Brain Tumour Programme · Hyderabad
Brain Tumor Surgery in Hyderabad
Precision planning, neuronavigation, and intraoperative monitoring help us remove tumours safely while protecting speech, memory, and motor function. Each plan is reviewed in a multidisciplinary tumour board to align surgery, radiosurgery, and oncologic care.
Understanding Brain Tumours
Brain tumours may be benign, atypical, or malignant. Surgery often relieves pressure, improves symptoms, and provides tissue for precise diagnosis. Decisions account for tumour size, location, growth rate, and your overall health. We help patients and families understand options clearly before proceeding.
Many lesions benefit from early removal—especially when causing seizures, neurological deficits, or mass effect. Others can be observed under close MRI surveillance. Together, we decide which pathway best protects long-term function.
Diagnostic & Planning Workflow
- Detailed neurological examination and symptom mapping.
- MRI brain with contrast; add fMRI, DTI, or MR spectroscopy for eloquent areas.
- PET-CT or stereotactic biopsy for ambiguous lesions.
- Pre-operative counselling covering goals, risks, and recovery.
- Multidisciplinary tumour board to finalise surgery and adjuvant care.
Surgical & Adjunct Options
Microsurgical Resection
Standard craniotomy using high-powered microscopes, ultrasonic aspirators, and neuromonitoring. Awake craniotomy preserves speech and motor function when tumours rest in eloquent cortex.
Endoscopic & Keyhole Surgery
Ideal for ventricular tumours, pituitary adenomas, and select meningiomas. Smaller incisions reduce bone removal and accelerate recovery time.
Stereotactic Biopsy
Needle biopsy obtains tissue in high-risk or deep-seated lesions when open surgery is not immediately feasible. Results guide oncology planning.
Radiosurgery & Adjuvant Therapy
Gamma Knife, LINAC-based radiosurgery, fractionated radiotherapy, and chemotherapy are coordinated with partnering oncologists to consolidate control after surgery.
Safety Measures in Theatre
- • Intraoperative neuromonitoring to protect motor, sensory, and cranial nerve function.
- • 3D neuronavigation ensuring precise localisation and minimal brain retraction.
- • Advanced haemostasis techniques to limit blood loss; neuro-anaesthesia expertise for complex cases.
- • Early post-operative MRI/CT to confirm resection extent and rule out complications.
Recovery & Support
Hospital Stay
Most patients stay three to five days. Early mobilisation, pain control, and DVT prophylaxis start in ICU.
Rehabilitation
Physiotherapy, occupational therapy, and speech therapy support recovery. Return to desk work in four to six weeks for many patients.
Follow-up
MRI at 48 hours, three months, and then tailored to histology. Survivorship plans integrate oncology appointments and imaging.
When to Seek Urgent Care
- • Sudden severe headache with vomiting
- • New-onset seizures
- • Worsening weakness, speech difficulty, or vision loss
- • Discharge from wound, fever, or altered consciousness
Patient Support & Next Steps
Nurse navigators coordinate imaging, financial counselling, and rehabilitation. Psych-oncology services help families manage anxiety before and after surgery. Teleconsult slots are available for outstation follow-ups.
Frequently Asked Questions
Is brain tumour surgery always necessary?
Not in every case. We balance tumour type, symptom burden, and imaging findings. Some benign or asymptomatic tumours are observed with regular scans, while others benefit from early surgery.
Will I need radiation or chemotherapy after surgery?
High-grade gliomas typically require chemoradiation. Benign tumours may not need adjuvant therapy if completely removed. Your tumour board plan outlines the next steps.
How safe is awake craniotomy?
Awake craniotomy is carefully rehearsed with anaesthetists and neuropsychologists, allowing us to map speech and motor function. It helps preserve quality of life when tumours reside in eloquent cortex.
How long will I be in hospital?
Most people stay three to five days, depending on tumour location and recovery speed. Complex cases may need a longer ICU or rehabilitation stay.
Do you offer second opinions?
Yes. Share your existing MRI, biopsy report, and treatment plan. We coordinate in-person or teleconsult second opinions and liaise with your referring team.
Dr. Sayuj Krishnan, Neurosurgeon
Room 317, OPD Block, Yashoda Hospital, Malakpet, Hyderabad, Telangana 500036
Phone: +91 9778280044 · Email: neurospinehyd@drsayuj.com
Authored by: Dr. Sayuj Krishnan S, Neurosurgeon
Reviewed by: Dr. Sayuj Krishnan S, Board Certified Neurosurgeon
Last reviewed: 14 February 2025
Disclaimer: This content is for informational purposes only and should not replace professional medical advice. Always consult with a qualified healthcare provider for diagnosis and treatment.