Brain Lesioning Surgery in India
What Is Brain Lesioning Surgery?
Brain lesioning surgery involves creating a small lesion in a carefully selected area of the brain that is involved in abnormal movement.
The target is planned using brain imaging and stereotactic techniques. The purpose is to interrupt the abnormal activity responsible for the patient’s symptoms.
Brain lesioning may be used in selected cases of:
Essential tremor
Tremor-dominant movement disorders
Selected symptoms of Parkinson’s disease
Other movement disorders where lesioning is considered appropriate
The choice of treatment depends on the patient’s diagnosis, symptoms, and neurological assessment.
When Is Brain Lesioning Considered?
Brain lesioning may be considered when tremor or other movement symptoms continue to interfere with daily activities despite medical treatment.
Symptoms may make it difficult to:
- Write
- Eat
- Drink
- Hold utensils
- Handle objects
- Perform work-related activities
A detailed assessment is required before deciding whether lesioning is appropriate.
Brain Lesioning for Essential Tremor
Essential tremor is one of the conditions for which lesion-based functional neurosurgery may be considered. Severe tremor can affect hand control and make routine activities difficult. In selected patients, treatment can target the brain area involved in tremor generation.
The aim is to reduce tremor and improve control of the affected body part. Activities that may be affected by severe tremor include:
Writing
Eating
Drinking
Dressing
Using tools
Handling everyday objects
How Is Brain Lesioning Surgery Performed?
Neurological Evaluation
The diagnosis, symptoms, severity of the movement disorder, and response to medicines are assessed.
Brain Imaging
MRI and other relevant investigations are used to study the brain and assist with surgical planning.
Stereotactic Planning
The exact brain target and surgical coordinates are determined based on the patient's condition.
Electrode Placement
A thin electrode is guided to the selected brain target.
Radiofrequency Lesioning
Controlled radiofrequency energy is delivered to create the planned lesion.
Post-Procedure Monitoring
The patient is monitored after the procedure and neurological function is assessed.
Brain Lesioning Surgery vs DBS
Brain lesioning and Deep Brain Stimulation are both used in functional neurosurgery, but the procedures work differently.
Brain Lesioning
A small permanent lesion is created in a selected area of the brain.
Deep Brain Stimulation
Electrodes are implanted in the brain and connected to a pulse generator that delivers adjustable electrical stimulation.
The appropriate procedure depends on the patient's condition and the findings of the pre-surgical evaluation.
Recovery and Follow-Up
Recovery depends on the procedure and the patient's individual condition.
After surgery, the patient is monitored for neurological changes and symptom response.
Follow-up may include:
Neurological examination
Assessment of tremor or movement symptoms
Medication review
Rehabilitation when required
Monitoring during recovery
The treating neurosurgical team provides instructions regarding activity and follow-up after the procedure.
Why Choose Dr. Chirag N. Solanki for Brain Lesioning Surgery?
Dr. Chirag N. Solanki is a Senior Neurosurgeon and Functional & Epilepsy Surgery Specialist with specialized training in functional neurosurgery.
His qualifications include:
- MBBS – B. J. Medical College, Ahmedabad
- MS (General Surgery) – B. J. Medical College, Ahmedabad
- M.Ch. (Neurosurgery) – NIMHANS, Bengaluru
- Fellowship in Functional Neuromodulation Surgery – John Radcliffe Hospital, Oxford, UK
- Fellowship in Neuroendoscopy & Minimally Invasive Brain/Spine Surgery – NSCB, India
His areas of functional neurosurgery include Deep Brain Stimulation and treatment of movement disorders. His professional profile also records specialized training and work in Functional Neuromodulation Surgery.
Brain Lesioning Surgery in India
Patients requiring surgical treatment for disabling tremor or selected movement disorders can undergo neurological evaluation to determine whether brain lesioning is appropriate.
The treatment process generally includes:
Neurological Evaluation
Brain Imaging
Target Planning
Lesioning Procedure
Recovery
Follow-Up
Long-Term Follow-Up
Frequently Asked Questions About Brain Lesioning Surgery
Find clear and reliable answers to common questions about Functional Neuromodulation Surgery in Ahmedabad, treatment approach, and patient care under Dr. Chirag N. Solanki.
It is a functional neurosurgical procedure in which a small area of the brain is treated to reduce abnormal activity associated with certain movement disorders.
Yes. Brain lesioning may be considered for selected patients with disabling essential tremor.
It is a procedure in which controlled radiofrequency energy is used to create a small lesion in a specific area of the brain.
No. Lesioning creates a permanent lesion, while DBS uses implanted electrodes to deliver adjustable electrical stimulation.
No. The diagnosis, severity of symptoms, response to medicines, and other clinical factors need to be assessed before treatment.
If tremor or another movement disorder continues to interfere with daily activities despite medication, a functional neurosurgical evaluation can help determine the appropriate treatment.
