Neurology

The Department of Neurology at Aster Hospital brings together experts from neurology, neuropsychology and psychiatry to diagnose and treat complex neurological problems. We have an extensive clinical history in treating the full range of neurological problems including strokes, brain traumas, epilepsy, Parkinson's, multiple sclerosis and neck and spine conditions. With cutting-edge diagnostics and the most advanced treatment options, our experts have a proven track record of providing healthcare solutions that to heal the most complex organ of the body and help you return to the life you love. Our goal, ultimately, is to work towards improving your mental health and overall well-being.

Available Hospitals

We provide excellent care, right from diagnosis to the treatment and beyond at our world-class hospitals.

Services

We provide comprehensive treatment for all types diseases under one roof. Our highly experienced doctors supported by especially trained clinical staff, ensure the best care for you.

Facilities

Well equipped with the latest medical equipment, modern technology & infrastructure, Aster Hospital is one of the best hospitals in India.

EEG

An electroencephalogram (EEG) is a test used to find problems related to electrical activity of the brain.
An EEG tracks and records brain wave patterns. Small metal discs with thin wires (electrodes) are placed on the scalp, and then send signals to a computer to record the results. Normal electrical activity in the brain makes a recognizable pattern. Through an EEG, doctors can look for abnormal patterns that indicate seizures and other problems.

Diagnostics for Neurology

Electroencephalography
Electromyography
Transcranial doppler

World Class Technology

Outpatient (6 days in a week), Inpatient, follow-up clinic
24 hours emergency services
Neurocritical care
Comprehensive Neuro rehabilitation services
Cerebral angiography
Electroencephalogram (EEG)
Nerve conduction studies (NCS)
Electromyography (EMG)
Evoked potential (VDP, SSEP, BERA)
Nerve and muscle biopsies
Polysomnography
Video EEG monitoring

Neuronavigation

Neuronavigation systems facilitate image-guided neurosurgery ensuring accurate resection of brain tumours or biopsies of brain lesions and detailed brain surgery. Basic principles of navigated surgery are to see the tip of a pointer in an image space.

ICP Monitoring

Continuous assessment of Intracranial Pressure is necessary to evaluate the efficacy of therapeutic measures and for evaluating the evolution of brain injury. This is being carried out using ICP monitoring system, ensuring an optimal level of Cerebral Perfusion Pressure.

Neuro ICU

The Neuro ICU at the department combines the service of ICU staff with advanced critical care training together with technological expertise. It facilitates round-the-clock close monitoring and personalised care for the patients.

Epilepsy Diagnostic Studies

Routine 32 channel digital video EEG
Round-the-clock, long-term 128 channel video EEG monitoring
Functional MRI and WADA study to assess eloquent cortex regions.
3T MRI and an exclusive intraoperative MRI
PET (positron emission tomography)
SPECT (single-photon emission computerized tomography)
ECOG (ElectroCorticography)
Cortical Mapping
SSEP (Somatosensory Evoked Potential)
MEP (Motor Evoked Potential)
Different surgeries available:
Respective Surgery
Lesionectomy
Amygdalohippocampectomy
Corticectomy
Lobectomy (e.g. temporal lobectomy)
Multilobar resection
Disconnective/Palliative Surgery:
Hemispherectomy
Corpus Callosotomy
Multiple Subpial Transections
Conditions treated:
Mesial temporal sclerosis
Focal cortical dysplasia
Lesions like ganglioglioma, DNET
Hemimegalencephaly
Rasmussen’s Encephalitis

Neuro-rehabilitation

This comprehensive rehabilitation regimen can help the patient to maximise and regain normal muscle movement and function after a stroke or for neurological conditions such as:

Parkinson’s disease
Multiple sclerosis
Spinal cord injury
Head injury
Balance dysfunction
Bell’s palsy

Outpatient Service

Consultation
Outpatient electrophysiological diagnosis including: Nerve conduction studies Somatosensory, visual and auditory evoked potential studies EEG, Video EEG Carotid ultrasound and transcranial doppler
Speciality clinics for neurological problems

Inpatient Services

24/7 neuro trauma & critical care
Dedicated Neuro ICUs
Carotid ultrasound and transcranial doppler
Diagnostic cerebral angiography
Thrombolysis and mechanical thrombectomy for stroke
Angioplasty and stent for stroke management
Inpatient electrophysiological procedures including: Long-term video EEG Invasive intracranial monitoring Sleep lab Nerve conduction and evoked potential studies (somatosensory, motor, visual & auditory) Intraoperative electrophysiology

Nuclear Medicine In Neurology

Brain perfusion imaging
Ictal SPECT imaging
Technetium TRODAT imaging
I - 131 MIBG therapy for malignant neuroendocrine tumours

Neuropsychology

Neuropsychology is the systematic evaluation of higher cognitive abilities including intelligence, memory, academic skills, cognitive and language, attention span, sensory motor, problem solving abilities, executive abilities, visual motor skills and personality/emotional functioning. The Neuropsychology Clinic at the Aster Centre of Excellence in Neurosciences offers:

Cognitive evaluation/ rehabilitation/ remediation in patients with neurological conditions like epilepsy, stroke, Alzheimer’s disease, Parkinson’s disease and tumours
Study of functional aspect of brain through pre & post-operative evaluation
Study of decline of cognitive skills in the elderly
Evaluation of changes in thinking/ behavior pattern with people with serious illnesses
Evaluation/ management of behavioural problems
Counselling/ management of depression and anxiety
Counselling and management of depression and anxiety
Family counselling

Neuropathology

Immunohistochemistry
Molecular diagnosis and genetic mutation analysis

Neuro Rehabilitation

Physical therapy
Occupational therapy and rehabilitation for patients with neurological/ physical disabilities
Speech therapy for patients with language disabilities

Technology To Treat You Better

Flat panel bi-plane vascular hybrid cathlab
Fourth generation Time of Flight 16 Slide PET CT
True Beam Linear Accelerator for high-precision radiotherapy
Low radiation CLARITY cath lab
256 slice Philips iCT scanner
3 Tesla Wide Bore Digital MRI
GE SPECT-CT OPTIMA NM 640 Gamma Camera EPIQ
Image fusion for guided biopsies
OR 1 Karlstroz fusion integrated, Green OT certified Operation Theatres with autopilot anaesthesia
Stealth Station Navigation
C- Arm for surgical imaging
Dedicated ICCA (IntelliSpace Critical Care and Anaesthesia) Neuro ICUs
Level 3 Paediatric ICU

Faqs

Want to find out more about the treatment? The answer to your questions can be found below.

How easy is it to get the right qualified medical expertise and the related support staff to treat and manage the patients?

The treatment gap in epilepsy in India ranges from 22% in the urban setting to as high as 90% in villages. The treatment gap has 2 components- People unable to access healthcare services and People who do not adhere to appropriate medical therapy.

One million Indians have medically refractory seizures. Approximately 5 -6 lakh people are candidates for epilepsy surgery in India. Still... Just about 500-600 epilepsy surgeries per year are performed.

Could you specify the new drugs and therapy options accessible in the country?

The pharmacological armamentarium against epilepsy has expanded considerably over the last three decades, and currently includes over 30 different antiseizure medications. The new medications which have been added over the past decade by the FDA include Brivaracetam (Levetiracetam derivative), Perampanel (AMPA antagonist), Cenobamate (Carbamate derivative), Everolimus (Rapamycin derivative), Fenfluramine (Amphetamine derivative) and Cannabidiol (Cannabinoid). Among these Brivaracetam and Perampanel are available in India.

How important is Epilepsy from a neurology department perspective?

Epilepsy, the fourth most common neurological disorder, affects people of all ages and can cause unpredictable seizures.

What is the average age for dementia to begin?

The risk rises as age increases, especially after age 65. However, dementia is not a normal part of ageing, and dementia can occur in younger people. Family history. Having a family history of dementia puts you at greater risk of developing the condition.

What is Epilepsy?

Epilepsy is defined as having two or more unprovoked seizures.

How to identify stroke?

Unexpected numbness or weakness in the face, arm, or leg, especially on one side of the body. sudden confusion, trouble speaking, or difficulty understanding speech. Sudden trouble seeing in one or both eyes. Sudden in trouble walking, dizziness, loss of balance, or lack of coordination.

When to consult a Neurologist?

Neurologist opinion is required when the patient has signs and symptoms of disorders related to the brain, spinal cord, peripheral nerves, and muscles<

What is SUDOSCAN?

SUDOSCAN is an approved device used to test the sudomotor function and test for Small fiber neuropathies. The test is non-invasive, accurate and fast. No patient preparation or fasting is needed and outcome of the test is available within 3 minutes.

Who should get tested with a SUDOSCAN?

A SUDOSCAN test is very useful if you have burning feet, an undiagnosed neuropathy or for periodic assessment of patients with a known neuropathy. It is effective in identifying autonomic neuropathy caused by diabetes and other diseases.

What is epilepsy?

Patients having two or more seizures or a tendency to have recurrent seizures, are termed to be having epilepsy.

What are the major types of seizures?

Sometimes it is difficult to determine when a person is having a seizure. A person with a seizure may look confused or as if they are staring at something that is not there. Other seizures can cause a person to fall, shake, and become unaware of what’s going on around them.

Seizures are classified into two groups.

Generalized seizures affect both sides of the brain.
Focal seizures affect just one area of the brain. These seizures are also called partial seizures.

What causes epilepsy?

Epilepsy can be caused due to various conditions that affect a person’s brain. Some known causes include:

Stroke
Brain tumor
Traumatic brain injury or head injury
The cause of epilepsy is unknown for 2 in 3 people. This kind of epilepsy is termed as cryptogenic or idiopathic.
Developmental anomalies of the brain
Hereditary causes
Loss of oxygen to your brain. Example: Birth time

What is pre-surgical evaluation for epilepsy surgery?

The pre-surgical evaluation consists of various domains. Most important is video EEG followed by investigations like MRI, PET scan, SPECT scan. This MRI scan performed here is not the regular MRI but a customized scan which will depend on recordings of your video EEG. A neuropsychological assessment is also a vital part of presurgical evaluation which gives important insight into the localization and potential problems you will be having after surgery. Once all these investigations are ready, it is generally discussed in meetings to reach a consensus about the plan.

What is a common neurological disorder?

Most common neurological disorders are migraine, stroke, epilepsy, backache.

What conditions do neurologists treat?

Stroke, seizures, headache, backache, neck, pain in any part of the body, Parkinson's disease, Alzheimer's disease, dementia, movement disorders, neuromuscular diseases, sleep disorders, neuropathy, myopathy, etc.

Are there any new clinical trials going on for epilepsy?

There are several medical and surgical trials going on for epilepsy treatment in the Western countries. Few of them are enlisted here:

  • XEN1101 As Adjunctive  Therapy In Focal-Onset Epilepsy
  • Stereotactic Laser Ablation For Temporal Lobe Epilepsy
  • Perampanel Study For Infants With Epilepsy
  • Cannabidiol As An Add-On Therapy In Tuberous Sclerosis Complex
  • Focused Ultrasound For Treatment Of Epilepsy

What is the current scene in the country for Epilepsy in terms of patients and advances in treatment?

At the global level, it is estimated that nearly 70 million people suffer from epilepsy and the prevalence of epilepsy across the globe is estimated to be 5-9 per 1,000 population. There are 12 million people with epilepsy in India, contributing to 1/6th of global burden.

In majority of the people with epilepsy ie 70-80%, the seizures can be well-controlled by giving anti-epileptic drugs. The rest 20-30% have medically refractory epilepsy, in these patients advanced modalities of treatment such as dietary therapy, epilepsy surgery and neuromodulation are the emerging therapeutic options.

Why choose Aster MIMS for Neurosurgery?

Aster MIMS offers highly qualified and dedicated neurosurgeons. Our facility put forward advanced guidance and the latest technology, as well as a warm, family-like atmosphere, we are well known for the quality of care we provide.

Aster Mims neurosurgeon Dr. Jacob P. Alappat is nationally recognised as well. Our certified doctors and nurses monitor the progress of our patients round the clock.

Is There a Cure for Parkinson's Disease?

There is currently no cure for Parkinson's disease, but treatments are available to help relieve the symptoms and maintain your quality of life.

What is Seizure?

A seizure is a sudden, uncontrolled electrical disturbance in the brain. It can cause changes in your behaviour, movements, or feelings, and in levels of consciousness.

What is a stroke?

Stroke is sudden onset weakness in one half of the body due to the blood supply to part of the brain is interrupted or reduced, preventing brain tissue from getting oxygen and nutrients.

Why test sudomotor function?

A sudomotor function test is a quick and reliable way of identifying certain types of neuropathies. The presently available tests detect only 50-60% of neuropathies. This test helps the clinician to identify small fiber neuropathies and improve diagnostic accuracy.

What information does SUDOSCAN provide?

SUDOSCAN gives you the information about the small fiber nerve functions. In a SUDOSCAN test, electrical conductance of the hands and feet are measured. Test results with high conductance means normal sweat function whereas low conductance indicates peripheral or autonomic neuropathy.

What is a seizure?

A Seizure is a condition in which sudden, uncontrolled electrical irregularity occurs in our brain. It may cause changes in behavior, movements or feelings, and levels of consciousness.

How long do seizures usually last?

Usually, a seizure may last from a few seconds to a few minutes, based on the type of seizure.

If I have a seizure, then does it mean that I have epilepsy?

Not always. Seizures can also happen because of other medical problems. These problems include:

A high fever.
Alcohol or drug withdrawal.
Low blood sugar.

What are the steps for epilepsy surgery?

Once you are being considered for epilepsy surgery, you will have to undergo three major steps

Pre-surgical evaluation
consensus decision and
finally surgery
In pre-surgical evaluation, we decide the specific portions of your brain which are responsible for this epilepsy with different tests, clinical evaluations, etc. And a team of doctor specialists from various related fields meet together to discuss and reach a consensus about the type of surgery you will need. A final plan is decided in the multidisciplinary meeting.

Is Neurological disorder curable?

Most of the neurological disorders are curable.

What does a neurologist check for?

Diagnosis and treatment of neurological diseases by complete neurological examination and investigations.

When should you see a neurologist?

If the patient has

Headache
Vomiting
Tingling
Numbness
Burning or pricking sensation or loss of sensation
Weakness of limbs
Facial deviation
Speech and swallowing disturbances
Memory disturbances
Sleep disturbances
Seizures
Abnormal movements
Back and neck pain, etc.

Patient Stories

Our patients are our best advocates, hear the inspiring stories of their treatment journey

Blogs

The source of trustworthy health and medical information. Through this section, we provide research-based health information, and all that is happening in Aster Hospital.

Enquiry_Form_New
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

One Aster

Personalized Medical Assistant for all your healthcare needs.
Book instant appointment, pay securely, eConsult with our doctors and save all your health records at one place are some of the benefits of OneAster App. It is everything you need, to manage your family Health.

barcode

Scan QR Code To Download

* Registration available only for valid Indian mobile number