The skull base is the floor of the cranial cavity — a crowded region where the brain meets vital nerves and blood vessels passing through narrow openings. Tumours here (pituitary adenomas, craniopharyngiomas, CP-angle tumours, epidermoids, skull base meningiomas) demand specialised approaches that reach the tumour without retracting or damaging the brain.
Trained at Sree Chitra Institute in skull base and neuro-endoscopic techniques, Dr. Nilesh Jain performs trans-nasal endoscopic pituitary tumour excision and microsurgery for CP-angle and other skull base tumours in Indore.
खोपड़ी के आधार (skull base) की गांठें — जैसे pituitary tumour — नाक के रास्ते दूरबीन से निकाली जा सकती हैं। न कोई बाहरी चीरा, न दिखने वाला निशान, जल्दी recovery।
Symptoms of skull base tumours
- Progressive visual loss or visual field defects (pituitary region tumours)
- Hormonal disturbance — irregular periods, infertility, acromegaly, Cushing's features
- One-sided hearing loss, facial numbness or facial weakness
- Double vision or drooping of an eyelid
- Headache with features of raised pressure
- Swallowing or voice difficulty in lower skull base lesions
Modern skull base approaches
Pituitary tumours are removed through the nose using the endoscope — no external cut, no brain retraction, rapid recovery. Other skull base tumours are approached through tailored keyhole craniotomies, with the operating microscope and careful preservation of cranial nerves.
Skull base surgery is planned case-by-case using MRI and CT. For some tumours, planned subtotal removal followed by radiosurgery gives the safest overall outcome.
Why patients choose Dr. Nilesh Jain
Dr. Nilesh Jain (M.B.B.S., M.S., M.Ch.) trained in neurosurgery at the Sree Chitra Tirunal Institute, Trivandrum — among India's premier neurosurgical centres — and has been a Consultant Neurosurgeon in Indore since 2010. He is Associate Professor in the Department of Neurosurgery (SAIMS) and holds a 4.8★ rating from 190+ Google reviews. Consultations are unhurried, investigations are advised only when needed, and surgery is recommended only when it genuinely helps.