Neurology

SPECIALITIES

NEUROLOGY

  • 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 SriKamatchi Medical Centre, 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 haemorrhage 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 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 real-time basis.

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 SriKamatchi Medical Centre 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. Srikamatchi Medical Centre 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. SriKamatchi Medical Centre provides various treatment options for the treatment of movement disorders.

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 SriKamatchi Medical Centre.

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 is necessary for identifying the cause of Encephalopathy. SriKamatchi Medical Centre 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. SriKamatchi Medical Centre 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 Alzheimer’s disease, Froto Temporal Dementia. SriKamatchi Medical Centre 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 symptoms associated with various Systemic and Neurological Disorders.
  • Head ache can be a sign of raised intracranial 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 Vomiting, Blurring of Vision, Seizure, Altered Consciousness, Focal Neurological Deficits or Memory Disturbances.
  • Srikamatchi Medical Centre 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 illnesses like Stroke, Optic Neuritis, and Vacuities 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 disorders often have symptoms like Cramps, Weakness and Diurnal Variation in Symptoms.
  • SriKamatchi Medical Centre offers complete evaluation of neuromuscular disorders like Myopathies, Muscular Dystrophies, and Myasthenia Gravis.
  • Comprehensive evaluation for peripheral neuropathies like Vasculitic Neuropathy, Nutritional Deficiency.
  • Facilities for Nerve Conduction Study (NCS), Electromyography (EMG), and Repetitive 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, Immunoglobulin’s, Rituximab, etc.

SPECIALITIES

Our Specailists

Dr RAVICHANDRAN R

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Dr RAVICHANDRAN R Department – NEUROLOGY CONSULTANT Book an Appointment EDUCATION WORK EXPERIENCE PUBLICATIONS ACADEMIC ACTIVITIES & CONFERENCES PARTICIPATION EDUCATION MBBS – Thanjavur medical college, The…