Neurology and neuroscience

Neurology And Neurosciences

Overview

The Department of Neurology and Neurosciences at Tulasi Hospital offers patients of all age groups end-to-end care for diseases related to the brain, spinal cord, muscles and nerves. This includes treatment for stroke, epilepsy, and special therapies such as botox and stem cell therapy.


The Department has a well equipped electrophysiology lab where tests are conducted by an experienced electrophysiology technician. The neurophysiological laboratory assesses the spinal cord, peripheral nerves and the muscles, using top-of-the-line electrophysiological equipment for diagnosis. Additionally, the laboratory helps in assessing patients with disc disease involving the neck as well as the lower back. These assessments pinpoint the exact location of the disease. The modalities for the electrophysiological investigations done here include 16-channel EEG, nerve conduction study of all four limbs, brachial plexus study, carpal tunnel study, facial nerve study, blink reflex study, H-reflex study, dermatomal SEP, sympathetic skin response, electromyography, repetitive nerve stimulation, autonomic function tests, VEP, BAEP, BAER , SSEP, EEG , sleep study ( including polysomnography) and needle EMG study.

The department responds to emergencies such as stroke, myasthenia gravis (an autoimmune neuromuscular disease), Guillain-Barré syndrome (a disorder affecting the peripheral nervous system), epilepsy, cerebral venous thrombosis (CVT) and acute demyelinating encephalomyelitis (ADEM).

Patients in the throes of epileptic convulsions are immediately given drugs to control seizures and resuscitated, if they are in shock. Ventilator therapy is started immediately. An emergency CT scan and EEG are also done to detect the cause of the convulsions.

Tulasi Hospitalhas a 6-bed, fully-functional, acute stroke / neuro ICU with a dedicated round-the-clock stroke team which is comprised of a neurologists, interventional neuroradiologists, neurosurgeons and critical-care intensivists. The neuro ICU handles all emergencies including ischemic strokes, haemorrhagic strokes, subarachnoid haemorrhage, venous thrombosis, epileptic convulsions and more. Its state-of-the-art facilities include those for intra-arterial thrombosis, mechanical clot extraction, aneurysm coiling, continuous EG monitoring, etc..When the stroke patient is brought in, emergency imaging such as CT scan of the brain or an MRI diffusion study or a CT angiography is done and treatment started immediately. Recombinant tissue plasminogen activator (rtPA) is used for patients who have ischemic strokes. If necessary, an emergency thrombectomy too can be done. Recombinant factor VII is given to patients with intracerebral haemorrhages. Endovascular coiling or clipping is done for patients who have subarachnoid haemorrhages with aneurysm.

Neurological disorders such as stroke, brain tumour, head injury, transverse myelitis, spinal cord injury, meningoencephalitis, etc. can result in disability. These patients are rehabilitated through physiotherapy, speech therapy or occupational therapy.

Botox therapy is given to patients with twisted posture (dystonia) of neck or limbs, oromandibular dystonia, blepharospasm, hemifacial spasm and severe spasticity, who are not responding to other treatments.