During neurological examinations, a neurologist will review your health history with special emphasis on your present condition. Typically exam tests will include function of cranial nerves (including vision), coordination, reflex action, strength, sensation & mental status as well. The collection of this data will help the neurologist determine if the problem is clinically localized or dwells within the central nervous system. Localization of pathology is key process which enables neurologists to develop a differential diagnosis. Further tests may, however, be required to confirm diagnosis & arrive at therapy for appropriate management.
Concerned with diagnosis & treatment of the entire nervous system including brain, spinal cord, spinal column & labyrinth of nerves, neurological disorders are faced by millions of people all across the world. Some of the most common human neurology problems include a variety of headaches, radiculopathy, neuropathy, stroke, dementia, seizures, epilepsy, Alzheimer’s disease, Parkinson’s disease, Tourette’s syndrome, multiple sclerosis, sleep disorders, cerebral palsy, encephalopathy, facial nerve problems, hydrocephalus, trigeminal neuralgia, vertigo, etc.Neurosurgery cost in India is surprisingly low when compared to most other places including the developed countries.
TRAVCURE Neuro Surgery treatments in India are conducted by renowned experts in the diagnosis & surgical treatment of brain & spine disorders including brain tumors, trigeminal neuralgia & hemifacial spasms, neuro-vascular surgery, pediatric neurosurgery, pituitary surgery, radiosurgery, spine & spinal cord surgery, epilepsy & movement disorders. Our neurosurgeons have expertise in stereotactic radiosurgery along with radiation oncologists for tumor and AVM treatment. Radiosurgical methods such as GammaKnife & CyberKnife are used. Cutting across borders we are eager to provide solutions to patients worldwide. Neurological problems should never be ignored as they inhibit our overall functionality. Conditions may worsen beyond repair if they are not diagnosed & treated early.
India is a specialist destination for Neurosurgery procedures. Neurology treatment costs in India are affordable & just a fraction of what you would normally pay in the western developed countries. Offering high-tech medical solutions to a large variety of healthcare problems, it is no wonder that India is one of the most favored global health care destinations for Neurology today.
People with brain tumor generally undergo brain cancer surgery. The main purpose of this surgical procedure is to confirm abnormality seen as tumor during tests & to remove them. If this is not possible, the surgeon may take a biopsy of tumor to identify type. In quite a few benign tumor cases, symptoms are often completely cured by surgical removal of tumor. Brain Cancer Surgery patients may in fact undergo, several treatments & procedures prior to actual surgical intervention. Department of Neurology at TRAVCURE institutions is technologically well-equipped & one of the best in expertise on the subject. Our consultants are among the most qualified top neuro surgeons in India who will deliver most appropriate solutions to your complex neurological conditions.
Endovascular neurosurgery is a subdivision of neurosurgery which utilizes radiology & catheters to diagnose & treat different disorders & conditions related to central nervous system. This surgery is also known as neurointerventional surgery. The word endovascular states “inside a blood vessel.” In this surgery medical equipment utilizes which goes through blood vessels to treat various conditions instead of using open-end surgery.
Disorders Treated by Neurosurgeons
Alzheimer’s basically is a neurological disorder where death of brain cells cause cognitive decline & memory loss. This is a neurodegenerative type of dementia which starts mild but gets worse progressively. The total brain size in Alzheimer’s patients is found to shrink over time with brain tissue having reduced nerve cells & connections. However, these cannot be seen or tested in living brain, but autopsies have shown tiny inclusions in nerve tissue which are called plaques & tangles. Plaques are generally found between dying brain cells from a build-up of protein called beta-amyloid. Tangles are found within brain neurons as result of another protein called tau.
Epilepsy is a central nervous system neurological disorder. Nerve cell activity in brain is disrupted causing seizures or periods of erratic behavior, sensations followed by loss of consciousness in many cases. Seizure symptoms can widely vary among individuals. Some may simply blankly stare for few seconds during seizure while many others agitatedly & uncontrollably twitch legs & arms. A single such seizure does not mean epilepsy, individuals must have at least two unprovoked seizures to qualify for epilepsy diagnosis. Even mild epilepsy seizures are of concern & required treatment since they can be pretty dangerously fatal during driving & swimming activities. Treatments for epilepsy in India include medications & surgery at times which can control in about 80% of the cases. However, many children with epilepsy are found to outgrow this condition with age.
Headaches hurt! First step in thwarting recurring headaches is to determine the type of pain. Quite often headaches are symptom of another disease or medical condition. Headaches as such have no cause that can be found. In order to aid diagnosis doctors will like to take close look at signs & symptoms of headache. They may even suggest you maintain a headache-diary where you note when headaches occur along with signs, symptoms & triggers that can be identified. There are many types of headaches. One feels like a tight band around head, while another may cause mild to moderate pain on either side of the head. Some realistic factors causing headaches could include stress, anxiety, depression, missed meals, neck strain, lack of sleep, or even migraine where attacks are at regular intervals. However, most intermittent type of headaches can easily be treated with over-the-counter medications.
Intracranial Aneurysm is also called cerebral or brain aneurysm. It is a cerebro-vascular disorder which weakens the wall cerebral arteries & veins causing ballooning or localized dilation of blood vessel. Aneurysms located in the posterior circulation area of the brain are at higher risk of rupture than basilar artery aneurysms. Intracranial aneurysms are classified by size & shape. While aneurysms can be small, large, giant or super-giant in size, some main types include saccular aneurysm, fusiform aneurysm & microaneurysms. A small aneurysm may produce few or no symptoms, while large aneurysms before rupture generally indicate unusual severe headache, vision impairment, nausea, vomiting or even loss of consciousness.
Multiple Sclerosis (MS) is a medical condition where the immune system attacks myelin (protective sheath) covering nerves. Myelin damage eventually disrupts communication between brain & parts of the body. In the process nerves deteriorate causing irreversible damage. Multiple Sclerosis signs & symptoms widely vary. They depend upon the extent of damage & location of affected nerve fibers. Some MS patients may even lose ability to walk while other experience prolonged periods of remission. Without any cure in sight, however, MS treatments help speed recovery from attacks. They can modify course of disease & help manage symptoms. Some MS signs & symptoms include weakness or numbness in one or more extremities typically occurring on one side of the body. Other symptoms are partial or complete loss of vision, double or blurring of vision, tingling, electric shocks or pain in parts of body, tremor, lack of coordination or unsteady gait, dizziness, fatigue, slurred speech or problems with bowel & bladder function.
Parkinson’s is a progressive disorder of nervous system affecting physical movement. Starting with a barely noticeable tremor in one hand, it gradually develops to stiffen or slow movement (bradykinesia). In early stages the face may show little or no expression, or speech may become soft or slurred. The arms may no more swing while walking as the condition progresses over time. Parkinson’s may not be cured, but medications definitely improve symptoms. Doctors may also suggest surgery so as to regulate some regions of brain. Although signs & symptoms vary from person to person, Parkinson’s usually begins from one side of the body & often remains worse thereby even after it has moved on to cover both sides. Causes for Parkinson’s remain unknown but several factors like genes & exposure to certain toxins & environmental factors seem to increase risk.
An essential chapter of the brain surgery treatment, Deep Brain Stimulation or DBS Surgery involves implanting electrodes inside certain areas of brain. Designed to produce electrical impulses to regulate abnormal impulses which can effect certain cells & chemicals in brain, the amount of stimulation produced through these electrodes is controlled by pacemaker-like device put under skin in upper chest area. Deep Brain Stimulation therapy is used in neurology & neurosurgery treatments like Essential tremor, Dystonia, Tourette syndrome, epilepsy, cluster headaches, Parkinson’s disease, major depression & chronic pain. Deep Brain Stimulation for Parkinson’s is an established treatment along with other movement disorders. DBS is generally safe, however, possibility of regular complications of surgery like infection, nausea, incision scarring, breathing problems & bleeding may persist. Specific DBS complications might result in stroke or heart problems. Moreover, DBS is not a one-time procedure; replacing worn batteries would require another surgery in due course of time.
Deep Brain Simulation Benefits are as follows –
- Safer & more effective than ablative surgical procedures
- Fewer complications than traditional surgery
- Stimulator can be adjusted as per the requirement patients
- Future alternative surgeries can also be done
Trigeminal Neuralgia is a chronic painful condition affecting the trigeminal nerve which carries sensation from face to brain. Even mild stimulation of face in this condition can trigger a jolt of excruciating pain. What may begin as short, mild attacks can eventually progress, causing longer & frequent bouts of searing pain. Affecting women more often than men, Trigeminal Neuralgia is more common among people older than 50 years of age. There are a variety of treatment options for this condition including medications, injections & surgery. Time you saw a doctor if you experience facial pain which is prolonged or recurring or unrelieved by over-the-counter pain medications. Some common factors triggering Trigeminal Neuralgia include shaving, eating, drinking, talking, brushing teeth, applying make-up, smiling, stroking face, encountering breeze or while washing face.
Normally utilized for tumor excision, Craniotomy is a surgical procedure where a bone flap is temporarily removed from skull to access areas of brain. This is a critical operation performed for patients suffering from brain lesions or traumatic brain injury (TBI). This surgery also allows doctors to implant deep brain stimulators as treatment for Parkinson’s, cerebellar tremor & epilepsy. Widely used in neuroscience for brain imaging, extracellular recording & neurological manipulations like chemical titration & electrical stimulation, this procedure is also utilized for accessing brain tissue which is required to be removed. Craniotomy is normally performed under general anesthesia but can also be performed using local anesthesia. It is generally preceded by a MRI scan which enables surgeon look at the image to plan & decide the appropriate angle & precise location of bone removal to access relevant brain areas. The bone flap is replaced after surgery often using titanium plates & screws for fixation.
Carotid Artery Disease treatment is required when plaque or fatty deposits clog blood vessels & restrict delivery of blood to brain & head. This blockage eventually increases risk of stroke causing medical emergency when blood supply to brain is seriously interrupted or reduced thereby depriving oxygen to the region. Although Carotid Artery Disease develops slowly, but stroke technically known as transient ischemic attack (TIA) is a temporary shortage of blood supply to brain. Emergency care is the only urgent step that should be taken as treatment for stroke. Even though stroke symptoms have been brief & passed, stroke treatment must be essentially sought. Stroke attacks invariably suddenly occur. Some common symptoms include weakness or numbness in face or limbs (often on one side), trouble with sight in one or both eyes, trouble speaking & understanding, dizziness, loss of balance with severe headache without any known cause.
Hydrocephalus is a medical condition causing abnormal accumulation of cerebrospinal fluid in brain. This increases intracranial pressure within skull which can cause progressive enlargement of head in childhood. Other potential symptoms include convulsions, mental disability & tunnel vision. Factors causing Hydrocephalus can be congenital or acquired. Congenital causes largely include Spina Bifida, craniosynostosis, Arnold-Chiari malformation, Vein of Galen malformations & Dandy-Walker syndrome. Acquired causes for Hydrocephalus include meningitis, hemorrhage, tumors, cysts, & head trauma. One of the two Hydrocephalus Surgery procedures can be used to treat this medical condition. First is Shunt, which is the surgical insertion of a drainage system. The other is Endoscopic Third Ventriculostomy (ETV) & which can only be used in some cases. Children suffering from Hydrocephalus will particularly need additional treatment depending upon severity & long-term complications of case.
Endonasal or Transsphenoidal Surgery procedure is meant for removing pituitary adenoma, craniopharyngioma, rathke’s cleft cyst, meningioma & chordoma which are forms of pituitary tumors. Neurosurgeons make use of an endoscope which is inserted through the nose & sphenoid bone, & carefully excise the pituitary tumor which is present in the gland or in the sphenoid sinus region of the skull.
Other Neurology Treatments in India
Top Neurologists in India are adept in handling most severe of the cases. Other common neurology procedures in India include Craniosynostosis Surgery, Brain Tumor Surgery, Percutaneous Endoscopic Lumbar Discectomy Surgery, Transsphenoidal Surgery & variety of head injuries treatments. Brain tumor surgery cost in India is down-to-earth & normally affordable by common man across the world. Travcure Neurology hospitals are some of the best in the country, well-managed by renowned neurosurgeons who have earned vast experience to share with patients.
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