Dr Sayuj Krishnan - Brain & Spine SurgeonDr Sayuj KrishnanHomepage

Radiosurgery (Gamma Knife) in Hyderabad

Stereotactic radiosurgery (SRS), often known as Gamma Knife, delivers highly focused radiation to selected brain targets without an incision. It's used for certain small brain tumors, metastases, vestibular schwannomas, arteriovenous malformations (AVMs), and trigeminal neuralgia. Suitability depends on size, location, diagnosis, and overall health.

Who may benefit

  • Brain metastases (selected sizes and number)
  • Benign tumors such as vestibular schwannoma and some meningiomas
  • Arteriovenous malformations (AVMs) in selected cases
  • Trigeminal neuralgia (nerve root entry zone target)

We confirm diagnosis, size, and exact location with imaging and multidisciplinary review to determine if SRS is appropriate.

Planning and procedure

  • Imaging (MRI ± CT) for precise target mapping
  • Frame or frameless positioning system
  • Outpatient, non-incisional treatment; actual beam-on time varies by target
  • Post-procedure observation and discharge instructions

Benefits and risks

Potential Benefits

  • No incision, minimal downtime for most patients
  • Outpatient or day-care workflow
  • Option for lesions in deep or eloquent locations not amenable to open surgery

Risks/Limitations

  • Delayed response: tumor control may take months; TN pain relief may take weeks
  • Edema/swelling risk requiring medications; rare radiation necrosis
  • Not suitable for all lesion sizes/types; may require staged or alternative therapy

Recovery and follow-up

  • Most patients resume light activity within 24–48 hours
  • MRI follow-up at defined intervals to track response
  • TN patients receive a taper plan for medicines as pain control evolves

When SRS may not be preferred

  • Large tumors needing rapid decompression or causing mass effect
  • Lesions requiring tissue diagnosis (biopsy/resection)
  • TN cases where MVD is safer/better aligned with goals and MRI shows vascular compression

Costs and insurance (Hyderabad)

  • Typically covered for indicated cases after pre-authorization
  • Written estimate after evaluation and imaging review

Why choose Dr Sayuj Krishnan

  • Experience across surgical and non-surgical options with multidisciplinary planning
  • Safety-first counseling with clear expectations and follow-up schedules

Book a Consultation

We'll help you decide between microsurgery, radiosurgery, or combined approaches based on diagnosis and goals. Book a consultation at Yashoda Hospitals – Malakpet and bring your MRI and reports for a personalized plan.

Book Consultation

Internal links

References

Disclaimer

Educational only; not a substitute for medical advice. Treatment is individualized. Outcomes vary; no guarantees.

Last medically reviewed: October 1, 2025 — Medical reviewer: Dr Sayuj Krishnan, MBBS, DNB Neurosurgery (Direct 6 years)

Related Content

Microvascular Decompression (MVD)

Microsurgical treatment for classic trigeminal neuralgia

Learn More →

Brain Tumor Surgery

Neuronavigation-guided microsurgery with neuromonitoring

Learn More →

Trigeminal Neuralgia Treatment

Comprehensive treatment options for trigeminal neuralgia

Learn More →

Minimally Invasive Spine Surgery

Comprehensive minimally invasive spine surgery options

Learn More →

Endoscopic Cervical Discectomy

Motion-preserving endoscopic cervical discectomy for selected radiculopathy cases

Learn More →