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Max Super Speciality Hospital, Saket
Description: 
  • Robotic Urological Surgery: 15 years journey 
    Dr. Rahul Yadav, Dr. Anant Kumar
  • Robotic surgery is the latest in advanced onco surgical procedures 
    Dr. Harit Chaturvedi
  • Percutaneous balloon aortic valvuloplasty & balloon dilatation of aortic coarctation in a 10 year old child 
    Dr. Neeraj Awasthy, Dr. Sushil Shukla
  • Role of CT/MR imaging and echocardiography in evaluation of valsalva sinus aneurysm 
    Dr. Reena Anand, Dr. Raj Kumar, Dr. Divya Malhotra, Dr. Bharat Aggarwal
  • Risk factors for patients undergoing treatment for Breast Cancer
    Ms. Kanika Arora, Ms. Ritika Samaddar
  • Radiology Case of The Month 
    Dr. Nafisa Shakir Batta, Dr. Dhruv Jain
Date: 
October, 2015 :15
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Bio Medical Waste Report For Shalimar Bagh

Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

Neurosciences

Home >> Taxonomy >> Neurosciences

Clinical Directorate

For more info please call 8744 888 888 (Delhi – NCR) & 9988 422 333 (Chandigarh Tri-city), or mail at homecare@maxhealthcare.com

Neurosciences

Dr. Vikas Kathuria

Dr. Vikas Kathuria
Senior Consultant
Untitled-1
Memberships: 
  • Neurologial Society of India (NSI)
  • Neuro Spinal Surgeons Association (NSSA)
  • Indian Medical Association (IMA)
     
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PROFESSIONAL JOURNEY

Work Experience: 
  • 6 years after M.Ch. Neurosurgery
  • Ex Junior Consultant – Paras Hospital Gurgaon (2011-2012)
  • Ex Assistant Professor Neurosurgery – Pt. BDS PGIMS, Rohtak (2012)
  • Senior Registrar – Smt. NHL Medical College; V S Hospital, Ahmedabad
     
Education & Training: 
  • M.B.B.S. – Pt. BDS PGIMS, Rohtak (1995-2000)
  • MS (Gen. Surgery)- Pt. BDS PGIMS, Rohtak (2003-2006)
  • Registrar (Gen. Surgery)- Pt. BDS PGIMS, Rohtak (2006-2008)
  • M.Ch. (Neurosurgery) – V.S. Hospital, Smt. NHL Medical College, Ahmedabad (2008-2011)
  • Neuroendoscopy Fellowship Programme at NSCB Govt. Medical College, Jabalpur, M.P. (2016)
     
Speciality Interest: 
  • Brain & Spinal Tumors
  • Complex Spinal Fixations
  • Deep Brain Stimulation (Parkinsonism)
  • Tethered Cord/ Spinal Malformation Surgeries
  • Paediatric Neurosurgery
  • Endoscopic Brain Surgery
     
Duration Of OPD: 

   Max Hospital, Gurgaon

  • Mon to Sat : 10 am – 1 pm 
  • Mon to Sat : 3 pm – 5 pm 

A Health Guide to Multiple Sclerosis!

November 17, 2017 0 45 3 minutes, 58 seconds read

In multiple sclerosis, the communication within the brain, and brain and body is disrupted. Multiple Sclerosis is a chronic, unpredictable and often a disabling disease which affects the central nervous system, spinal cord, and optic nerves. It is categorized as an autoimmune disease caused by the immune system attacking and damaging the nervous system.

Cause and Risk Factors

The cause of Multiple Sclerosis is still not known. However, there is an interaction of several factors that may be involved in Multiple Sclerosis. An extensive ongoing research is being carried out in the areas such as genetics, immunology (the science of body’s immune system), and epidemiology (the study of patterns of disease in the population). Keeping the research in mind, Multiple Sclerosis causes can be classified into four categories.

Immunologic Factors

Multiple Sclerosis occurs when the immune system attacks the nervous system. In recent years, researchers have identified the immune cells that initiate the attack and factors that cause the immune cells to attack.

Environmental Factors

Epidemiologists have found that Multiple Sclerosis is more prevalent in areas that are farther from the equator. There is enough evidence that shows that Vitamin D plays a significant role in strengthening the immune system and people who are exposed to more sunlight throughout the year have lesser chances of Multiple Sclerosis.

Genetic Factors

Multiple Sclerosis is not genetic. However, having a first-degree relative such as a parent or sibling with Multiple Sclerosis increases the chance of developing the disease. Researchers are studying common genetic factors in families where Multiple Sclerosis is present in more than one person.

Infectious Factors

Any initial exposure to certain viruses, bacteria, and other microbes during childhood can be a cause of Multiple Sclerosis in the future. Since viruses are well-recognized as being the triggers of demyelination - the removal of the myelin sheath from a nerve fibre can lead to Multiple Sclerosis.

Symptoms

Multiple Sclerosis can threaten the life of patient depending on the symptoms and severity of the condition. The symptoms vary from person to person, and there is no ‘standard’ set of indicators.

Multiple Sclerosis symptoms are broadly categorized into 3 types –

Motor Symptoms (Changes in Muscle Function)

  • Weakness
  • Tremor
  • Difficulty walking
  • Stiffness
  • Poor Coordination
  • Bowel/Bladder problems

Sensory Symptoms (Changes in Sensation)

  • Tingling
  • Numbness
  • Dizziness or Vertigo
  • Visual disturbances
  • Abnormal sensations

Other Symptoms

  • Fatigue
  • Heat sensitivity
  • Sexual symptoms
  • Cognitive changes
  • Emotional changes

Multiple Sclerosis differs from person to person, and each patient has their own set of symptoms. There are also individuals who have mild Multiple Sclerosis and may never know that they have it, while for others it can be severe. Basis the signs, symptoms and severity, Multiple Sclerosis is classified in the following ways –

Relapsing-remitting (RRMS)

Patients have occurrences of symptoms, with or without recovery, but between attacks, there is no interval worsening.

Secondary Progressive (SPMS)

This stage comes few years after relapsing-remitting and the pattern change from a relapsing one to a progressive one in between the attacks.

Primary Progressive (PPMS)

Gradual onset from the beginning with no attacks

Progressive-Relapsing (PRMS)

One of the rare forms of Multiple Sclerosis, it begins with a progressive course which later transforms into developing attacks.

Fulminant

A rare yet extremely severe and rapidly progressive Multiple Sclerosis

Diagnosis and Testing

Multiple Sclerosis is often difficult to diagnose because there is no single diagnosis or test for finding out if the person suffers from it or not. Since the symptoms vary from person to person, neurologists have to take the history of neurological symptoms into account.

A neurological examination may suggest problems with the spinal cord or brain. Imaging studies help to confirm a diagnosis of multiple sclerosis. MRI is the most common test done to help diagnose the disease since it can be used to image the brain and spinal cord.

Furthermore, a spinal tap or lumbar puncture is done to collect a small amount of cerebrospinal fluid which is used to confirm the presence of proteins, inflammatory markers or other substances. A spinal tap is generally not necessary if MRI scans are not abnormal.

When neurologists suspect multiple sclerosis in a patient, other tests are also conducted to check for diseases such as Lyme disease, lupus, vasculitis, HIV and process which can lead to multiple strokes.

Treatment

Several considerations are taken into account for Multiple sclerosis treatments. Once MS is confirmed in a patient, modifying therapy is recommended which controls the occurrence of symptoms.

At Max Institute of Neurosciences, our goal is to control symptoms and help the patient maintain a healthy life by providing dedicated care and monitoring. The treatment includes drugs for controlling symptoms to prevent attacks in the future. At Max, we have an exclusive Multiple Sclerosis Clinic that offers consultation, comprehensive diagnosis and therapies for the condition.

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Who is the Real “Hero” of Stroke Care?

November 17, 2017 0 79 3 minutes, 32 seconds read

We know more about our clothes and cars than we know about our health and body. It is astonishing that we spend more time to research about which laptop to buy, but when it comes to our own health most of us take a passive approach. This deficiency of knowledge is even more evident when it comes to dealing with emergencies.  “Ït is too late now, I am sorry!”  Unfortunately, we have heard this line more often in the real life than in films. 

The question arises, what can we do to change this? How do we tackle this deficiency? Dr. Chandril Chugh, Senior Consultant, and Head, Interventional Neurology, explains this with an example.

We had a 70-year-old female brought to the emergency room by her granddaughter for confusion and difficulty walking due to weakness on the right side. The granddaughter was sure that the symptoms had started right after the breakfast. It took them 45 minutes to drive, so they were in the hospital within the first hour of the symptoms. The patient was evaluated and head imaging was done which showed occlusion of the left middle cerebral artery (largest blood supply to the brain).

An Interventional Neurologist intervention was necessary, who recommended Mechanical Thrombectomy. The patient underwent the procedure successfully and was discharged without any deficits. The entire family was happy and satisfied with the treatment. Now my question is: who deserves the credit for this good outcome- The Interventional Neurologist, Neurologist or the emergency physician?  I personally believe that the “Hero” of this scenario is neither of the above but, the granddaughter. If she had not recognized the symptoms and brought her grandmother to the hospital in time, then we would not have been able to achieve what we did. She was aware of the stroke symptoms and took the right decision of coming to the hospital. When it comes to dealing with emergencies like Stroke or Brain attack, information and knowledge are life-saving.

Below mentioned are the important aspects of stroke diagnosis and care.

How do you recognize a stroke?

STROKE: REMEMBER THE 6 S METHOD TO DIAGNOSE STROKE

  • SUDDEN (symptoms usually start suddenly)
  • SLURRED SPEECH ( speech is not clear, as if drunk)
  • SIDE WEAK ( face, arm or leg or all three can get weak)
  • SPINNING ( VERTIGO)
  • SEVERE HEADACHE
  • SECONDS ( note the time when the symptoms start and rush to the hospital)

Can stroke be really serious?

If I were to say stroke is really bad, you will probably not believe me. Luckily, some studies have made my job easier. According to a study done by researchers in 2006 in the USA, a patient with ischemic stroke loses 190,00,00 brain cells every minute, about 14000,000,000 nerve connections are destroyed every minute and 12 km (7.5 miles) of nerve fibers are lost every minute. The end result is the patient gets paralyzed for life and becomes dependent. That's pretty scary!!!

Is there a treatment available for stroke?

Yes. The Stroke treatment depends on which kind of stroke the patient has. Up to 85 % of all strokes are ischemic (blocked blood vessel). For ischemic brain attack, there is an option of intravenous medication called tPA (recombinant tissue plasminogen activator) available which can be given to the patient within first 3 to 4.5 hours of the symptom onset. The patients who have a blockage in a large blood vessel can be offered a procedure called mechanical thrombectomy, which involves removing the blockage in the blood vessel and restoring the blood supply.  This procedure is done through a small nick in the groin and there is no open surgery involved. Recent trials have shown that patients do exceedingly well post mechanical thrombectomy and have a greater chance to live life independently.

Till what time can you do mechanical thrombectomy?

Mechanical Thrombectomy can now be offered up to 24 hours from the symptoms onset but, sooner its done better the patient does.

What is the single most important factor in stroke care?

The most important part of stroke care is not the doctor or the hospital, it’s the patient! As most of the strokes are painless, patients tend to ignore their symptoms and hence delay the treatment. If the patient and the family are aware of stroke symptoms they can reach the hospital in time and can get treated.

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Dr. Amitabh Goel

Dr. Amitabh Goel
Director – Neurosurgery, Institute of Neurosciences.
Dr. Amitabh goel
Memberships: 
  • Delhi Neurological Association ( DNAl)
  • Indian Medical Association (IMA)
  • Member of International Federation of Neuro Endoscopy (IFNE)
  • Founder member of Ghaziabad Noida Neurosciences Association (GNNA)
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PROFESSIONAL JOURNEY

Work Experience: 
  • Senior Resident (Neurosurgery) - Safdarjung Hospital, New Delhi
  • Assistant Professor (Neurosurgery) - Himalayan Institute of Medical Sciences, Jolly grant, Dehradun
  • Consultant (Neurosurgery) - Indraprastha Hospital, New Delhi
  • Senior Consultant (Neurosurgery) - Yashoda Hospital, Ghaziabad &  Metro Hospital, Noida
     
Education & Training: 
  • MBBS – L.L.R.M. Medical college, Meerut (1984)
  • M.S. (General Surgery) – L.L.R.M. Medical College, Meerut (1990)
  • M.Ch (Neurosurgery) - SGPGI, Lucknow (1993)
     
Awards Information: 
  • International Paper presented at Asia Oceania Skull Base Conference  on Endoscopic Management of Pituitary Tumours.
  • National Award for best CME by IMA Head Quarter
Speciality Interest: 
  • Complex Spinal Surgery Including Craniovertebral junction anomaly
  • Microsurgical excision of Brain Tumours
  • Neuroendoscopy especially Transnasal Endoscopic Pituitary tumours
  • Minimal Invasive Spine Surgery (MISS)
     
Duration Of OPD: 

   Max Super Speciality Hospital, Patparganj

  • Monday-Saturday : 10 am – 5 pm (By Appointment)
  • Sunday OPD : 10 am -1pm (By Appointment)

The consumption of artificially sweetened beverages has seen a drastic growth in the last few decades. It has multiplied so much that you’ll often find people juggling between diet and sugary soda. A common misconception is that diet soda is a better option than the sugary ones. Ironically, not many people know that a regular consumption of artificially sweetened drinks (be it diet or sugary) drastically increases the risk of dementia and stroke. To be precise, they are hammering your brain.

Unbearable back pain in children can be a serious ailment and may require early treatment and intervention if it progressively increases or gets worse. A child of any age can witness back pain, which is accompanied by:

Is Spine Surgery is a failure?

FACT: No, spine surgery has a success rate of 92-95%. It is indicated for conditions like disc prolapse, spinal canal stenosis and spinal instability, when the symptoms and signs pertaining to above conditions match the MRI findings.

Our spine performs major functions like movement, protection, support, co-ordination and control of the entire system. Therefore, any spinal disorder requires serious intervention and should not be ignored. Dr. Sonal Gupta says, some of the most common conditions that can cause spine related diseases are stressful workflow, erratic lifestyle and environmental degradation.

Unbearable back pain in children can be a serious ailment and may require early treatment and intervention if it progressively increases or gets worse. A child of any age can witness back pain, which is accompanied by:

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