Aayush Hospital’s top-ranked team of neurologists diagnoses and treats adults and children each year, including those with complex or rare conditions. Aayush Hospital Neurologists constantly seek new knowledge to improve diagnosis and therapies for people with brain and nervous system disorders. Aayush Hospital physician-scientists collaborate with researchers worldwide, contributing to advances in medicine that improve neurological care for people everywhere.
Neurosurgery, or neurological surgery, is the medical speciality concerned with the prevention, diagnosis, surgical treatment, and rehabilitation of disorders which affect any portion of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system.
Neuroradiology plays a key role not only in diagnosis but also in the operative phase of neurosurgery. In conventional open surgery, the neurosurgeon opens the skull, creating a large opening to access the brain. Techniques involving smaller openings with the aid of microscopes and endoscopes are now being used as well. Methods that utilize small craniotomies in conjunction with high-clarity microscopic visualization of neural tissue offer excellent results. However, open methods are still traditionally used in trauma or emergency situations.
Neurology is a branch of medicine dealing with disorders of the nervous system (brain functions). Neurology deals with the diagnosis and treatment of all categories of conditions and diseases involving the central and peripheral nervous systems (and their subdivisions, the autonomic and somatic nervous systems), including their coverings, blood vessels, and all effector tissue, such as muscle. Neurological practise relies heavily on the field of neuroscience, the scientific study of the nervous system.
A neurologist is a super-specialist physician specializing in neurology and trained to investigate or diagnose and treat neurological disorders.
At GMH, Neurologists examine patients who are referred to them by other physicians in both the inpatient and outpatient settings. During a neurological examination, the neurologist reviews the patient’s health history with special attention to the current condition. The patient then takes a clinical neurological examination. Neurologists begin their interactions with patients by taking a comprehensive medical history and then performing a physical examination focusing on evaluating the nervous system. Components of the neurological examination include assessment of the patient’s cognitive function, cranial nerves, motor strength, sensation, reflexes, coordination, and gait.
Typically, the exam tests mental status, functions of the cranial nerves (including vision), strength, coordination, reflexes, and sensation. This information helps the neurologist to determine whether the problem exists in the nervous system and the clinical localization. Localization of the pathology is the key process by which neurologists develop their differential diagnoses. Further tests may be needed to confirm a diagnosis and ultimately guide therapy and appropriate management.
Diagnostic Tests as part of the Evaluation
Commonly employed tests in neurology include imaging studies such as computed axial tomography (CAT Scans) C T Scans, magnetic resonance imaging (MRI), and ultrasound of major blood vessels of the head and neck. Neurophysiologic studies, including electroencephalography (EEG), needle electromyography (EMG), nerve conduction studies (NCSs) and evoked potentials are also commonly ordered. Neurologists frequently perform a lumbar puncture to assess the characteristics of a patient’s cerebrospinal fluid and to measure the intr cranial pressure (ICP). Advances in genetic testing have made genetic testing an important tool in the classification of inherited neuromuscular disease and the diagnosis of many other neurogenetic diseases.
Some of the commonly encountered conditions treated by neurologists include headaches, radiculopathy, neuropathy, stroke, dementia, seizures and epilepsy, Alzheimer’s disease, attention-deficit/hyperactivity disorder, Parkinson’s disease, Tourette’s syndrome, multiple sclerosis, head trauma, sleep disorders, neuromuscular diseases, and various infections and tumours of the brain and nervous system. Neurologists are also asked to evaluate unresponsive patients on life support to confirm Brain Stem Death (BSD).
It varies depending on the neurological problem. They can include referring the patient to a physiotherapist, prescribing medications, or recommending a surgical procedure.