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BRAIN ATTACK:
Neurology deals with the evaluation, diagnosis, and management of disorders of the brain, spinal cord, peripheral nerves, neuromuscular junction and muscles. As a healthcare provider dedicated to providing the finest possible care, the Department of Neurology at Max Hospitals provide comprehensive diagnostic and therapeutic Neurology services as per internationally accepted evidence-based protocols.
Along with chronic neurological cases and regular OPDs, the Max Neurology Department is also adept at handling emergencies such as Convulsions, Stroke, head trauma, change in mental status/coma, intracranial haemorrhage, myasthenic crisis and infections.
The competence of the department is further supported by well-equipped Neuro ICU facilities, Bi-plane cath labs and bedside Electro Encephalogram (EEG) Monitoring for managing patients with neurological illnesses. A team of highly skilled and experienced specialists that is available round the clock and state-of-the-art imaging modalities such as 3T MRI and CT scan give the Department of Neurology the advantage of providing the best in patient care.
Headaches: All types of primary headaches, especially migraine and secondary headaches.
Stroke: Considered a brain attack due to either occlusion or blockage of blood supply of the brain or due to rupture of brain vessels. A stroke is a medical emergency.
How to identify stroke:
U CAN REMEMBER IT AS: BE-FAST
B: Balance
E: Eye signs (like blurring or loss of vision or diplopia)
F: Facial weakness
A: Arm weakness
S: Speech slurring
T: Time to call
What to do:
Keep patient in left lateral position and shift immediately to the hospital where facilities of stroke treatment are available (Thrombolysis plus mechanical thrombectomy).
Seizure or epilepsy: An epileptic seizure was defined by the International League Against Epilepsy (ILAE) as "a transient occurrence of signs and/or symptoms due to abnormal excessive or synchronous neuronal activity in the brain. Epilepsy is defined as any of the following:
What to do if someone around you has a seizure:
Important instructions for patients:
Parkinson's disease and other hypokinetic disorders: It is a progressive degenerative disorder affecting the brain in which the most important symptoms are the slowness of activities of daily living, tremors of the hand, bradykinesia and freezing episodes and falls. Medications can help to manage the symptoms of Parkinson's disease. Usually, dopamine-increasing medications are given to patients. Deep brain stimulation is also a better option if the patient fulfils the prerequisite criteria for DBS.
Meningitis and Encephalitis: Due to inflammation of the meninges and brain. It could be due to viral, tubercular, bacterial or fungal. The patient usually presents with a history of fever, headache, vomiting, neck pain and drowsiness. Encephalitis mainly occurs due to viral infection or autoimmune process in which the patient usually presents with fever, headache, seizures, psychosis etc. Early diagnosis and treatment are mandatory because it is a curable disease.
Demyelinating disorders (Multiple sclerosis, NMOSD etc.): These are immune-mediated disorders in which demyelinating lesions in the brain and spinal cord will occur. Patients usually present with unilateral or bilateral loss of vision, fatigability, gait ataxia, recurrent hiccups and difficulty walking. Early and appropriate treatment is required because once it reaches a degenerative condition, complete recovery will not be possible. Apart from medical management, rehabilitation and physiotherapy play a great role in management.
Cognitive disorders: There are reversible and irreversible types of dementia. The reversible cause of dementia needs to be ruled out. Dementia is broadly classified into cortical and subcortical dementia. Alzheimer's disease is known to be the most common cause of cortical dementia. The most challenging and appropriate evaluation is required in cases of rapidly progressive dementia.
Patients may need to see a neurologist if they:
Neurologists may order several diagnostic tests to detect the cause and measure the extent of the disease and disorder. Some of the diagnostic tests conducted by them are:
The results of the tests mentioned above will be available within 24 hours. Medicines and treatments will be prescribed according to the results of these tests. Consult a doctor immediately if you think you may suffer from a neurological condition.
Reviewed by Dr. (Col) Joy Dev Mukherji, Principal Director and Head - Neurology on 04-Jan-2023.
Dr. (Col) Joy Dev Mukherji, Principal Director and Head - Neurology
Max Healthcare is home to 5000 eminent doctors in the world, most of whom are pioneers in their respective fields. Additionally, they are renowned for developing innovative and revolutionary clinical procedures.
Max Healthcare is home to 5000 eminent doctors in the world, most of whom are pioneers in their respective fields. Additionally, they are renowned for developing innovative and revolutionary clinical procedures.
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