🧠 Excellence in Neurosurgery and Spine Surgery Care at Primax

Spinal Cord Compression – Emergency Neurosurgery Care

Spinal cord compression is a serious neurological emergency that requires immediate expert intervention. Our neurosurgery team provides 24/7 emergency care for spinal cord compression cases, ensuring the best possible outcomes through rapid diagnosis and treatment.

Spinal cord compression occurs when abnormal pressure is placed on the spinal cord, the highway of nerves connecting your brain to the rest of your body. This pressure can result from various causes and can lead to permanent neurological damage if not treated promptly. At Primax Hospital, we treat spinal cord compression as the medical emergency it is.

Common Causes We Treat:

• Herniated discs with severe canal stenosis
• Spinal tumors (benign and malignant)
• Traumatic vertebral fractures from accidents
• Spinal infections (abscess or osteomyelitis)
• Spinal stenosis – narrowing of the spinal canal
• Metastatic cancer spreading to the spine
• Epidural hematoma following injury or procedure

Critical Symptom Recognition Guide

When to Seek Emergency Neurosurgery Care

• Sudden onset of severe back or neck pain with weakness
• Progressive loss of strength in arms or legs
• Loss of sensation in any part of the body
• Difficulty with urination or bowel movements
• Inability to stand or walk
• Pain that radiates around the chest like a band

Our Emergency Treatment Protocol

A. Rapid Diagnosis (Within 30 Minutes):

• Emergency MRI of Entire Spine – Immediate identification of compression level
• CT Scan – For trauma and bony assessment
• Neurological Examination – Assessment of motor and sensory function
• Blood Tests and Infection Markers – If infection is suspected

B. Immediate Medical Stabilization:

• High-Dose Steroids – To reduce spinal cord swelling
• Pain Management – Aggressive pain control
• Immobilization – Proper positioning to prevent further injury
• ICU Monitoring – Continuous neurological assessment

C. Emergency Surgical Interventions:

• Decompressive Laminectomy – Removing bone to relieve pressure
• Tumor Resection – Emergency removal of spinal tumors
• Discectomy – Urgent disc fragment removal
• Spinal Stabilization – Fusion procedures when needed
• Abscess Drainage – For infectious causes

D. Post-Operative Rehabilitation:

• Neuro-Physiotherapy – Starting within 24 hours of surgery
• Occupational Therapy – Relearning daily activities
• Bladder and Bowel Management – Specialized nursing care
• Psychological Support – Coping with neurological changes

Why Choose Primax for Spinal Cord Compression Emergencies?

• 24/7 Emergency Neurosurgery – Operating rooms ready for emergency spine surgery
• Rapid Diagnosis – MRI available round-the-clock with results within 30 minutes
• Experienced Team – Neurosurgeons have managed hundreds of spinal cord compression emergencies

❤️ Emergency Neurosurgery Contact

If you or someone you know is experiencing symptoms of spinal cord compression, call immediately at 9666460009 for emergency neurosurgery consultation. Don’t wait – permanent nerve damage can occur within hours.

Head Injuries and Trauma – 24/7 Neuro-Trauma Care in Sonipat

Head injuries require immediate expert evaluation and treatment. As the leading center for head injury treatment in Sonipat, Primax Neurosurgery Center provides comprehensive neuro-trauma care 24/7, from minor concussions to life-threatening traumatic brain injuries.

Head injuries range from mild concussions to severe traumatic brain injuries (TBI) that can be life-threatening. At Primax Hospital, we treat all severities of head injury with the urgency and expertise they deserve. Our neuro-trauma team is available 24/7 to provide immediate life-saving care.

Common Types of Head Injuries We Treat:

• Concussion – Mild traumatic brain injury
• Skull Fractures – Linear, depressed, or basilar fractures
• Epidural Hematoma – Bleeding between skull and brain covering
• Subdural Hematoma – Blood collection beneath the dura
• Intracerebral Hemorrhage – Bleeding within brain tissue
• Diffuse Axonal Injury – Severe shearing of nerve fibers
• Penetrating Head Injuries – From sharp objects or projectiles

Head Injury Severity Assessment

When to Seek Emergency Care After Head Injury

• Any loss of consciousness, even brief
• Persistent or worsening headache
• Repeated vomiting
• Confusion or disorientation
• Drowsiness or difficulty waking
• Slurred speech
• Weakness or numbness in limbs
• Clear fluid drainage from nose or ears
• Unequal pupil size
• Seizures or convulsions

Our Comprehensive Head Injury Treatment Protocol

A. Emergency Assessment (Golden Hour):

• Rapid Trauma Evaluation – ATLS protocol followed
• Emergency CT Scan of Brain – Within 15 minutes of arrival
• Glasgow Coma Scale – Neurological status assessment
• Full Body Trauma Survey – Checking for other injuries
• Laboratory Tests – Complete blood work and coagulation profile

B. Medical Management:

• Airway Protection – Intubation if needed
• Blood Pressure Control – Preventing secondary brain injury
• Intracranial Pressure Monitoring – For severe cases
• Seizure Prevention – Anti-epileptic medications
• Osmotic Therapy – Reducing brain swelling

C. Emergency Neurosurgical Interventions:

• Craniotomy for Hematoma Evacuation – Removing blood clots
• Decompressive Craniectomy – For severe brain swelling
• Skull Fracture Repair – Reconstruction when needed
• ICP Monitor Placement – Continuous brain pressure monitoring
• External Ventricular Drain – Draining excess fluid

D. Neuro-Rehabilitation:

• Cognitive Rehabilitation – Memory and thinking skills
• Physical Therapy – Regaining strength and coordination
• Speech Therapy – Communication and swallowing
• Psychological Support – Addressing emotional changes
• Vocational Rehabilitation – Return to work planning

Why Choose Primax for Head Injury Treatment in Sonipat?

• Fastest Response Time: Our neuro-trauma team reaches patients within minutes of arrival.
• Advanced Trauma Care: Level 1 trauma capabilities with dedicated Neuro-ICU.
• Best Neurosurgeon in Sonipat: Board-certified neurosurgeons with fellowship training in neurotrauma.
• Comprehensive Rehabilitation: In-house physiotherapy and rehabilitation services.

❤️ Emergency Head Injury Contact

For head injury emergencies, call our 24/7 emergency line at 9666460009 immediately. In severe cases, ask for an ambulance. Time matters in brain injury – we’re ready to save lives around the clock.

Hydrocephalus – Expert Diagnosis and Shunt Surgery

Hydrocephalus, often called “water on the brain,” requires specialized neurosurgical expertise. Our team provides comprehensive care for all types of hydrocephalus, from newborns to adults, using the latest surgical techniques and shunt technology.

Hydrocephalus is a condition where excess cerebrospinal fluid (CSF) accumulates in the brain’s ventricles, causing increased pressure that can damage brain tissue. At Primax Neurosurgery Center, we specialize in treating all forms of hydrocephalus with both traditional shunt surgery and advanced endoscopic techniques.

Types of Hydrocephalus We Treat:

• Congenital Hydrocephalus – Present at birth
• Acquired Hydrocephalus – Develops after birth due to injury or infection
• Communicating Hydrocephalus – CSF flow is blocked after leaving ventricles
• Non-communicating (Obstructive) Hydrocephalus – Blockage within ventricles
• Normal Pressure Hydrocephalus – Common in elderly patients
• Hydrocephalus ex-vacuo – Following brain tissue loss

Recognizing Hydrocephalus Symptoms by Age

When to Seek Specialized Care

In Infants:

• Abnormally large or rapidly growing head
• Bulging soft spot (fontanel)
• Eyes that look downward (sunset sign)
• Poor feeding or irritability
• Developmental delays

In Older Children and Adults:

• Persistent headaches, worse in morning
• Vision changes or double vision
• Balance and coordination problems
• Changes in personality or cognition
• Difficulty walking (gait disturbance)

Our Advanced Treatment Approach

A. Comprehensive Diagnosis:

• MRI Brain – Detailed visualization of ventricle size and CSF flow
• CT Scan – Rapid assessment of ventricular enlargement
• Ultrasound – For infants through open fontanel
• CSF Flow Studies – Dynamic imaging of fluid movement
• Neuropsychological Testing – For normal pressure hydrocephalus

B. Surgical Treatment Options:

• Ventriculoperitoneal (VP) Shunt: Most common treatment, programmable valves, minimal incision, regular follow-up
• Endoscopic Third Ventriculostomy (ETV): Shunt-free option, creates new CSF drainage pathway, avoids hardware complications
• Lumboperitoneal Shunt: Alternative for communicating hydrocephalus, drains CSF from spinal canal

C. Medical Management:

• Acetazolamide – Reduces CSF production temporarily
• Serial Lumbar Punctures – For select cases of normal pressure hydrocephalus
• Treatment of Underlying Cause – Infection control, tumor removal

Why Choose Primax for Hydrocephalus Treatment?

• Specialized Expertise: Pediatric and adult hydrocephalus management
• Advanced Technology: Latest programmable shunts
• Comprehensive Care: From diagnosis through lifelong follow-up
• Excellent Outcomes: Over 95% of patients achieve good control

❤️ Schedule Your Hydrocephalus Consultation

Early treatment prevents brain damage and improves long-term outcomes. Contact our neurosurgery specialists at Primax Gastro Institute & Super Speciality Hospital at 9666460009 or book online for expert evaluation.

Brain Hemorrhage / Intracranial Bleeds – Life-Saving Emergency Neurosurgery

Brain hemorrhage is a life-threatening emergency that demands immediate expert neurosurgical intervention. Our 24/7 stroke and hemorrhage response team provides rapid diagnosis and treatment, significantly improving survival and recovery outcomes.

Brain hemorrhage, also called intracranial bleeding, occurs when a blood vessel in or around the brain ruptures, causing blood to leak into brain tissue or surrounding spaces. This creates pressure that can damage brain cells and threaten life. At Primax Neurosurgery Center, we treat brain hemorrhage as the critical emergency it is, with our team ready to intervene at any hour.

Types of Intracranial Bleeding We Treat:

• Intracerebral Hemorrhage – Bleeding within brain tissue
• Subarachnoid Hemorrhage – Bleeding in space around brain
• Subdural Hemorrhage – Blood between brain and dura
• Epidural Hemorrhage – Bleeding between skull and dura
• Intraventricular Hemorrhage – Bleeding into brain’s ventricles
• Aneurysmal Bleed – Rupture of weakened blood vessel wall

Emergency Symptom Recognition

Warning Signs: “Worst headache of life”, sudden severe headache with vomiting – do not delay, EMERGENCY VISIT required.

When to Call Emergency Services

• Sudden severe headache (“worst headache of my life”)
• Loss of consciousness or fainting
• Sudden weakness or numbness on one side
• Difficulty speaking or understanding speech
• Sudden vision problems
• Severe dizziness or loss of balance
• Seizures
• Neck stiffness with severe headache

Our Emergency Brain Hemorrhage Protocol

A. Ultra-Rapid Response (Within 15 Minutes):

• Emergency CT Brain – Immediate bleed detection and localization
• CT Angiography – Identifying source of bleeding
• Neurological Assessment – Glasgow Coma Scale and detailed exam
• Laboratory Tests – Coagulation profile, complete blood count
• Blood Pressure Management – Critical early intervention

B. Immediate Medical Stabilization:

• Airway Management – Intubation if consciousness is impaired
• Blood Pressure Control – Preventing hematoma expansion
• Reversal of Anticoagulation – If on blood thinners
• Seizure Prevention – Anti-epileptic drugs
• ICP Management – Controlling brain pressure

C. Emergency Neurosurgical Procedures:

• For Large Hematomas: Craniotomy with clot evacuation, minimally invasive aspiration, decompressive craniectomy
• For Aneurysmal Bleeds: Microsurgical clipping, endovascular coiling, flow diverter stents
• For Vascular Malformations: AVM resection, embolization, radiosurgery

D. Intensive Neuro-Critical Care:

• Dedicated Neuro-ICU – 24/7 specialized nursing
• Continuous Monitoring – ICP, brain oxygen, EEG
• Ventilator Support – When needed
• Nutritional Support – Early enteral feeding
• Prevention of Complications – DVT prophylaxis, infection control

Why Choose Primax for Brain Hemorrhage Emergencies?

• Fastest Door-to-CT Time: Average 8 minutes from arrival to diagnosis
• Immediate Surgery Capability: Operating room ready 24/7 for emergency craniotomy
• Expert Stroke Team: Board-certified neurosurgeons, neuro-intensivists, and interventional neuroradiologists
• Advanced Neuro-ICU: Dedicated 10-bed unit with latest monitoring technology

❤️ Brain Hemorrhage Emergency Contact

Brain hemorrhage is a race against time. Call 9666460009 immediately if you suspect a brain bleed or book online. Our neuro-emergency team is standing by 24/7. Don’t wait – every minute counts in saving brain tissue and lives.

Trigeminal Neuralgia – Advanced Pain Management and Surgical Solutions

Trigeminal neuralgia, often described as the “suicide disease” due to its excruciating pain, doesn’t have to control your life. Our neurosurgery team specializes in both medical and surgical treatments that can provide lasting relief from this debilitating facial pain condition.

Trigeminal neuralgia is a chronic pain condition affecting the trigeminal nerve, which carries sensation from your face to your brain. Even mild stimulation of your face can trigger jolts of excruciating pain. At Primax Hospital, we understand how this condition can devastate quality of life, and we’re here to help you find relief.

Common Triggers and Causes:

• Vascular Compression – Blood vessel pressing on nerve (most common)
• Multiple Sclerosis – Nerve damage from MS
• Tumor – Pressing on trigeminal nerve
• Post-Herpetic – Following shingles infection
• Stroke – Affecting trigeminal pathways
• Facial Trauma – Injury to nerve

Pain Pattern Recognition

When to Seek Specialized Neurosurgery Care

• Suddenly, severe facial pain described as electric shocks
• Pain triggered by everyday activities (eating, talking, brushing teeth)
• Pain affecting one side of the face
• Pain that doesn’t respond to regular pain medications
• Increasing frequency or severity of pain episodes
• Pain that disrupts sleep, eating, or daily activities
• Depression or anxiety due to chronic pain

Our Comprehensive Treatment Approach

A. Accurate Diagnosis:

• Detailed Clinical Evaluation – Pain pattern analysis
• High-Resolution MRI Brain – Identifying neurovascular compression
• MRI Angiography – Visualizing blood vessel relationships
• Trigeminal Reflex Testing – Nerve function assessment
• Exclusion of Secondary Causes – Ruling out tumors, MS, other conditions

B. Medical Management:

• Carbamazepine – First-line medication, highly effective for typical TN
• Oxcarbazepine – Alternative with fewer side effects
• Gabapentin/Pregabalin – For neuropathic pain component
• Baclofen – Muscle relaxant that helps nerve pain
• Combination Therapy – Multiple medications for better control
• Regular Monitoring – Blood tests to ensure medication safety

C. Advanced Surgical Solutions:

• Microvascular Decompression (MVD): Separates blood vessel from nerve, preserves nerve function, 80-90% long-term pain relief
• Gamma Knife Radiosurgery: Non-invasive, precise targeting, ideal for elderly or high-risk patients
• Radiofrequency Rhizotomy: Minimally invasive, immediate pain relief, can be repeated
• Balloon Compression: Outpatient procedure, compresses nerve to block pain signals, quick recovery

Why Choose Primax for Trigeminal Neuralgia Treatment?

• Expertise in Facial Pain: Our neurosurgeons have performed over 200 successful microvascular decompressions
• Comprehensive Options: We offer all treatment modalities from medications to advanced surgery
• Personalized Approach: Treatment tailored to your pain pattern, age, and health status
• High Success Rates: Over 85% of our surgical patients achieve significant long-term pain relief

🏃 Get Relief from Facial Pain

Don’t suffer in silence. Trigeminal neuralgia is treatable. Contact our neurosurgery specialists at Primax Gastro Institute & Super Speciality Hospital at 9666460009 or schedule your consultation online to explore your treatment options.

Cervical and Lumbar Spondylosis – Advanced Spine Degeneration Treatment

Cervical and lumbar spondylosis are common age-related degenerative conditions of the spine that can cause chronic pain and disability. Our spine surgery specialists offer comprehensive treatment from conservative management to advanced surgical solutions, helping you maintain an active, pain-free lifestyle.

Spondylosis is wear-and-tear arthritis affecting the spine’s bones, discs, and joints. Cervical spondylosis affects the neck, while lumbar spondylosis affects the lower back. At Primax Neurosurgery Center, we understand that while spondylosis is common with aging, the pain and limitations it causes are not something you have to accept.

Common Causes and Risk Factors:

• Age-related degeneration – Natural disc wear after age 40
• Occupational factors – Heavy lifting, repetitive movements
• Previous injuries – Old neck or back injuries
• Genetic predisposition – Family history of spine problems
• Poor posture – Long hours of sitting or computer work
• Smoking – Accelerates disc degeneration
• Obesity – Increased mechanical stress on spine

Symptom Recognition by Location

When to Seek Spine Surgery Consultation

• Persistent neck or back pain affecting daily life
• Pain radiating to arms or legs
• Numbness or tingling in hands or feet
• Weakness or difficulty with fine motor tasks
• Loss of bowel/bladder control (emergency)
• Morning stiffness >30 minutes or worsening pain

Our Comprehensive Treatment Protocol

A. Advanced Diagnostic Evaluation:

• MRI of Cervical/Lumbar Spine – Detailed visualization of disc and nerve compression
• X-rays with Flexion-Extension – Assessing spinal stability
• CT Scan – Bony anatomy and stenosis evaluation
• Electromyography (EMG) – Nerve function testing
• Myelography – For complex cases requiring surgical planning

B. Conservative Management (First-Line Treatment):

• Medications: NSAIDs, muscle relaxants, neuropathic pain medications, topical analgesics
• Interventional Pain Management: Epidural steroid injections, facet joint injections, nerve root blocks, radiofrequency ablation
• Physical Therapy Program: Core strengthening, flexibility exercises, posture training, ergonomic counseling

C. Surgical Solutions (When Conservative Treatment Fails):

• Anterior Cervical Discectomy and Fusion (ACDF): Removes compressed disc, fuses vertebrae, excellent pain relief
• Cervical Disc Replacement: Motion-preserving alternative, ideal for single-level disease in younger patients
• Posterior Cervical Laminectomy: For multi-level compression, effective for myelopathy

Why Choose Primax for Spondylosis Treatment?

• Conservative First Approach – Over 70% of patients achieve relief without surgery
• Minimally Invasive Focus – Least invasive surgical techniques
• Expert Spine Surgeons – Fellowship-trained specialists with thousands of successful surgeries
• Comprehensive Rehabilitation – In-house physiotherapy for optimal recovery

🏃 Start Your Journey to Pain Relief

Don’t let spine degeneration limit your life. Contact our spine specialists at Primax Gastro Institute & Super Speciality Hospital at 9666460009 or book your consultation online for a comprehensive spine evaluation and personalized treatment plan.