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Stereotactic Surgery

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What is Stereotaxy Stereotactic surgery or stereotaxy  is a minimally-invasive form of surgical intervention which makes use of a three-dimensional coordinates system to locate small targets inside the body and to perform on them some action such as ablation (removal), biopsy, lesion, injection, stimulation, implantation, radiosurgery (SRS) etc.In theory, any organ system...
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Jaslok Hospital & Research Centre

Mumbai, Maharashtra
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What is Stereotaxy

Stereotactic surgery or stereotaxy  is a minimally-invasive form of surgical intervention which makes use of a three-dimensional coordinates system to locate small targets inside the body and to perform on them some action such as ablation (removal), biopsy, lesion, injection, stimulation, implantation, radiosurgery (SRS) etc.

In theory, any organ system inside the body can be subjected to stereotactic surgery. Difficulties in setting up a reliable frame of reference (such as bone landmarks which bear a constant spatial relation to soft tissues), however, mean that its applications have been limited to brain surgery.

What is Stereotaxy

Stereotactic surgery or stereotaxy  is a minimally-invasive form of surgical intervention which makes use of a three-dimensional coordinates system to locate small targets inside the body and to perform on them some action such as ablation (removal), biopsy, lesion, injection, stimulation, implantation, radiosurgery (SRS) etc.

In theory, any organ system inside the body can be subjected to stereotactic surgery. Difficulties in setting up a reliable frame of reference (such as bone landmarks which bear a constant spatial relation to soft tissues), however, mean that its applications have been limited to brain surgery.

History of stereotactic surgery in India

Functional and stereotactic surgeries were first introduced in 1940’s and 50’s, but did not make progress as expected due to high mortality and morbidity rates. Neurosurgery developed in India after the II world war. In 1940 pioneers like Chintan Nambiar performed 74 cases of chemopallidotomy using free hand stereotactic technique. In 1949 Jacob Chandy and Baldev Singh established the first neurosurgical center at Christian Medical College (CMC), Vellore in Tamilnadu. In 1950’s V. Balasubramaniam and B. Ramamurthi performed pallidal lesioning with inflatable balloon and alcohol. H M Dastur started stereotactic surgery at King Edward Memorial (KEM) Hospital Mumbai in 1959. Initially he used Oliver’s guide and latter used Narabayashi frame along with Dr. Gajendra Sinh (Jaslok hospital, Mumbai) to perform stereotactic surgery. Dr S N Bhagwati (Mumbai) used Mckinneys apparatus and Leksell’s frame in 1964. In 1970, S. Kalyanaraman (Madras Medical College) performed stereotactic surgeries using a combination of Leksell and Sehgal stereotactic equipment to perform simultaneous targeting of intracranial structures. R M Verma who was trained in Bristol started neurosurgical units in AIIMS and was instrumental in establishing National Institute of Mental Health and Neurosciences (NIMHANS).

The Indian Society of Stereotactic and Functional Neurosurgery was formed in 1997 with V. Balasubramaniam, as its first President. Stereotactic Radiosurgery was first introduced in India at the Apollo Hospital, Chennai using Linac X-knife system. Gamma knife was introduced at Hinduja Hospital, Mumbai in 1997. In Mumbai Dr. Paresh Doshi (Jaslok Hospital, Mumbai) performed surgery for Parkinson’s disease. Initially he started with GPi lesioning and later switched to STN-DBS surgery. In 2009 he was instrumental in performing neural transplant surgery using Mesenchymal Stem cell therapy in collaboration with Reliance Life sciences for Parkinson’s disease. The results of which are awaited.


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Legal Status of FirmPrivate Limited Company
Nature of BusinessService Provider
IndiaMART Member SinceDec 2012
  • In charge of the Stereotactic and Functional Neurosurgery program at Jaslok Hospital established since 1999. This is the only dedicated and comprehensive Stereotactic and Functional Neurosurgical program in INDIA.
  • Extensive training in the field of Stereotaxy and Functional Neurosurgery at the most premiere centers in England for a period of four years. These includes the National hospital for neurology and neurosurgery, Queen square London, Maudsley and King’s college hospital, London and Newcastle General hospital.
  • Further exposure and experience of specific Movement Disorder surgeries in USA Netherlands, Sweden, France and Austria.
  • Invited as CME speaker to talk on Functional Neurosurgery at the prestigious meetings of Neurological Society of India (NSI) in 1996, 2001 and 2004; Indian Academy of Neurology (2002); World society of stereotactic and functional neurosurgery, Toronto, 2011, Asian society of Stereotactic, Functional and computer assisted neurosurgery (Beijing, 2000, Taiwan 2004, Japan 2006, Hong Kong 2009 and Taiwan 2011); Asian and Pacific Parkinson’ disease association meeting in Hong Kong (2001) and Indian society of Stereotactic and Functional Neurosurgery (1999, 2000, 01,03 & 04,06,08,09,10,11), Congress of Neurological surgeon, USA (2009)
  • Conducted workshops in Stereotaxy and Movement disorders in 1993 (London, England), 2001 (Mumbai, India) and 2001 (Indore, India).

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Credited with performing many surgeries for the first time in India. These includes,

  • First DBS surgery
  • First STN Lesioning
  • Videos of Tarafdar
  • Dual Pacemaker Surgery
  • Operating on the Oldest PD Patient
  • Occipital Nerve Stimulation
  • Stem Cells Treatment
  • Several publications in the related field in prestigious peer reviewed journal

Extensively interviewed by the media, TV channels and magazines

  • Migraine : CNN IBN news coverage for Migraine,MPG,headache,occipital neuralgia
  • Parkinson’s disease : News X- for Dual Pacemaker News coverage
  • Parkinson’s disease : News ETV Marathifor Dual Pacemaker News coverage
  • Parkinson’s disease : News CNN IBN for Dual Pacemaker News coverage

Awards and Achievements

  • Young achiever’s award- Indo-American society Mumbai, 2002
  • Top five medical specialists of Mumbai- Times of India (Mumbai Mirror) group, 2005
  • Best Neurosurgeon and neurosciences department- CNN IBN group (Modern Medicare), 2012
  • Excellence in Neurosciences- Medscape India award, 2012

Our Work :

  • Over 550 Stereotactic surgeries, including 22 brainstem procedures.
  • Introduced the technique of stereotactic evacuation of intracerebral hematoma in Mumbai
  • We have performed more than 300 movement disorders surgeries. This number is one of the largest in Asia and ranks very high among the leading centers in this field across the globe.
  • Largest numbers 250 of Deep Brain Stimulation surgeries have also been performed at our center.
  • We have also performed all varieties of Epilepsy surgery including Lobectomies, Awake craniotomies, corpus callosotomy and lesionectomy.
  • The spasticity program has been launched in 2004.
  • Psychiatric Disorder surgery program started in 2009.
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Worli
Mumbai - 400001 Maharashtra, India

Paresh Doshi
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Jaslok Hospital & Research Centre