Neurology
About Neurology
Neurology specialty services offer treatment for diseases of the nervous system including disorders of the brain, spinal cord, peripheral nerves, neuro-muscular junction and muscle. Neurology illnesses – once thought to be one of exotic diagnosis without effective treatment. The scenario has changed now. Many of the neurological problems can be treated if diagnosed early and many facilities are available to improve quality of life even though not fully curable.
Diseases/Conditions Treated
STROKE – Stroke is an acute neurological problem due to problems related with blood circulation. It could be due to blockage of blood vessels or bleeding into brain parenchyma.The symptoms include weakness of any part of body, unsteadiness, difficulty in vision and difficulty in speech. For acute ischemic stroke (due to blockage of blood vessels) it is estimated that around 10 million neurons die in every 10 minutes and hence revascularisation has to be done as early as possible. IV thrombolysis is being given here if stroke onset is within 4.5 hours.
- 24 x 7 emergency services for acute stroke care.
- CT with Multiphasic Angiogram
- IV Thrombolysis facility (within 4.5 hours: 10 thrombolysis /month).
- Dedicated stroke evaluation –To determine the exact cause of stroke for prevention in the future.
- In-house physiotherapist for stroke patients.
- Physical Medical Department for rehabilitation of stroke patients.
- Speech therapy
- Long-term follow-up
Specialized care for patients with:
MOVEMENT DISORDERS – including Parkinsonism/Dystonia/various types of tremors.
HEADACHE.
NEURO MUSCULAR DISORDERS – Like myopathies and muscular dystonia, myasthenia.
DEMYELINATING/AUTOIMMUNE DISORDERS-Including Guillian Barre syndrome, ADEM, Multiple Sclerosis, with facility for plasma exchange.
COGNITIVE PROBLEMS AND DEMENTIAS – Problems with memory is very common and can be due to various reasons of which some are fully treatable. Aassessmentis done using ACE-R + HAD scoring system and a battery of tests for dementia patients.
INFECTIONS OF NERVOUS SYSTEM – Meningitis/Encephalitis.
SLEEP DISORDERS – Problems with sleep is now found to be the root cause for many systemic illnesses.
The Sleep lab is functional for overnight sleep study (PSG) + MSLT. Sleep disorders can be diagnosed and in selected cases (of OSA) CPAP titration is done and homeCPAP support is recommended.
PAEDIATRIC NEUROLOGICAL PROBLEMS.
• Botulinum toxin injections are administered for various conditions like hemifacial spasm/spasticity/various kinds of dystonia.
• Counselling for various psychological disorders.