The Department of Neurology provides comprehensive neurological care to the patients reporting to Sir Ganga Ram City Hospital . It is providing round the clock emergency care to patients suffering from all types of neurological problems.
1. Stroke Program:
There is a dedicated team dealing with stroke on an emergency basis round the clock in an intensive care setting, not only to save life but also to minimize eventual neurological deficit if any. There are facilities to provide thrombolytic therapy in acute stroke and a well-established carotid endarterectomy program for prevention of stroke along with recent introduction of carotid stenting procedure. We have the largest series of carotid endarterectomy in India . We are also having an active post-stroke rehabilitation program.
2. Epilepsy Program:
Epilepsy is a disorder of the brain in which the patient is prone to get epileptic "seizures" or "fits". Anyone having two or more unprovoked fits or seizures can be said to have Epilepsy. As per the WHO, epilepsy is the commonest serious disorder of the brain. An epileptic fit or seizure is caused by brief, excessive and abnormal discharge of nerve cells in the brain. It is something like a small "electrical storm" or "short circuiting" in the brain.
It is estimated that the overall "incidence" of epilepsy (number of new cases observed over a fixed period of time) lies between 20 - 50 cases per year per 100,000 persons in a general population. The usual "prevalence" rate (number of persons with epilepsy during a specified time) is 500-1000 cases per 100,000 persons in the population. Going by these statistics, there will be about 2,600 - 6,500 new cases of epilepsy every year in Delhi and New Delhi alone (estimated population of 1.3 crores) and 200,000 to 500,000 new cases in the whole of India (estimated population about 100 crores). Similarly at the present time there may be approximately 65,000-130,000 persons with epilepsy in Delhi / New Delhi and about 50-100 lakhs in whole of India respectively. Fortunately, the "fits" of about 60-70% of newly diagnosed cases of epilepsy can be controlled by simple medicines but majority of epilepsy is not treated due to the prevailing ignorance and misconceptions about the nature of this common disorder.
Department has special interest in patients with epilepsy especially those suffering from intractable epilepsy. We run one of the finest programs for presurgical evaluation of patients with intractable epilepsy for epilepsy surgery. The epilepsy unit specializes in intensive management of cases with seizures including investigating modalities like video EEG and ambulatory EEG.
3. Clinical Electro-physiology Lab.:
EEG Lab: Department has a "state of art EEG Lab" with 21 channel CCTV EEG with video monitoring. All EEGs are done with special montages including EOG, submental, EMG and EKG. There are special facilities for bedside EEG recording. Bedside EEG facilities have been extended to critical patients in ICU, CCU, pediatric ICU and even to the floor in case patient can not be moved to the lab. Continuous EEG recording is done intraoperatively in certain cases undergoing endarterectomy surgery for monitoring purposes.
EEG Lab is regarded as one of the best lab. in whole of North India , and we get lot of referral patients from outside. EEG-video recording facilities are available at a very reasonable rate here. This was the first lab in Delhi , to provide Video EEG facilities ahead of all hospitals in Delhi .
EMG LAB: EMG lab. is very well equipped with two EMG machines. The facilities offered are nerve condition, EMG studies, facial nerve conduction, blink reflexes; and repetitive stimulation test for myasthenia gravis. There are excellent facilities for visual evoked responses, brain stem evoked responses, and somato-sensory evoked responses. There is special software for infants and children. This is state of the art EMG lab with a dedicated Neurologist who is full time in the lab & does no general neurology.
4. Movement Disorder and Spasticity Clinic:
The department is also running a movement disorder and spasticity clinic, with facilities for Botulinum toxin therapy in spasticity and movement disorders. There are facilities for intrathecal baclofen therapy for spasticity and, stereotactic brain surgery for Parkinsonism and movement disorders.
5. Neuro-muscular Clinic:
A neuromuscular clinic has been started for diseases of muscle and nerve. We have developed an active and comprehensive treatment program for patients of myasthenia gravis over last five years. We have, in collaboration with cardio-thoracic unit, carried out more than one hundred thymectomy surgeries.
6. Multiple Sclerosis Program:
The department in conjunction with the neuro-imaging department has been able to attract a large series of patients with demyelinating disorders, which are being managed comprehensively.
7. Other Activities:
As nutritional deficiencies are very common we have collected a series of patients suffering from neuropathy, myelopathy, dementia and other neuropsychiatric manifestations which were found to be due to vitamin B12 deficiency. The deficits are completely reversible in most of these patients if diagnosed in time and treated properly. Information of this has been disseminated as it addresses a potentially curable neurologival disorders.
As the population is aging one is dealing, with increasing number of patients suffering from dementia. With advent of nuclear scanning especially the SPECT brain scan patients are investigated on designated protocols so as to diagnose dementias properly, especially the treatable varieties. More and more patients with Alzheimer's dementia are being diagnosed.
The department is actively involved in assessing the patients who unfortunately due to one reason or the other have suffered irreversible brain-stem insult. One of the members of the department of Neurology is detailed to evaluate such patients in order to certify them "brain-stem dead". A strict laid down protocol is followed in every case, this provides a boost to the cadaver donor programme & actively boasts heart, liver & kidney transplant programmer of the hospital.