Department of Neurology

To tackle various disorders pertaining to the nervous system, the Department of Neurological Disorders at Clara Swain Mission Hospital offers comprehensive services in neurology. This super speciality department is a boon for the people of Rohilkhand (U.P).The Department of neurosciences is designed to provide highest levels of professional expertise and leadership in all major disciplines of neurosciences. Disorders of the nervous system such as dementia, epilepsy, movement disorders, chronic pains, sleep disorders headaches, multiple sclerosis and various other neuro-muscular diseases are effectively handled here.

The infrastructure of the hospital is world class. The advanced diagnostic facilities like Neuro electrophysiology, NCV,EMG and EEG re available for all patients. We offer all facilities for investigations & treatment of the diseases of the brain, spinal cord, muscle and nerves. The cost of such investigations here is less than half as compared to big cities.

Services :

Neurological services are provided for such disorders as headache, seizures/epilepsy, vertigo, stroke, TIAs, dementia, movement disorders( including Parkinson’s Disease, Parikisonism ,tremors myoclonic jerks, tics& dystonia)Ataxias(cerebellar/sensory). Spinal cord Disorders(myelitis), Radiculopathies, Neuromuscular Disorders (myasthenia Gravis/Myasthenic syndromes). Neuroathy (Diabetic entrapment neuropathies)Myopathy(Dystrophy, polymyositis, metabolic)

In-Patient Services:

Round the clock emergency Neurological services exists with admission facilities in Neuro-ICU and provisions for all ancillary emergency Laboratory, Microbiology and Neuroradiology investigations. As soon as a patient lands up in casualty with neurological disorders(i.e. stroke, status epilepticus)patient is immediately assessed.

Neuro Electrophysiological Lab:

The Neurology Department boasts of possessing the latest and the best Neuroelectrophysiological Equipment which are operated well trained and experienced professionals.

Facilities

The facilities available are:

Electrocardiogram(ECG):

ECG is a useful diagnostic investigation in such disorders as

• Seizures/epilepsy
• Encephalitis
• Non epileptic seizures
• Metabolic encephalopathy
• Focal structure lesions

Nerve Conduction Velocity (NCV)/Electromyography (EMG):

Investigations included are routine Motor, sensory, F reflex and H reflex study Electromyography, Repetitive nerve stimulation, blink reflex, sympathetic skin response, Tremor analysis. These tests are useful in those patients who present with the following symptoms:

• Local of focal neuropathics or compressive lesions (e.g. carpal tunnel syndrome ,tarsal tunnel syndrome, nerve root compression, neuritis ,motor neuropathy ,radiculo-pathy, plexopathy)
• Diagnosis and prognosis of traumatic nerve lesions(e.g. spinal cord injury, trauma to nerves)
• Diagnosis or confirmation of suspected generalized neuropathies (e.g.uremic, metabolic diabetes mellitus or immune).
• Diagnosis of muscle disorders(e.g. myositis, myopathy)
• Differential diagnosis of a symptom based complaints(e.g. pain in limb or joint, weakness, fatigue, cramps, twitching(fasciculations), disturbance in skin sensation or paresthesias [numbness or tingling].

Repetitive Nerve Simulation(RNS)

• Diagnosis and monitoring of neuromuscular junction disorders.
• Mysthenia gravis
• LEMs

Visual Evoked Potential (VEP)

• Diagnosing suspected demelinated disorders as optic, neuritis, multiple sclerosis, ADEM.
• Neuromyelitis optica
• Acute or subacute unexplained dimness or loss of vision
• Subclinical involvement of optic nerve in transverse myelitis, 0clinical isolated syndrome(CIS)

Brainstem Evoked Response Audiometry(BERA)

• Childhood hearing deficit/speech disorders
• Birth asphyxia:screening newborns for deafness
• It is an effective screening tool for evaluating cases of deafness due to retrochlear pathology i.e.(Acoustic schwannoma).An abnormal BERA is an indication for MRI scan.
• Infantile and early childhood meaningitis.
• Diagnosing suspected demyelilnated disorders like multiple sclerosis.

Facial NCV and Blink Reflex

• Diagnosis and pogostication of Bell’s Palsy.
• Localisation of facial nerve injury.
• Differentian between infranuclear and supranuclear facial palsy.