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Dr. J Mariano Anto Bruno Mascarenhas - Neurosurgeon, Chennai

Dr. J Mariano Anto Bruno Mascarenhas

92 (1682 ratings)
MCh - Neurosurgery, MBBS

Neurosurgeon, Chennai

17 Years Experience  ·  500 at clinic  ·  ₹660 online
Dr. J Mariano Anto Bruno Mascarenhas 92% (1682 ratings) MCh - Neurosurgery, MBBS Neurosurgeon, Chennai
17 Years Experience  ·  500 at clinic  ·  ₹660 online
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A trusted, patient focused, Punctual, Disciplined, Polite Neurosurgeon with Good Communication skills, Has kept up to date with the latest treatment modalities, drugs and investigations.......more
A trusted, patient focused, Punctual, Disciplined, Polite Neurosurgeon with Good Communication skills, Has kept up to date with the latest treatment modalities, drugs and investigations. Is well versed in Management of Cranial and Spinal Trauma, Brain & Spine Tumours, Spinal Instrumentation, Minimally Invasive Procedures like Stereotaxy, Cranial & Spinal Endoscopy, Percutaneous Spine Fixation
More about Dr. J Mariano Anto Bruno Mascarenhas
With over 20000 patients who loyally go to him for medical advice, Dr J Mariano Bruno Mascarenhas has made a name in Neurosurgery in Chennai. He is, by far, one of the best people in the field of neurosurgery - a rare medical field that helps in operating on dysfunctional nerves in the event of extreme damage and deterioration of the various parts of the nervous system. His main focus is on conducting minimally invasive procedures that will have very little impact on the rest of the body, even as the chances of recovering soon are high. Dr J Mariano Bruno Mascarenhas is well known for carrying out his tasks with a delicate hand and the expertise that can only come from years of careful practice and keen insight. When it comes to the brain and the spine, his dictum is that surgery is the last resort and he usually tries to take the high road of allied therapy and minimally invasive procedures that will help the patient battle the often debilitating symptoms that come with any damage to the nervous system. With an approach based on the tweaking of one?s diet and building on one?s routine, he ensures that a change comes from within so as to help the nervous system flourish well and make the most of the changes happening from outside. This has made him one of the best neurosurgeons in Chennai. He is also available for consultation online and is a sought after name at many super speciality hospitals and clinics through the length and breadth of Chennai.

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Education
MCh - Neurosurgery - Madras Medical College - 2013
MBBS - Tirunelveli Medical College - 2000
Languages spoken
English
Awards and Recognitions
KK Bisaria Award for Best Paper in Allied Neurosciences
Certificate of Appreciation for Designing Web Based Interface for Monitoring and Evaluation
Gold Medal in Paediatrics
Professional Memberships
Indian Medical Association (IMA)
TNGDA
NSI
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CNS
MISSI

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Advanced Brain and Spine Treatment

Advanced Brain & Spine Treatment, Prime Indian Hospital, 1051, (Old No-506) Periyar Salai (Poonamalle High Road), Amaravathi Nagar, Arumbakkam, Chennai - 600106, ChennaiChennai Get Directions
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Parkinson's Disease - Understanding The Motor & Non-motor Symptoms!

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Parkinson's Disease - Understanding The Motor & Non-motor Symptoms!

What is Parkinson’s disease?
Parkinson’s disease is a progressive and degenerative disorder of the Central Nervous System that mostly affects older people. It is a chronic disease and the symptoms develop over a period of time. The characteristic symptoms of Parkinson’s are rigidity, shaking, bradykinesia (slowness in movement) and shuffled gait. Anxiety and depression also seem to be common in advanced stages of Parkinson’s disease. In addition to the motor symptoms, the cognitive function of the brain is also compromised.

Degeneration of the nerve cells in the substantia nigra of the brain results in the reduction in production of dopamine which is a neurotransmitter in the brain. Neurotransmitters relay impulses from one nerve to the other. This is what is mainly responsible for the motor symptoms in Parkinson’s. Although, Parkinson’s is not a curable disease, it can be controlled and the progress of the disease can be kept in check with certain medications.

What causes Parkinson’s disease?
The cause of Parkinson’s is mostly idiopathic, i.e. the cause is unknown and is not specific. However, there have been cases which show that it can be attributed to factors such as genetic and environmental factors.
What are the symptoms of Parkinson’s?

The symptoms of Parkinson’s can be classified as Motor symptoms and Non-motor symptoms:

Motor Symptoms 

  • Bradykinesia: Slow movement
  • Tremor of limbs
  • Rigidity or stiffness of trunk and limbs
  • Impaired balance and difficulty in coordination or postural instability

Non-motor Symptoms 

Parkinson’s disease is not curable, but when detected early, medicines are prescribed to give symptomatic relief. Dopamine substitutes are prescribed to the patient to relieve the motor symptoms.

In case you have a concern or query you can always consult an expert & get answers to your questions!

790 people found this helpful

Brain Aneurysms - Key Treatments That Can Help With It!

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Brain Aneurysms - Key Treatments That Can Help With It!

Are you experiencing excruciating headache? you probably didn't know but you could be suffering from brain aneurysms. It is described as bulge formation in the blood vessel in the brain. It is a totally asymptomatic condition as one does not display any symptoms until the bulge vessel ruptures which may result in blood releasing in the skull which may further lead to a stroke. The bulge is often formed in the gaps between the tissues covering the brain and brain itself.

Most common treatment options for ruptured aneurysm
There are two common treatment options for a ruptured brain aneurysm endovascular coiling and surgical clipping. Both these procedures have certain risk factors, therefore it is best to discuss the details with a neurologist. The endovascular coiling is a less invasive process where the surgeon inserts a hollow tube or catheter into an artery and threads it through the body to reach an aneurysm. Then a guide wire is sent to push a soft platinum wire through the catheter. This coils up and disrupts the flow of blood into the aneurysm and leads to blood clotting. The clotting is essential in sealing off the aneurysm from the artery.

The surgical clipping is a process used for closing off the aneurysm, and a section of the skull is required to be removed for assessing the affected part. It also helps in locating the blood vessel that is responsible for the problem. Finally, a metal clip is placed on the neck of the aneurysm to stop the flow of blood. Though endovascular coiling is less invasive and said to be safer, adequate post-treatment care is necessary to minimize risks.
To treat larger aneurysms, a treatment called flow diverters may be useful. Since, the treatment is decided based on the size, location, apperance and your health condition, your doctor will be the best person to take the final call.

Other procedures to treat symptoms
Other than the surgical procedures several treatments might be prescribed to treat the symptoms and to manage complications. A few commonly advised treatments are:

  1. Pain relievers: To manage headaches
  2. Calcium channel blockers: One of the most common complications that may arise with an aneurysm is calcium entering the walls of blood vessels which may result in narrowing of walls. Calcium channel blockers are medications may be prescribed by the doctors to deal with the complication
  3. Anti seizure medications: Medications such as levetiracetam, phenytoin, valproic acid, and others are prescribed to treat seizures associated with aneurysms
  4. Procedures to prevent stroke: An insufficient blood flow may result in a stroke and to prevent it, the drug vasopressor is injected intravenously, or angioplasty is performed.
  5. Rehabilitative therapy: Damage to the brain may require the patient to undergo several physical and occupational therapy.

If you suffer from the condition, it is advised to keep a check on the blood pressure and quit smoking as they can help in reducing the risks associated with aneurysms. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

3671 people found this helpful

Pituitary Gland Tumor - How To Spot The Signs of It?

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Pituitary Gland Tumor - How To Spot The Signs of It?

Pituitary tumors are a rare occurrence, and not all of them show some kind of symptoms. However, in some cases, the patients may display few symptoms. This totally depends on whether the tumor is functional or non-functional. When the tumor is functional, it means that they are releasing excess hormones while non-functional tumor would not cause excess release of hormones.

Types of pituitary tumors:
As already pointed, there are two variants of pituitary tumors- functional and non-functional.

  • Functional adenomas can lead to issues owing to the hormones they release. Typically, a functional adenoma creates an excess amount of a single hormone. The symptoms are dependent on the type of hormone secreted by them.
  • Tumors which do not lead to excess secretion of hormones tend to become large even before they are noticed. They may lead to different kinds of symptoms when they press against other parts of the brain or nerves or other areas of the pituitary.
  • Non-functional adenomas which do not lead to any symptoms are often found owing to the MRI or CT scan performed for other health troubles. These tumors are becoming more common since CT scans and MRIs are done more commonly, and these are the most prevalent type of tumors. There is no need to treat them as long as they do not cause any discomfort or symptoms.

Symptoms caused by pituitary tumors:
The carcinomas, as well as macroadenomas, are large enough to press on a nearby nerve or other parts of the brain regardless of whether they are functional or not. This may lead to signs and symptoms such as loss of peripheral vision, headaches, dizziness, facial numbness or pain, blurred or double vision and loss of consciousness. Sudden bleeding into the tumor can lead to loss of consciousness and even death. Depending on the type of nerves affected by the pituitary tumor can cause weakness, unexplained loss or gain of weight, nausea, feeling tired and cold, menstrual changes, erectile dysfunction, and reduced interest in sex, particularly in men.

Treatment of pituitary tumors:
Many patients suffering from pituitary tumors do not need any treatment. However, there are various factors like the size, type, and reach of the tumor that play an important role in deciding whether the patients require treatment or not. Moreover, the age of the patients and overall health conditions are the most crucial aspect in the decision of the same.

Surgical removal of the pituitary tumor is generally advised by the doctor when the tumor is pressing on the optic nerves or when the tumor is overproducing some hormones. On the other hand, radiation therapy makes use of high-energy X-rays for destroying tumors. Lastly, treatment with medicines can help in blocking excess secretion of hormone and even shrink certain types of pituitary tumors.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3620 people found this helpful

Brain Mapping Surgery - Why It Is Performed?

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Brain Mapping Surgery - Why It Is Performed?

Brain mapping is a technique where the biological quantities of a human brain are represented as spatial quantities resulting in maps. As with many other medical technologies, brain mapping is fast-evolving as well. Among several uses, brain mapping is chiefly used while performing surgery on the brain.

When surgery is to be performed on the brain such as surgery for epilepsy, the surgeon would want to comprehend how the brain areas are affected by seizures. The surgical intervention is meant for removing as much as seizure focus as possible while preserving crucial functions like understanding, speech, vision, movement, and sensation.

Why is brain mapping performed?
Brain mapping is a process which helps in identification of functions of various parts of the brain. Mapping the brain by stimulating different areas of the brain areas can aid in creating a map for a particular person. The map allows the doctor in understanding what parts of the brain are responsible for performing critical functions including sensation, movement, speech and other functions.

Which functions of the brain can be mapped electrically?
Typical areas of the brain which have motor, language, visual and sensory functions are needed to be mapped. When current is applied to a single area at a time, the doctor understands which part of the brain is responsible for which function.
When the patient is not able to speak due to the current, then the area is likely to be crucial for language function. If the limbs, face or trunk of the patient stop moving as the current passes, the area that is tested is responsible for movement. On the other hand, if the individual experiences tingling, numbing, and other sensations when the current is applied, it means that a sensory region is discovered.

How is electrical brain mapping performed?
Electrical brain mapping for guiding brain surgery for epilepsy can be performed in two distinct processes: directly during the surgery or in a two-stage procedure.

Two-stage procedure:
In the first stage of the process, the surgeon creates an opening in the skull which helps in exposing the surface of the brain. Small electrical contacts or electrodes are placed on the brain surface even though no brain tissue is removed. As soon as the electrodes are in the right position, the scalp is closed. The electrodes not only record the seizure of the patient electrically but also allow mapping of various areas of the brain. The last stage is surgery where abnormal brain tissues are removed.

Brain mapping process during surgery:
Electrical brain mapping may also be performed during the surgery which exposes part of the brain. This is termed as intraoperative brain mapping since it occurs while performing the main operation. The process of mapping may last for an hour to several hours at a stretch.

Brain mapping is also used to diagnose neurodegenerative diseases like Alzheimer’s and Parkinson’s. In these cases, the brain map shows extreme shrinkage of the brain due to tissue loss. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.

3381 people found this helpful

Hallucinations - Few Warning Signs You Might be Suffering From!

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Hallucinations - Few Warning Signs You Might be Suffering From!

Getting Hallucinations is a mental condition where a person sees, feels, hears, and tastes things that actually don't exist beyond one's heightened imagination or delusion. It involves the experience of perceiving something not present. Hallucinations can be pleasing or frightening. However, there is almost always an identifiable cause behind it.

They can be triggered by:

  1. Taking hallucinogenic or psychotropic substances
  2. Mental conditions like dementia and schizophrenia
  3. Neurological conditions like Alzheimer's disease or Parkinson's disease
  4. Macular degeneration, leading to loss of vision
  5. Migraines and brain tumor can also lead to such delusions

Some of the signs of hallucinations:

  • Hearing voices: The medical term for hearing voices is called an 'auditory hallucination'. A person may sense sounds or noises coming from inside or outside of their mind. The noise might be random or disrupting. One might also feel the voices talking to each other or trying to tell them something. Most of the times, these voices come from inside the person's mind; or in some cases, one's heightened perception may make a normal noise delusional.
  • Seeing things: This is also called visual hallucinations. For instance, one may see unnatural things like a floating chair in thin air. It all depends on a person's perception. Sometimes these hallucinations appear as bright flashy spots or rays of light.
  • False sense of taste and smell: Technically these are known as gustatory and olfactory hallucinations respectively. One may feel a kind of odor coming from one's body or surrounding; or a person might feel that something he/she is drinking or eating has an odd taste. This is again heightened mal-perception causing delusional sensory activities.
  • Tactile hallucinations: This is when a person feels things that don't exist. One may feel that he/she is being touched or tickled even when no one else is around or that insects are crawling beneath the skin. One may experience strange sensations, which are not a part of a reality. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.
3454 people found this helpful

Few Causes of Sciatica You Need To Know!

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Few Causes of Sciatica You Need To Know!

Sciatica refers to the pain one experiences due to the irritation or compression of nerve roots contributing to formation of Sciatic nerve. The sciatic nerve is the longest and widest nerve in the body, running from the lower back, down to the back of each leg. The pain can occur in the lower back and spread to the hips, buttocks and leg. Sciatica generally affects one side of the body. There are numerous causes of irritation of the sciatic nerve and sciatica.

Some of them are:

  1. Spinal Stenosis: The narrowing of the spinal canal caused by natural wear and tear of the vertebrae (individual bones in the spine protecting underlying nerves) of the spine is known as spinal stenosis. The narrowing may put pressure on the roots of the sciatic nerve, causing pain.
  2. Herniated Disc: A disc is made up of cartilage and acts as a cushion between vertebrae, allowing flexibility of the spine. A herniated or slipped disc occurs when a disc is temporarily pushed out of place, putting pressure on the sciatic nerve.
  3. Spondylolisthesis: It is a condition where one of the lower vertebrae slips forward over another. This also causes a collapse of the disc space between both, causing the nerve to get pinched. This may cause sciatica.
  4. Piriformis Syndrome: Piriformis is a muscle found deep inside the buttocks, which connects the lower spine to the upper thighbone, running directly over the sciatic nerve. Spasming of this muscle can pressurize the sciatic nerve, triggering symptoms of sciatica.
  5. Sacroilitis: Sacroillac joints are the place where the lower spine meets the pelvis and inflammation of one or both of these joints causes sacroilitis. This can give rise to symptoms of sciatica as it causes pain in the lower back, buttocks and legs.
  6. Spinal tumors: Very rarely, tumors growing inside or along the spine may put pressure on the sciatic nerve.
  7. Infection or injury: Muscle inflammation, infections, fractures or any other spinal injury may lead to irritation or compression of the sciatic nerve.
  8. Pregnancy: Pregnant women may suffer from sciatica due to weight gain, expansion of the uterus or increased fluid retention or other changes occurring in the body, which put pressure on the sciatic nerve.
  9. Other causesOsteoarthritis and fractures caused by osteoporosis may also affect the sciatic nerve, producing symptoms of sciatica. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.
3429 people found this helpful

When I masturbate I get lower back pain and I know fully well it's only because of masturbation. I also have premature ejaculation. I learnt in net that premature ejaculation is caused due to back pain. How can it be cured? Please help me.

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
When I masturbate I get lower back pain and I know fully well it's only because of masturbation. I also have prematur...
Masturbation is Physiological It means it is a normal phenomenon It does not cause any problems It does not have any side effects It does not interfere with your general Health It does not interfere with your Sex Life There is no need to Stop it And There is no need to worry about this Please do not believe non medical articles or rumours If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again at lybrate.com/bruno . I will be happy to answer your questions.
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Doctor ,Can the Men and Women of above 75 years of age masturbate ?Do their hidden organ get erected easily?

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Doctor ,Can the Men and Women of above 75 years of age masturbate ?Do their hidden organ get erected easily?
Masturbation is Physiological It means it is a normal phenomenon It does not cause any problems It does not have any side effects It does not interfere with your general Health It does not interfere with your Sex Life There is no need to Stop it And There is no need to worry about this Please do not believe non medical articles or rumours If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again at lybrate.com/bruno . I will be happy to answer your questions.
1 person found this helpful
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Purpose and Types of Brain Tumor Surgery

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Purpose and Types of Brain Tumor Surgery

Although surgery is considered to be the first step of treatment in any form of tumor but its feasibility depends upon the type, size and location of the tumor. It is not necessary that every kind of brain tumor might require surgery.

Indications of Brain Tumor Surgery

  • Diagnosis of the type of tumor by taking a sample of the tumor for laboratory examination
  • Complete resection of tumor
  • Removal of the tumor as much as possible to slow down its growth and improve the symptoms.
  • Remove the tumor in order to help other treatment
  • Provide direct access for other forms of treatment like chemotherapy, radiotherapy etc.
  • To relieve pressure caused by tumor on surrounding structures

Types of Brain Tumor Surgery

The different types of surgery that are performed in cases of brain tumor include the following:

Craniotomy: Craniotomy is the most commonly performed procedure to remove brain tumor along with a piece of bone. The removed bone is replaced and the tumor is sent for histopathology (biopsy). The surgery is performed using a high end microscope by any of the following techniques:

  • Extended bifrontal craniotomy
  • "Eyebrow" craniotomy (supra-orbital craniotomy)
  • "Keyhole" craniotomy (retro-sigmoid craniotomy)
  • Orbitozygomatic craniotomy
  • Translabyrinthine craniotomy

Shunt: A narrow piece of flexible tube with a pressure regulated valve in between is called a shunt. This is used to relieve the intracranial pressure caused by obstruction of the natural brain fluid (CSF) pathway by tumor mass. The procedure involves insertion of a drainage system into the brain to remove or drain excess of blocked fluid into the peritoneal cavity.

Stereotactic surgery: This surgery is done by creating a three-dimensional image called stereotaxy using computers. It aims to find out the location and position of the tumor. In fact it can also be done to aid tumor removal, implant radiation pellets or for other treatments.

Embolization: It is a procedure used to reduce the amount of blood supply to a tumor by blocking the blood flow in the selected arteries. It is generally performed before the main surgery.

Endoscopy and endoscope assisted surgery: Endoscope is the tool which helps to closely visualize the tissue through small openings in difficult to reach areas. This tool can be used in various brain surgeries to precisely reach the target location without damaging the adjacent structures.

Adjuvant modalities to improve outcome: In addition to above mentioned surgeries, following surgeries may also be performed in relation to brain tumor treatment:

  • Laser surgery
  • Photodynamic laser surgery
  • Ultrasonic aspiration
  • Fluorescent-guided surgery
  • Electrophysiological monitoring 

    If you wish to discuss about any specific problem, you can consult a neurosurgeon.

3223 people found this helpful

Neuroplasticity - 7 Things You Must Know About it!

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Neuroplasticity - 7 Things You Must Know About it!

The neurones in the brain are constantly reorganising their connections both functionally and physically according to the environment, your thinking and behaviour. This ability is known as neuroplasticity. Through neuroplasticity the nerve cells of brain can compensate for injury to some parts of the brain and enable a person to recover from stroke, birth abnormalities. It is also beneficial in treating autism, ADD, learning disabilities and helps manage obsessive compulsive disorders.

Here are seven things you should know about neuroplasticity.

  1. Change depends on the attentiveness of the brain: Neuroplasticity changes can only happen if the brain is alert and active. When the brain is active it releases neurochemicals that are necessary for the neurone connections to change. If a person is distracted to inattentive, these changes cannot happen.
  2. The more the effort; the bigger the change: Neuroplasticity changes depend on how motivated the person is to change or learn new tasks. For this reason, when it comes to using neuroplasticity for physiotherapy, it is essential to first deal with any depression or anxiety issues the patient might be having before attempting to rehabilitate them.
  3. It helps strengthen neural connections: Repetition of actions is one of the key elements of neuroplasticity in physiotherapy. Through this, the strength of neurone connections is strengthened to include sensory information, movement and cognitive patterns.
  4. It improves cell to cell connections: This is crucial to a patient’s rehabilitation as it increases reliability and makes a person more independent. In turn, this makes behaviour patterns more reliable.
  5. It helps predict actions: A task can usually be broken down into a series of smaller tasks. For example, feeding oneself can be broken down into steps that begin with lifting a spoon and filling it with food to finally putting the spoon into your mouth. Hence, along with completing an action, the brain must also know what to do next. Neuroplasticity helps improve this associative flow and allows the brain to predict the next step.
  6. Changes can be temporary or permanent: Initial changes due to neuroplasticity are temporary ad only if the brain determines the experience to be desired is this change made permanent. This is why when treating mobility issues, patients are not always able to repeat tasks in the same way.
  7. Memory guides the learning: When making new neural connections through neuroplasticity, the brain is taught to discard unsuccessful attempts and only remember the experience of the successful attempts. From here, adjustments are made to improve the connection. If you wish to discuss about any specific problem, you can consult a neurosurgeon.
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