Dr. Shankar Ayyappan Kutty

   NMC Specialty Hospital , Abu Dhabi, United Arab Emirates

  20 Years of experience

BIOGRAPHY

Qualification and Experience

Dr Shankar Ayyappan Kutty is a distinguished neurosurgeon with more than 20 years of experience. He is currently working at the NMC Specialty Hospital, Abu Dhabi, United Arab Emirates, previously he was serving as a Senior Consultant and HOD of Neurosurgery at Malabar Institute of Medical Sciences (MIMS), Kerala. He specialises in procedures such as aneurysm clipping, excision of skull base tumours, spine tumour surgery and craniofacial surgeries. He is even equipped to perform complex procedures in collaboration with other surgeons. He has an MBBS along with an MCH from Christian Medical College Vellore. He also has a clinical fellowship in skull base and vascular surgery from Fujita University, Japan.

Contribution to Medical Science

Dr Shankar is a member of various societies such as the European Association of Neurological Sciences, Congress of Neurological Sciences, USA and the Neurological Society of India. He is also fluent in English, Hindi, Malayalam and Tamil. His papers have been published in many international and national journals and he is also on the editorial board such as the Indian Journal of Neurotrauma and BMJ group of journals. Dr Shankar is an instructor in the ATLS course being conducted by the American College of Surgeons as well.

Conditions Treated by Dr. Shankar Ayyappan Kutty

Neurosurgeons are trained to treat people suffering aneurysms, blocked arteries, trauma to the brain and spine, birth defects, chronic low-back pain, brain and spinal cord cancer, and peripheral nerve problems. Neurosurgeons also do surgeries for carpal tunnel syndrome, spinal surgery, and brain tumor removal surgery. Here is a list of some of the conditions Dr. Shankar Ayyappan Kutty treats:

  • Congenital Spine Disorders
  • Vertebral Osteoporosis
  • Hydrocephalus
  • Brain Infection
  • Scoliosis
  • Brain Abscess
  • Ependymomas
  • Brain Tumor
  • Tourette's Syndrome
  • Cerebral Edema
  • Disc Herniation
  • Vertebral Tumors
  • Pituitary Adenoma
  • Disc Dessication
  • High Intracranial Pressure
  • Obsessive Compulsive Disorder
  • Arteriovenous Malformation
  • Disc Pain
  • Paget'S Disease
  • Brain Tumor - Glioblastoma
  • Slip Disc
  • Disc Bulge
  • Dystonia
  • Glioma
  • Spinal Stenosis
  • Oligodendrogliomas
  • Vertebral Hemangioma
  • Meningiomas
  • Meningioma
  • Traumatic Head Injury
  • Spinal Arthritis
  • Mixed Gliomas
  • Pinched Nerve
  • Achondroplasia
  • Spondylolisthesis
  • Epilepsy
  • Tremors
  • Brain Cancers
  • Primitive Neuroectodermal Tumors
  • Astrocytoma
  • Acoustic Neuroma
  • Huntington's Disease
  • Parkinson's Disease
  • Herniated Disc
  • Chronic Depression
  • Disc Disease
  • Brain Cancers- Astrocytoma
  • Csf Obstruction
  • Disc Degeneration
  • Aneurysm
  • Fractured Vertebra
  • Multiple Sclerosis
  • Stroke
  • Dementia
  • Spinal Tumor
  • Vertebral Compression Fractures

Signs and symptoms treated by Dr. Shankar Ayyappan Kutty

Some of the signs and symptoms that neurological disorders can produce are listed below. These symptoms should be discussed with a neurosurgeon for further medical investigation.

  • Seizures
  • Pins and needles feeling in your legs, toes or feet
  • Memory problems
  • Stiffness in the low back area
  • Pain that worsens with movement; loss of movement
  • Inability to maintain normal posture due to stiffness and/or pain
  • Downward deviation of eyes or sunset sign
  • Moderate to severe pain in lower back, buttock and down your leg
  • Headaches, which may be severe and worsen with activity or in the early morning
  • restricting range of motion
  • Prominent scalp veins
  • Nausea or vomiting
  • Numbness or weakness in your lower back, buttock, leg or feet
  • Unusually large head size
  • Drowsiness
  • Bulging and tense fontanelle or soft spot
  • Fatigue
  • Sleep problems
  • Rapidly increasing head circumference
  • Muscle spasms either with activity or at rest

Neurological disorders can cause mixed symptoms, such as difficulties in moving, speaking, learning, swallowing, breathing. According to brain specialists, there are more than 600 neurologic diseases that cause mild to severe symptoms. Having a neurological disease could have a deep impact on the patients life. It is very important that a person should seek medical advice from a neurologist.

Operating Hours of Dr. Shankar Ayyappan Kutty

You can find Doctor Shankar Ayyappan Kutty in the clinic/hospital from 11 am to 5 pm (Monday to Saturday). The doctor is not available on Sunday. Although the doctor is mostly available during operating hours, you should check with the doctor for his availability and then visit his clinic/hospital.

Popular Procedures performed by Dr. Shankar Ayyappan Kutty

The popular procedures that Dr. Shankar Ayyappan Kutty performs are listed below:

  • Microdiscectomy
  • Kyphoplasty
  • Craniotomy
  • Laminectomy
  • Spinal Fusion
  • Disc Replacement ( Cervical /Lumber)
  • Brain Tumour Treatment

One of the eminent neurosurgeons in the world, Dr. Shankar Ayyappan Kutty has specialized in the surgical treatment of diseases of the nervous system. The doctor works with a team of highly experienced physicians and can handle even the most complex with quite an ease. The neurosurgeon follows all medical protocols to ensure patient safety.

Past Experience

  • Dr. Shankar Ayyappan Kutty is currently working with the NMC Specialty Hospital, Abu Dhabi and Al Ain as a consultant neurosurgeon. Before joining NMC he served as a senior consultant and a HOD of neurosurgery at the Malabar Institute of Medical Sciences, Kerala.

Qualifications

  • MBBS
  • M.Ch.
  • MBA
CERTIFICATIONS (1)
  • Clinical fellowship in skull base and vascular surgery from the Fujita University, Japan
MEMBERSHIPS (3)
  • European Board of Neurological Sciences
  • Congress of Neurological Sciences, USA,
  • Neurological Society of India.
RESEARCH PAPERS AND PUBLICATIONS (4)
  • Intracerebral Hematoma.
  • Chronic subdural hematoma: a comparison of recurrence rates following burr-hole craniostomy with and without drains.
  • Phyllodes Tumor: A Rare Case with Cervical Vertebral Metastasis.
  • The effect of ozone therapy on experimental vasospasm in the rat femoral artery
Procedures
Brain Tumour Treatment

A brain tumor is a cancerous or a non-cancerous growth of cells in the brain. This growth of abnormal cells can take place in any part of the brain or it can happen in any other body party and spread to the brain.

It is a fairly common condition that affects millions of people around the world. An undiagnosed brain tumour can prove fatal and therefore, it is necessary to undergo specific tests and initiate treatment as soon as the diagnosis is confirmed.

The symptoms of a brain tumour can be confused with some other medical condition, especially migraine. Increasingly strong headache and blurred vision are the two most common symptoms of a brain tumour. People with this condition can also experience seizures, confusion, nausea, vertigo, impaired voice, and loss of balance.

Treatment for a brain tumour depends on several factors. The type, size, and the location of a tumour, in addition to the overall health of the patient and his or her age, are some of the considerations made by the doctor while preparing a brain tumour treatment plan.

Different treatment modalities can be used to treat brain tumour patients and surgery, chemotherapy, and radiation therapy are among them. Usually, a combination of treatment modalities is used to conduct brain tumour treatment.

Craniotomy

Craniotomy surgery is one of the most common types of brain surgery conducted to treat a brain tumor. It mainly aims at removing a lesion, tumor, or a blood clot in the brain by opening a flap above the brain to access the targeted area. This flap is removed on a temporary basis and again put in place when the surgery is done. Around 90 percent of the cases of brain tumors are diagnosed in adults aged between 55 and 65. Among children, a brain tumor is diagnosed within an age range of 3 to 12 years.

Craniotomy procedures are conducted with the help of magnetic resonance imaging (MRI) scans to reach the location precisely in the brain that requires treatment. A three-dimensional image for the same is achieved of the brain in conjunction with localizing frames and computers to view a tumor properly. A clear distinction is made between abnormal or tumor tissue and normal healthy tissue and to access the exact location of the abnormal tissue.

Who requires a craniotomy?

In a minimally invasive craniotomy procedure, a burr hole or a keyhole may be created to access the brain to fulfill the following purposes:

  • To drain out cerebrospinal fluid in case of hydrocephalus by inserting a shunt into the ventricles
  • To treat Parkinson’s disease by inserting a deep brain stimulator (DBS)
  • To insert an intracranial pressure monitor
  • To conduct needle biopsy, where a small sample of abnormal tissue is removed for study
  • For stereotactic hematoma aspiration, in which a blood clot is drained out
  • For insertion of an endoscope to clip aneurysms and for the removal of small tumors

When there are complex craniotomies involved, the procedure may be referred to as a skull base surgery.  In this kind of surgery, a small portion of the skull is removed from the bottom of the brain. This is the region where delicate arteries, veins, and cranial nerves exit the skull. Complicated planning is done to plan such craniotomies and understand the location of the lesions. This type of approach is usually employed for:

  • The removal or treatment of large brain tumors and aneurysm in the brain
  • Treatment after a skull fracture or major injury like a gunshot
  • The removal of a malignant tumor affecting the bony skull

Primary brain tumors are much less common than secondary brain tumors. Primary ones are found to originate very close to the brain itself or in the tissues very close to it, such as the covering membranes of the brain, including the meninges, cranial nerves, pineal, or pituitary gland. It begins with normal cells, which at a later period undergoes some mutational errors in their DNA. The mutation triggers cells to grow and divide at a very high rate while healthy cells keep dying around it. This results in a mass of abnormal cells which gives rise to a tumor. Unlike primary tumors, the secondary tumors begin as cancer elsewhere and spread to the brain.

Symptoms of brain tumor

  • Different patterns of a headache
  • Headaches get more frequent and acutely painful
  • Nausea
  • Blurred vision, double vision, or loss of peripheral vision
  • Loss of sensation in the arm or any leg gradually
  • Balance difficulty
  • Speech problems with confusion in simple matters
  • Hearing problems
  • Personality change
  • Sudden seizures and attacks or bouts of pain

Types of Craniotomy

No matter what the goal of the surgery is, it is best to ensure that the incision is made to address the intracranial lesion keeping some principles in mind. A wide variety of intracranial processes can be done via a craniotomy with a different variety of incisions. Some of these variations include frontal craniotomy, pterional craniotomy, temporal craniotomy, decompression craniectomy, and suboccipital craniotomy.

Disc Replacement ( Cervical /Lumber)

The spinal cord is a linear arrangement of many small bones known as vertebrae. These vertebrae consist of spaces between them known as intervertebral spaces. They are filled with cartilaginous structures that provide a cushioning effect to the vertebrae and support the movement of the spine. These cartilaginous structures are called Intervertebral discs.

Any pathology of the intervertebral discs such as disc herniation (slipping of the disc from between the vertebrae), ruptured disc, or degenerative disc disease may cause severe back pain due to nerve impingement, indicating the need for either partial or total disc replacement. In partial disc replacement surgery, only a portion of the cartilaginous disc is replaced by the artificial disc, while the total disc is replaced in the total disc replacement surgery.

Cervical disc degeneration and disc rupture may cause chronic neck pain radiating towards the arm.  Thoracic disc degeneration may cause chronic upper/ mid back pain while lumbar disc degeneration may cause chronic lower back pain.

 

Conditions that indicate the need for a disc replacement surgery:

  • Discitis (Inflammation of the intervertebral disc)
  • Scoliosis (abnormal spinal curve laterally)
  • Herniated disc in back (slipping of the cartilaginous disc into surrounding tissue)
  • Disc degeneration and disc rupture (infection of the intervertebral disc causing its degeneration.
Kyphoplasty

Kyphoplasty is also known as balloon kyphoplasty. It is a minimally-invasive surgical procedure that can repair spinal fractures caused by cancer, osteoporosis, or benign lesions. It is not used for spinal stenosis treatment.

Kyphoplasty procedure is designed to relieve the intense pain caused by vertebral compression fractures, to stabilize the bone or to bring back some or all of the lost vertebral body height due to the compression fracture. Kyphoplasty or balloon kyphoplasty is a superb replacement of the typical conventional therapies such as analgesic use, bed rest, and bracing. It is a quick remedy for severe pain due to vertebral compression. It eliminates the pain almost immediately and the risk of complications during kyphoplasty is low. However, it is not intended for the treatment of arthritis or intervertebral disc disease. Kyphoplasty is different from discectomy, which is conducted in case of a herniated disc. Discectomy completely removes the damaged or herniated disc from the vertebrae of the patient.

Laminectomy and vertebroplasty are two other procedures that follow different techniques for stabilizing fractures. Laminectomy works by removing the lamina to create space, vertebroplasty works by injecting cement into the broken or cracked spine. For the same reason, vertebroplasty cost is different from kyphoplasty cost.

Who is the best candidate for kyphoplasty?

Kyphoplasty is typically suggested in case of:

  • Severe pain that cannot be controlled by pain-relieving medications
  • Severe functional restraints such as inability to walk or stand
  • Fractures resulting in loss of height and alignment
  • Multiple fractures in spine
  • Fractures with radical collapse
  • Fractures located at the thoracolumbar junction
  • Spondylolisthesis, that is, displacement of one vertebra over another
Laminectomy

Laminectomy is also known as decompression surgery. In this surgical procedure, a part of the vertebral bone called lamina is removed to create additional space. The lamina is the back part of the vertebrae that covers the spinal canal. Removing the lamina enlarges the spinal canal and thus, helps relieve pressure on the nerves and the spinal cord. Bony growths, especially in people with spinal arthritis, may put an additional pressure on the spinal cord. It may cause severe back pain and in some severe cases, can even cause paralysis. Narrowing of the space between the vertebrae is also known as spinal stenosis.

Laminectomy surgery, which is a form of spinal stenosis treatment, helps relieve pressure on the spinal cord and the nerves by creating a room between the vertebrae and the cord. When the pressure on the spinal cord in the case of lumbar spinal stenosis is relieved by creating a space between the lumbar vertebrae, the procedure is known as lumbar laminectomy. During a lumbar laminectomy, the surgeon may even remove the ligaments or bone spurs pressing the spinal cord.

Microdiscectomy

Microdiscectomy is also known as microdecompression or cervical microdiscectomy. It is one of the most commonly performed spine surgery procedures.

Microdiscectomy or cervical microdiscectomy is preferred for patients with a lumbar herniated disc. The main goal of a discectomy is to relieve the pressure on a spinal nerve root by removing the material causing the pain. Traditionally, this purpose was solved by an open technique called lumbar discectomy surgery, which involves making a large incision to cut some of the back muscles, leading to a slow and painful recovery. Nowadays, an advanced form of surgery called microdiscectomy can achieve the same goal that too with the help of a small incision and fewer injury to back muscles. As a result, the recovery takes less time and is less painful.  A special microscope is used in microdiscectomy to view the disc and nerves. The larger view allows the surgeon to make a smaller incision, causing less damage to the surrounding tissues.

 

When is microdiscectomy needed?

Sciatica is a condition caused by compression of the spinal nerve, which generally results in chronic pain in the legs of the patients. This compression of the spinal nerve is frequently the result of a herniated lumbar disc.  As a herniagrows, the damaged tissue extends into the spinal column and pushes on the nerves. This condition causes the nerves to send pain signals to the brain and the brain interprets the pain source to be coming from the legs.

Most commonly, sciatica heals naturally or with the help of medication in a few weeks. But, if sciatica lasts more than 12 weeks after taking oral medicines, patients may benefit from discectomy. Discectomy is also used for the treatment of spondylosis and lumbar spinal stenosis. While spondylosis occurs due to degenerative osteoarthritis of the vertebrae, lumbar spinal stenosis occurs due to narrowing of the spinal canal leading to nerve compression. The latter may also warrant the need for a spinal stenosis surgery.

Spinal Fusion

Spinal fusion surgery is a type of a spinal procedure used to join two or more bones permanently in the spine and to prevent movement between them. The bones that are joined are called as vertebrae. Spinal fusion surgery is performed along with other surgical procedures such as foraminotomy or laminectomy and after diskectomy in the neck. It is required if the patient has an injury or a fracture of the vertebrae. The spine will become weak due to an infection or tumors. Spinal fusion is also performed in abnormal curvatures that result from scoliosis or kyphosis.

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Dr. Shankar Ayyappan Kutty

Frequently Asked Questions
How many years of experience does Dr Shankar Ayyappan Kutty Mally have being a neurosurgeon in the United Arab Emirates?

Dr Shankar has over 20 years of experience in the field of neurosurgery.

What are the primary treatments and surgeries does Dr Shankar Ayyappan Kutty Mally as a neurosurgeon?

Dr Shankar specialises in aneurysm clipping, excision of skull base tumours, spine tumour surgery and craniofacial surgeries.

Does Dr Shankar Ayyappan Kutty provide Online Consultation?

Yes, Dr Kutty provides online consultation through MediGence.

How much does it cost to consult online with Dr Shankar Ayyappan Kutty?

It costs 160 USD for online consultation with Dr Kutty.

What associations is Dr Shankar Ayyappan Kutty part of?

Dr Shankar Ayyapan Kutty is an integral part of the European Association of Neurological Sciences, Congress of Neurological Sciences, USA and the Neurological Society of India.

When do you need to see a neurosurgeon such as Dr Shankar Ayyappan Kutty?

Whenever a patient has a nervous system problem relating to the brain or nerves than a neurosurgeon may be required. They specialise in surgical procedures such as brain surgery, tumour removal and other such surgeries. He in neurology specialises in skull base surgeries, brain tumours and spine surgeries.

How to connect with Dr Shankar Ayyappan Kutty for Online Consultation through MediGence?

He can be easily consulted by registering your profile with MediGence and writing down your enquiry. A meeting with the surgeon will be scheduled. Following which the consultation can be done.

What area of specialization does Dr. Shankar Ayyappan Kutty have?
Dr. Shankar Ayyappan Kutty is specialized in United Arab Emirates and of the most sought after doctors in Brain and Spine Specialist.
Does Dr. Shankar Ayyappan Kutty offer Telemedicine Consultation through Medigence?
No, this doctor dose not offer telemedicine via MediGence
How many years of experience does Dr. Shankar Ayyappan Kutty have?
Dr. Shankar Ayyappan Kutty is one of the most sought after specialists in United Arab Emirates and has over 20 Years years of experience.
FAQ's Related to Neurosurgeon
What does a Neurosurgeon do?

Neurosurgeons, also known as brain surgeons, are doctors who specialize in the surgical treatment of conditions that affect the nervous system, brain, and spine. Neurosurgeons first have the training which makes them eligible to practise as a doctor. After this, they complete specialist training in neurosurgery. Neurosurgeons work in different settings like private clinics and public or private hospitals. They often collaborate with other specialists and medical professionals as per the requirement of surgery. They also evaluate the condition of the patient before performing surgery in order to find the complications of the surgery, if any.

What are the tests required before and during consultation for Neurosurgeon

Diagnosis tests act as an important tool to find out the condition(s) a patient is suffering from. So, a neurosurgeon will ask you to get a few tests done so that they get to know the cause of the symptoms which further helps in finding the condition the patient is suffering from. Based on the diagnosis, the doctor can start appropriate treatment. A neurological exam or a neuro exam is the evaluation of an individual’s nervous system to know how well it is functioning and find out an underlying condition. A neurological exam may include:

  • Neurological exam
  • Blood Tests
  • Spinal MRI
  • MRI Brain
  • Lumbar Puncture
  • CT Brain
  • Nerve conduction velocity studies/electromyography
  • Physical Exam
  • Myelogram
  • Spinal X-ray

For the diagnosis of neurological conditions, you need to have one or more of the following tests::

  1. Cerebral Angiogram
  2. CT Myelogram
  3. CT Scans
  4. Lumbar Puncture
  5. MRI Scans
  6. X-ray Imaging
  7. Electroencephalogram
  8. Electromyogram
  9. Spinal tap CT
When should you go to see a neurosurgeon?

Here are some of the top signs that suggest you should consult a neurosurgeon:

  1. Numbness and pain
  2. Weak grip
  3. Persistent headache/migraine
  4. Impaired movement
  5. Seizures
  6. Balance issues

The nervous system is a complex part of the body, so neurosurgeons perform complicated surgeries. They address the issues of the entire nervous system and offer treatment of every part of the body affected by the nerves. They also help in the diagnosis of symptoms of the nervous system and come up with minimally invasive treatment plans.

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