PACE Hospitals is one of the Best Neurology Hospital in Hyderabad, India, providing holistic and patient centric neurology treatment. The team of experienced and skilled neurology doctors, neurosurgeons have vast expertise in managing all kind of critical neurological conditions, including:
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Appointment Desk: 04048486868
Whatsapp: 8977889778
Regards,
PACE Hospitals
Hitech City and Madinaguda
Hyderabad, Telangana, India.
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Appointment Desk: 04048486868
Whatsapp: 8977889778
Regards,
PACE Hospitals
Hitech City and Madinaguda
Hyderabad, Telangana, India.
Providing treatment to a wide range of neurological disorders, including brain cancer, stroke, spinal disorder, neuropathy and neuromuscular abnormalities.
Equipped with advanced and latest diagnostic equipment, robotic and minimally invasive surgical facilities for critical neurological disorders treatment.
Team of experienced neurologists, brain specialist doctor & neurosurgeons with vast experience in laser, minimally invasive and laparoscopic surgeries for brain & spinal cord disorders.
The neurology department at PACE Hospitals is one of the top neuro centers in Hyderabad. It is staffed with a team of highly skilled, experienced, and renowned neurology doctors, neurosurgeons, and an interdisciplinary team of adult and paediatric neuro specialists who are experts in diagnosing and managing critical conditions related to the brain, spinal cord, and nerves. They are well-versed in the latest treatment modalities and provide holistic and precise neurological condition treatment with a high success rate.
The department of neurology is equipped with state-of-the-art and cutting-edge facilities that offer a wide array of comprehensive care, including advanced imaging systems, endoscopic equipment, minimally invasive surgeries, intensive care units, and a neurocritical care unit to manage a broad spectrum of neurological conditions, ensuring the highest degree of patient care environment.
Team of the best neurologists in Hyderabad, India, having extensive expertise in specialized care for stroke, scissors, epilepsy, headache, head and spinal injuries, movement disorders, multiple sclerosis and sleep disorders, are committed to delivering patient-centric, evidence-based and compassionate treatment care to the patients. The specialized team of brain specialist doctors, spine specialists, nerve doctors and neurosurgeons are highly skilled and apt with the latest and advanced treatment modalities to cater for the utmost treatment care with precision, minimal complications and a high success rate.
MBBS, DNB (General Medicine), DM (Neurology)
10+ years of Exp.
Consultant Neurophysician & Neuromuscular Specialist
MBBS, DNB (General Medicine), DNB (Neurology), FNR, MRCP (UK), Neurology (SCE), FEBN, FRCP (London)
23+ years of Exp.
Senior Consultant Neurologist
MBBS, MS (General Surgery), MCh (Neurosurgery), Fellowship in Minimal Invasive and Advanced Spine Surgery
8+ years of Exp.
Consultant Neurosurgeon, Brain & Spine Surgeon
Struggling with the typical brain, spinal cord and nerves related issues or seeking treatment for critical neurological conditions like, epilepsy, alzheimer's disease, parkinson's disease, autism spectrum disorder, brain tumours, brain cancer, stroke, severe head injuries cerebral aneurysms, hydrocephalus, encephalitis, meningitis, spinal disc herniation, Spinal stenosis, peripheral neuropathy or neuromuscular disorders, we offer evidence-based solutions tailored to your needs. Our team of skilled and experienced neurologists and neurosurgeons provides comprehensive and compassionate care for adult and pediatric patients.
Neurology is the specific field of medical science that deals with diagnosing, treating, and studying diseases and disorders of the nervous system, comprising the brain, spinal cord, and nerves. Neurologists are doctors or specialists who manage neurological diseases and disorders of the central and peripheral nervous systems. They focus on providing better neurological healthcare and managing conditions like epilepsy, stroke, multiple sclerosis, and Parkinson's disease.
Neurology departments treat various diseases and disorders related to the nervous system. Some of the common neurological conditions treated by the neurologist include
Treatment for neurological conditions widely depends on the patient's medical conditions, specific types of diseases, and severity. Some of the common and standard treatment modalities include:
Diagnostic tests are very essential for the comprehensive diagnosis and precise treatment strategy. Based on the medical history of the patients and thorough physical examinations, a neurologist may indicate the following diagnostic tests:
Neuroimaging:
Electrodiagnostic Tests:
Lumbar Puncture (Spinal Tap) collects the cerebrospinal fluid (CSF) to analyse and diagnose infections (e.g., meningitis, encephalitis), multiple sclerosis, and other conditions affecting the brain and spinal cord.
Blood Tests detect infections, autoimmune diseases, genetic disorders, and metabolic conditions that affect the nervous system.
Genetic Testing identifies genetic mutations associated with inherited neurological disorders such as Huntington's disease, muscular dystrophy, and certain forms of epilepsy.
Cerebral Angiography, with the use of X-rays and a contrast dye to visualize blood vessels in the brain, detecting aneurysms, vascular malformations, and blockages.
Neurologists and neurosurgeons more often collaborate to provide holistic and comprehensive neurological care to patients who need surgical interventions to cure specific neurological disorders. Some of the common surgical interventions performed by neurosurgeons are:
There are various neurological conditions which are more prone to the child and can persist to adulthood. Some of the common neurological diseases and disorders that can affect children are as follows:
Neuropathy is an umbrella term used to define any dysfunction or impairment of one or more peripheral nerves (the nerves which are located outside of the brain and spinal cord). Usually, neuropathy manifests with symptoms like numbness, weakness, pain, or impaired muscle function. Neuropathy can result from various underlying medical conditions like hypertension, diabetes, infections, injuries, or exposure to toxins.
Early signs of a neurological disorder can differ depending on the part of the nervous system (Central or peripheral) affected and the specific conditions. However, some of the common early signs & symptoms which can manifest the impairment of the nervous system are:
The warning and alarming signs of a stroke can be summarized using the acronym FAST, which stands for
F - Face Drooping
A - Arm Weakness
S - Speech Difficulty
T - Time to Call Emergency Services
Some of the additional signs which could be crucial to understand and take timely action are:
Anyone seeking the best neurologist near me in locations like Hitech City, Madhapur, Kondapur, Gachibowli, KPHB, or Kukatpally can visit the PACE Hospitals Neurology Department webpage and fill out the Appointment Form. They can also directly visit the hospital located near the Hi-Tech City metro station or call 04048486868 to book a hassle-free appointment with the top neurologist in Hyderabad.
We specialize in treating various neurological disorders and conditions affecting the brain, spinal cord and nerves originating from it. From brain stroke, brain tumour, epilepsy, Alzheimer's disease, cluster headache, and migraine to all kinds of neuropathy, spinal disorder, neuromuscular abnormalities and brain cancer, our team of neuro specialist & neurosurgeons is committed to cater patient centric comprehensive solutions for all your neuro health.
A chronic neurodegenerative disease in which memory and thinking skills are slowly destroyed, affecting the ability to carry out the simplest tasks. Progressive impairment of behavioural and cognitive functions like memory, language, comprehension, reasoning, attention, and judgment are the hallmarks of the disease.
Amyloid protein deposition in the brain is the most common factor leading to the death of neurons, resulting in Alzheimer’s disease. At present, there is no cure for Alzheimer's disease, but neurologists use the available treatments that can improve some of the symptoms.
ALS (Amyotrophic Lateral Sclerosis), which is also called Lou Gehrig's disease, is a progressive neurodegenerative disease that impairs the functions of motor neurons in the brain & spinal cord, which can lead to muscle weakness, and muscle atrophy and eventually leads to paralysis. Some of the early signs and symptoms that can be witnessed are muscle twitching, cramps, and difficulty speaking or swallowing.
A neurological and developmental disorder known as autism spectrum disorder (ASD) affects a person's ability to learn, behave, interact with others, and communicate. Although an autism diagnosis can be made at any age, autism is classified as a "developmental disorder" since its symptoms often manifest in the first two years of life. There is no known cause of ASD. Studies indicate that environment and genes are significant factors. Making very rare eye contact, having difficulties in conversation, infrequent sharing of interest, and difficulty in conversation are some of the symptoms of ASD.
Attention deficit hyperactivity disorder (ADHD) is one of the most frequent chronic neurodevelopmental disorders affecting children, characterized by symptoms of inattention, hyperactivity, and impulsivity, and can interfere with individuals' daily activities and functioning.
The exact cause and risk factors for attention deficit hyperactivity disorder (ADHD) are not known, but recent studies have said genetic factors play a significant role. Pediatricians, psychologists, or psychiatrists with specialized knowledge and skills in the treatment and care of attention deficit hyperactivity disorder (ADHD) can effectively handle ADHD patients.
A stroke is a medical emergency that occurs when blood flow to a part of the brain is blocked or when a brain blood vessel bursts. It may result in permanent damage to the brain, long-term disability, or, in some cases, even death.
Treatment for brain stroke includes medications and surgical procedures. Neurologists who underwent specialized training in stroke care and neuroendovascular procedures are the essential healthcare personnel who effectively handle stroke cases.
Brain tumors are the uncontrollable growth of abnormal cells in the brain, forming an abnormal mass. They may be formed in any part of the brain, including the skull base, brain stem, nasal cavity, sinuses, and protective lining. Cognitive deterioration and motor dysfunction are mostly seen, and they may worsen further if left untreated. A multidisciplinary team of neurologists, neurosurgeons, and oncologists with specialized skills diagnose and treat brain tumors.
Involuntary blinking or other motions of the eyelids, such as twitching, are symptoms of blepharospasm. Twitching of the eyelids typically resolves itself, but if it is chronic, it is blepharospasm. Disruptions in the electrical activity in the basal ganglia (an important part of the brain) could cause blepharospasm. This condition usually occurs in middle-aged adults. It could be a side effect of several drugs treating Parkinson's disease.
Cerebral palsy comprises various neurological disorders caused by brain damage. It impairs movement, muscle tone, and posture and can be characterized by symptoms like spasticity, muscle weakness, and coordination issues. There is no cure for cerebral palsy, but the symptoms can be managed through lifestyle changes, physical therapy, medications, and sometimes surgery.
Dementia is a clinical syndrome (group of symptoms) associated with a progressive decline in cognition that interferes with independent functioning. Memory loss, confusion, poor judgment, mood and personality changes, etc., are the common signs.
Dementia is caused by abnormal protein grouping in the brain. It impairs nerve cells, eventually leading to their death and shrinking of brain areas. While there is no cure for dementia at present, neurologists use various treatments to manage the symptoms and improve the patient’s quality of life.
Dystonia is a neurological disease marked by involuntary muscle contractions resulting in slow repetitive and uncomfortable movements/postures associated with uncomfortable tremors or other neurological symptoms.
There are numerous types of dystonia, which can affect a single muscle, groups of muscles, or the entire body. While some forms of dystonia are inherited, most of the causes are unknown. Symptoms may include:
Dystonia is caused by a damaged basal ganglion in the brain or brain regions that control movement.
Epilepsy (also called an epileptic seizure disorder) is a long-term brain condition with repeated seizures (also called fits - a sudden change of neurologic function due to neurons' excessive discharge).
Epilepsy symptoms may differ individually, which include abnormal smells, fear sensation, increased epigastric sensation, etc., before the seizures. Oxygen deficiency may incur permanent brain damage if left untreated. A neurologist can diagnose epilepsy through imaging tests and treat it with medicines or surgery.
Encephalitis is a condition in which the brain becomes inflamed. This could be a result of a direct viral infection, exposure to another infectious agent, or vaccination. The patient may feel tired, numb, or bewildered because of a fever, headache, or seizure. It could cause extreme tiredness, eventually coma, and death. Spinal taps and magnetic resonance imaging (MRI) of the brain are basic procedures for diagnosis.
It is possible for the immune system to mistakenly kill normal brain cells in response to an infection, vaccination, cancer, or other disease that affects the brain (an autoimmune reaction). Since the proteins in myelin are like those in the virus, they are sometimes attacked by the immune system in cases of autoimmune encephalitis. This causes a significant slowing in nerve impulse transmission.
Face palsy is a condition where the facial muscles are weak due to injury/ damage or absence of the facial nerve where the patient is affected with immobility of the eyes and/or the lips. While only the bottom half of the face is usually paralyzed, one side of the face is sometimes completely paralyzed, and sometimes both sides of the face are paralyzed.
Bell's palsy is an inexplicable bout of facial muscle weakness or paralysis that occurs suddenly and develops over 48 hours, which is generally caused by a facial nerve injury (the 7th cranial nerve).
This condition is particularly common in pregnant women and patients who have diabetes, influenza, a cold, or any upper respiratory infection. The exact cause of Bell's palsy is unknown, but it is understood that it is caused by inflammation of the nerve that controls facial movement, which is caused by the body's immune system.
With a prevalence of 48.9% in the general population, headache disorders are among the most prevalent of the nervous system disorders affecting people of all ages, races, and socioeconomic status, but are more common in women.
Some headaches can be so incapacitating and detrimental to a person's quality of life that they place a tremendous financial burden on healthcare. Most of them can be treated without the help of a physician. Nearly 98% of headaches are caused by primary headache disorders like migraine, tension headache, and cluster headache. However secondary headaches are also serious and can be life threatening.
Hydrocephalus is a medical condition in which excessive cerebrospinal fluids accumulate in the brain ventricle, leading to a rise in pressure. This results in an enlarged head size in the infant, which can be manifested with symptoms like headaches, vomiting, blurred vision, balance problems, and cognitive impairments. This neurological disorder can be congenital or acquired due to injury, infection, or tumors.
IIH (Idiopathic Intracranial Hypertension) is a neurological disease, causing increased pressure within the skull, which is usually unknown and can manifest in severe headaches, vision problems, ringing in the ears and neck or shoulder pain. IIH is more common in obese women during their reproductive age. Treatment options for Idiopathic Intracranial Hypertension include:
The illnesses of the neurological system that cause either excessive movement or abnormally sluggish movement are collectively known as movement disorders. These actions might be voluntarily performed or completely unconscious.
The following are examples of common movement disorders: Parkinson’s disease (neurological ailment producing unintentional or uncontrollable movements such as shaking, stiffness with difficulties of balance and coordination), Huntington's disease (congenital disease of the progressive degeneration of nerve cells in the brain weakening the functional abilities such as movement, cognitive thinking), ataxia (muscle control problems causing uncoordinated movement).
Sclerosis is the abnormal hardening of body tissues, generally caused due to inflammation or disease. Sclerosis is usually associated with multiple Sclerosis - an autoimmune disorder where your own immune system attacks and damages the myelin sheath surrounding the spinal cord and brain nerves. The damage disrupts the nerve signals from the brain to other parts of the body. Changed gait, loss of coordination or imbalance in balance, fatigue, muscle weakness, muscle spasms, tingling or numbness, especially in limbs.
Migraine is a complicated illness with hereditary influences that is defined by episodes of moderate to severe headache, mostly it affects only one side of the head, and is frequently accompanied by nausea, light sensitivity, and other symptoms. The name "migraine" is derived from the Greek word "hemikrania," which was then translated into Latin as "hemigranea," and is a common cause of disability and loss of employment. Migraine attacks can frequently last from several hours to several days. There are various triggers for migraine headache.
Myasthenia (myasthenia gravis) is one of the most prevalent autoimmune conditions affecting the neuromuscular junction (the connection between the end of a motor nerve and a muscle). Although myasthenia is largely curable, it can have severe morbidity and even mortality, but with prompt disease diagnosis and effective treatment, it can be avoided.
The symptoms might be simply ocular (droopy eyelids, double vision, difficulty making facial expressions, problems chewing and swallowing, slurred speech, weak arms, legs or neck, shortness of breath and occasionally serious breathing difficulties) or quite severe, affecting the muscles in the limbs, and the respiratory system.
Meningitis is a brain inflammatory disease in which the membrane called the meninges surrounding the brain and spinal cord gets inflamed due to a viral, bacterial, or fungus infection. Bacterial meningitis is the most severe of all the forms of meningitis and can be fatal if left unmanaged. Some expected signs and symptoms manifesting the onset of meningitis are severe headache, fever, stiff neck, sensitivity to light, confusion, and sometimes a rash. As a preventive measure, there are vaccines available to prevent certain types of meningitis, particularly those caused by Neisseria meningitidis and Streptococcus.
Neurogenic myopathies are primary nervous system illnesses that result in denervation of the target muscle. The probable causes range from acute traumatic injuries to chronic compression, as well as neurodegenerative, inflammatory, metabolic, and neoplastic diseases.
Parkinson's disease is a senile neurological ailment that causes unintentional or uncontrollable movements such as shaking, stiffness, and difficulties with balance and coordination. The symptoms steadily increase over time, with sufferers having difficulty walking and talking. They may also have sleep issues, depression, memory problems, mental and behavioural changes, and weariness. It is caused mostly by decreased levels of dopamine - a neurotransmitter called due to the death or impairment of dopamine-generating neurons (nerve cells).
The lack of muscular tone in a portion of the body is known as paralysis, which occurs when there is a problem in the transmission of signals between the brain and muscles. It could happen on one or both sides of the body. It may either be localized or broad, depending on the situation. Paraplegia is the medical term for paralysis of the lower body, which includes both legs. Quadriplegia is when the arms and legs are paralyzed. Most paralysis cases result from strokes or accidents such as broken necks or spinal cord damage.
The sudden onset of the sensation, which is typically painless, is described as itching, skin crawling, or tingling. Most people have, at some point in their lives, sat with their legs crossed for too long or dozed off with an arm twisted under their head and experienced momentary paraesthesia, sometimes known as "pins and needles." It takes place when a nerve is subjected to prolonged pressure. Once the pressure has been released, the sensation generally subsides.
Chronic paraesthesia is frequently a sign of a neurological condition or severe nerve injury which may result from various disorders affecting the central nervous system, such as multiple sclerosis, transverse myelitis, stroke, transient ischemic attacks (mini-strokes), and encephalitis.
Neuropathy is a group of disorders that impair nerve function. The central nervous system consists of the brain and spinal cord. The peripheral nervous system consists of all the nerves which originate from the central nervous system. Damage to the peripheral nerves that carry sensations of pain and warmth can lead to a condition known as peripheral neuropathy, which can make it difficult for a patient to realize that they have been cut or that an infection is setting in.
Disturbances of the peripheral nervous system can be manifested in a variety of diseases, such as acute ascending neuropathy (weakness, paresthesias, and hyporeflexia) and carpal tunnel syndrome (numbness in the hands from typing too much).
Posterior Cortical Atrophy (PCA), also called Benson’s syndrome, is a rare progressive neurodegenerative condition characterised by gradual and progressive degeneration of the cortex (outer layer) and damage to the posterior region (back) of the brain. It occurs often in people in their mid-50s or early 60s and causes symptoms that affect visual processing, spelling, writing, and arithmetic. Most of the time, this condition can be caused by the underlying cause called Alzheimer’s disease. However, other conditions, including Lewy body disease, corticobasal degeneration and Creutzfeldt-Jakob disease, can show similar symptoms.
Rett syndrome is a rare genetic progressive neurodevelopmental disorder that occurs commonly in girls, rarer in boys, affecting brain development and causing severe physical and mental disability from early childhood. This condition is caused by mutations on the X chromosome on a gene called MECP2. However, not everyone with a MECP2 mutation has Rett syndrome. According to the scientists, some cases may result from partial gene deletions, mutations elsewhere in the MECP2 gene, or unidentified additional genes.
Spinal cord Injury is the impairment of the spinal cord that can be due to trauma from accidents or sports injuries and results in loss of functions like mobility and sensation. Depending on the extent of the injury, the function loss can be complete or partial. Manifestation of the loss of function differs according to the severity & location of the injury, which may include numbness, impaired bowel and bladder control, and even paralysis.
A group of hereditary diseases known as spinal muscular atrophy (SMA) can harm or even kill motor neurons, which are specialized nerve cells found in the brain and spinal cord. The survival motor neuron gene 1 (SMN1) is the gene responsible for the most prevalent type of SMA. It can be mutated or absent. Symptoms can range from moderate to severe, depending on the type of SMA, like muscle weakness and movement problems. Adult and pediatric neurologists play a role in the management of SMA.
A group of rare, genetic neurological disorders known as spinocerebellar ataxias (SCA) causes a loss of balance, coordination, and muscle function. The hindbrain, which contains the cerebellum, the brain stem, the upper spinal cord, and occasionally other areas of the nervous system, degenerates or loses its structure. While there is no known cure for SCAs or a way to stop the condition from getting worse, a neurologist can manage some of the symptoms.
An abrupt, uncontrolled electrical disruption in the brain is referred to as a seizure, during which the patients’ actions, emotions, feelings, and levels of consciousness may all change. There are various types of seizures, which are generally classified as either focal or generalized, based on where and how the abnormal brain activity commences. If the cause of the seizure is uncertain, it may also be categorized as having an undetermined onset.
A brief loss of consciousness, known as syncope, is typically caused by inadequate blood supply to the brain. Hypotension (low blood pressure) is a common cause due to which the heart cannot adequately pump enough oxygen to the brain. It may be benign (not harmful) or a sign of a more serious disease that could be fatal. Dehydration, excessive perspiration, tiredness, or blood pooling in the legs because of changes in body position are among the benign reasons.
It's important to identify the underlying causes of syncope, such as bradycardia (slow heart rate), tachycardia (rapid heart rate), or any blockages in the blood flow to the brain.
Spasticity is a medical condition characterized by an unnatural increase in muscular tone or stiffness, impairing movement/speech and associated with discomfort or pain. Spasticity is generally caused by injury to the nerve pathways regulating muscular action in the brain/spinal cord. It can be caused by multiple sclerosis, amyotrophic lateral sclerosis, cerebral palsy, stroke, brain or head trauma, genetic spastic paraplegias, and metabolic illnesses.
Spinal disorders result from a wide range of pathological processes, but symptoms and impairment are typically the result of neural component impingement and/or spinal segment instability. Surgery is performed to relieve pressure on the nerves and spinal cord and stabilize the movable bones.
A few of the spinal disorders include adolescent idiopathic scoliosis (an abnormal spine curvature appearing either in adolescence or in late childhood), adult spinal deformities (deformities of the lumbar or thoracolumbar spine in adults), ankylosing spondylitis (an inflammatory disease of in which the patient experiences a gradual fusion of the vertebrae (bones in the spine) making it less flexible and resulting in a hunched posture).
A tremor is a rhythmic and oscillatory shaking movement of a bodily part with a steady frequency. It is caused by antagonistic muscles (muscles involved in movement) contracting alternately. Tremor is the most prevalent movement disorder. It usually involves the upper limbs, but as the disease progresses, the head and voice (less typically, the legs, jaw, face, and trunk) may be involved.
It could be due to abnormalities in the brainstem (locus coeruleus) and cerebellum. A detailed neurologic examination is necessary to identify the features of the tremor, such as distribution, pattern, and amplitude.
Vertigo is frequently presented in both outpatient settings and emergency rooms. It has been described as a sensation of motion, most commonly circular motion, and is a symptom of vestibular dysfunction (the vestibular apparatus is a group of complex organ systems in the body that is responsible for the sense of balance). Vertigo can afflict people of all ages.
It's crucial to distinguish vertiginous symptoms from other types of dizziness, like lightheadedness, which is most frequently linked to presyncope (the swooning feeling which occurs before fainting). Problems in the middle ear are most frequently the culprit in younger people.
Wilson disease is a hereditary illness in which the body is unable to remove excess copper, resulting in copper buildup in the brain, eyes, liver, and other organs. High copper levels, if left untreated, can lead to life-threatening organ damage. The symptoms of Wilson disease may vary depending on the problems with liver, nervous system and mental health, eyes, or other organs.
A Bangladeshi patient with severe headaches and vision loss for two years was successfully treated with Brain Tumour Surgery.
Successful Minimally Invasive Lumbar discectomy done for L4 and L5 Intervertebral Disc Disorder (Prolapsed Disc) with Radiculopathy and Symptoms of Parkinson's Disease.
We provide comprehensive diagnostic tests. Our advanced and latest screening approach examines any impairment in the brain, spinal cord, abnormalities of neuromuscular functions and severe cases of neuropathy with precision. This results in early detection and precise evaluation, enabling our neurologist and neurosurgeon to make an informed decision about proceeding with the appropriate treatment modalities and surgical procedures.
1. Magnetic Resonance Imaging (MRI): Magnetic resonance imaging (MRI), with the help of computer-generated radio waves and a strong magnetic field, creates precise images of body tissues. Using various sequences of magnetic pulses, the MRI can measure blood flow, display anatomical pictures of the brain or spinal cord, or locate iron (mineral) depositions. MRI is indicated to diagnose stroke, inflammation, brain and spinal cord tumours, traumatic brain injury infection, improperly formed brain regions, vascular irregularities, multiple sclerosis, epilepsy-related brain damage and various neurodegenerative disorders. The radiologist inserts a contrast dye that may be injected into a vein to make certain tissues or organs more visible.
The real-time pictures of blood flow to specific brain regions can be done with functional MRI (fMRI) with the help of blood magnetic properties. Prior to epilepsy surgery, this imaging procedure may be utilised to identify the brain regions responsible for language, motor function, or sensation.
2. Computed Tomography (CT Scan): Computed tomography (CT), with the help of X-rays, provides two-dimensional pictures of organs, bones, and tissues. A CT scan can diagnose the patient’s condition by displaying the damaged area of the brain. CT scans can be used to detect brain haemorrhage. An interventional radiologist will inject a contrast dye into the bloodstream to highlight the various brain tissues. Herniated discs, spine fractures, and spinal stenosis (spinal canal narrowing) can be diagnosed and can all be seen on a CT scan of the spine.
4. Electromyography (EMG):
Electromyography (EMG) measures a muscle's reaction or electrical activity when a nerve stimulates a muscle. The test is used to identify abnormalities of neuromuscular functions. This procedure is done by inserting one or more tiny needles, commonly known as electrodes, which are introduced through the skin and into the muscle during the test. An oscilloscope, a monitor that shows electrical activity as waves, displays the electrical activity detected by the electrodes. In order to hear the activity, an audio amplifier is employed. The muscle's electrical activity during the rest and contraction (light and strong) are measured by EMG. At rest, muscle tissue doesn't typically create any electrical signals.
5. Electroencephalogram (EEG): Electroencephalogram (EEG) test is a non-invasive procedure used to estimate the electrical activity of a patient's brain, with the help of small metal discs or electrodes placed on the patient's scalp, which is further observed by the neurophysiologist to analyse the patient's brain functions. It helps diagnose and monitor several conditions affecting the brain, such as epilepsy, memory loss, Alzheimer's disease, encephalitis, narcolepsy, stroke, the presence of internal bleeding, brain tumours, etc. Routine EEG, Prolonged EEG, Ambulatory EEG, Video EEG, Sleep EEG, and Invasive EEG are the types of EEG tests.
6. Nerve Conduction Velocity: Nerve conduction velocity measures an electrical impulse's speed across the nerve, which detects nerve injury. This test includes the attachment of two electrode patches to the skin over the nerve. The nerve will be stimulated by passing a mild electrode impulse to one electrode, and the other electrode records the resulting electrical activity. The same procedure will be repeated for every nerve being tested. The speed is calculated by measuring the electrode's distance and the time it takes for electrical impulses to travel between electrodes.
This test is indicated to diagnose Charcot-Marie-Tooth disease, Guillain-Barré syndrome, Herniated disk disease, Carpal tunnel syndrome, Chronic inflammatory polyneuropathy and neuropathy, and Sciatic nerve problems.
7. Cerebral Angiography: Cerebral angiography is a diagnostic procedure used to detect cerebral aneurysms or any other blood vessel abnormalities in the head and neck with the help of X-ray imaging. A vascular surgeon performs this procedure by injecting a dye into the patient's arteries/veins to detect any blockage or narrowing. The X-ray creates an image known as a cerebral angiogram, which a vascular surgeon can use to identify blockages or other anomalies in the brain, head and neck that include arteriosclerosis, brain tumours, arteriovenous malformation, aneurysm, tears in the lining of an artery, blood clots and blood vessels inflammation. It can also identify the location and size of an aneurysm or vascular malformation. Angiograms are helpful, especially in strokes.
8. Electronystagmography (ENG): A group of tests to identify involuntary eye movement, dizziness, and balance disorders. It is usually done in patients suffering from vertigo, multiple sclerosis, spinal cord injury, and acoustic neuroma.
Calibration test, gaze nystagmus test, pendulum-tracking test, optokinetic test, positional test, and water caloric test are the types of ENG tests. This test is carried out by placing the electrodes above and below the eye to record electrical activity. ENG can identify nystagmus (involuntary fast eye movement) by measuring the electrical field changes within the eye in response to various stimuli. If stimulation does not cause nystagmus, there may be a problem with the ear, the nerves that supply the ear, or certain brain regions.
9. Sensory Evoked Potentials: Sensory evoked potentials measure the brain’s electrical activity in response to stimulation by touch, sound, or sight. Signals move through the nerves to the brain when the brain is stimulated by sound, touch or sight. These signals are further detected by the electrodes and displayed for neurological interpretation.
Visual evoked response (VER), Brainstem auditory evoked response (BAER) and Somatosensory evoked response (SSER) are the tests used to measure response to visual, auditory, and electrical stimuli. VER test is used to diagnose optic nerve problems that affect sight. BAER test is used to detect hearing ability in addition to diagnosing potential brainstem tumours or multiple sclerosis. SSER test is used to diagnose problems related to the spinal cord that cause leg and arm numbness.
10. Polysomnogram: This diagnostic procedure calculates the activity of the brain and body during sleep by recording the brain waves, eye movement, sleep/wake cycles, breathing, blood pressure, leg and skeletal muscle activity, and heart rate. A polysomnogram is the gold standard for diagnosing obstructive sleep apnoea (OSA), central sleep apnoea, and sleep-related hypoventilation/hypoxia. In addition, it can be used to test for narcolepsy, periodic limb movement disorder, rapid eye movement sleep behaviour disorder, and nocturnal seizures.
A polysomnogram (PSG) is a procedure that assesses underlying causes of sleep problems by using an electroencephalogram, electrocardiogram, electrooculogram, electromyogram, pulse oximetry, airflow, and respiratory effort.
11. Thermography (Digital Infrared Thermal Imaging): This non-invasive diagnostic procedure uses an infrared camera to capture heat map images of the target surface, which aids in the detection of cancer. The heatmap infrared sensing devices measure the slight temperature changes and abnormalities between the two sides of the system or within a specific organ, thus evaluating the complex regional and certain peripheral nerve disorders apart from nerve root compression.
12. Genetic Testing: It is done to comprehend the family history of neurological disease in patients. Prenatal genetic testing (done in utero) can identify congenital abnormalities and neurological disorders. Genetic counselling can help understand its necessity and the meaning of its results. An individual's blood, skin, hair, or other body tissue may be subjected to genetic testing to examine the DNA, chromosomes, or proteins for mutation or any change that is linked to a genetic disorder. A gene's function may be altered due to a mutation, which may impact a gene's entire structure or only a portion of it. Newborn screening, Carrier testing, Prenatal diagnostic testing, Predictive or predisposition genetic testing and Forensic testing are the types of genetic testing.
13. Lumbar Puncture (Spinal Tap): A lumbar puncture is a diagnostic and treatment procedure used to diagnose various disorders by collecting a small amount of Cerebrospinal fluid (CSF) for testing in patients with overproduction or decreased absorption of CSF. A neurosurgeon will carry out this procedure by inserting a hollow needle into the subarachnoid area (space surrounding the spinal column) in the lower back.
The fluid is tested for the presence of proteins, red and white blood cells, glucose, bacteria, viruses, and abnormal cells. Lumbar puncture is used to diagnose Meningitis, Brian and spinal cord cancers, Encephalitis, Subarachnoid space bleeding, Reye syndrome, Myelitis, Neurosyphilis, Guillain-Barré syndrome, Demyelinating diseases, Headaches of unknown cause, Pseudotumor cerebri and Normal pressure hydrocephalus.
14. Dopamine Transporter Imaging with Single Photon Emission Computed Tomography (DaT-SPECT): It can help detect various conditions, especially Parkinson's disease. This imaging technique can help differentiate between the neurodegenerative symptoms of Parkinson's disorders and a dopaminergic deficit from other causes of Parkinsonism, such as drug-induced Parkinsonism, etc.
1. Craniotomy: A craniotomy is a surgical procedure that includes removing a portion of the skull bone to expose the brain. This procedure involves specialised tools to temporarily remove the bone flap, a part of the skull bone that will be replaced following the brain surgery. Some craniotomy procedures will be performed with the guidance of magnetic resonance imaging [MRI] or computerised tomography [CT] scans for the identification of the precise location of the brain to be treated.
Extended Bifrontal Craniotomy, Minimally Invasive Supra-Orbital “Eyebrow” Craniotomy, Retro-Sigmoid “Keyhole” Craniotomy, Orbitozygomatic Craniotomy, and Translabyrinthine Craniotomy are the types of Craniotomies. This procedure is indicated to repair skull fractures, drain a brain abscess, clip or repair an aneurysm, diagnose, remove, or treat brain tumours, remove an arteriovenous malformation, remove blood or blood clots from a leaking blood vessel, repair a tear in the membrane lining the brain, and epilepsy.
2. Decompressive Craniectomy: Decompressive craniectomy is the temporary removal of a skull portion for the relief of high intracranial pressure. High intracranial pressure within the fixed-volume skull, resulting from cerebral oedema, intracranial haemorrhage, or a space-occupying hematoma, can quickly lead to secondary brain damage, herniation, permanent neurological damage, or death.
Decompressive craniectomy is usually done by removing the fronto-temporal-occipital bone, but in some cases, bi-lateral removal is also done. Decompressive craniectomy effectively increases the brain volume which can be occupied under the scalp and may minimise the ischemic damage by allowing increased cerebral blood flow and tissue oxygenation.
3. Stereotactic Radiosurgery: Stereotactic radiosurgery is used to treat cancer, epilepsy, trigeminal neuralgia, and arteriovenous malformations. It performed carefully bypassing beams of X-rays at the abnormal tissues without making an incision. These X-ray beams alter or destroy the DNA of abnormal cells, thereby preventing their growth and reproduction, resulting in the inactivation and shrinking of abnormal tissue. Fatigue, headache, skin irritation, loss of hair at the treatment site, vomiting, nausea, diarrhoea, seizure, and numbness are the common short-term side effects of Stereotactic radiosurgery.
4. Epilepsy surgery: Epilepsy surgery is a surgical procedure that eliminates the part of the brain that causes seizures; thereby, it inhibits further seizure activities or reduces its severity. Epilepsy surgery is indicated in patients with refractory seizure disorders after receiving two antiepileptic medications (drug-resistant seizure disorder) in a sufficient dosage for a year . Superficial hemosiderosis, Sinus thrombosis, progressive hydrocephalus, memory decline, disconnection syndrome, cough, hoarseness of voice, hemiparesis and dysphagia are some of the major complications of epilepsy surgery.
5. Deep Brain Stimulation (DBS): Deep Brain Stimulation (DBS) is a neurosurgical procedure that is indicated to treat movement disorders associated with Essential tremor, dystonia, Parkinson's disease (PD), and other neurological conditions using implanted electrodes and electrical stimulation. DBS is often referred to as a brain pacemaker or neuromodulation. A neurosurgeon will insert a device beneath the patient’s skin during deep brain stimulation (DBS). Specific areas of the brain get electrical impulses from the device that block the abnormal signals that underlie several neurological conditions.
6. Transcranial Magnetic Stimulation (TMS): Transcranial magnetic stimulation (TMS) is a non-invasive procedure and a type of Brain stimulation therapy that stimulates nerve cells using electromagnetic pulses, which may reduce the symptoms of neurological or mental health conditions.
Repetitive transcranial magnetic stimulation and deep transcranial magnetic stimulation are the two subtypes of TMS therapy. Patients with certain diseases, such as depression, anxiety, post-traumatic stress disorder (PTSD), stroke recovery, and Parkinson's disease, are indicated for TMS. Some adverse effects of this surgical procedure include headaches, discomfort, light-headedness, and tingling.
8. Brain Tumor Surgery: Brain Tumour surgery is a common surgical approach in people with brain tumours, including Pineal region tumours, Pituitary tumours, Rathke's cleft cysts, Skull base tumours and Ventricular tumours. The several methods of brain tumour surgery include craniotomies, MRI-guided laser ablation, and endoscopic brain tumour surgery (neuroendoscopy).
9. Shunt Placement: Shunt placement is a surgical procedure of placing a hollow tube in the patient’s brain (or occasionally in the spine). It is used to relieve hydrocephalus symptoms like gait problems, mild dementia, and lack of bladder control by relieving pressure on the brain. The ventricles (spaces in the brain) often contain the ideal volume of fluid. Hydrocephalus, a chronic neurological condition caused by abnormal cerebrospinal fluid (CSF) accumulation within the ventricles of the brain, creating pressure on the brain. The shunt removes extra fluid that could be compressing the brain and routes it to another part of the body where it can be reabsorbed.
10. Spinal Cord Stimulation: This procedure is carried out by inserting a spinal cord stimulator device that emits low levels of electricity into the spinal cord to reduce pain. This procedure is frequently used when nonsurgical pain management alternatives are ineffective. Spinal cord stimulators consist of thin electrodes and a battery pack (generator). The generator is positioned beneath the skin, typically close to the abdomen or buttocks, and the electrodes are positioned in the epidural space (space between the spinal cord and the vertebrae). These spinal cord stimulator aids in reducing pain by sending electrical impulses with the help of a remote operated by the patient.
11. Craniosynostosis Correction: A congenital abnormality of the infant skull is known as craniosynostosis. It happens when the cranial sutures, which are the fibrous joints connecting the skull's bones, close prematurely. This results in the development of an abnormal shape of the baby's skull. This procedure is carried out by making an incision on the baby's scalp, removing the affected bone, and reshaping and replacing the bone for an improved head shape, thereby increasing space for the developing brain . This procedure can be carried out through endoscopic or open surgery, which yields good cosmetic results with low complications.
12. Laminectomy: It is a surgical procedure where the spinal bone (lamina) is completely or partially removed, resulting in reducing the pressure that may be placed on the spinal cord or the nerve roots as a result of an accident, a herniated disk, a stenosis (narrowing) of the canal, or tumours. Laminectomy is indicated in patients if other medical therapies are not effective. Infection, blood clots in the legs or lungs, bleeding and spinal cord injury are the complications associated with the procedure.
13. Discectomy: It is a surgical procedure used to remove the damaged portion of a disk in the spine that has its soft centre protruding through the tough outer layer. A herniated disk may compress the nearby nerves, resulting in pain radiating down the arms or legs. Discectomy is preferred if the nerve pain causes trouble in standing or walking, failure of other standard treatment for 6 to 12 weeks, such as physical therapy or steroid injections, and difficulty managing the pain in buttocks, arms, legs or chest. Infection, bleeding, leaking spinal fluid, and injury to adjacent spine blood vessels and nerves are the risks associated with this procedure.
14. Transluminal Angioplasty:
Extracerebral arterial stenosis (narrowing of the artery) can be treated with percutaneous transluminal angioplasty (PCTA). It is also indicated for the treatment of extracranial stenosis secondary to atherosclerosis, fibromuscular dysplasia, and vasculitis. In selected cases, percutaneous transluminal angioplasty could also be indicated in symptomatic intracranial stenosis as it produced excellent symptom reduction without any evidence of early restenosis.
15. Neuroplasty: Epidural adhesion is an inflammatory reaction created by a scar due to trauma in the epidural space. It is one of the prime causes of back pain, and various novel treatment approaches have been developed. Neuroplasty is one such treatment modality with the principle of removing the adhesion cause and reducing the inflammation, as it was understood that adhesion and inflammation of the epidural space stimulate the nerve roots, which cause the pain.
16. Expansile Duraplasty:
Chiari malformation type I is characterised by a downward displacement of the cerebellar tonsils through the foramen magnum, leading to disruption of normal cerebrospinal fluid flow in the posterior fossa and compression of the medulla/ upper cervical cord. This condition is mostly treated with suboccipital craniectomy, C1laminectomy, and expansile duraplasty. Expansile duraplasty is often performed to achieve a watertight closure in the posterior fossa while also increasing the space available for the hindbrain. Various dural grafts, including autologous, allograft, xenograft, and synthetic products, can be used.
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