Institute of neurosciences under Apollo Gleneagles Hospitalsis is dedicated to provide excellent clinical services backed up by a team of qualified experienced senior consultant dedicated to provide best health care service. The department is equipped latest technology which provides a comprehensive and multi-disciplinary care for disorders of brain and spine. Led by team of several highly qualified and experienced senior consultants neurologists, intervention neuro-radiologist and other disciplines provide the best possible care for patients benchmarked with several international health care organisations. Our aim is to provide personalised healthcare service of international standard. Our institute is equipped to handle all kind of neurological disorders.
APOLLO GLENEAGLES MEMORY CLINIC
The Apollo Gleneagles Hospital’s Memory Clinic specializes in the evaluation and diagnosis of mild cognitive impairment (MCI), early Alzheimer's disease, fronto temporal dementia (FTD), and related disorders. An early diagnosis enables patients to take advantage of the most effective therapies and to maintain the highest level of functioning for the longest period of time.
Services offered by the Apollo Gleneagles Hospital’s Memory Clinic
- Neuropsychological testing
- Initial evaluations
- Second opinions
- Follow-up medical care after initial diagnosis
- Research opportunities including clinical drug trials of ICMR and DST.
- Linkage to community social services
- The evaluation process is usually completed in two visits with scheduled diagnostic tests between the two appointments.
- Diagnostic tests may include a neuropsychological assessment, functional brain imaging, structural brain imaging, and lab work.
- Patients have the option of receiving on going clinical management of their memory loss or dementia symptoms at Apollo Gleneagles Hospital’s Memory Clinic.
- Educational information and referrals to appropriate community resources are provided to patients, families, and caregivers.
APOLLO GLENEAGLES EPILEPSY CLINIC:
Patients are referred to a subspecialty clinic in one of these areas for an initial assessment. The individual clinics are well integrated with one another so patients benefit from all available treatment options, including experimental drug trials, as well as surgical intervention.
Services offered by the Apollo Gleneagles Hospital’s Epilepsy Clinic:
The Apollo Gleneagles Hospital’s Adult Epilepsy Program was started more than 11 years back. Since its inception, the program has continued to promote a scientific approach to the localization and treatment of partial seizures for surgical treatment. The key feature of the medical/ surgical program is patient management by scientific protocol.
APOLLO GLENEAGLES MOVEMENT DISORDER CLINIC:
Most common movement disorders are Parkinson's disease, hemifacial spasms, Blepharospasm, Dystonias, Writer's cramp, and torticollis etc. The institute runs team based approach for the therapy and rehabilitation of patients with movement disorders and neurodegenerative disorders.The very experienced movement disorders team at Apollo Gleneagles Hospital is backed by the most advanced investigation facilities in the world which includes a CT scanner, MRI, SPECT, PET CT Scanner and the most advanced molecular diagnosis facility in this region of the country. There will be facilities for the management of dystonia and dyskinesia using botulinium toxin (Botox Therapy). Deep brain stimulation has been proposed as the treatment of choice for patients with Parkinson's disease. The team at Apollo Gleneagles Hospitals Kolkata is the pioneers in this field in India. The additional advantage of a consultant who has done more than 200 DBS surgeries with highly praised results.
APOLLO GLENEAGLES HEADACHE AND MIGRAINE CLINIC:
Headache is one of the commonest diseases to afflict mankind. They are also the most difficult to eradicate despite their common occurrence. At Apollo Gleneagles Hospital we have a single stop facility to take care of the entire spectrum of headache disorders The investigative modalities at the centre are one of the most advanced in this region of the country and the team of headache specialists have a long experience in management of headache disorders. There are facilities for advanced management of headaches using botulinium toxin, nerve blocks, trigger point blocks, and occipital nerve stimulation.
APOLLO GLENEAGLES “ONE STOP STROKE AND TIA CLINIC”:
Stroke is preventable yet is increasing globally. The same few major risk factors account for much of the leading health problems of the world but remain uncontrolled in the majority of affected individuals. Management of risk factors is the most readily applicable and affordable part of our knowledge, but prevention is neglected, and most environments are inhospitable to healthy living.” TIA stands for “transient ischemic attack. “Transient ischemic attacks are episodes in which a person has the disabilities that last for a short time due to transient disruption of functions of a part of brain but without any sign of stroke on brain scans such as MRI or CT. Symptoms of a TIA usually last between a few minutes and a few hours. A person may have one or many TIAs. People recover completely from the symptoms of a TIA.
Even though TIAs do not cause lasting symptoms, they are serious. If you have a TIA, you are at high risk of having a stroke. It's important that you see a doctor and take steps to prevent that from happening. Do not ignore the symptoms of a stroke even if they go away! A TIA is a warning sign that a person is at high risk for a stroke. As high as 8% of such patients may suffer from a major stroke in next 48 hours. That is why some patients may need immediate hospitalization and treatment to decrease or eliminate this risk. A patient with history of TIA should be investigated thoroughly to detect the risk factors for stroke and take appropriate steps once that risk factors are identified.
At Apollo Gleneagles Hospital we have rapid access one stop TIA clinic where patient with TIA are seen immediately by Stroke consultants and have all appropriate investigations and treatment are done in the single patient visit on the same day.
Transcranial Doppler (TCD): For prevention of primary Stroke and for avoiding recurrent stroke, use of this special technology is highly promising. Trans cranial Doppler is a specially designed ultrasonography instruments, US from that can penetrate our skull and detect flow of blood in all major intracranial arteries in a very predictable way This is completely non-invasive, radiation free, safe and inexpensive test to identify cerebral blood flow dynamics inside the brain. It can easily identify critically narrowed segment of blood vessels inside the brain, evaluate cerebral auto regulation and can help in identifying probable mechanism of stroke in a great extent.
APOLLO GLENEAGLES STROKE CENTRE:
Stroke is the leading cause of death and the major cause of disability around the world. Every other second, someone suffers a stroke regardless of age or gender. Despite this, many people affected by stroke are unable to access treatment and rehabilitation due to lack of awareness on the same. Moreover, time is of paramount importance in case of stroke. In case the patient is brought to the hospital within 3-4 hours of suffering a stroke, the chances of survival are higher. This is because in stroke, 32,000 brain cells are damaged every second, hence every second counts.
Eighty per cent of strokes are caused by a blood clot in the brain and usually do not hurt, although some do. Stroke cuts off oxygen to a part of the brain. Brain cells begin to die but this is usually not painful. Hence people generally tend to ignore the symptoms of stroke. Approximately 70% of patients do not correctly recognize their TIA or minor stroke, 30% delay seeking medical attention for more than 24 hours, regardless of age, sex, social class, or educational level and approximately 30% of early recurrent strokes occur before seeking attention. Without more effective public education of all demographic groups, the full potential of acute prevention will not be realized.
Clot Bursting Therapy:Regardless of a patient’s age, or severity of stroke, prompt treatment with a clot-bursting drug limited stroke-related disability and death. Tissue plasminogen activator or tPA is the only approved U.S. FDA treatment for acute stroke caused by a blood clot and this treatment can only be given intravenously up to 4.5 hours of stroke onset to be effective. Sooner this drug is administered after the onset of stroke the greater is the benefit. However this drug can only be given in centers, which can provide hyper acute stroke services and has multidisciplinary staff trained in delivering acute treatment.
Endovascular Procedures : Another treatment option is an endovascular procedure in which specially trained consultant remove the blood clot by sending a catheter to the site of the blocked blood vessel in the brain. Sometimes these procedures involve tPA being administered directly into the blood clot (called intra-arterial treatment) to help dissolve the blockage. In other procedures, the doctor may attempt to remove the clot. Researchers are still conducting research to determine the best clinical protocols for endovascular procedures.
*Note: Patients must meet certain criteria to be eligible for this procedure.
Apollo Gleneagles Comprehensive Stroke Service (AGCSC): Apollo Gleneagles Stroke Centre offers a comprehensive state-of-art stroke management program where all sorts of stroke management services are offered. This stroke Centre works 24/7 with a dedicated stroke team towards raising awareness among medical professionals and the society at large on stroke symptoms and warning signs, to follow FAST protocol (contact hospital emergency services if there is Facial or Arm weakness and Speech disturbance) if there is a stroke and to adopt the right preventive strategy to combat stroke before it actually strikes.
Facilities like Acute Stroke Team, ER Team, Critical Care Specialists to perform emergency response to reverse paralysis, endovascular program to treat many disorders of brain without performing open surgery, rehabilitation and advanced diagnostic facilities such as MRI and CT DEDICATED Cath Lab facilities for EndovascularProcedures .A dedicated Acute Stroke Team and ACLS equipped ambulance network work 24x7x365 to provide the best service. Dedicated Stroke Unit add feather to its cap in providing best service in this region of the country with best outcome.
REHABILITATION:The ultimate goal of rehabilitation is to return the patient to an independent lifestyle as soon as possible. Successful stroke/Spinal injury/other neurological rehabilitation is dependent on many factors, including the severity of brain / spinal injury /damage and the cooperation of family and friends.
Neuro Surgery Services:
Institute of neurosciences under Apollo Gleneagles Hospitals is dedicated to provide excellent clinical and surgical service backed up by a team of qualified experienced senior consultant dedicated to provide best health care service. The department is equipped latest technology which provides a comprehensive and multi-disciplinary care for disorders of brain and spine. Led by a team of several highly qualified and experienced senior consultants neuro surgeons, intervention neuro-radiologist, Neurologists, Neuro Anesthetists, Neuro Pathologists, Rehab consultant and other ancillary disciplines to provide the best possible care for patients which is benchmarked with several international health care organisations. Our aim is to provide personalised healthcare service of international standard. Our institute is equipped to handle all kind of neurological disorders.
Here at Apollo Institute of Neurosciences we perform more than 1500 major neurosurgical (cranial and spinal) operations every year. Apollo Institute of Neurosciences is equipped with facilities at par with the best in the world. The latest technology and equipment is provided to suit the better and unmatched outcome matched to the best hospitals world wide.
Spine Surgery Service :
Spine surgery service is provided through a dedicated team of spine surgeon, neurosurgeon, emergency consultant team, interventional neuroradiologist, rehabilitation specialist .Dedicated operation theatre facilities include C arm, Brain Lab Navigation guided surgery,Latest OPMI Pentero Microscope attached with blue filter, NIMS ECLIPSE- sophisticated equipment / technique to prevent any injury to the spinal cord or nerves during surgery, minimally invasive surgery unit to do endoscopic spinal surgery for most of spinal disorders.
Neuro Operating Theatre :
Is an advanced operating theatre with capability of Surgeon can perform a high resolution MRI during the surgery to assess the degree of tumor removal as well as to avoid normal brain tissues. The safety of the surgeries performed is helped by special techniques to visualize tumor during the surgery (tumor luminescence).
Brain Lab Guided Surgery help in performing precise surgery in for complex deep seated brain tumor surgeries and prevents any damage to normal brain tissues helping in preservation of normal brain functions.Intra-operative imaging System helps in performing immediate assessment of completeness of tumor removal.
Intra-operative Nerve Integrity Monitoring System helps in performing immediate assessment of degree of tumor removal. This ensures that adequate tumor removal is performed.
Latest DSA (digital subtraction laboratory) provides ultra-high resolution of cranial and spinal blood vessels. This unit is one of the most advanced units installed in this part of the world Biplane technology: having two C arms help in visualization in two planes simultaneously. Flat-panel technology- using digital technology helps in achieving high-resolution images with markedly decreased radiation exposure.
RADIO SURGERY WITH THE HELP OF NOVALIS TX
This is a top-end highly versatile Linear accelerator designed for use in critical areas, such the brain and spine. The high accuracy, combined with a robotic couch capable of finely calibrated movements, make this a highly effective tool for Radiosurgery of the Brain, spine and other organs apart from use for fractionated treatments.
Endoscopic neuro and spine surgery is done with the help of state-of-the-art operation theatre for endoscopic brain and spinal surgery system. Endoscopic system is dedicated for advanced brain and spine surgery. Along with Neuro Endoscope other fine modalities like Brain Lab guided imaging service helps in performing immediate assessment of completeness of tumor removal.
DEEP BRAIN STIMULATION SURGERY
Deep Brain Stimulation surgery involves putting in microelectrodes inside the particular neucleus of brain. After deciding the site, microelectrodes are put inside the selected site with the help of Stereotactic frame and Other gadgets. The electrical stimulation of the brain is done and the response of the patient is observed. All during this time the patient remains conscious. The electrodes are then left inside the brain at the specified place. After that several sessions of permutation and combination known as programming sessions help the patient for finer adjustment and best result.
Carotid end arterectomy is recommended if the carotid artery has severe narrowing or blockage in the absence of the above symptoms. In this case, an individual is at risk for embolization, where debris in the area of narrowing can break off and head upstream into a blood vessel in the brain blocking the supply of oxygen to cells in the brain. To reduce this risk, CEA is done to open the artery and allow blood flow to the brain. In such instances, a stroke could occur if patient does not receive treatment for carotid artery disease.We have the infrastructure to perform this kind of surgery.
NEURO-ONCOLOGY SERVICE :
In the aim of providing complete best and safe treatment for the patient of any malignancy neurological origin of brain and spinal cord, a group of dedicated team of consultants consists of neurosurgeons, Neuroradiologist, radiotherapist and Medical Oncologists, pathologists jointly focus on diagnosis and treatment tumors such as glioma, meningioma, pituitary adenomas and other brain tumors as well as spinal tumors.
Weekly board meeting is organised to remove any confusion of any such case. Above all Neuro Surgeons, Radiation Oncologists, Medical Oncologists, Neuro Radiologists, Neuro Pathologist seat together to chalk out through treatment care plan.
Here everyone work together passionately as a team so that every patient who comes here gets the international standards of treatment facility at this part of country which is similar to treatment available in the western world.