Neurology

The human nervous system comprising of the brain, spinal cord and nerves is a complex network that controls almost all functions of our body. It is the neurologist who will diagnose and treat any issues that arise from a defect that is caused in the nervous system.

Our department is home to one of the best stroke programs in the city. We continuously get outstanding reviews for our clinical outcomes from comprehensive neurological care provided by our expert team. It’s our mission to provide cost-effective care to our patients with neurological disorders from all segments of community.

Our experts treat almost all neurological disorders including the following:

• Headache, migraine and other cranio facial pains such as trigeminal neuralgias
• Neck and backache
• Neuralgias and neuropathies: sciatica, carpal tunnel syndrome, and diabetic neuropathy
• Parkinson’s disease and other Movement disorders: including evaluation and planning for DBS (Deep Brain Stimulation)
• Seizures and Epilepsy:
• Medical management of Epilepsy
• Specialised evaluation for complex epilepsies with pre-surgical evaluation
• Ketogenic diet services
• Epileptic emergencies- round the clock monitoring including portable EEG for status epilepticus and non-convulsive status
• Management of co-existing conditions including psychiatric and emotional issues
• Invasive EEG monitoring
• Surgical management of epilepsy: curative and palliative.
• Stroke:
• Acute stroke management – intravenous thrombolysis/mechanical thrombectomy
• Stroke Intensive care- 24/7 specialised Neuro ICU
• Stroke prevention and risk reduction of recurrence
• Neurovascular lab services: Carotid duplex for high resolution carotid plaque imaging, transcranial Doppler imaging for evaluation of intra cranial blood vessel narrowing and specialized manoeuvres to quantify and evaluate risk of stroke
• Stroke rehabilitation services
• Neuroinfections
• Neuro immunology services: autoimmune encephalitis, multiple sclerosis, NMOSD and others
• Neuromuscular services: For muscular dystrophy, myopathies and myasthenias including acquired neuropathies
• Specialised memory clinics for: dementia, epilepsy and neurodegenerative conditions
• Botox therapy for dystonia and spasticity
• Neurophysiology services: EEG, Video EEG, video telemetry, EMG, RNS, nerve conduction studies, evoked potentials and intra operative monitoring

Paediatric Neurosciences

Caring for children with complex neurological disorders requires skills of multiple experts across many disciplines. Our well-renowned paediatric neurologists along with other qualified team of experts ensure your child is in safe hands, and is given complete, compassionate care. We offer the most advanced diagnostic and treatment options for various neurological conditions. Each child’s treatment is customized and takes a longer time to ensure all aspects of the child’s condition are considered.

Treatments include:

• Developmental disorders:
• Autism and Autism spectrum disorders: comprehensive early interventions and management
• Cerebral palsy: multidisciplinary management for epilepsy care, spasticity, contractures, swallowing and feeding issues, bone health maintenance, pain and constipation etc.
• Global developmental delay caused by hypoxic injury, metabolic disease, genetic and other diseases of the brain.
• Surveillance of high-risk infants and neonates to minimise neuro disability especially among pre-term babies
• Learning difficulties and academic issues
• Speech delay and speech related issues
• Paediatric epilepsy: medical management, ketogenic diet services, epilepsy surgery. This includes management of the developmental aspect of childhood epilepsy.
• Neurovascular conditions: such as paediatric stroke, congenital malformations such as AVMs (Arterio Venous Malformations)
• Paediatric headaches
• ADHD (Attention Deficit and Hyperactivity Disorders) and other behavioural issues
• Muscular dystrophies and other neuromuscular disorders such as duchenne muscular dystrophy, limb-girdle muscular dystrophy, congenital myopathies, spinal muscular atrophies, neuropathies, myasthenias both congenital and acquired
• Congenital conditions affecting brain development such as down syndrome and other genetic and chromosomal diseases
• Neurodegenerative diseases
• Behavioural problems and mental health issues in children
• Dystonia and movement disorders
• Neurodisability relating to head injury
• Paediatric Neurosurgery:
• Hydrocephalus, neural tube defects and other congenital defects
• Paediatric scoliosis particularly
• Paediatric brain tumours
• Paediatric strokes and Moya Moya disease among others

Neuro Anaesthesia and Critical Care

Neuro anaesthesia revolves around the principles of pre-operative optimisation in patients who have other existing medical conditions, intra operative and post-operative care which reduces complications and hospital stay. In essence, they are the backbone of the silent support system for the management of complex patients. Our experts provide:

• IONM: intra operative neuro monitoring for increased preservation of function and surgical safety
• Awake craniotomy procedures
• Resuscitation and acute management of head injuries and trauma
• Acute management and stabilisation of stroke patients in conjunction with the neurologist
• A 24/7 state-of-the-art neuro ICU managed by neuro intensivists
• Neuro anaesthetic and neuro intensive support for the paediatric neuro services

Neuroradiology

Neuroradiology is defined as a sub-speciality of radiology focusing on the diagnosis and characterization of abnormalities of the central and peripheral nervous system, spine, head and neck using neuroimaging techniques. A neuroradiologist is trained to use advanced imaging techniques using high-end diagnostic and imaging medical equipments to almost accurately pinpoint the condition. At Sagar Brain & Spine Institute we are fully equipped with advanced technologies to diagnose and treat all kinds of neurological disorders. Our specialists perform the following:

• 128 slice advanced CT scan of brain with CT angiogram
• Brain perfusion studies: CT/MRI
• MRI brain with various sequences such as Epilepsy Protocols, Stroke protocols
• MR Neurography
• Functional Imaging of the brain:
• Tractography: 126 directional brain fibre tractography
• CSF flow studies
• MR spectroscopy
• Other services- including swallow safety: gastro griffin, regular X-rays and whole body sonographies with Doppler studies along with 3D and 4D sonographies.

Neurointervention and Cerebrovascular Surgeries

At Sagar Brain & Spine Institute, we specialize in the management of complex conditions in adults and children. By utilizing less invasive techniques of neurointerventional radiology and endovascular surgery our experts able to provide safe and desirable results for a variety of conditions including:

• Diagnostic procedures: digital subtraction angiography
• Interventions:
• Emergency treatment for brain attack- Stroke thrombectomy and plasty
• Aneurysm coiling
• Flow diverters
• Stenting
• Embolising of AVMs and tumours
• Neurovascular surgery:
• Emergency surgery for Stroke
• Surgery for AVMs and aneurysms

Neuropsychiatry, Psychology and Counselling

Mental illness can be very confusing and difficult to understand at first. It requires a thorough evaluation and constant review alongside correct treatment from experts from multiple disciplines. Patients with organic psychiatric conditions and functional neurological disorders are assessed and managed by specialists at Sagar Brain & Spine Institute. Patients with mind and behavioral issues are generally evaluated and treated by psychologists while a mental health counsellor will provide medical counselling. In general, both can work in conjunction with a qualified psychiatrist. We accept a wide range of patients where the new patients can be seen in out-patient department or an admitted patient on case-to-case basis. We generally treat the following:

• Generalised anxiety disorders and mood disorders
• Obsessive compulsive disorders (OCD)
• Depression: Sadness, crying spells, lack of appetite, loss of interest, dejection and fatigue
• Hearing and seeing things that aren’t there, hallucinations, bipolar disorder and schizophrenia
• Repetitive thoughts, suspiciousness, checking, cleaning, counting and psychosis
• Behavioural disorders in medically ill persons
• Counselling services for bereavement and in chronic illness.
• Dementia
• Abuse issues: physical and sexual
• Alcoholism and substance abuse
• Behavioural problems in those with neurological disorders such as Stroke, limbic encephalitis, parkinson’s disease, multiple sclerosis and Epilepsy
• Academic and learning difficulties
• Child psychiatry and child counselling for autism and ADHD (Attention Deficit Hyperactivity disorders)
• Sleep disorders

Neuro Rehabilitation and Physiotherapy

All our physiotherapy staff are trained for neurorehabilitation. Our therapists have experience in providing the following services:

• Stroke rehabilitation
• Early rehabilitation in ICU starting from coma stimulation, passive limb movement, chest physiotherapy
• Prevention of bed-sores and contractures
• Strengthening, weight bearing, balancing and gait training exercises
• Head injury and trauma rehab
• Post-surgical rehabilitation
• Cerebral palsy and early intervention in childhood for developmental disorders
• Assessment and physiotherapy in muscular dystrophy
• Improving hand function
• Swallowing and speech therapy