Neurointensive care and stroke management

Time is brain!!!! Because of the very short "golden period" when one can revert/prevent/halt the progression of any of the above mentioned pathologies, neuro critical care unit is trained to act promptly in a short time span so that vital functions of the part of central / peripheral nervous system which is on the verge of permanent damage can be resuscitated

 Paediatric Epilepsy Program

Comprehensive care of the patients having epilepsy in childhood where treatment is not restricted to 'only' medical treatment but also comprises other aspects of cognitive and motor development, epilepsy surgery and neuropsychological rehabilitation. More than 10,000 children have registered under this programme and participate in interactive session's parent counseling and a proactive support group.

A well-established Epilepsy Surgery Team coordinates with Children & Adults who have Refractory Seizures and are worked up for Epilepsy Surgery.

 Paediatric Neurology

This department is very proactive. It is different from Adult Neurology since it deals with problems of a developing BRAIN. Early diagnosis, prompt treatment and cognitive retraining can prompt modify and improve the child's mental & physical development. Early intervention is the keyword. This department also works closely with Metabolic and Genetic specialities to diagnose and treat some of the rare Metabolic Brain disorders of Childhood. Those children that have Behavioral problems, Attention Deficit Hyperactivity Disorder, Autistic Spectrum Disorder and Scholastic Backwardness and Development delay are assessed in this department and then referred to the Child Guidance Clinic.

 Neuromuscular and Peripheral Nerve Diseases strong

Managements of diseases like Myasthenia Gravis or Guillian Barre Syndrome usually yields favorable outcome due to proper assessment and timely interventions by the team of neurologist working at Deepam Gudvanchery Speciality Hospital.

 Migraine and Vascular headaches

This is one of the most common burdens in societyDetailedpre assessment, counseling, lifestyle modifications combined with the right medication can control and also cure Migraine. The team of Neurologists at deepam Gudvanchery offers this Comprehensive Care to Patients suffering from Migraine.

Dedicated Neurology and Neurocritical care Team

Investigative Neuro-radiology facilities

Coronary artery disease (CAD) is the most common type of heart disease. It is amongst the leading cause of death in both men and women. Lifestyle changes that may lower your risk are as follows :

Multislice Computerized Tomography (256 slice CT with Gemstone Spectral Imaging Technology) - most advanced state-of-the-art medical imaging technology aiding in precise neurological diagnosis.

3T -32 Channels Magnetic Resonance Imaging (MRI) - Delivers the best in class resolution brain imaging to identify any brain malfunctions / malformations, tumors, strokes, ruptures or injury that may generate a seizure like disorder.

Dedicate Neuro Catheterization Lab - Digital Subtraction Angiography (DSA) - Detects abnormalities of the blood vessels of the brain such as narrowing and blockage, aneurysms or malformations.

Neurophysiology Lab : EEG, Continuous EEG, Video EEG, NCS, EMG and VEP and BEAR

Diseases of the Brain, Spinal Cord and Nerves need special care. At deepam Gudvanchery Hospital, we have the best infrastructure and highly trained doctors and paramedical staff to treat the most challenging neurological diseases

  Stroke Unit : Acute Stroke with medicines and interventions

 Paralyses of all types

 Epilepsy, Refractory Epilepsy

 Headaches like migraine, tension & cluster headache

 Parkinson's disease (slowing of daily activities)

 Dementia (loss of memory)

 Tingling & numbness in limbs (Peripheral Neuropathy)

 Reduced or loss of sensation

 Sudden loss of vision

 Involuntary movements of the body (chorea, hemi-ballismus)

 Myasthenia Gravis

 Guillain–Barré syndrome

 Myopathy

 Multiple Sclerosis

 Loss of coordination

 Treatment with Botulinum Toxin : Cervical Dystonias, Writer's cramp, Spasm of half face (hemifacial spasm), Involuntary closure of eyes (blepharospasm) & post stroke spasticity

A condition when a part of the human brain is deprived of blood (thrombosis or embolism) or a blood vessel bursts and blood puts pressure on the brain.

Stroke Facts

 One in six people worldwide will have a stroke in their lifetime

 Stroke kills someone every six seconds

 Every other second stroke attacks a person regardless of age or gender

 Fifteen million people experience a stroke each year; six million of them do not survive

 Stroke is a third leading cause of death in India

 The incidence of stroke is 130 per 100,000 populations every year

 About 20% of heart patients are susceptible to stroke

It is a simple test to check severity : FAST

Face : Check smile. one side droops?

Arms : When raised, does one side drift down or fall down?

Time : Time is critical. Call 108 immediately if any symptoms are present

Speech : Can the person repeat a simple sentence? Do words slur?

Risk Factors of Stroke

Risk Factors means conditions which may lead to stroke. Risk Factors for Stroke are :

Old age

Family history

Men are more likely to have a stroke

More stroke deaths occur in women

Modifiable Risks

Stop Smoking

Take exercise

Avoid Alcohol

Obesity

Other Risk Factors

High blood pressure

High cholesterol

Diabetes Mellitus

In Hospital

When a stroke victim arrives in Columbia Asia, after a clinical exam, the CT scan of the brain (done in seconds) reveals hemorrhagic or ischemic stroke. If Stroke is hemorrhagic, treatment is surgical and/or conservative. If stroke is ischemic, treatment depends upon the time lag. The earlier a stroke patient is brought to Hospital, the better are his/her chances of recovery. The first 4.5 hours are critical for treatment.

Golden Period : The first 4.5 hours are called the golden time for treating stroke because ideal treatment if given in this period leads to better outcomes.

Be Stroke Smart

 Reduce the risk

 Recognise symptoms

 Respond FAST

Most Important

The earlier the treatment, the better the outcome with minimum lasting damage to body functions

WE at DEEPAM Gudvanchery HOSPITAL have 24*7 Dedicated STROKE UNIT with team of Stroke Neurologist, Neurointerventionist, Neurosurgeon, Neuroradiologist, Neurocritical care and Neurorehabilitation

Educate yourself about Epilepsy Treat it ! Never give up Hope!!

Epilepsy is a brain disorder in which a person has repeated seizures (convulsions) over time. Seizures are episodes of disturbed brain electrical activity that cause changes in attention or behaviour.

Types :

 Partial or Generalised.

 Beginning

Epilepsy does not discriminate against who it affects. It can affect anyone. There may be a family history of seizures or epilepsy. There is no one specific cause or cure..

Symptoms :

Symptoms vary from person to person. Some people may have simple staring spells, while others have violent shaking and loss of alertness.

Diagnosis

 Detail Clinical Neurological Examination by Neurologist

 An EEG (ElectroEncephaloGram) will be done to check the electrical activity in the brain. Just like ECG for heart. The brain may appear normal after a seizure or between seizures.

 Video EEG : Patient may need to stay in Shalby Hospital where brain activity can be watched on video cameras.

 Head CT or MRI Brain with epilepsy protocol

Do's and Don'ts

Do this :

 Take your medicine as prescribed by the doctor

  Remember to re-consult your doctor from time to time

 Report any side effects that you experience while taking the drugs

Avoid this :

 Alcohol/ recreational drugs

 Skipping epilepsy medications

 Lack of Sleep

 Excessive Fasting

 Never share your medicines

 Never stop medicines without the permission of your doctor

 Medicines need to be taken every day to be effective

In case of a seizure :

 Turn the person to his side

 Loosen any tight clothing

 Do not try to stop the movements

 Do not put anything between his teeth

 Anti Epileptic Drugs help to reduce the frequency of seizures and eventually control the seizures. People with epilepsy can live a normal life. Help epilepsy is not contagious.

When to visit the Epilepsy Clinic

 When a person has a seizure for the first time

 Seizures not controlled with Antiepileptic drugs

 When seizures last for more than 5 minutes. This is called Status Epileptics and is an emergency