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Neurology Department

Neurological diseases are so common and so subtle that diagnosis and treatment needs lot of expertise.

Spectrum of neurological disorders vary from Strokes, Epilepsies, Parkinsons, Movement disorders, Neurological coma , Brain infections, demyelinations, and degenerative disorders which often present with similar vague symptoms and where distinct treatment protocols have evolved over these years. Patients profile ranges from newborn to elderly.

We, at Neuro foundation, have a well organized team and treatment protocols, working in close tandem with neurosurgeons and psychiatrists utilising collective intelligence.

Hyper Acute and Acute Stroke Management

Stroke is a medical emergency caused due to blockages in blood vessels in brain or due to rupture of blood vessels causing hemorrhage in brain.In case of ischemic strokes the blockage can be dissolved by medications (thrombolysis) when brought within 4.5 hours or by mechanically removing the clots (mechanical thrombectomy) in cath lab.

Round the clock facilities for emergency intravenous Thrombolysis, intra arterial thrombolysis or Mechanical extraction of blocks in the cath lab, emergency Carotid endarterectomy, clot evacuation if bleeding is large, Decompressive craniotomies (making a large vent to accommodate for serious brain swellings) are available.

Dedicated 10 bedded Acute Stroke intensive care unit managed round the clock by stroke specialists, experienced Nurses trained specially for care of the stroke victims, continuous Trans cranial doppler evaluation to monitor flow of blood in brain blood vessels on realtime basis.

Need Second Opinion?

Comprehensive evaluation and Management of Epilepsy

Epilepsy is a neurological condition caused by abnormal electrical activity in brain due to various causes like developmental malformations,tumours,genetic,etc. Epilepsy is managed with antiepileptic medications and surgery in case of tumors.In patients with drug refractory seizures, epilepsy surgery offers possibility of seizure control.

The team at Neuro Foundation is highly skilled in management of epilepsy,status epilepticus and does brain surgery on a regular basis in patients with seizure disorders that are refractory to medical management using advanced techniques such as invasive surgical techniques, which help in performing epilepsy surgeries through smaller incisions, resulting in less discomfort and faster recovery.

Demyelinating disorders like Multiple sclerosis

Demyelination happens when the body's immune system attacks myelin of the nervous system causing damage to it. It can be central demyelination like Multiple Sclerosis, optic neuritis,neuro myelitis optica(NMOSD), acute-disseminated encephalomyelitis(ADEM),etc. affecting brain and spinal cord or peripheral demyelination like Guillian Barre syndrome (GBS) affecting the peripheral nerves in the body.

Treatment options include Immunoglobulins(IVIG), Plasmapheresis,Rituximab and other immuno-modulators. Neuro Foundation has state of art facilities for all above mentioned treatment.

Parkinson’s disease and Movement Disorders

Parkinson's disease is a disease affecting the tone of the body causing slowness of activity,tremors,stiffness of the body and postural instability.Comprehensive evaluations and treatment programs are available for management of different types of parkinson's syndrome.

Facilities for diagnosis of other movement disorders like dystonia,tics,essential tremors, chorea,etc are available. Neuro Foundation provides various treatment options for the treatment of movement disorders like botox therapy,etc.

Infections of Nervous System

Meningitis, Encephalitis

Central nervous system infections caused by bacteria, virus or fungi cause varied signs and symptoms like altered consciousness,seizure,weakness of limbs,etc.Facilities for evaluation of CNS infection like CSF analysis (lumbar puncture),neuro-imaging are available round the clock. medical management and surgical management (VP Shunt,Abscess drainage)of CNS infection are routinely done in Neuro Foundation.

Coma or Encephalopathy

Encephalopathy refers to impaired consciousness due various causes like metabolic, nutritional, sepsis,drugs,etc The mechanism for coma or impaired consciousness involves dysfunction of both cerebral hemispheres or of the reticular activating system. A thorough clinical examination with laboratory investigations are necessary for identifying the cause of encephalopathy.Neurofoundation offers comprehensive care for those patients with doctors who are experts in dealing with these conditions.

Postural Instability

Detailed evaluations for Postural instability, tendency to fall.

A balancing issue, or postural instability, is one of the primary motor symptoms of Parkinson's disease (PD) that usually emerges in the late stages of the disease. Postural instability appears as a tendency to be unstable when standing, as PD affects the reflexes that are necessary for maintaining an upright position.

Dizziness or Vertigo

When you're dizzy, you may feel lightheaded, woozy, or disoriented. If you feel like you or the room are spinning, you have vertigo. ... vertigo can be due to central causes like Brainstem stroke,tumours,etc or peripheral due to problems with your inner ear. Neurofoundation has separate vertigo clinic consisting of neurologist and ENT surgeon for evaluation and treatment.

Memory and Intellectual Impairments (Dementia)

The memory and intellectual deficit (dementia)incudes disorders affecting recent, short term and remote memory with or without involvement of cognition. It can be due to various causes like trauma, nutritional deficiency, infection,tumours or degenerative causes like Alzheimers disease,Froto temporal dementia. Neuro Foundation has State of art dementia clinic consisting of neurologist, psychiatrist,psychologist and rehabilitation expert in evaluation and management of dementia.

Headache and Facial Pain

Head ache is one of the commonest symptom associated with various systemic and neurological disorders.

Head ache can be a sign of raised intracranical pressure due to tumour, infections, vascular or any other causes. It can also be due to migraine, stress or any other medical causes.

People with headache should get evaluated if they have red flag signs like vomitting, blurring of vision, seizure, altered consciousness, focal neurologicl deficits or memory disturbances.

Neuro foundation runs a comprehensive headache clinic for detailed evaluation and treatment.

Visual Loss

Vision impairment or vision loss, is a decreased ability to see to a degree that causes problems not fixable by usual means, such as glasses. many neurological illnes like stroke, optic neuritis, vasculitis present with visual disturbance as symptom. Early recognition of visual symptoms is essential for preventing morbidity. Facilities like neuro-imaging, VEP(visual evoke potential) are available round the clock for early diagnosis and treatment.

Neuro Muscular and Peripheral Nerve Disorders

Your peripheral nerves are the ones outside your brain and spinal cord. Like static on a telephone line, peripheral nerve disorders distort or interrupt the messages between the brain and the rest of the body. There are more than 100 kinds of peripheral nerve disorders. They can affect one nerve or many nerves.

Neuro-muscular disorder often have symptoms like cramps,weakness and diurnal variation in symptoms.

Neurofoundation offers complete evaluation of neuromuscular disorders like myopathies, muscular dystophies, myasthenia gravis.

Comprehensive evaluation for peripheral neuropathies like vasculitic neuropathy, nutritional deficiency.

Facilities for nerve conduction study (NCS), electromyography (EMG), repititive nerve stimulation (RNS) study for neuro muscular junction disorders.

Autoimmune Disorders in Neurology

Autoimmune disorders are group of disorders caused by self activation of immune system against neural tissues. The common presentations are behavioural disturbances,refractory seizures, memory disturbance, rapidly progressive cognitive decline,etc. This group include diseases like autoimmune encephalitis, vasculitis, etc. The mainstay of treatment is immuno-modulation with agents like steroids,Immunoglobulins,rituximab,etc.

Botox Therapy

Botox Therapy is useful in patients with twisted posture (dystonia) of neck or limbs, oromandibular dystonia, Blepharospasm, Hemifacial spasm and Severe Spasticity not responding to other treatments.

Dizziness

Postural Instability and Tendency to Fall

Detailed evaluations are a must if one tends to fall frequently without provocations or feels unstable while standing. If one falls frequently or unprovoked, it may be a sign of a serious neurological illness.

Many neurological disorders make you fall

  • If accompanied by loss of consciousness, it may be Syncope or transient reduction of brain blood flow. Transient ischemic attacks or Minor strokes may be associated with fall.
  • Tumors in the midline region of brain can present with falls.
  • Narcoleptics may fall frequently.
  • If there are spinal cord problems associated with lower limb weakness, sensory loss ( numbness ) , spasticity or rigidity or imbalance may fall.
  • Meneire’s disease , a disorder of the inner ear, tend to fall. as also,
  • People with atypical Parkinson's syndrome like progressive supra nuclear palsy tend to fall frequently.

Self assessment Questinarre for falls

  • Did you loose consciousness, if so how long ?
  • Did light headedness or palpitations priced the attack
  • Do you have history of seizure or epilepsy
  • Were there any symptoms of TIA or minor stop before
  • Do you have any headache or migraine associated with weakness
  • Any symptoms of numbness of the limbs, stiffness or clumsiness of hands and feet
  • Is there excessive daytime sleepiness
  • Are the falls precipitated by strong emotions like elation or laughter
  • Is there any visual impairment , hearing losss, tinnitus (cooing noise in ears)

We evaluate in a comprehensive manner with detailed history, clinical examination and appropriate investigations to uncover the cause of fall or drop attacks. Disorders like parkinson or stroke can be effectively treated with drugs. However people with permanent weakness may continue to fall , but we in collaboration with Neuro rehab can help you with environmental adjustments and use of protective devises to lead a comfortable life.

The Department of Neurology at Neuro Foundation, Salem offers comprehensive evaluation and treatment for patients with acute neurological emergencies like Coma, Stroke (Sudden paralysis), Seizures, etc round the clock.

Out patient services are available on all regular working days.

Appointments with the consultants are essential.

Key Procedures

Acute stroke interventions
  • Intra venous and intra arterial Thrombolysis
  • Cath lab based Mechanical thrombectomy
  • Carotid endarterectomy
  • External carotid / Internal carotid artery Bypass
Epilepsy Evaluation

Epilepsy is a neurological condition caused by abnormal electrical activity in brain due to various causes like developmental malformations,tumours,genetic,etc. Epilepsy is managed with antiepileptic medications and surgery in case of tumors.In patients with drug refractory seizures, epilepsy surgery offers possibility of seizure control.

The team at Neuro Foundation is highly skilled in management of epilepsy,status epilepticus and does brain surgery on a regular basis in patients with seizure disorders that are refractory to medical management using advanced techniques such as invasive surgical techniques, which help in performing epilepsy surgeries through smaller incisions, resulting in less discomfort and faster recovery.

Neuro navigation guided Radio frequency ablations for parkinson’s disease and tremors

Neuronavigation is the set of computer-assisted technologies used by neurosurgeons to guide or "navigate” within the confines of the skull or vertebral column during surgery, and used by psychiatrists to accurately target rTMS (Transcranial Magnetic Stimulation).

Botox Injections

Botox Therapy is useful in patients with twisted posture (dystonia) of neck or limbs, oromandibular dystonia, Blepharospasm, Hemifacial spasm and Severe Spasticity not responding to other treatments.

Meet Our Doctors

Dr. C.Prabaharan
Dr. C.Prabaharan

MD., DM

Consultant Neurologist

Dr. Senthil Nathan
Dr. Senthil Nathan

M.D (Radiology)

P.D.C.C.