain, spine or nerves.

    Why and what it involves: Neurosurgical opinion

    Why it is done: To determine whether a condition needs surgical evaluation or can be managed conservatively.

    What it involves: Review of history, imaging and a detailed neurological examination.

Diagnostic tests

  • Pre-surgical evaluation

    A structured review of overall health and imaging before considering any procedure.

    Why and what it involves: Pre-surgical evaluation

    Why it is done: To assess suitability and plan safely for a possible surgery.

    What it involves: Clinical examination along with review of existing reports and any further tests advised.

Treatments & procedures

  • Spinal condition management

    A plan addressing disc, nerve or spinal canal problems causing pain or weakness.

    Why and what it involves: Spinal condition management

    Why it is done: To relieve symptoms and protect nerve function.

    What it involves: A combination of conservative measures, with surgical options discussed if needed.

  • Post-injury neurosurgical care

    Assessment and monitoring following a significant head or spinal injury.

    Why and what it involves: Post-injury neurosurgical care

    Why it is done: To check for and address any nerve or brain injury complications.

    What it involves: Close observation, imaging review and a tailored recovery plan.

Follow-up & ongoing care

  • Post-operative follow-up

    Scheduled review visits after a neurosurgical procedure.

    Why and what it involves: Post-operative follow-up

    Why it is done: To monitor healing and recovery of nerve function.

    What it involves: Periodic examination and discussion of rehabilitation progress.

Specialists

Doctors in Neurosurgery

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Costs

Charges and estimates

The hospital has not published verified charges for this speciality yet. Contact the hospital for a personalised estimate — the cost depends on the consultation, tests or procedure your doctor recommends.

Final bills depend on your treatment plan, room category and clinical needs. Insurance cover and cashless approval depend on your insurer and policy.

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Questions

Frequently asked questions

Does every disc problem need surgery?

No, most disc-related pain improves with conservative care; surgery is generally considered only when symptoms persist, worsen, or significantly affect nerve function.

What is the difference between neurology and neurosurgery?

Neurology focuses on diagnosing and managing nervous-system conditions, often without surgery, while neurosurgery is involved when a structural problem may need an operative approach.

Is a brain scan finding always serious?

Not necessarily; many findings on a scan are minor or unrelated to symptoms, which is why a specialist review of the actual images and clinical picture is important.

How long does recovery take after a spinal procedure?

Recovery time varies widely depending on the individual and the specific procedure, and is best discussed directly with the treating surgeon.

Should I get a second opinion before spine or brain surgery?

It is entirely reasonable to seek a second opinion for any planned surgery, especially for elective procedures, so you feel confident about the recommended approach.

Sources for general health information

This page is general health education, not medical advice. It has not been individually reviewed by a Shreejii doctor unless stated.

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