In this video, Dr. Sukanto K. Das, Consultant - Nephrology at Manipal Hospital Bhubaneswar, shares valuable insights on ...

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Brain Bypass Surgery | Dr. Sukanto K.| MBK

hello I am Dr arit chakrawarti consultant neurosurgeon at manipal hospital Broadway Kolkata today I'll be talking about brain bypass surgery we must have heard about cardiac Bypass or heart bypass but yes brain bypass is also possible in only few conditions so let us discuss about the most common condition known as Moya Moya disease and it is more commonly found in children that could be of any age it is also seen in adults the question is what are the symptoms it exactly presents as stroke the symptoms of stroke weakness of hands slurring of speech or any kind of neurological deficit even fits or seizures when MRI and brain angiogram is done it shows there is narrowing of one of the ma blood vessels of the brain we call it internal koted artery and because of that there are some abnormal circulation established in and around the artery we call it collaterals so depending on the stages we can categorize the disease and child can have recurrent episodes of fall weakness even seizur yes we do start certain blood thinners for example eosin for for temporary treatment of this but talking about the permanent cure it requires brain bypass the most common bypass that we do we call it St MCA bipas where we connect one artery from outside the brain to inside the brain this is kind of direct bypass to establish the circulation of the brain normal there is another kind of bypass that is indirect bypass where we take the artery from outside the brain and we place it on the brain and also we surround this area with brain soft tissues for example Duram matters and the muscles eventually with time brain gets extra blood supply around this area and basically from outside the brain so the symptoms recover with time what are the outcomes of the brain bass surgery if we think about the outcomes are quite interesting that a child was having symptom while crying or while praying they can have a normal life for their life talking about the adults there are certain conditions uh Who present to us with stroke where we uh do the scan and diagnose that in particular areas of brain there is lack of blood supply and there is no other way to reestablish the blood supply and most of the time they press present with bleeding inside the brain in that case again when you diagnose that there is a moam Moya disease for this particular patient we need to do brain bypass today neurosurgery has advanced to C certain extent again today the neurosurgery has advanced to certain extent that we can do this highly precision based surgical uh procedure very well with excellent outcome thank you

Dr.

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