Neurology & Neurosurgery

DPR_Neurosurgery_ICU (DHS 2025-26 filed, sanction pending) proposes ₹9.95 Cr for a USFDA and CE certified turnkey package: Neurosurgical Navigation System (surgical GPS for precise cranial surgery), CUSA — Cavitron Ultrasonic Surgical Aspirator (for safe tumour removal in eloquent brain areas), and a Neuro Endoscopy System (for MIS ventricular and skull-base procedures). Staff are trained. Equipment is absent.

Complex craniotomies performed without real-time navigation guidance — limiting acceptance of high-risk tumour cases. CUSA absent means higher risk in eloquent brain resections. Trained neurosurgeons at RRSH refer complex cases to Nagpur solely due to equipment absence.

Navigation + CUSA enables 80–120 additional complex brain surgeries/year with significantly reduced neurological deficit risk. Neuro Endoscopy adds minimally invasive ventricular surgery. Positions RRSH as the definitive neurosurgical referral centre for five districts.

DPR_CriticalCare_Upgrade (DHS 2025-26, state review) allocates ₹52.00 Cr for a Bi-Plane Digital Subtraction Angiography laboratory — an interventional suite for endovascular stroke treatment (thrombectomy, coil embolisation, stenting), aneurysm management, and AVM treatment. This would be the only public-sector DSA lab in Amravati division.

Ischaemic stroke patients requiring mechanical thrombectomy are referred to Nagpur — the 3–5 hour journey makes intervention futile in most cases (tPA window: 4.5 hours; thrombectomy: 24 hours). All intracranial aneurysms managed conservatively or referred, with no endovascular option locally.

Bi-Plane DSA enables endovascular stroke intervention and aneurysm coiling for 150–200 cases/year. Time-critical interventions become feasible at RRSH. Prevents stroke disability and death from delayed access.

DPR_CriticalCare_Upgrade (DHS 2025-26, state review) allocates ₹135.26 Cr to the Neurosurgery + 10-bed ICU block — the largest single department allocation in the Critical Care DPR. Covers robotic spinal and cranial surgery systems, neuronavigation, operating microscope, CUSA, 10 ICU ventilators, and a fully equipped 10-bed Neurology ICU. This is the comprehensive capability upgrade for RRSH neurosurgery.

Robotic spinal and cranial surgery systems absent — complex MIS spine and brain cases sent to Nagpur/Mumbai at ₹3–8 lakh private cost. No dedicated Neuro ICU — neuro-critical patients managed in general critical care without specialised monitoring.

Robotic neurosurgery + dedicated 10-bed Neuro ICU elevates RRSH to Level III Neuroscience Centre. Enables complex robotic spine surgery, cranial robotic systems, and dedicated neurocritical care for 200+ ICU admissions/year.