Pediatric Neurosurgery for Congenital Brain & Spine Conditions

Safe, development-focused surgery with neuronavigation, endoscopy and pediatric anaesthesia

Book Congenital Defects Consultation

3–6 months

Ideal Craniosynostosis Window

Early repair supports brain growth and head shape

24–72 hrs

Spina Bifida Closure Target

Prevents infection and protects neural tissue

90–95%

Ambulation Independence (selected tethered cord)

With early release and rehab in suitable cases

When to Consult

•Abnormal head shape, early suture ridging or small soft spot
•Back swelling since birth, skin dimple/tuft or fluid leak
•Frequent falls, foot deformity or worsening leg weakness
•Headaches, neck pain or dizziness—worse with cough/strain
•Delay in milestones, poor feeding or excessive irritability
•Rapid head growth, sunset eyes or vomiting (possible hydrocephalus)

Understanding Congenital Brain & Spine Conditions in the Indian Context

Families across Hyderabad, Warangal, Karimnagar and Nalgonda often face delays due to travel and access. Early evaluation—especially in the first months for craniosynostosis and the first days for spina bifida—protects brain growth and function. Our pathways balance safety, development and caregiver support under NABH protocols.

When to Consult Our Pediatric Neurosurgery Specialists

Seek urgent care if you notice:

✓ Back swelling with fluid leak, fever or redness
✓ Rapid head growth, vomiting or excessive sleepiness
✓ Worsening leg weakness, new foot deformity or bladder issues

Book a routine consult if you have:

✓ Abnormal head shape or early suture ridging
✓ Skin dimple/tuft along the spine since birth
✓ Frequent falls or developmental delays

Our Diagnostic Approach

Pediatric Neuro Exam & Growth Tracking

Head circumference percentiles, fontanelle and milestone checks; counsel on red flags.

Imaging Roadmap

3D CT for synostosis planning; MRI for Chiari/tethered cord; neonatal ultrasound where appropriate.

Multidisciplinary Review

Neurosurgery, pediatrics, anaesthesia and neonatology align timing, ICU support and transfusion plans; plastic/ENT involvement for craniofacial needs.

Pre-Op Optimisation

Nutrition/anaemia correction, infection control and caregiver education in Telugu, Hindi, Urdu and English.

Treatment Pathways

Craniosynostosis Repair
Myelomeningocele/Meningocele Closure
Tethered Cord Release
Chiari I Decompression
Hydrocephalus Pathway (ETV/VP Shunt)
Rehabilitation & Developmental Support

What to Expect: Your Care Journey

First Visit (30–60 min): Exam, imaging plan and counselling.
Pre-Op (Same day–1 week): Fitness, blood readiness, authorisation and helmet fitting if planned.
Surgery Day: WHO/NABH checklists; microscopy/endoscopy; ICU monitoring.
Discharge (1–3 days typical): Wound care, helmet/brace guidance, red flags.
Follow-Up (2–4 weeks): Sutures and therapy plan; school/daycare advice.
Long-Term: Growth and neurology review at 3–6 months; annual checks thereafter.

Technology & Innovation

Pediatric neuronavigation and endoscopic tools
IONM for safe detethering and cranial work near venous sinuses
EMR/PACS with growth and helmet-tracking dashboards

Preventing Complications

We minimise CSF leak, infection and anaemia via watertight closure, antibiotic stewardship, blood-sparing techniques and early wound checks. Caregivers receive clear warning lists and WhatsApp access for triage.

Why Ajuda for Pediatric Neurosurgery?

🧠 Development First

Surgery timing and techniques tailored to brain growth and milestones.

🏥 ICU-Backed Safety

Pediatric anaesthesia, NICU access and strict NABH protocols.

📲 Family Support

WhatsApp check-ins, helmet/brace coaching and tele-follow-ups.

Take the First Step

Early intervention shapes lifelong development. Call or WhatsApp 9010550550 to plan your child’s care at Ajuda Hospitals, Hyderabad.

Diagnosis Approach

Pediatric Neuro Exam & Growth Charts

Measure OFC percentiles, fontanelle status and screen milestones; counsel on red flags for raised ICP.

Targeted Imaging

3D CT for craniosynostosis planning; MRI brain/spine for Chiari/tethered cord; cranial/spinal ultrasound for neonates where appropriate.

Multidisciplinary Board

Neurosurgery, pediatrics, anaesthesia, neonatology and plastic/ENT review for timing, approach and ICU needs.

Pre-Op Optimisation & Consent

Nutrition/anaemia correction, infection screening, blood readiness and family education in Telugu/Hindi/Urdu/English.

Treatment Options

Craniosynostosis Repair

Endoscopic strip craniectomy with helmet therapy (early age) or open cranial vault remodelling for multi-suture/syndromic cases.

Improves intracranial volume and head shape; lower blood loss with endoscopic approach in early infants

1–4 hours; ICU/ward overnight to 2 days

Myelomeningocele/Meningocele Closure

Early neural placode protection and watertight layered repair; assess for associated Chiari II/hydrocephalus.

Reduces infection and protects function

1–2 hours; NICU/ICU observation

Tethered Cord Release

Microscope-assisted filum sectioning or detethering of lipoma/dermal sinus with IONM.

Improves pain, foot posture and bladder function in selected children

1–2 hours; short stay with rehab

Chiari I Decompression

Posterior fossa decompression ± duraplasty for symptomatic cases with syrinx or severe headaches.

Relieves crowding and improves symptoms

2–3 hours; monitored ward/ICU

Hydrocephalus Pathway (ETV/VP Shunt)

Endoscopic third ventriculostomy or programmable shunt with infection-prevention bundle.

Controls pressure and protects vision/cognition

60–90 minutes; structured valve follow-up

Rehabilitation & Developmental Support

Physio, occupational and speech therapy; bladder/bowel programs; caregiver training with tele follow-ups.

Improves independence and school readiness

Starts day 1; continues months

Expected Outcomes

Treatment Timeline

24–72 Hours

ICU/ward monitoring; pain control; start feeds and gentle handling

2–4 Weeks

Suture removal; helmet fitting if endoscopic craniosynostosis; early physio goals

3–6 Months

Head shape/neurology review; school/play milestones; MRI if indicated

1 Year+

Annual checks; growth, learning and continence goals; brace/therapy progression

Success Metrics

Neurology preserved or improved without new deficits
Low CSF leak/infection and re-operation rates
Parent-reported function and head-shape satisfaction

Give Your Child a Safe Start

Emergency

9010550550

contact@ajudahospitals.in

Related Services

Hydrocephalus (Water on Brain) Surgery

Frequently associated with spina bifida and craniosynostosis

Spinal Surgeries

For scoliosis/instability or residual compression in select cases