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Departments » Neurology and Neurosciences

 


Dr. A. Gunasekaran
M.D., D.M. (Neuro)
Head – Consultant Neurologist

 

The Department of Neurology and Neurosciences offers comprehensive evaluation and treatment for patients with neurological disorders. Neurology deals with diseases related to brain, spinal cord, nerve roots, plexus, nerves, myoneural junction and muscles.

 

Outpatient Consultation

First a detailed medical history and a thorough clinical examination will be undertaken. Necessary investigations will be advised. MIOT has an excellent Imaging Department adjacent to Neurology with all kinds of imaging modalities.

 

Electrophysiology Lab

The Neurology Department has a well equipped electrophysiology lab where tests are conducted by an experienced electrophysiology technician. The Neurophysiological Laboratory assessing spinal cord, peripheral nerves and the muscles has 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. Evoked potential studies assess the visual, auditory and the sensory system to localize the disorders of the brain.

 

Once the electrophysiology investigations are conducted and accurate diagnosis obtained, proper treatment will start. The modalities of electrophysiological investigations done here are:

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,SSEP, EEG, Video EEG

Sleep study including Polysomnography etc.

 

 

Sleep Lab

Treatments Offered

Stroke: Comprehensive stroke care is given by a competent team of Neurologist, Neurosurgeon, Interventional Radiologist and Cardiovascular Surgeon. When the stroke patient arrives, emergency imaging like CT brain or MRI diffusion study or CT angiography is done and treatment is started immediately. Recombinant tissue plasminogen activator (rtPA) is used in patients with ischemic strokes. If necessary emergency thrombectomy also can be done. Recombinant factor VII is used in patients with intracerebral hemorrhages. In these patients, subarachnoid hemorrhages with aneurysm, endovascular coiling or clipping are done.


Epilepsy: Convulsions are the most common complaint in neurology requiring emergency treatment. The patient is given drugs to control seizures and resuscitated if they are in shock. Ventilators therapy will be started immediately. Emergency CT scanning and EEG is done to detect the cause for convulsions.

 

Coma: Causes for coma vary from low blood sugar to complicated hemorrhages in the brain. It includes renal failure, liver failure, severe asthma, severe pneumonia, hyponatremia, severe hypothyroidism, meningitis, encephalitis, convulsion, brain tumour, head injury, hydrocephalus and strokes. A complete range of investigations and expert services are available to manage coma patients.

 

Rehabilitation: Certain neurological disorders like stroke, brain tumour, head injury, transverse myelitis, spinal cord injury, meningoencephalitis etc. may produce disability and complete dependence in a patient. These patients are rehabilitated through appropriate physiotherapy, speech therapy or occupational therapy.

 

Special Clinics

Headache Clinic

Giddiness Clinic

Movement Disorder clinic

Muscle Diseases Clinic

Neurodiabetology Clinic

Neuro-ophthalmology Clinic

Sleep Neurology Clinic

Dementia Clinic

 

Special Treatment Procedures
Botox Therapy: Botox Therapy is useful in patients with twisted posture (dystonia) of neck or limbs, oromandibular dystonia, blepharospasm, hemifacial spasm and severe spasticity not responding to other treatments.

 

Stem Cell Therapy: Stem Cell Therapy for patients with stroke, Parkinson’s disease etc., are under clinical trial. MIOT Institute of Research conducts path breaking research in stem cell therapy.