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Neurology |
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Neurology With Epilepsy Clinic |
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The department of Neurology is the first of its kind in Thrissur. A full fledged
Neuro Intensive Care Unit with 10 beds deals with neurological emergencies the clock
Ventilators and other life support systems function smoothly at the Neuro Intensive
Care Unit
Protocols for stroke and epilepsy have been established and swing into action automatically.
No time lag is experienced in treating these disorder. The radio-diagnosis department
with CT scan and MRI work round the clock as well.
Out Patient department functions daily from Monday to Saturday. Prior bookings are
available up to a month earlier
Emergencies are admitted Via the Casualty |
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Some of the diseases being managed at Neurology Clinic
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Epilepsy and seizure disorders
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Stroke |
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Encephaltis, Meningits and other Neurological infections
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Polymyostis, Muscular dystrophies and other disorders of muscles
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Myaesthenia gravis
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Parkinson d disease and other Movement disorders
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Multiple sclerosis and other demyelinating disorders |
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Gulillain Barre Syndrome and other Neuropahies
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Migraine and other headaches
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Dementia
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Paediatric Neurology cases
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Electroencephalography is a simple, non-invasive and essential investigation for
the evaluation of seizure disorders. It picks up the electrical activity of brain
from different regions as recorded from electrodes placed on scalp.
Equipment
Neurology Clinic has a most modern 16 Channel Digital EEG machine which does simultaneous
video recording of all the activities of the patient during the procedure.
Hard
copy of representative pages of EEG recording are given along with the report.
EEG recording on CD
EEG recording of patients can be given on a CD and it can be reviewed
by other neurophysicians on any computer and is also useful for future reference.
Photo
Recording time
Approximately 30 minutes |
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Indications |
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Basic investigation for evaluation of seizure disorders
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Pseudo seizure
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Prognostication of seizure |
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Helpful in differentiating between seizure and syncope |
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Helps to find out the type of seizure which may guide the drug of choice
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Non-convulsive status
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Diagnostic for certain conditions like SSPE, CJD |
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Patient Preparation for EEG |
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Head should be shampooed; no hair-oil should be applied |
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No need to discontinue anti-epileptic drugs before EEG]
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Normal meals are allowed before test |
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Preferable to remove metallic ornaments like necklace, ear-rings etc
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EMG & Nerve Conduction Studies |
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Motor and sensory nerve conduction study (MNCV and SNAP ) -test the electrical conduction
of motor / sensory impulse by that nerve.
EMG (electromyography) tests the electrical contractile properties of a muscle. |
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Equipment |
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EMG, MNCV and SNAP are recorded on the same machine which is computer based. The
data of patients are stored on hard disk of computer for analysis and future reference
Photo |
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Indications |
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All types of neuropathies (diseases of nerves)
Myopathies ( diseases of muscles)
Myaesthenia gravis and other myo-neural junction disorders
Systemic disorders like diabetes mellitus affecting the nerves
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Patient Preparation for EMG & Nerve conduction studies |
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No restriction on meals
Limbs should be cleaned thoroughly with soap and water
Rings and bangles should be removed if possible
Recording time : 60 minutes (approx)
Evoked potential Studies
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Visual Evoked Potential Study (VEP) |
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VEP are electrical potential differences recorded from scalp produced in response
to visual stimuli. For normal responses the entire visual system should be intact
and disturbances anywhere can produce abnormal VEP's. |
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Brainstem Auditory Evoked Potential Study (BAER) |
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(Click on the small pictures to zoom)
BAER are the potentials recorded from ear and vertex produced in response to a brief
auditory stimulation to assess the conduction through the auditory pathway upto
mid-brain.
For normal responses the entire auditory pathway should be intact and
disturbances anywhere can produce abnormal BAER.
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Somatosensory Evoked Potential Study (SSEP) |
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SSEP are the electrical potentials produced by the large diameter sensory fibres
in the peripheral and central portion of the nervous system produced in response
to a sensory stimulus.
ECG
A digital ECG machine is also available in the clinic |
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Dr. B. Reghunath MD; DM (Neuro), Neurologist
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