Dr. N Ramesh Narenthiranathan’s Neurosurgery Clinic at Ara Damansara Medical Centre is committed to its tagline “Excellence in Healthcare.” For this reason, it strives to provide excellent healthcare services that are combined with personalised attention for each patient under its care. Composed of a highly experienced healthcare team, the clinic is driven to provide holistic treatments, providing solutions not just to specific illnesses but also addressing its ill effects on body, mind, and soul.
The clinic’s highly trained and detailed-oriented medical professionals are committed to providing genuine care and compassion. Patients who seek their assistance and expertise can expect that each medical professional will spend ample time discussing their condition and later on, in providing complete information on available treatments to help them make well-informed choices. The clinic provides team-based approach where doctors, nurses, and allied health professionals work together to ensure that the goals are achieved while ensuring patient safety and comfort.
Dr. N. Ramesh NarenthiranathanVerifiedNeurosurgeon in Selangor Darul Ehsan, MalaysiaView full profile
Dr. N. Ramesh Narenthiranathan specialises in cerebrovascular surgery, providing highly effective solutions to patients suffering from brain aneurysms and brain tumours. He pioneered skull base endoscopy in Malaysia and was the chief neurosurgeon in the separation of conjoint twins joined at the spine, the first of its kind in Malaysia.
Arterior Venous Malformation Treatment
Arteriovenous malformation refers to a condition wherein the arteries that feed oxygen-rich blood to the brains are somehow abnormally connected to the veins that carry blood to the heart, which results in the brain not receiving an adequate amount of oxygen-rich blood. The condition is known to be very rare. In fact, less than one percent of the population has AVM. Although the condition is usually congenital, it is not hereditary. AVM usually results in weakened blood vessels that rupture over time resulting in bleeding in the brain. The best treatment for this condition is a surgery to block the abnormal connections that have led to the formation of a fistula.
Brain Bypass Surgery
A Brain Bypass Surgery, also referred to as a cerebral bypass, is a surgical procedure that aims to restore the normal flow of blood to the brain. Brain bypass surgery can be performed using several methods, which fall into either two categories: vessel graft and donor artery. In a vessel graft, a blood vessel is obtained from other parts of the body, which is used to create a bypass by attaching both ends to the area before and after the blockage. Meanwhile, the donor artery method involves removing an artery from its normal position in the face and redirecting it to an artery in the brain. After the procedure, the blood flow will be re-routed so the region of the brain that was previously affected will continue to get enough blood supply.
Brain Tumour Treatment
Brain tumours, either primary or secondary, are an abnormal growth of cells in the brain. Primary brain tumours are those that begin developing in the brain while secondary brain tumours are those that began spreading from other parts of the body. Treatment for a brain tumour will depend on the type. Treatment options include radiotherapy, chemotherapy, steroids, and surgery. Secondary brain tumours can sometimes be treated without surgery, especially if it’s a single secondary brain tumour. However, it is also possible for a secondary brain tumour to be too widespread for surgery to be an effective option. In these cases, radiotherapy will be recommended.
Complex Brain Aneurysm Surgery
Surgical treatments for brain aneurysms, especially complex ones, are often recommended only for non-high risk patients. Before the surgical procedure itself, the patient undergoes a risk assessment session to determine whether the extension of the patient’s lifespan significantly outweighs the risks involved with the procedure, the location and size of the aneurysm to be treated, the patient’s family history to determine the risks of aneurysm rupture, and the possibility of underlying health conditions. The surgical procedure can involve different techniques such as neurosurgical clipping and endovascular coiling, where a catheter is inserted into a groin or leg artery and advanced through the brain, and then coiled inside the aneurysm.
Endoscopic Skull Base Tumour Surgery (Anterior)
Skull base tumours that occur in the anterior compartment may present a variety of symptoms, such as sinus congestion, headaches, and vision changes. The most common tumours are meningiomas, esthesioneuroblastomas, orbital gliomas, and nasopharyngeal carcinomas. These can be treated by performing an endoscopic skull base surgery, which is a minimally invasive neurosurgical procedure when compared to open surgery. Many endoscopic skull base surgeries today are performed through the nostril instead of creating an incision. For example, in an endoscopic endonasal removal of anterior skull base meningiomas, the surgeon will insert a 4mm endoscope through the nostril and guide it to the tumour. Surgical instruments are then inserted through the same nostril to remove the tumour. In most cases, the patient will only need to stay in the hospital overnight for recovery.
Endoscopic Surgery for Pituitary Tumours
Endoscopic Pituitary Surgery, also referred to as a Transsphenoidal Endoscopic Surgery, is a minimally invasive surgical procedure to remove a pituitary tumour using an endoscope. The pituitary gland, which is responsible for producing many of the body’s hormones, is located behind the nose. Tumours that grow in the pituitary gland can be nonhormone-secreting, hormone-secreting, or cancerous. The procedure is performed by inserting the endoscope through the nostril or under the upper lip. Most endoscopic surgeries make use of an MRI to help guide the surgeon easily and efficiently reach the tumour. Surgical instruments will then be used to remove the tumour in small pieces. Patients who have undergone this procedure usually stay in the hospital for one or two days for observation.
Microscopic Surgery for Posterior Skull Base
Microscopic surgery is a type of neurosurgical procedure that is used in the removal of tumors that have developed at the lower back portion of the skull. Skull base tumors include, but are not limited to, acoustic neuromas, metastases, chondrosarcomas, brainstem gliomas, cerebellar astrocytomas, ependymomas, and hemangioblastomas. Microscopic surgery is performed using an operating microscope that is either floor or ceiling mounted. The microscope enables the surgeon to see blood vessels and structures that would not be visible using regular vision. In most cases, a video camera is also used to display an image of the enlarged operating field on a display screen. Using minute surgical instruments, the tumour is removed and the patient is required to stay at least one night in the hospital for observation.