Neurology

Neurology

Neurosurgery is a highly complex surgical branch which deals with the brain spine and nerves. It Requires a high level of surgical expertise. Common problems deal by the neurosurgeon are the trauma patients like head injuries, spinal injuries, tumors, spinal tumors, brain hemorrhage hydrocephalous nerve injuries or tumors disc prolapsed , spinal dislocation unstable spine congenital malformations etc. The other diseases in which advanced neurosurgery may be required are seizure or epilepsy control and movement disorders like Parkinson s disease etc. 

Our team of doctors Neurological provides different services such as disorders as headache, seizures, epilepsy vertigo stroke, movement disorders, spinal cord Disorder, etc. 

Doctors combined with the best of latest diagnostic equipment and professionals handling then Supportive diagnostic and therapeutic service are provided by department of radiology laboratory medicine, pathology, physiotherapy, etc. 

All Neurophysiologic investigations like EEG, videotelemetry, electromyography, nerve conduction studies using magnetic stimulators and evoked potentials are available at these centres. The neuroradiological facilities include MRI scan with MR angiography, spiral CT scan. 

Thrombolytic therapy for stroke patients and botulinum toxin therapy for focal dystonia are used by the doctors as and when necessary. The neurosurgeons routinely perform intracranial and spinal surgeries, stereotactic biopsy of deep-seated tumours and stereotactic radiosurgery for the treatment of artereovenous malformations and tumours. Aneurysms, vascular malformations and head & neck skull base surgeries are also done here. Needless to say, our success rates match the global standards. 

But many patients do also develop side-effects caused by usage of the drugs especially after 5-6 years of treatment. Such patients are surgical candidates. The surgical treatment offered for Parkinsonism is Sub Thalamic Nucleus (STN) Deep Brain Stimulation (DBS). 

Deep Brain Stimulation (DBS) is a complex procedure, which involves inserting an electrode into the STN (deep in the brain) done under local anesthesia, where the main focus is on patient safety and adherence to a patented algorithm. This treatment is based on the premise that high frequency stimulation of the sub-thalamic nucleus (STN), deep in the brain, alleviates symptoms of Parkinson’s disease. Stimulating electrodes are implanted in the STN using stereotactic neurosurgical navigation, supported by intra-operative neurophysiological monitoring. The electrodes are connected to a battery operated pulse generator, fixed under the skin (none of them are visible from the outside). The implanted pulse generator is programmed, from the outside, for optimal stimulation of the STN. Program parameters can be adjusted using an external programmer. The device can be switched on/off by the external programmer. Protocol beginnings from imaging to implantation, the steps of which are standard across all centers adapting the process, are followed rigidly. These Procedures are highly technical, sophisticated, and elaborate & required extensive training. 

Deep Brain Stimulation is also effective for other movement disorders like dystonias, essential tremors, some psychiatric disorders like Obsessive compulsive disease and chronic depression, severe alcoholism, severe chronic pain, uncontrolled seizures etc. Parkash Hospital has the expertise and the equipment to take up treatment of these complex diseases and help thousands of such patients.