Apollo Hospitals
Apollo Lifeline National : 1860-500-1066 | Mumbai : 022 3350 3350
Mobile Navigation

Diagnostics

Neuro Imaging:

  • 128 slice CT, CT angiogram
  • MRI, MR angiography, MR spectroscopy, Functional MRI
  • Digital substraction angiography
  • Carotid Doppler

Neuro Electrophysiology:

  • Nerve conduction studies
  • Needle and surface Electromyography
  • Repetitive nerve stimulation tests
  • SSEP
  • Flash and Pattern reversal VEP
  • BAER
  • Blink reflex study

Neuro Biochemistry:

  • Therapeutic antiepileptic drug level monitoring
  • Wilson's Disease workup
  • Serum protein electrophoresis
  • CSF Oligoclonal Bands

Neuro Pathology:

  • Brain , Muscle, Nerve, Biopsy, Brain Tumor, Spinal Tumor

Neuro Microbiology:

  • Viral Study
  • PCR Study
  • ELISA testing

Neuro Genetics:

  • Chromosomal analysis with genetic institute
  • Genetic finger printing in collaboration with CCMB

The Neurologists, Neurosurgeons, critical care specialists, nurses and researchers at the Apollo Institute of Neurosciences collaborate seamlessly like a single entity. To the patient it means better diagnosis and better treatment. We are renowned for providing specialised care when it comes to stroke, head & spinal injuries, brain tumors, seizure disorders, movement disorders and headaches.

Epilepsy:

The department offers coordinated treatment options in the management of epilepsy. Adult and pediatric patients are treated with regular video EEG seizure monitoring. Apart from drug therapy, surgical treatment options and vagal stimulation methods are followed based on individual assessment and severity of seizure.

  • Video EEG monitoring
  • ICU EEG monitoring
  • Epilepsy surgeries like Temporal
  • lobectomy, Amygdalahippocampectomy, Lesionectomy, Functional hemispherectomy
  • Vagal nerve stimulation
  • Ketogenic diet

Movement disorders:

The department offers different treatment options for adults and children suffering from movement disorders including parkinsons disease, tremors and dystonia. The department uses a multidisciplinary approach working closely with imaging technology like MRI, rehabilitation and pain management.

  • Botulinum toxin injections guided by electromyography for dystonia and post stroke spasticity
  • Baclofen intrathecal pump surgery for spasiticity
  • Sleep Disorders & Vertigo (Neuro Otology)

Neuro Muscular Disorders

Muscular disorders occur very frequently. Muscular dystrophy, spinal muscular atrophy, congenital myopathies Amyotrophic lateral sclerosis, peripheral neuropathy, myasthenia gravis, and myopathies are slow and sometimes fatal.

The department offers comprehensive treatment option for both children and adults. Nerve conduction studies, Electromyography nerve and muscle biopsy, spinal fluid analysis are carried out to diagnose the problem.

Full fledged EMG lab offers various diagnostic services

Multiple Sclerosis

The department offers a dedicated MS centre for extensive care and treatment methods for patients suffering from MS.

Migraine

The department offers physical, psychological and medical approach to pain management. Chronic pain rehab programs are available for people suffering from severe pain/migraine Botulinum toxin injections for refractory migraine is also done.

Parkinson's disease

Parkinson's disease is a progressive disorder of the nervous system that affects voluntary movement.

Symptoms vary from person to person and typically affect one side of the body first, even as they worsen. Traditionally total cure was never possible and patients were put on medications to manage their worsening symptoms.

Stroke

A stroke, or brain attack, is caused by the sudden loss of blood flow to the brain or bleeding inside the head. Each can cause brain cells to stop functioning or die. When nerve cells in the brain die, the function of body parts they control is harmed or lost. Depending on the part of the brain affected, people can lose speech, feeling, muscle strength, vision, or memory. Some people recover with minimal disability others are seriously disabled.

You can reduce your chances of death or disability if you recognize the signs of stroke and get immediate medical help. Quick medical attention and treatment can save lives. It can also prevent more serious, long-lasting problems. People who are suffering a stroke must get immediate medical care. It is very important they get to a hospital within 60 minutes of the onset of a stroke. Time is of the essence.

Treatment

Immediate medical care is important. New treatments work only if given within a few hours after a stroke begins. For example, a clot-dissolving drug must be given within three hours.

Once the doctor completes the diagnostic tests, the treatment is chosen. For all stroke patients, the aim is to prevent further brain damage. If the stroke is caused by blocked blood flow to the brain, treatment could include:

  • T P A (tissue plasminogen activator), a clot-dissolving drug that is injected within three hours of the start of a non-bleeding stroke.
  • Drugs that thin the blood, including anticoagulants (warfarin) and antiplatelet medications (aspirin or ticlopidine); a combination of aspirin and sustained release dipyridamole.
  • Surgery that opens the insides of narrowed neck blood vessels (carotid endarterectomy).

If bleeding causes the stroke, treatment could include:

  • Drugs that maintain normal blood clotting.
  • Surgery to remove blood in the brain or decrease pressure on the brain.
  • Surgery to fix the broken blood vessels.
  • Blocking off bleeding vessels by inserting a coil.
  • Drugs that prevent or reverse brain swelling.
  • Inserting a tube into a hollow part of the brain to lower pressure.

After a stroke, a person may have some disability. The disability depends on the size and location of the stroke. The right side of the brain controls the left side of the body; in right-handed individuals it is important for attention and visual-spatial skills. The left side of the brain controls the right side of the body; in right-handed individuals (and 50 percent of left-handed people) it controls language speaking and understanding. Language disorders are also called "aphasias" or "dysphasia".

Rehabilitation

Rehabilitation helps regain functions lost from damage due to stroke. During rehabilitation, most people will get better. However, many do not recover completely. Unlike skin cells, nerve cells that die do not recover and are not replaced by new cells. However, the human brain is adaptable. People can learn new ways of functioning, using undamaged brain cells.

This rehabilitation period is often a challenge. The patient and family work with a team of physical, occupational, and speech therapists, along with nurses and doctors. Most of the improvement will take place in the first three to six months of the process. But some people can make excellent progress over longer periods.

Brain & Spine Surgery

Neurosurgery, which includes surgery on the brain, spinal cord, skull and the bony spinal column, is a highly advanced super specialty which requires specialized training. With technology becoming the prime driver in most areas of healthcare, tremendous strides have been made in Neuro care. Apollo Hospitals is recognized as a leader in acute Neurosurgical care and is ranked among the top hospitals specializing in Neuro care in the world. Ably supported by modern Neuro-radiology service, Neuro-intensive care facility, medical and radiation oncology services, specialists at Apollo Hospitals achieve outcomes matching those of the leading institutions across the globe.

Micro Neurosurgery

(Surgery performed using an operating microscope)

Neurosurgery often involves reaching into complex areas of the brain, the skull base, or the spinal cord. The objective of Neurosurgery is to treat the disease while keeping the delicate functions of the brain intact, thereby achieving good surgical outcome. This can be done by combining the latest microscopic surgical techniques with the most advanced and up-to-date technical resources. This allows us to reach the surgical target safely while keeping the risk at a minimum.

Micro neurosurgery is a term used to refer to the operating microscope and specific micro-instruments which are deployed to perform a surgery for treating the diseases of brain, spine, and spinal cord. Neurosurgeons are nowadays very adept in Microsurgery and perform several complex delicate operations using the Microscope.

The centers for Neurosurgery at Apollo Hospitals offer the best in micro neurosurgery. Almost all procedures in brain and spine are done under the magnification provided by the microscope. With the use of a microscope, there is less damage to a normal brain or spinal cord surrounding the area of abnormality. Patients have a smooth recovery and lower incidence of surgery induced deficits. The hospital stay is reduced and thus the cost of treatment is lower.

Neuro Endoscopic Surgery

This procedure has reduced the hospital stay of the patients and has helped in quicker recovery from hormonal problems. Patients who have a leak of the brain fluid through the nose can also be treated by this relatively less invasive technique. Neuroendoscopy Equipments are also used routinely for minimally invasive endoscopic removal of certain tumors (eg. intraventricular and pituitary tumors), third ventriculostomy in the treatment of hydrocephalus, drainage of brain abscesses and cysts.

Complex Minimal Access Spinal Surgeries

(Microsurgery for Disc Prolapses, Stabilization for Spinal Instability and Deformity)

With the increasing rates of high speed vehicular accidents, the incidence of Spinal injuries are on the rise. And if the patients do not receive effective treatment at the earliest, they may be left with debilitating neurological defects (paralysis of hands and legs / inability to control urination and defecation). Complex Spinal stabilization procedures are performed at Apollo Hospitals to achieve a high degree of Spinal stability as rehabilitation often depends on it. Microsurgery (Micro-Discectomy, Corpectomy [removal of vertebral body], Laminectomy, Laminoplasty) is used to treat Spondylosis, where the spine gets degenerated and causes pressure on the Spinal Cord and Spinal Nerves.

Surgery for Spinal Cord Tumors

Spinal Tumors

Any tumor or growth on the spine whether cancerous or not, can press upon the spinal cord/nerves, causing pain, neurological defects and sometimes paralysis. Loss of sensation or muscle weakness, especially in the legs, difficulty in walking, sometimes leading to falls and loss of bowel or bladder function are some other symptoms of such tumors.

They are classified according to their location, as follows:

  • Extradural - outside the dura mater lining (most common)
  • Intradural - part of the dura mater lining
  • Intramedullary - inside the spinal cord
  • Extramedullary - inside the dura, but outside the spinal cord

Surgeons at Apollo Hospitals treat spinal tumors even in the most inaccessible areas. High-powered microscopes that are used in surgery help remove even delicately placed intradural tumors. Total Spondylectomy - removal of the entire vertebra i done as a definitive cure is also done for some spinal tumors.

Spinal Surgeries

  • Spondylosis
  • Slipped Disc
  • Spondylolisthesis
  • Scoliosis
  • Spinal Tumors
  • Spinal Injuries

Skull Base Surgery

(Complex procedures at the base of the brain involving the bone and blood vessels)

Tumors of the skull base are often the most difficult to treat. Surgery is complex due to the critical location of the tumor in terms of proximity to vital blood vessels, nerves and requires a team of surgeons - Neurosurgeon, Head & Neck surgeon, Plastic surgeon and Vascular surgeon. With the latest in high-speed drills and saws, we are indeed well equipped for these procedures.

Parkinson's disease

Parkinson's disease is a progressive disorder of the nervous system that affects voluntary movement.

Symptoms vary from person to person and typically affect one side of the body first, even as they worsen. Traditionally total cure was never possible and patients were put on medications to manage their worsening symptoms.

Head Injury

Head Injury is a general term used to describe any trauma to the head, and most specifically to the brain itself.

Skull Fracture: A skull fracture is a break in the bone surrounding the brain and other structures within the skull.

Linear Skull Fracture: A common injury, especially in children. A linear skull fracture is a simple break in the skull that follows a relatively straight line. It can occur after seemingly minor head injuries (falls, blows such as being struck by a rock, stick or other object or from motor vehicle accidents). A linear skull fracture is not a serious injury unless there is an additional injury to the brain itself.

Depressed Skull Fracture: This is common after forceful impact by blunt objects most commonly, hammers, rocks, or other heavy but fairly small objects. This injury causes "dents" in the skull bone. If the depth of a depressed fractures is at least equal to the thickness of the surrounding skull bone surgery is often required to elevate the bony pieces and to inspect the brain for evidence of injury.

Basilar Skull Fracture: A fracture of the bones that form the base (floor) of the skull and results from servere blunt head trauma of significant force. A basilar skull fracture commonly connects to the sinus cavities. This connection may allow fluid or air entry into the inside of the skull and may cause infection. Surgery is usually not necessary unless other injuries are also involved.

Minor blunt head injuries: May involve only symptoms of being "dazed" or brief loss of consciousness. They may also result in headaches, blurring of vision or nausea and vomiting.

Severe blunt head trauma: Involves a loss of consciousness lasting from several minutes to many days. Seizures may result. The person may suffer from severe and sometimes permanent neurological damage or may die. Neurological damage from head trauma resemble those seen in stroke and include paralysis, seizures, difficulty in speaking, seeing, hearing, walking, or understanding.

Penetrating trauma: May cause immediate, severe symptoms or only minor symptoms despite a potentially life-threatening injury. Death may follow from the initial injury. Any of the serious blunt head trauma may result.

Endovascular Coiling of Aneurysms & Embolisation of Vascular Malformations

With the help of a dedicated Cath lab and a full time Neuro-interventional Radiologist, Apollo Hospitals has to its credit for having treated numerous aneurysms, Carotico-cavernous fistulae, Dural AV fistulae, AVM's of brain and spinal cord. Therapeutic embolisations of Brain tumors and tumors of the spine are done routinely.

Pediatric Neurosurgery

(For anomalies and tumors of the brain and spinal cord in infants and children)

For children born with anomalies of the brain, spinal cord, skull deformities and spinal deformities, Apollo Hospitals offers the best care, in the form of programmable shunts for hydrocephalus, repair of meningo-myeloceles, correction of cranio-synostosis (early, abnormal closure of skull bones) and correction of spinal deformities. Children with tumors of the brain and eyes are also treated.

Vertebroplasty

Vertebroplasty is an image-guided, minimally invasive, nonsurgical therapy used to strengthen the vertebra (spinal bone) weakened by osteoporosis, or cancer. Vertebroplasty can increase the patient's functional abilities, allowing them to return to the previous level of activity, and prevent further vertebral collapse. It is usually successful in alleviating the pain. Performed as an outpatient procedure, vertebroplasty is accomplished by injecting a bone cement mixture through a needle into the fractured bone.

Neuro Intensive Care Unit

The neurosurgical department has a state-of-the-art neuro-intensive care unit - with modern ventilators, for adults and children and the latest invasive and non-invasive facilities for monitoring of vital functions. A committed team of intensivists, pulmonologists, infectious diseases specialists, nephrologists and cardiologists provide support round the clock.

Rehabilitation

Rehabilitation helps regain functions lost from damage due to stroke. During rehabilitation, most people will get better. However, many do not recover completely. Unlike skin cells, nerve cells that die do not recover and are not replaced by new cells. However, the human brain is adaptable. People can learn new ways of functioning, using undamaged brain cells.

This rehabilitation period is often a challenge. The patient and family work with a team of physical, occupational, and speech therapists, along with nurses and doctors. Most of the improvement will take place in the first three to six months of the process. But some people can make excellent progress over longer periods.

  • Physiotherapy
  • Botulinum toxin injection therapy for spasticity
  • Occupational therapy
  • Speech and language therapy
Find a doctor
Patients Speak

Patients Speak

Let our patients tell you about us
Ask us

Ask us

anything, anytime!

I‘m here to

HIDE X
 
Enter Specialities, Doctors, Health Check