Vascular Neurosurgery in Hyderabad
Vascular neurosurgery deals with diseases of the blood vessels of the brain and spinal cord. Dr. Laxminadh Sivaraju manages cerebral aneurysms, arteriovenous malformations (AVMs), cavernous malformations, and hemorrhagic stroke at CARE Hospitals HITEC City, Hyderabad, using both open microsurgical and minimally invasive approaches.
Conditions Treated
- Cerebral Aneurysm (Ruptured and Unruptured)
- Arteriovenous Malformation (AVM)
- Cavernous Malformation (Cavernoma)
- Subarachnoid Haemorrhage
- Intracerebral Haemorrhage
- Dural Arteriovenous Fistula (DAVF)
- Moyamoya Disease
Surgical Techniques Used
- Microsurgical Aneurysm Clipping
- AVM Microsurgical Resection
- Cavernoma Excision
- Haematoma Evacuation (Open and Endoscopic)
- Decompressive Craniectomy for Malignant Stroke
Surgical Outcomes
Microsurgical clipping is the definitive treatment for cerebral aneurysms, with long-term occlusion rates exceeding 95%. Ruptured aneurysm surgery has significantly better outcomes when performed within 24–72 hours of rupture to prevent re-bleeding. AVM resection achieves cure in the majority of appropriately selected cases (Spetzler-Martin Grade I–III).
Frequently Asked Questions
What is the difference between aneurysm clipping and coiling?
Aneurysm clipping is open microsurgery performed by Dr. Laxminadh Sivaraju where a titanium clip is placed at the aneurysm neck during craniotomy, permanently sealing it. Coiling (endovascular coiling) is a catheter-based procedure where platinum coils are packed inside the aneurysm through blood vessels. Clipping provides more durable, definitive occlusion. The choice depends on aneurysm size, shape, location, neck width, and patient factors. Dr. Laxminadh Sivaraju discusses both options with the neuroradiology team to recommend the best approach.