Pediatric Functional Neurosurgery

Pediatric Functional Neurosurgery is a specialized branch of neurosurgery aimed at restoring or modifying brain and spinal cord function in children with movement disorders, epilepsy, spasticity, chronic pain, and neurological developmental disorders. It involves highly targeted surgical interventions to correct faulty brain signals or abnormal motor control, often improving quality of life when medications fail. In Bangladesh, functional neurosurgery for children is still in its early phase, but Dr. Md. Nafaur Rahman is pioneering this critical field by offering evidence-based surgical treatments that enhance motor control, reduce seizures, and promote independence in children living with debilitating neurological conditions. 🧒 Who Needs Pediatric Functional Neurosurgery? Children suffering from the following conditions may benefit from surgical intervention: 1.Drug-resistant epilepsy (focal or generalized) 2.Cerebral palsy with spasticity or dystonia 3.Movement disorders like dystonia, tremors, chorea 4.Hemiparesis from birth trauma or brain injury 5.Congenital brain malformations causing seizures or stiffness 6.Intractable pain syndromes or sensory dysfunctions 7.Autism Spectrum Disorders (select cases for symptom control) Dr. Nafaur emphasizes thorough multidisciplinary evaluation before recommending surgery, ensuring a personalized, child-specific treatment plan. ⚙️ Common Functional Neurosurgical Procedures for Children 🔥 1. Epilepsy Surgery Children with uncontrolled seizures despite medication may require: Focal Resection – Removing the seizure focus Lobectomy – Especially in temporal lobe epilepsy Corpus Callosotomy – For generalized seizures like drop attacks Hemispherectomy – In severe, unilateral, damaged hemispheres Vagus Nerve Stimulation (VNS) – Neuromodulation in drug-resistant epilepsy In Bangladesh, Dr. Nafaur has successfully conducted pediatric epilepsy surgeries, reducing seizure burden and improving development. 🦵 2. Selective Dorsal Rhizotomy (SDR) A highly specialized procedure for spastic cerebral palsy, where selected nerve roots in the spinal cord are cut to reduce stiffness. Improves gait, posture, and mobility Ideal for children with diplegic or quadriplegic CP Reduces the need for lifelong muscle relaxants 🧠 3. Deep Brain Stimulation (DBS) – Emerging in Bangladesh Though rare in pediatric cases, DBS is being explored for dystonia and movement disorders. It involves implanting electrodes to modulate abnormal brain signals. 💉 4. Intrathecal Baclofen (ITB) Pump Insertion Used for severe generalized spasticity unresponsive to oral drugs. Baclofen is delivered directly into the spinal cord for better control with fewer side effects. 🌍 Functional Neurosurgery in Bangladesh – Challenges and Progress Functional neurosurgery for children in Bangladesh has historically been limited due to: Lack of awareness among general physicians and pediatricians Misconception that cerebral palsy or epilepsy cannot be surgically treated Shortage of trained pediatric neurosurgeons High cost of equipment like VNS, DBS, or ITB systems Delay in referral or misdiagnosis Dr. Md. Nafaur Rahman is actively breaking these barriers by leading educational outreach, multidisciplinary care models, and introducing low-cost neurosurgical alternatives suitable for Bangladesh’s healthcare environment. 🏥 Why Functional Neurosurgery Matters Without surgical intervention, children with functional disorders may suffer from: Lifelong disability and dependence Social stigma and poor school performance Complications like joint deformities, pressure ulcers Psychological burden on families But with timely surgery, many can: ✅ Gain independence in walking, eating, and playing ✅ Experience fewer or no seizures ✅ Speak, communicate, and engage in school ✅ Reduce lifelong medication and hospital visits 👨‍⚕️ Why Choose Dr. Md. Nafaur Rahman? 🎓 Trained in pediatric functional neurosurgery with outcomes that match global standards 🏥 Faculty at NINS, leading national-level clinical and academic initiatives 💼 Chief Consultant at Bangladesh Paediatric Neurocare Centre, offering private and referred care 🔬 Combines neurosurgery with neurophysiology, neuro-rehab, and developmental pediatrics 📊 Strong track record of life-changing surgeries in children with epilepsy and CP “A child’s brain has plasticity – we can help it recover. We must not give up too early.” — Dr. Nafaur Rahman 🩺 Postoperative Rehabilitation & Follow-Up Surgical outcomes in pediatric functional neurosurgery greatly improve with: Dedicated physiotherapy and occupational therapy Speech and cognitive therapy Special education support Periodic imaging and neuro-monitoring Dr. Nafaur ensures all children receive customized rehabilitation plans, with long-term tracking to optimize their recovery. 📞 Contact for Pediatric Functional Neurosurgery Consultation Dr. Md. Nafaur Rahman Assistant Professor, Pediatric Neurosurgery, NINS Chief Consultant, Bangladesh Paediatric Neurocare Centre 📞 Call for Serial: 01912988182 | 01607033535 🌐 Visit: www.neurosurgeonnafaur.com