Overview
The Department of Neurology and Neurophysiology at Kota Heart offers patients of all age groups end-to-end care for diseases related to the brain, spinal cord, muscles and nerves.
Out-patient Services
The department caters to patients with a wide spectrum of ailments, ranging from headache, stroke, epilepsy, vertigo to neck and back pain, Parkinson’s disease, memory problems and dementia. It also manages neurological problems in children such as cerebral palsy, developmental delay, mental retardation and behavioural disturbances. Special therapeutic procedures such as botox injections are also undertaken.
Neuro Physiology lab
The Department has a well equipped electrophysiology lab where tests are conducted by an experienced electrophysiology technician. State of the art EEG is available to assess patients with difficult to diagnose seizure pattern The neurophysiology laboratory assesses the spinal cord, peripheral nerves and the muscles, using 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.
The modalities for the electrophysiological investigations done here include 16-channel EEG, 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, BAER , SSEP, EEG , sleep study ( including polysomnography) and needle EMG study.
Emergency services
The department caters to emergencies such as Stroke, myasthenia gravis (an autoimmune neuromuscular disease), Guillain-Barré syndrome (a disorder affecting the peripheral nervous system), epilepsy, cerebral venous thrombosis (CVT) and acute demyelinating encephalomyelitis (ADEM).
Patients in the throes of epileptic convulsions are immediately given drugs to control seizures and resuscitated, if they are in shock. Ventilator therapy is started immediately if required. An emergency CT scan and EEG are also done to diagnose the cause of the convulsions.
Comprehensive stroke care
Kota Heart Hospital has a 6-bedded, fully equipped, acute stroke / neuro medical ICU with a dedicated round-the-clock stroke team which is a group of a neurologists, interventional neuroradiologists, neurosurgeons and critical-care specialists. The neuro medical /stroke ICU handles all emergencies including ischemic strokes, haemorrhagic strokes, subarachnoid haemorrhage, venous thrombosis, epileptic convulsions and more. Its state-of-the-art facilities include those for intra-arterial thrombolysis, mechanical clot extraction, aneurysm coiling, continuous EEG monitoring etc.
When the stroke patient is brought in, emergency imaging such as CT scan of the brain or an MRI diffusion study or a CT angiography is done and treatment started immediately. Recombinant tissue plasminogen activator (rtPA) is used for patients who have ischemic strokes. If necessary, an emergency thrombectomy is done. Recombinant factor VII is given to patients with intracerebral haemorrhage. Endovascular coiling or stenting is done for patients who have subarachnoid haemorrhages due to aneurysm rupture.
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Rehabilitation
Neurological disorders such as stroke, brain tumour, head injury, transverse myelitis, spinal cord injury, meningoencephalitis etc. can result in disability. These patients are rehabilitated through physiotherapy, occupational therapy and speech therapy.
Botox therapy is given to patients with twisted posture (dystonia) of the neck or limbs, oromandibular dystonia, blepharospasm, hemifacial spasm and severe spasticity, who do not respond to other modalities of treatment this is an outpatient procedure.
Treatments & Procedures
- Complete minimally invasive urinary-stone management
- Rigid ureteroscopy for treatment of ureteric stones of all sizes and locations
- Retrograde intrarenal surgery (RIRS) for kidney stones
- Percutaneous nephrolithotomy (PCNL) for large renal stones
- Extracorporeal shock wave lithotripsy (ESWL) to treat stones of the urinary tract
- Lower tract endourology to treat prostate tumours (TURP), bladder tumours (TURBT), urethral strictures and bladder stones
- Management of acute urinary tract trauma
- Reconstructive urology
Reconstruction of urinary tract
Repair of uro-gynaecological fistulae
Reconstruction of urethral stricture
Reconstruction for diseases like TB and following cancer surgery
- Correction of congenital abnormalities like congenital pelviureteric obstruction, megaureter, vesicoureteric reflux
- Correction of genital anomalies like hypospadias, epispadias exstrophy complex and cryptorchidism
- Uro-oncology
- Incontinence management
- Neurourology and urodynamics for bladder problems secondary to spinal and brain disorders
Programmes
- Urolithiasis Clinic, to evaluate patients who have urinary stones
- Prostate Clinic, for men above the age of 50 years, which screens for prostate-related ailments
- Uro-oncology Clinic, for screening, early diagnosis and staging of cancers involving kidney, urinary bladder, prostate and testes
- Andrology and Male Infertility Clinic, to deal with erectile dysfunction, ejaculatory disorders and male infertility
- Continence Clinic, for screening and treatment for urinary incontinence in both men and women
Kota Heart Hospital Urology Health Initiative, which screens for and offers education on preventable conditions involving the urinary tract.
