Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

View Point Volume 4 Issue 6

Work Experiences as a Neurosurgeon in a Remote City

Manish Kumar Dhiraj*

General Surgery, Neurosurgery, Adya Neuro Care Hospital, Darbhanga, Bihar, India

*Corresponding Author: Manish Kumar Dhiraj, MS General Surgery, MCh Neurosurgery, Adya Neuro Care Hospital, Darbhanga, Bihar, India.

Received: March 30, 2021; Published: May 17, 2021

  Being a Neurosurgeon I started working in the Darbhanga District of the Bihar province of India, which has one of the lowest per capita income in the Country. At that moment, hospitals in the town had no requisite infrastructure to perform brain surgeries. I was the first Neurosurgeon to start Neurosurgery in Darbhanga and Muzaffarpur Districts having 5.1 million population as per 2011 census data. It all started with construction of my own Adya Neuro Care Hospital with the help of financial support from The State Bank of India and HDFC Bank. The Hospital started functioning from December 2013. In the past 8 years I have managed thousands of patients which include almost 1,350 admitted patients of all age groups and more than 50,000 patients as outpatients. I have performed almost 200 major Brain and Spine Surgeries. Few of these patients were of challenging brain tumours such as mid para-sagittal meningioma, torcular meningioma, posterior fossa hemangioblastomas with hydrocephalous and gliomas. In the follow up of these tumour patients there is no recurrence till date, with overall follow up period of 6 years. I lost few patients of high-grade gliomas during follow up period, who discontinued follow up after a certain period of time. Other operated patients included extradural hematomas, acute and chronic subdural hematomas, intracerebral hematomas and contusions with mass effect, depressed fractures, brain abscesses and ventriculo-peritoneal shunts. Few patients whom I lost in post-operative period were above 60 years of age and had other comorbidities like uncontrolled hypertension and diabetes along with poor pre-operative Glasgow Coma Scale Score1 (below 8/15). One of the few challenging Spine cases I had to operate upon was an elderly patient who had cauda equina syndrome in the form of bilateral foot drop along with the loss of control of bladder and bowel control. In two years of follow up he regained his bladder and bowel control and was able to walk without support. The overall recovery rate in admitted patients till date has been more than 95%.


  1. Maconochie I and Ross M. “Head injury (moderate to severe)”. BMJ Clinical Evidence (2007): 1210.


Citation: Manish Kumar Dhiraj. “Work Experiences as a Neurosurgeon in a Remote City”. Acta Scientific Neurology 4.6 (2021): 51-52.


Copyright: © 2021 Manish Kumar Dhiraj. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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