Research articles and  Presentations as a Faculty in Various National & International Conferences

  • Presented research article on ” Challenges in management of Multisutural Craniosynostosis: our institutional experience of 10 years”, in International Society for Pediatric Neurosurgery conference (ISPN) in Oct 2025 at  Lyon, France .

Multisutural craniosynostosis involves the premature fusion of two or more cranial sutures, leading to abnormal skull shape and potential restriction of brain growth.  Early diagnosis is critical to prevent increased intracranial pressure and developmental delays. Surgical intervention typically aims to release fused sutures and reshape the skull. Treatment of multisutural craniosynostosis poses specific challenges, often requiring a multidisciplinary approach to optimize functional and cosmetic outcomes in pediatric patients. 

Dr Vishakha also spent enriching few days in the prestigious Necker Institute for Children, Paris, France, and exchanged ideas and learnt advanced protocols in pediatric neurosurgery.
  • Delivered talk on “ Challenges in Intraoperative neuromonitoring (IONM) in children with spinal dysraphism” at 3rd Annual Conference & CME of the Society for Intraoperative Neurophysiology “SIONCON”  in Nov 20025 at NIMHANS Conventional Bengaluru, India.
Intraoperative monitoring is a very useful adjunct to increase the safety of spinal dysraphism surgeries , helps to prevent neurological deficits after surgery and improve outcomes.
  • Delivered  awareness talk for Pediatricians on “Pediatric Neurosurgery for Pediatricians” in the CME of Association Indian Academy of Pediatrics Nanded Branch  in November 2025 in Nanded ( Maharashtra).
  • Presented  lectures on 1. Navigating Complexity : Modern Strategies for Safe Pediatric Spinal Lipoma Surgery   2.Evolving Paradigms in the treatment of spinal dysraphism timing and the surgical strategies Art of management  at ( Neuro Spinal Surgeons Association, conference ) NSSA SPINE in Sep 2025 at Coimbatore.

Key take a ways :
For spinal lipomas :

  • Early and precise diagnosis is crucial for planning effective surgeries and care.
  • Prophylactic surgery is indicated for almost all spinal lipomas.
  • Combining microsurgical techniques with neurophysiologic monitoring IONM enhances safety and neurological outcomes in spinal lipoma cases.

Spinal dysraphism management :

  • Surgical treatment focuses on untethering neural structures while preserving function. A deep understanding of spinal dysraphism’s embryology supports accurate classification and targeted interventions.
  • Timely surgery for spinal dysraphism prevents neurological deterioration and improves patient quality of life.
  • Prophylactic surgery is indicated in almost all closed spinal dysraphism except a few very complex cases.
  • Multidisciplinary teamwork, patient-family education, and rehabilitation are key to sustained success
  • Delivered talk on “​​Life Beyond the OR : How creative and athletic pursuits create work life integration and improve surgical excellence” in Private practitioners forum Neurological Society of India (NSI) conference (NSI -PPF) Holistic Approach to Patient Care Practice Sustainability in July 2025 at Hyderabad.
Key insights :
  • Work-Life Integration..…rather than work -life balance.
  • Athletic and creative pursuits not only reduces burnout but improves surgical excellence
  • Wholesome life is more gratifying.
  • Gave an awareness talk on practicing pediatricians “Beyond the Growth Charts : Recognizing, Evaluating, and Managing Cranial Abnormalities in Children” in the CME  on Intensive Care Management In Pediatrics in July  2025 at Latur, maharashtra
Key insights shared :
  • The importance of early recognition of abnormal head shapes beyond standard growth charts,
  •  Comprehensive evaluation techniques combining clinical and imaging tools.
  • Early identification of craniosynostosis Vs positional plagiocephaly
  • Evidence-based management strategies for craniosynostosis to optimize neurodevelopmental outcomes.
  • If presented early (<6 months) , craniosynostosis can be treated with minimally invasive endoscopic surgery.
  • Delivered talk on “Management  of complications  in Craniosynostosis surgeries” in 1st Borneo Craniosynostosis conference on April 2025 at Kotakinabalu in Malaysia. 
Craniosynostosis surgeries ensure optimal functional and aesthetic outcomes, but  early identification and prompt intervention for complications minimize neurological risks and promote faster recovery. Meticulous intraoperative technique combined with vigilant postoperative monitoring reduces morbidity, preserves cranial growth potential, and enhances long-term neurodevelopmental prognosis. Effective complication management is essential for patient safety and surgical success in these complex pediatric neurosurgical cases.
  • Delivered talk on “ Frontoorbital advancement and calvarial remodelling surgery” for Craniosynostosis in Telangana society of neurosciences conference (TNSCON )2025  at Hyderabad and Indian society of pediatric neurosurgery conference (INDSPCON ) in Feb 2025 at Chandigarh, India
Key take aways – 
  • Abnormal head shapes of children have to be timely evaluated – rule out craniosynostosis (premature fusion of sutures)
  • Craniosynostosis has not only cosmetic but developmental problems.
  •  If diagnosed early (3- 6 months), can be treated with minimally invasive (endoscopic) surgeries.
  • Late diagnosis increases risks of complications. So act early!!!
  • Open surgical treatment of craniosynostosis in older children includes  Frontoorbital advancement and calvarial remodelling. It gives immediate correction of shape abnormality and creates space for brain growth.
  • Delivered talks on ”Evolving paradigms in spinal dysraphism surgery , timings and surgical strategies”  in neurosurgical society conference MCNS in Feb 2025 at Kolhapur, Maharashtra. 
key notes :
  • Prophylactic surgery is the norm except in a few cases of chaotic spinal lipomas.
  • IONM intraoperative neuro monitoring is recommended in all complex spinal dysraphism.
  • Good outcomes can be achieved with timely surgery.
  • Participated in the cadaveric hands on workshop on Birth brachial plexus injury (BBPP) in December 2024 at AIIMS Delhi.

Birth brachial plexus injury (BBPP), is unfortunately a rather common injury in newborn. The incidence of BBPP varies between 0.15-3 per 1000 live births. A majority of these patients improve spontaneously, however, a large subset of them don’t recover, requiring either a primary or secondary surgical intervention and up to 35% of children may have some degree of life-long functional impairment of the affected limb.Management of children with BBPP depends upon the degree of nerve injury and involvement. A multidisciplinary team approach incorporating rehabilitation strategies and surgical interventions can help to optimize recovery and prevent long-term impairment. Secondary deformities in BBPP are common but many of these deformities are preventable or at least correctable with timely intervention. Patients and parents must be advocated for regular follow-ups with both the physiotherapists and the treating surgeon. Gratifying results with immense satisfaction could be achieved in these patients with appropriate surgical intervention.
  • Delivered  a talk on ”Motherhood and Neurosurgery” (Neurological Society of India Conference) NSICON on Dec 2024 at Kolkata.
Shared perspectives on the delicate balance between brain surgery and bedtime stories. The path of a neurosurgeon-mom isn’t easy but a joyful journey . Being both a surgeon and mother isn’t about perfect balance – it’s about perfect purpose. In both roles, we heal, we nurture, we transform lives.  For encouraging existing and aspiring women neurosurgeons , we have to be more inclusive not only at personal level but also at institutional and societal level…. Key take a ways for surgeon moms or aspiring women surgeons :
  • There will be conflict between biological clock and career clock.
  • Career clock can pause but biological clock can not…
  •  Don’t bounce back after pregnancy, bounce forward
  • Embrace the grace of pregnancy
  • Presented paper on “Navigating through complex spine lipomas” in ( Neuro Spinal Surgeons Association conference ) NSSA SPINE in sep 2024 at Hyderabad, India.
Key points:
  •  Bridging insights in spinal lipoma management
  • Simplifying decision making and surgery planning
  • Optimizing long-term outcomes for pediatric patients
  •  Simplifying complex surgical techniques for better efficiency and safety
  • Organised First “Comprehensive Spina bifida multidisciplinary CME” and multidisciplinary clinic for Spina bifida in association with Spina Bifida Foundation in November 2024 in Hyderabad.

Spina bifida is a spectrum of complex congenital spinal defects that can present with neurological, orthopedic, urological issues.

The importance of comprehensive multidisciplinary management of Spina bifida cannot be overstated, as it directly influences the patient’s quality of life, independence, and overall well-being.

The effective care goes far beyond initial surgical interventions, encompassing medical, developmental, psychological, and social support throughout a patient’s lifetime. So, the Comprehensive management of spina bifida is a lifelong journey that requires personalized and patient-centered adaptive care.

The multidisciplinary team participated in a groundbreaking CME dedicated to comprehensive Spina Bifida management. We also conducted the “First Comprehensive Spina Bifida Clinic” successfully at our hospital.

Key Takeaways:

Integrated Approach: Need of holistic approach with multidisciplinary management combining medical, surgical, and rehabilitation interventions

Functional Optimization: Need of advanced strategies for maximizing patient mobility, independence, and quality of life

Lifecycle Perspective : Insights on need of Comprehensive transitional care – pediatric through adolescent management
  • Delivered a talk on ”Approach to Syndromic Craniosynostosis” in International society of pediatric neurosurgery (ISPN) CME in July 2024 in Hyderabad.
Syndromic craniosynostosis involves the premature fusion of multiple cranial sutures associated with genetic syndromes, often accompanied by complex craniofacial abnormalities and extracranial anomalies. It requires a multidisciplinary approach (neurosurgeon , maxillofacial surgeon, ENT surgeon) for comprehensive management, including neurosurgical intervention to prevent intracranial hypertension and allow normal brain growth. Early diagnosis and tailored surgical planning are crucial due to the higher risk of complications and the need for staged procedures to address both functional and aesthetic challenges.
  • Presented research article  on “Study of Outcomes of Craniosynostosis surgery in Older Children” in  The 34th Annual Conference of the Indian Society of Pediatric Neurosurgery (INDSPNCON) 2024 in Shillong, Meghalaya. 
Key insights : 
  • Higher rate of morbidity with specific surgical challenges in patients with delayed presentation  – neurodevelopmental , congnitive and behavioural abnormalities, sequelae of raised ICP, visual impairment, increased perioperative morbidities, technical difficulty of surgery and increased blood loss, hospital stay etc.
Surgery offers Satisfactory cosmetic outcomes with reduction in ICP  and improvement in neurocognitive abnormalities with increased risk of surgical morbidity
  • Delivered  awareness talk for Pediatricians on “Pediatric Neurosurgery : what Pediatricians Should know? ” in the CME of Association Indian Academy of Pediatrics Latur Branch  in April 2024 in Latur ( Maharashtra).
  • Presented the research article on “Neurendoscopic  management of cerebral infection”, in (IFNE) International Federation of  Neuro Endoscopy Conference  in Oct 2022 in Hyderabad Telangana.
  • Presented the research article on “Management of craniosynostosis our experience” in  The 30th Annual Conference of the Indian Society of Pediatric Neurosurgery (INDSPNCON) in February 2020 in Kolkata, West Bengal .
  • Presented a research article on “Study of outcomes of management of Cerebral abscesses in an east Indian premier institute”  at 15th World Congress of Neurosurgery (WFNS) in September 2013 in  Seoul , South Korea. 
Key insights : 
  • Early imaging and diagnosis improve cerebral abscess outcomes. 
  • Surgical aspiration plus antibiotics yields high success rates (up to 89%) over excision. 
  • Poor prognosis links to low GCS, immunosuppression, and delayed care in Indian settings.
  • Graduation ceremony : Degree ceremony  – proud and memorable event marking the successful completion of surgical training in neurosurgery.  Celebration of transition from students to professionals ready to contribute to patient care and medical advancement.  Moment representing the beginning of a lifelong commitment to learning, skill development, and compassionate patient care in a demanding and rewarding specialty.

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