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A team of highly qualified neurosurgeons, neurologists and interventional neuroradiologists is backed by a very strong neuroanaesthesia and intensive care team. For us, the most important factor in delivering world class care is remembering that human values of care, compassion and comfort of the patient is always the priority. |
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Neurology
Neurology
Neurology - Stroke
Neurology - Stroke
Neurology - Headache
Neurology - Headache
Neurology - Other Services
Neurology - Other Services
Neurosurgery
Neurosurgery
Brain Surgery
Brain Surgery
Spine Surgery
Spine Surgery
Paediatric Neurosurgery
Paediatric neurosurgery
Facilities
Facilities
Technology
Technology
Endovascular Neurosurgery
Endovascular Neurosurgery |
| Neurology |
| Our Focus: |
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Stroke Centre |
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Special Clinics for epilepsy, neuromuscular and movement disorders |
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Neuro Surgery Programmes - Brain Surgery |
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Advanced Brain Tumour Centre |
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Interventional Neuroradiology or Endovascular Neurosurgery |
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AVM |
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Aneurysms |
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Minimally Invasive Spine Surgery Centre |
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Minimally Invasive Endoscopic Spinal Surgery - We have METRx Endoscopic System for Disc Surgery (slip discs). It allows disc surgery through a 15mm incision and shorter stay. |
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Percutaneous Fusions: We have QUADRANT and SEXTANT systems for spinal decompression and percutaneous fusions, which are indicated for spinal instability and trauma. This would be the first system in India and would allow spinal fusions through minimally invasive technology (advantages being smaller incision, lesser pain and shorter hospital stay). |
| Neurology - Stroke |
| Primary Stroke Prevention |
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identification of potential & reversible stroke risk factors |
| Emergency Management of Stroke |
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thrombolytic therapy of stroke using rt-Pa (This institute has the expertise of emergency stroke imaging and experienced Stroke Neurologist) |
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neurointerventional therapy of selected cases of stroke with the help of Interventional Neuroradiologist |
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management of haemorrhagic stroke with Activated Factor VII |
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acute stroke therapies must be initiated within three hours after the onset of symptoms in order to be effective. The sooner acute thrombolytic therapy, the greater the probability of limiting or reversing brain damage. |
| After Stroke Management |
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a dedicated 8-bedded sophisticated stroke unit with the help of experienced neurocritical care team |
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comprehensive neurorehabilitation and long-term, risk-factor modification programmes are available through the Cerebrovascular Center in conjunction with the Department of Physical Medicine and Rehabilitation. Under the direction of the neurologist, patients learn to maximise their function and resume normal activities to the fullest extent possible. |
| Neurology - Headache |
| Headache is remarkable in that: |
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It affects virtually every aspect of life, from employment to social and personal relationships. |
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Severe headache disproportionately affects women, which means that management of headache through the childbearing years poses a particular set of problems. |
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Overuse of medication in well-meaning but unsuccessful attempts to control frequent headaches is common in both sexes and can lead to conflicts between the sufferers, their families, and their physicians. |
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Headache sufferers often feel as if they have simply lost all control over their medical condition and their lives. |
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Although recent advances in medications for migraine have greatly helped countless headache patients, many others still have problems finding effective diagnosis and treatment. |
| The MAX HEADACHE CLINIC is dedicated to quality diagnosis and comprehensive, individualised management, in close cooperation with the patient's personal physician. |
| Neurology - Other Services |
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Epilepsy |
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Parkinson's Disease |
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Dementia & Behavioural Neurology |
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Neuromuscular Disorders & Movement Disorders |
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Neuro-Immunology |
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Vertigo and Neuro Otology |
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EEG and Neuro Electrophysiology |
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Multiple Sclerosis |
| Neurosurgery |
| Surgery is done for all these neurological disorders: |
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brain tumours (Benign and skull base tumours, malignant tumours, metastatic tumours, pituitary tumours) |
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aneurysms |
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hydrocephalus |
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vascular tumours |
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spinal tumours |
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vascular malformations |
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spine injuries |
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vascular occlusions |
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infections of the spine |
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brachial plexus |
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infectious diseases of the peripheral nerve |
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head injury |
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pain syndromes (chronic ischemia of brain pain or intractable pain) |
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degenerative diseases of spine and disc problems |
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Parkinson's Disease |
| Brain Surgery |
| Our Brain Surgery Program offers you comprehensive evaluation, neurodiagnostic and treatment services. Our care includes: |
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Brain Tumor surgery |
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Neurovascular surgery |
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Neuroendoscopy |
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"Stereotactic and functional neurosurgery" - ( Deep Brain Stimulation - DBS for Parkinson's disease, for Dystonias, Tremors). |
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Radio surgery (Gamma Knife surgery) |
| Spine Surgery |
| Our Spine Surgery Program offers you comprehensive evaluation, neurodiagnostic and treatment services. Our care includes: |
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Endoscopic Discectomy |
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MIS (Minimally Invasive Surgery) |
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Disc replacement surgery |
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Trauma |
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Interventional MR surgery |
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Surgeries for relief of pain |
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Spinal cord stimulation (for failed back surgery, complex pain, CPRS Type II, Peripheral Vascular Diesease, Phantom Limb Pain) |
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Programmable Drug Infusion Pumps |
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Baclofen for Spasticity |
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Opioid for pain |
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Medication for Cranio Spinal Malignancy. |
| Paediatric neurosurgery |
| Our Paediatric Neurosurgery Program offers you comprehensive evaluation, neurodiagnostic and treatment services. Our care includes: |
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Epilepsy Surgery |
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Shunt Surgery |
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Brachial Plexus Surgery |
| Facilities |
| Brain Suite |
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first integrated high field intra-op MR in Asia-Pacific |
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provides and fully integrates all relevant surgical and diagnostic tools to treat complicated neurosurgical cases, efficiently and safely |
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allows high-resolution MRI images to be taken, while operating, thereby ensuring removal of tumours while preserving critical brain tissue |
| Latest Flat Panel DSA |
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Flat Panel DSA with 3D technology |
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high-resolution 3D images |
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decreased radiation exposure to the patient |
| Isocentric C Arm |
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reduces scan time to half |
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reduces the exposure to radiation |
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integrated imaging and archiving system |
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greater efficiency and better patient care at lesser cost |
| Other facilities |
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Neurophysiology Laboratory |
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Cerebral Angiography |
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Computed Tomography Scan (CT Scan) |
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Intracranial pressure monitoring |
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Lumbar puncture |
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Magnetic Resonance Imaging (MRI) |
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Myleogram |
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Neuro Histo Pathology |
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Pathology |
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Transcranial Doppler |
| Support Services |
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Neurosurgical Operating Theatre, equipped with intra op MR facility (first in Asia Pacific), Image Guided Stereotaxis, Neuroendoscopy, Brain Mapping, Neurophysiological Monitoring and Intra-operative Angiography |
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Neurosurgical ICU, with latest Brain Monitoring techniques including Quantitative EEG, Transcranial Doppler, Cerebral Metabolism |
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Clinical Neurosciences Wing, with acute stroke unit |
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Advanced Neuroimaging Facilities, with 1.5 T MRI 64-slice CT facilities, available for CT or MR angiography, functional MRI, MRI spectroscopy, diffusion/perfusion MRI |
| Technology |
| Neurophysiology Laboratory |
| The Neurophysiology Laboratory at Neurology Division of Max Institute Of Neurosciences provides sophisticated diagnostic services for detecting a wide range of neurological disorders and conditions. |
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Electroencephalograms (EEG) |
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Long-Term epilepsy monitoring (LTM) |
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Evoked potentials |
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Nerve Conduction Studies |
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Electromyography |
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Sleep studies |
| The technologists and electroencephalographers who work in our lab are highly skilled professionals. They perform and interpret a complete range of neurodiagnostic tests that assist physicians in the diagnosis of various neurological conditions. These conditions include seizure disorders, headaches, brainstem dysfunctions and other disorders affecting the nervous system. |
| Electroencephalogram(EEG) |
| An EEG is a non-invasive procedure that traces the brain's electrical activity. During the procedure, electrodes are placed on the scalp to study brain function. EEGs utilizing the latest digital and video technology, recording up to 32 channels of EEG and video at the same time. Our state-of-the-art digital technology allows each patient's data to be analyzed electronically, ensuring highly accurate results that are critical to diagnosing seizure disorders, headaches, dizziness, stroke and fainting episodes. |
| Sleep EEG |
| Sleep EEG is used in children and adults to diagnose different types of seizures. Often the EEG rhythms recorded during sleep can serve as a follow-up examination to an EEG that was performed while the patient was awake as a way to rule out or detect abnormal sleep patterns. Mild sedation or other methods, such as sleep deprivation, may be used to help patients relax and sleep. |
| Long-Term Epilepsy Monitoring (LTM) |
| The Neurophysiology Lab works cooperatively with the Epilepsy Program to provide the most comprehensive care to patients who are admitted to our long-term monitoring unit. |
| Evoked Potentials |
| The Neurophysiology Lab offers evoked potential studies. These studies are used to measure electrical signals along nerve pathways. |
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Visual Evoked Potentials - Help diagnose visual losses due to damage of the optic nerve and hysterical blindness, when the loss of vision is not associated with nerve damage. |
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Brainstem Auditory Evoked Potentials - Help diagnose hearing losses, distinguishing between damage to the acoustic nerve from damage to the auditory pathways within the brain stem. |
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Brainstem Auditory Evoked Potentials - Help diagnose hearing losses, distinguishing between damage to the acoustic nerve from damage to the auditory pathways within the brain stem. |
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Somatosensory Evoked Potentials - Help diagnose nerve damage or degeneration within the spinal cord or nerve roots. |
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P 300. This evoked potential, produced 300 milliseconds after an event, are the brain's normal response to stimuli and measure cognitive functions. It allows to study the brain physiologic activity that underlies information processing operations even in the absence of an apparent behavioral response. |
| Nerve Conduction Studies Nerve conduction velocity test, also called a nerve conduction study, measures how quickly electrical impulses move along a nerve. It is often done at the same time as an electromyogram, in order to exclude or detect Nerve and muscle disorders. |
| Electromyography |
| EMG can help to distinguish primary muscle conditions from muscle weakness caused by neurologic disorders. It can be used to differentiate between true weakness and reduced use due to pain or lack of motivation. It is used to find causes of weakness, paralysis, involuntary twitching, and abnormal levels of muscle enzymes. It can help diagnose neuromuscular disorders such as Motor Neuron Disease, neuropathy, nerve damage and muscle damage. |
| Endovascular Neurosurgery |
| Endovascular Neurosurgery is performed for the following conditions: |
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Intracranial Aneurysms - Aneurysms are focal swelling of blood vessels, which can burst and cause bleeding in the brain. Endovascular coiling can treat these aneurysms, thus avoiding open surgery. |
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Angioplasty or Stent Placement - This procedure is done to treat stenosis in arteries of brain (including carotid, vertebral, intracranial arteries). Many cases of stroke occur due to stenosis (narrowing) in arteries leading to the brain. They can be treated non-invasively by endovascular route with an angioplasty or stenting procedure. |
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Stroke or Brain Attack, including intra-arterial thrombolysis - Acute stroke or brain attack usually occurs due to blockage of arteries of the brain. Appropriate patients can be treated by placing a micro catheter at the site of blockage followed by administration of thrombolytic drugs, which dissolve the blocking material. |
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Arteriovenous Malformation - Arteriovenous malformations (AVMs) of the brain are malformed blood vessels, which can cause intracranial bleeding (bleeding in brain), seizures and headache. AVMs can be treated by injecting "glue" through a microcatheter placed precisely into these abnormal blood vessels. |
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Tumour Embolisation - One of the major problems in surgical removal of intracranial tumour is bleeding during the surgery. Interventional neuroradiologist can help the surgeon by pre-operative endovascular occlusion of the blood vessels supplying the tumour. This will reduce the bleeding and facilitate the surgery. |
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Cerebral or Spinal Angiography - DSA (digital subtraction angiography) is considered as the 'gold standard' investigation to diagnose diseases of blood vessels. |
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Vertebroplasty - With age bones become weak and collapse of bones in the spine (vertebrae) is one of the major causes of severe back pain in the elderly. Vertebroplasty is a revolutionary treatment in which "bone cement" is injected through a needle placed into the broken bone so as to stabilize the vertebra and to reduce the pain. |
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Percutaneous Sclerotherapy - Many superficial vascular malformations such as haemangioma (malformation of blood vessels) or lymphangiomas (malformation of lymphs) can be treated by puncturing through a needle, followed by injection of "sclerosant material" which causes obliteration of the malformation. |
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