What we do

 

1. Long term Epilepsy Monitoring

Video-EEG monitoring refers to continuous EEG recorded for a more or less prolonged period with simultaneous video recording of the clinical manifestations. Having a correlation of the recorded behavior (video) and the EEG activity, the diagnosis of seizures or nonepileptic attacks can be made definitely in nearly all cases. EEG-video is the criterion standard for the diagnosis.

 

EEG-video monitoring has become available at our centers with an epilepsy program, and . The purpose of EEG-video is to answer the following questions:

 

Are the episodes epileptic seizures?

If not, what are they?

If they are epileptic seizures, what type of epilepsy is it?

If the seizures are focal, from where are they arising?

 

2. Epilepsy surgery Program

Surgery is an alternative for some people whose seizures cannot be controlled by medications. It has been used for more than a century, but its use dramatically increased in the 1980s and 90s, reflecting its effectiveness as an alternative to seizure medicines. The benefits of surgery should be weighed carefully against its risks,

 

People with partial epilepsy who are considered for surgery have difficult-to-control seizures that have not responded to aggressive treatment with medication. In the past, patients usually tried several medications with poor results for many years, even decades, before being considered for surgery.

 

More recently, surgery is being considered sooner. Studies have shown that the earlier surgery is performed, the better the outcome.

 

Surgery is now being performed on some people whose seizures have been uncontrolled for only 1 or 2 years. At least two single drugs and a combination of two or more drugs should be tried before surgery is considered.

 

Epilepsy surgery can be especially helpful to people who have seizures from structural brain problems (such as benign brain tumors, strokes or malformations of blood vessels).

 

We have performed 11 successful epilepsy surgeries

 

Epilepsy treatment must consider a person's quality of life, not just the number of seizures. Both continued seizures and high doses of medication impose costs on all areas of a person's life—intellectual, psychological, social, educational, and employment.

 

Both medical and surgical approaches should be individualized to consider these factors when weighing the benefits of seizure control versus the risks of continued seizures and treatment side effects.

 

State-of-the-art technology can now be applied to perform the safest and least-invasive procedure that will help each person to achieve the highest possible quality of life.

 

3. Botox Injection is uses at our centre for various neuro diseases like

i. Chronic Migraine

BOTOX® for injection is indicated for the prophylaxis of headaches in adult patients with chronic       migraine (≥ 15 days per month with headache lasting 4 hours a day or longer).

 

ii. Upper Limb Spasticity

BOTOX® for injection is indicated for the treatment of upper limb spasticity in adult patients, to  decrease the severity of increased muscle tone in elbow flexors (biceps), wrist flexors (flexor carpi radialis and flexor carpi ulnaris), finger flexors (flexor digitorum profundus and flexor digitorum sublimis), and thumb flexors (adductor pollicis and flexor pollicis longus).

 

iii. Blepharospasm and Hemifacial Spasm

BOTOX® is indicated for the treatment of strabismus and blepharospasm associated with dystonia, including benign essential blepharospasm or VII nerve disorders in patients 12 years of age and above.

 

iv. Cervical Dystonia

BOTOX® is indicated for the treatment of adults with cervical dystonia to reduce the severity of  abnormal head position and neck pain associated with cervical dystonia.

 

4. Thrombolysis for acute stroke

Thrombolysis

If your stroke is caused by a blood clot, you may be treated with a clot-busting drug to try to disperse the clot and return the blood supply to your brain. 

The medicine itself is called alteplase, or recombinant tissue plasminogen activator (rt-PA). The process of giving this medicine is known as thrombolysis.

Thrombolysis can break down and disperse a clot that is preventing blood from reaching your brain.

For most people thrombolysis needs to be given within four and a half hours of your stroke symptoms starting. In some circumstances, your doctor may decide that it could still be of benefit within six hours. However the more time that passes, the less effective thrombolysis will be. This is why it’s important to get to hospital as quickly as possible when your symptoms start.

 

5. Intraoperative neurophysiological monitoring

Intraoperative neurophysiological monitoring (IONM) or intraoperative neuromonitoring is the use of electrophysiological methods such as electroencephalography (EEG), electromyography (EMG), and evoked potentials to monitor the functional integrity of certain neural structures (e.g., nerves, spinal cord and parts of the brain) during surgery. The purpose of IONM is to reduce the risk to the patient of iatrogenic damage to the nervous system, and/or to provide functional guidance to the surgeon and anesthesiologist.