Multiple Subpial Transections MST Cost in Bangalore, India

Multiple subpial transection (MST) is epilepsy surgery that makes a series of shallow cuts in an area of brain that cannot be removed safely, to stop seizures spreading while keeping its function.

A Cochrane review describes cuts about 5 mm apart that sever the side-to-side connections seizures use to spread, while keeping the vertical fibres and blood vessels.

Epilepsy Action says MST is mainly used for certain epilepsy syndromes, and a 2010 paper on epilepsy surgery in India describes it as a palliative procedure aimed at reducing seizures.

The Cochrane review found no randomised trials, so it could not judge whether MST is effective or safe. In non-randomised studies, seizure freedom was reported in about 55% when combined with resection and about 24% with MST alone.

It lists possible language problems, limb weakness and infections such as meningitis among the risks.

Flying home: the UK Civil Aviation Authority's guidance for doctors gives about 7 days after neurosurgery as a minimum, and the neurosurgeon may ask you to wait longer depending on the operation.

The cost of multiple subpial transection in Bangalore typically ranges from $570 to $5,450 USD (about ₹54,100 to ₹5.17 lakh), depending on the hospital, room category and type of procedure.

What you pay depends mainly on your own case. If the operation is planned and you need only a short stay in neuro intensive care, your bill is likely to be closer to $570 (about ₹54,100). It is likely to be nearer $5,450 (about ₹5.17 lakh) if the surgery is more complex, special navigation or monitoring equipment or an implanted device is used, or you need longer in intensive care.

When comparing Bangalore packages for multiple subpial transection, check whether each quote includes:

• Surgeon and anaesthetist fees
• Operating theatre or procedure room
• Neuro-intensive care days
• Implants or devices used
• Hospital stay and room category
• Medicines and consumables
• Follow-up visits before you fly home

Bangalore hospitals usually put together an estimate for multiple subpial transection from these elements:

• Pre-operative imaging: MRI, CT or angiography.
• Theatre and navigation equipment: including neuro-monitoring where used.
• Neuro-intensive care: days in a neuro ICU after surgery.
• Assessment: video EEG, MRI and mapping.
• Combined surgery: with resection or alone.
• Intensive care: after surgery.
• Hospital stay: and rehabilitation.

Brain and nerve surgery costs depend on the complexity, intensive care stay and any devices, so complex cases can cost more than the range above.

Neurosurgery in Bengaluru is offered at multi-speciality hospitals with neuro-intensive care, neuro-imaging and neuro-monitoring, so ask which of these will be used for your operation.

Accreditation by the National Accreditation Board for Hospitals & Healthcare Providers (NABH), part of the Quality Council of India, is India's main hospital quality standard, and the NABH website shows whether a Bangalore hospital's accreditation is current.

Some Bengaluru hospitals also hold Joint Commission International (JCI) accreditation, an international standard, and JCI's public directory lets you confirm a hospital's status before you book.

International patients usually arrive at Kempegowda International Airport, which lies north of the city, so allow for road travel time to hospitals in southern and eastern Bengaluru.