apolloneuro

The Department of Neurosciences is an advanced neuro-care centre. Established at the very inception of the hospital the department has seen excellent growth in terms of expertise, numbers, outcomes and type of surgeries carried out. Today the Neurosciences team is a dedicated and highly motivated unit - skillful & dynamic in deliverables. The Consultants are qualified products of Vellore and other prestigious institutes of the country and abroad who have won laurels during their academic years. All of them have the added qualification of profound International exposure, training work experience and combine into an effective and divergently skilled team. The department consists of full time consultants and are available 24x7.

The department offers a disease specific, patient focused approach in treating all neurological and neurosurgical disorders including sleep and behavioral disorders.

The department is backed by a well established imaging,electrophysiology and lab services that help in accurate diagnostics. The department also runs a dedicated sleep lab.

First Hospital in The World to be Certified for Stroke Management by Joint Commission International, USA

Our team of experts are amongst the finest in the world, be it in academic qualifications, clinical expertise, hands-on experience or in research publications. Committed to patient centric care , they contribute to our record of unmatched clinical outcomes.

 

Neurology 
Dr.Subhashini PrabhakarView Doctor's Profile
Dr.Sudhir KumarView Doctor's Profile
Dr.Chenna Rajesh ReddyView Doctor's Profile
Dr Sandeep NayaniView Doctor's Profile

 

Neurosurgery 
Dr.Alok RanjanView Doctor's Profile
Dr.Rahul LathView Doctor's Profile
Dr.B.G.RatnamView Doctor's Profile
Dr.Amitava RayView Doctor's Profile
Dr.Raja ReddyView Doctor's Profile
Dr.Rajesh ReddyView Doctor's Profile
Dr.Soma Madhan ReddyView Doctor's Profile
Dr.Kauahik ippiki View Doctor's Profile

 

Paediatric Neurology 
Dr. Pranathi Gutta ReddyView Doctor's Profile

 

Neuro Psychology 
Dr.Namita SinghView Doctor's Profile

 

Apollo Secbad Neurology 
Dr.Venkat Reddy 
Dr.Vinod Kumar 

 

Apollo Secbad Neuro Surgery 
Dr.Prasad Vannem Reddy 
Dr. Amitav Ray 

 

Apollo Hyderguda Neurology 
Dr.Shobhavathy 
Dr.Deepika 

 

Apollo Hyderguda Neuro Surgery 
Dr.R T S Naik 
Dr.N.Manohar Reddy 

Neuro Imaging:

  • 64 slice Spiral CT, CT angiogram
  • MRI, MR angiography, MR spectroscopy, Functional MRI
  • SPECT and nuclear scanning
  • PET scan
  • Digital substraction angiography
  • Myelography
  • Carotid and intra cranial Doppler

Neuro Electrophysiology:

Nerve conduction studies

  • Needle and surface Electromyography
  • Repetitive nerve stimulation tests
  • Single fiber EMG
  • Tremorogram
  • SSEP
  • Flash and Pattern reversal VEP
  • BAER
  • Blink reflex study

Neuro Cardiology:

  • Tilt table test

Neuro Biochemistry:

  • Therapeutic antiepileptic drug level monitoring

Neuro Pathology:

  • Brain , Muscle, Nerve, Biopsy

Neuro Microbiology:

  • Viral Study
  • PCR Study
  • ELISA testing

Neuro Genetics:

  • Chromosomal analysis with genetic institute
  • Genetic finger printing in collaboration with CCMB

Neuro Cardiology:

  • Syncope Clinic

Neuro - Vascular Disorders

Neuro Vascular disorders such as stroke, brain aneurysms/arteriovenous malformations, Vasculitis, spinal vascular malformations, carotid stenosis and intracranial atherosclerosis etc are treated

  • Intra arterial and intravenous thrombolytic therapy in acute ischemic stroke
  • Intra sinus thrombolysis in select cases of Cerebral venous sinus thrombosis
  • Balloon angioplasty and carotid stenting
  • Carotid endarterectomy and EC/ST/IC bypass Brachiocephalic bypass
  • Surgical evaluation of hematoma
  • Decompressive craniectomy for Malignant middle cerebral artery infarction and massive haemorrhagic infarcts
  • Endovascular coiling/stenting for brain aneurysms
  • Microsurgical clipping of aneurysms

Epilepsy:

The department offers coordinated treatment options in the management of epilepsy. Adult and pediatric patients are treated with regular video EEG seizure monitoring. Apart from drug therapy, surgical treatment options and vagal stimulation methods are followed based on individual assessment and severity of seizure.

  • Long term video EEG monitoring
  • ICU EEG monitoring
  • Epilepsy surgeries like Temporal
  • lobectomy,Amygdalahippocampectomy,Lesionectomy,Functional hemispherectomy
  • Vagal nerve stimulation
  • Ketogenic diet

Movement disorders :

The department offers different treatment options for adults and children suffering from movement disorders including parkinsons disease, tremors and dystonia. The department uses a multidisciplinary approach working closely with imaging technology like MRI, rehabilitation and pain management.

Botulinum toxin injections guided by electromyography for dystonia and post stroke spasticity

Baclofen intrathecal pump surgery for spasiticity

Deep brain stimulation in patients with Parkinsons disease

Sleep Disorders & Vertigo (Neuro Otology)

The department has a well established sleep lab and ENG and specializes in the treatment of sleep disorders.

Neuro Muscular Disorders

Muscular disorders occur very frequently. Muscular dystrophy, spinal muscular atrophy, congenital myopathies Amyotrophic lateral sclerosis, peripheral neuropathy, myasthenia gravis, and myopathies are slow and sometimes fatal.

The department offers comprehensive treatment option for both children and adults. Nerve conduction studies, Electromyography nerve and muscle biopsy, spinal fluid analysis are carried out to diagnose the problem.

Full fledged EMG lab offers various diagnostic services

Tumors

The department specializes in the treatment of primary and metastatic tumors of the brain, spine and nerves utilizing the latest technology.

Spine

The department excels in the diagnosis and treatment of spinal disorders, including scoliosis, spinal stenosis and spinal tumors.

Multiple Sclerosis

The department offers extensive care and treatment methods for patients suffering from MS.

Migraine

The department offers physical, psychological and medical approach to pain management. Chronic pain rehab programs are available for people suffering from severe pain/ migraine

Botulinum toxin injections for refractory migraine is also done.

What is stroke?

Stroke refers to a brain disease caused by either blockage of blood supply or rupture of a blood vessel to a particular part of the brain. This results in reduction of blood and oxygen supply to the affected part of brain resulting in loss of function

What are the common symptoms of stroke ?

A patient with stroke may present with one of the following symptoms or signs:

  • Sudden weakness or numbness of the face, arm or leg, especially on one side of the body.
  • Sudden confusion or difficulty in speaking or understanding
  • Sudden problems with vision such as dimness or loss of vision in one or both eyes.
  • Sudden dizziness or problems with balance or coordination
  • Sudden problems with movement or walking
  • Sudden , severe headaches with no other known cause

What are the types of stroke ?

Stroke can be of two types

Ischemic: Occurs due to blockage of blood supply to a part of the brain.

Hemorrhagic: occurs due to rupture of a blood vessel in the Brain, commonly reffered to as brain hemorrhage .

Are some people more likely to suffer from stroke than others ?

Anyone can get a stroke. However, the incidence increases after 40 years of age and is more likely to affect men, as compared to women.

What are the risk factors for stroke ?

Common risk factors include:

  • Diabetes mellitus
  • Hypertension
  • High blood cholesterol
  • Smoking
  • Heart Disease
  • Chronic alcoholism

What should one do when suspecting stroke in a friend, relative or oneself?

As effective treatments for stroke work only within the first 3-6 hours of stroke onset , reaching a hospital equipped with modern stroke treatment facilities at the earliest is of utmost importance. Every minute is important. After 3-6 hours, the brain cells are irreversibly damaged and any form of treatment cannot completely reverse the damage. For emergency please call 1066

Why is there a need to act fast?

Modern and effective therapies for stroke work best within the first 3-6 hours. For ischaemic stroke, intravenous tissue plasminogen activator (Actilyse) is effective if used within three hours of stroke onset. Between 3-6 hours, intra arterial Actilyse and urokinase can be used. Beyond six hours, there are no effective therapies available.

For brain hemorrhage, intravenous activated recombinant Factor VII (Novoseven) can be used within four hours of stroke onset. Beyond this, there are no effective therapies available.

Where are these treatment options available ?

At present, very few centers in India offer these treatments for stroke, apollo Hospitals at Hyderabad is well equipped for modern stroke treatment. It is the only center in the world to be certified for stroke management by Joint Commission International, USA. Actilyse and Novoseven are routinely used in our hospital for stroke patients

How much do these drugs cost ?

Use of Actilyse or Novoseven will cost and additional Rs.60000. This may appear an expensive option. However studies have shown that overall costs of treatment are much less when these drugs are used. This is possible because the length of hospital stay, duration of ICU care and need for mechanical ventilators are reduced and patients can return to independent functioning and employment earlier.

Are there any adverse effects with these drugs ?

Overall, these drugs are safe. The only side effect of note with Actilyse is bleeding (from nose, urine, gut etc). Serious bleeding occurs in only 0.5% of treated patients. With Novoseven, thrombosis (heart attack or ischemic stroke) may occur in about 5%. However, these adverse effects are out weighed by the benefits of these drugs.

How long does a patient with acute stroke need to stay in the hospital ?

The average length of hospital stay is 4-6 days. Hospitalization may get prolonged if patient develops chest infections are requires intensive physiotherapy.

What are the aims of hospitalization ?

Besides acute stroke care, tests are performed to detect the risk factors and rehabilitation program is started (Physiotherapy exercises, occupational therapy, speech therapy and feeding)

Who are the members of stroke care team in the hospital ?

Stroke management is multi-disciplinary and involves Neurologist, Emergency Physician, Neurosurgeon, Cardiologist, Radiologist, Rehabilitation Consultant, Physiotherapist, Occupational Therapist, Speech Therapist, Psychologist, Dietician, Nurse and Medical Social Worker.

What are the points to be noted by care giver for home care ?

Instructions on the discharge summary should be regularly administered. Blood sugar and blood pressure monitoring should be routinely done if these diseases are present. Patients on oral anticoagulants (Warfarin etc) should regularly check their prothrombin time (PT/INR) and report to the doctor. Rehabilitation instructions should be followed. Patients should be brought to the hospital for check up when instructed.

What are the points to be noted by care giver for home care ?

Instructions on the discharge summary should be regularly administered. Blood sugar and blood pressure monitoring should be routinely done if these diseases are present. Patients on oral anticoagulants (Warfarin etc) should regularly check their prothrombin time (PT/INR) and report to the doctor. Rehabilitation instructions should be followed. Patients should be brought to the hospital for check up when instructed.

What is the best diet for a stroke patient ?

Diet should contain more green vegetables and fresh fruits. Diet rich in fat and sugar should be minimized. Non vegetarian food especially red meat should be decre4ased. Excessive intake of coffee or tea should be avoided. Excessive alcohol dinking is also bad.

How long does it take for complete recovery of the patient ?

The time taken for recovery varies among different patients and depended on the treatment given, age of the patients, severity of stroke at the onset and the type of stroke. Patients receiving Actilyse or Novoseven recover faster, which could be only few days in many cases. Similarly younger patients with milder stroke and non- hemorrhagic stroke recover faster. Patients who do not receive any specific therapy may require weeks to months to recover.

Does stroke leave any long lasting damage in the patient ?

Stroke is a disabling disease and results in various problems in patients. This could include paralysis of one side of the body, inability to speak or understand spoken words, difficulty in reading and writing, imbalance while walking, decreased vision or loss of sensation on one side of the body.

Are there any measures available to rehabilitate the patients with stroke ?

Yes. Various options are available that include physiotherapy, occupational therapy, speech therapy, psychological support, feeding options (through a naso-gastric tube etc)

Are there any medications for long term use in stroke patients ?

Yes. This includes antiplatelets such as aspirin, cholesterol lowering drugs (statins), medicines for BP and sugar control etc

Neuro Speciality Clinics

Memory Clinic

Inability to recall information? Trouble concentrating?
Forgetting a recent event and remember it later?

memoryclinic

 

For more details contact: 70955 92244 / 040 - 2360 7777

Paediatric Neurology

Paediatric Neurology is Emerging as a new Speciality in India.

Historically, children with neurological conditions were treated either by paediatricians or adult neurologists. Increasing understanding of the disease, knowledge and advance in technology with new diagnostic, research techniques and treatment procedures over the last few decades, have made specialisation in certain aspects of paediatrics a necessity.

It is now well recognised that neurological conditions in children are very different in nature than in adults, and need to be evaluated and managed with a different approach.

A paediatric neurologist is a general paediatrician, who in addition to knowing children has a specialised knowledge of the anatomy, physiology and pathology of the nervous system. The paediatric neurologist knows enough about the systemic diseases in the paediatric age group, the peculiarities of the maturing brain, normal and abnormal development in children and the psychosocial aspects of sick children and their parents. The care of children will be shared between the primary paediatrician and the specialist.

Paediatric neurology concerns not only with Cerebral palsy and learning difficulties, but also with other neurological disorders in children. Paediatric neurologists diagnose, treat, and manage the following conditions from birth until 16 years:

  • Weakness, including cerebral palsy, muscular dystrophy, and nerve muscle disorders
  • Developmental disorders, including delayed speech, motor milestones, and coordination issues
  • Seizure disorders, including seizures in newborns, febrile convulsions and epilepsy
  • Medical aspects of head injuries and brain tumours
  • Headaches, including migraine
  • Behavioral disorders, including attention-deficit/hyperactivity disorder (ADHD), school failure and sleep problems
  • Learning Difficulties
  • Any other ante-nataly detected problems concerning neurology

Services offered at Apollo :

Rehabilitation Services :

Rehabilitation department is fully operational, well structured and equipped with state of the art facilities and offers the following services.

  • Physiotherapy
  • Physiotherapy
  • Botulinum toxin injection therapy for spasticity
  • Occupational therapy
  • Speech and language therapy

Audiology

Neuro Imaging

  • 64 slice Spiral CT and CT angiogram
  • MRI, MR angiography, MR spectroscopy, Functional MRI
  • SPECT and nuclear scanning
  • PET scan
  • Digital substraction angiography
  • Myelography
  • Carotid and intra cranial Doppler

Neurophysiology

  • Nerve conduction studies
  • Needle and surface Electromyography
  • Repetitive nerve stimulation tests
  • Single fiber EMG
  • Tremorogram
  • SSEP
  • Flash and Pattern reversal VEP
  • BAER

Neurophysiology

  • Therapeutic antiepileptic drug level monitoring
  • Comprehensive investigation facilities for neuroinfective / neurodegenerative/ metabolic/Genetic/ mitochondrial conditions in collaboration with CCMB and other renowned laboratories across India.
  • Brain , Muscle, Nerve, Biopsy .
Stereotactic Radiosurgery

Stereotactic Radiosurgery

(SRS) treats brain disorders with a precise delivery of a single, high dose of radiation in a one-day session. Focused radiation beams are delivered to a specific area of the brain to treat abnormalities, tumors or functional disorders.

Fractionated stereotactic radiation treatments which are received over a period of days or weeks may be administered to the body with the assistance of removable masks and frames that achieve a lesser degree of immobilization. Stereotactic radiosurgery is limited to the head and neck, because these areas can be immobilized with skeletal fixation devices that completely restrict the head's movement, permitting the most precise and accurate treatment.

Surgery :

Radiosurgery (one-session treatment) has such a dramatic effect in the target zone that the changes are considered "surgical." Through the use of three-dimensional computer-aided planning and the high degree of immobilization, the treatment can minimize the amount of radiation that passes through healthy brain tissue. Stereotactic radiosurgery is routinely used to treat brain tumors and lesions. It may be the primary treatment, used when a tumor is inaccessible by surgical means; or as a boost or adjunct to other treatments for a recurring or malignant tumor.

How it Works :

Stereotactic radiosurgery works the same as all other forms of radiation treatment. It does not remove the tumor or lesion, but it distorts the DNA of the tumor cells. The cells then lose their ability to reproduce and retain fluids. The tumor reduction occurs at the rate of normal growth for the specific tumor cell.

In lesions such as AVMs (a tangle of blood vessels in the brain), radiosurgery causes the blood vessels to thicken and close off. The shrinking of a tumor or closing off of a vessel occurs over a period of time. For benign tumors and vessels, this will usually be 18 months to two years. For malignant or metastatic tumors, results may be seen in a few months, because these cells are very fast-growing.

Indications :

Stereotactic radiosurgery may or may not be appropriate for a condition. It may be used as the primary treatment or recommended in addition to other treatments that are needed. Only a treating neurosurgeon who operates radiosurgery equipment can make the evaluation as to whether someone can be treated. A neurosurgeon must always be present during treatment and should work with a radiation oncologist when the brain is being targeted. Some of the most common indications for treatment are:

  • Arteriovenous Malformations

All benign brain tumors including :

  • Acoustic Neuromas
  • Meningiomas
  • Pineal and Pituitary Tumors

All Malignant Brain Tumors including :

  • Glial Tumors and Astrocytomas
  • Low grade tumors
  • Metastatic Brain Tumors

Functional disorders including :

  • Trigeminal Neuralgia
  • Essential Tremor
  • Parkinson's Tremor/Rigidity