Wednesday 23 April 2014

Why should you choose to get Epilepsy surgery in India?

Epilepsy surgery in India is a very good option for abroad patients seeking low cost and safe surgical treatment for the correction of their disorders. Medical tourism in India provides very good assistance to international patients for their comfortable treatment in India. Significant option for curing epileptics. For neurosurgery, patients must find surgeons who are appropriately trained. Another factor to consider is cost and reimbursement. Typical cost for epilepsy surgery can vary, and many insurance companies will only provide partial coverage, or even no coverage, since they still consider the surgery experimental. And finally, patients need to be aware that like any new medical technology, this surgery carries with it a certain level of unknown technical risks. Since epilepsy surgery it is still a relatively new procedure in India with a certain level of risks. The cost of Epilepsy surgery in India is very less compared to that of its cost in other developed countries. Most advanced surgery hospitals for Epilepsy surgery in India are in most prominent cities of India


Comprehensive Pediatric Epilepsy Unit
The last two decades have brought new understanding about different epilepsy syndromes in 
pediatric age group, and emergence of a variety of new antiepileptic drugs which can be used 
in children. Unlike adults, many neurodegenerative/  genetic conditions can present with 
seizures in children.  Assessment of these children by a team trained in evaluation of those
conditions is essential to treat them appropriately.

Therefore, our Hospital has started a "comprehensive pediatric epilepsy unit" with an aim to
 provide individualized, comprehensive care to children with epilepsy. The following special
 services are available in our unit. Apart from the ones already indicated in the previous section.


·         Short term video EEG, and Long term video telemetry
·         Detailed diagnostic work-up for neuro metabolic/genetic conditions
·         Multidisciplinary evaluation with neuropsychology/speech and language/occupational therapist 

assessment. 
·         Management of co-morbid conditions associated with epilepsy like autistic spectrum disorders and 

attention deficit  hyperactivity disorder

Epilepsy Monitoring Facility:

The Epilepsy Monitoring (EM), a fundamental part of the Comprehensive Epilepsy Centre, is a specialized facility equipped with dedicated simultaneous video and EEG monitoring equipment linked by computer network to facilitate rapid and real-time examination of the recordings. Seizures are recorded and examined by our epilepsy specialists so that proper diagnosis can be made and the best treatment options determined.  The Epilepsy Monitoring Unit operates 24 hours a day. Seven days a week. Epilepsy monitoring is performed by highly trained & experienced team of neurologists and technologists to identify the focus of seizure.




Epilepsy is a condition that can be well controlled in a vast majority of patients. However, 5-10% patients do not achieve adequate seizure control despite trial of best anti-epileptic drug combinations. Such patients are categorized as having refractory or intractable Epilepsy. These patients require special evaluation for treatments other than medical management alone. Carefully selected patients with intractable epilepsy can have a gratifying outcome in majority of cases. The key points that enable proper selection of cases include gratifying outcome in majority of cases. The key points that enable proper selection of cases include:


·         Concordant demonstration of epileptogenic zone in all investigations listed above. For example, if structural abnormality is visible on high-Quality MRI corresponding to video EEG localization and SPECT abnormality
·         Assessment of risk of surgery: taking into account the location of epileptogenic zone, the surgical procedure should have low risk of fresh deficit
·         Once the above two conditions are met, the patient can be further counselled and prognosticated
·         Keeping in mind the specific situation. For example, temporal lesions have higher success rates than extra temporal. Similarly, cases wherein MRI shows a lesion have higher seizure freedom chances compared to those in which MRI is completely normal.


We have a skilled team capable of performing all epilepsy procedures. Depending on the clinical indication, one of the following surgical procedures is chosen for treatment. 



1.    Anteromedial temporal Lobectomy
2.    Selective Amygdalohippocampectomy
3.    Electrocorticography guided Resections
4.    Multiple Subpial transections
5.    Quadrantic Resections
6.    Multilobar Resections
7.    Functional Hemispherotomy
8.    Vagal Nerve stimulation
9.    Radiosurgery(selectedcases)

  • Indian doctors are known all over the world for their skill and knowledge and have the experience of studying and working at the best neuron surgery hospitals in the world.
  • Most advanced Technology Infrastructure - Blood Bank with 24 hour apharesis facility, advanced laboratory and microbiology (infection control) support, advanced cardiology, DSA and interventional radiology, portable and colour ultra-sonology, Liver Fibro-scan, 64 slice CT scanner, 3 T MRI, PET-CT and nephrology (including 24 hour dialysis and CVVHD).
  • Neurosurgery Hospitals in India are equipped with the latest and high end technology.
  • Cost of epilepsy surgery in India at best brain surgery hospitals in India is very low as compared to the cost at best hospitals in America or UK with the same level of care and services.
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Thursday 17 April 2014

Deep Brain Stimulation Surgery Advantage : Most Advanced Technology for Neurosurgery in India

Deep brain stimulation is a way to functionally modulate various nuclei in brain like subthalamic nucleus, the thalamus or globus pallidus without purposefully destroying or structurally altering the brain tissue. In deep brain stimulation, electrodes are placed in the thalamus (for essential tremor and multiple sclerosis) or in the subthalamic nucleus or globus pallidus (for Parkinson's disease or PD). The electrodes are connected by wires to a type of pacemaker device (called an impulse generator, or IPG) implanted under the skin of the chest, below the collarbone.
Once activated, the device sends continuous electrical pulses to the target areas in the brain, modifying the brain circuits that are responsible for motor symptoms of PD. This is better than thalamotomy or pallidotomy as it can be modulated as per needs of the patient and can be done without actually destroying parts of the brain.
The IPG can easily be programmed using a computer that sends radio signals to the IPG. Patients are given special magnets so they can externally turn the IPG on or off.

DMS typically involves two separate surgeries:

§  Brain surgery - Firstly, doctors have to identify the region of the brain where the electrodes will be implanted. This is done by analyzing the results of an MRI scan.

Before surgery a stereotactic head frame is fixed to ensure that the patient's head remains still throughout the whole procedure.

Local anesthesia is used to numb the scalp, and a thin wire with electrodes is implanted into the brain. Afterwards, a neurostimulator is implanted near the collarbone.

Patients must be awake during the procedure so that the neurologist can ask questions to make sure the correct areas of the brain are being stimulated.

§  Chest wall surgery - a day or two after the brain surgery, a pulse stimulator is implanted within the patient's chest.

A small opening is made behind the ear and the extension wire passes under the skin and connects to the neurostimulator.

The stimulator is programmed to send electrical pulses to the brain.

Why is deep brain stimulation performed?
Some people suffering from severe Parkinson's disease cannot be controlled on medications, and additional methods of alleviating symptoms, such as DBS, are necessary.
Results of a two-year clinical trial found that DBS greatly improves overall quality of life and social functioning among patients in earlier stages of Parkinson's disease.
In addition to treating Parkinson's disease, DBS can help treat the symptoms of the following conditions and problems:
§        Dystonia - the largest follow-up record of patients with the most common form of hereditary dystonia reported very good success rates and lasting benefits from DBS.

§  Tremors - DBS helped a significant number of patients stop taking medications used to treat their essential tremors within one year following the surgery.

§  Rigidity

§  Trouble walking


The doctor may advise few antibiotics to prevent infection. The patient may need to visit the doctor several times after the surgery to adjust the stimulation with the help of programming. The doctor may prescribe a detailed medication plan to the patient. The patient should take some precautions after the surgery and follow the instructions given by the doctors. He/she should take care of the incisions and the surgical region on the head, by keeping it dry and covered. Heavy physical activities and lifting heavy weights should be avoided for few weeks after the surgery. Regular follow-up with the treating doctor should be done.

Deep Brain Stimulation Surgery Advantage:

·         In this surgery we do not injure the brain so it is relatively risk free.
·         Completely reversible and programmable
·         Parkinson medications are reduced which results in improvement of drug related side effects.

·         There is improvement of quality of life in both off and on stage of the disease.
For more information visit:          http://www.medworldindia.com        
                    
https://www.facebook.com/medworld.india

Please scan and email your medical reports  to us at care@medworldindia.com and we shall get you a Free Medical Opinion from India’s Best Doctors.

Call Us : +91-9811058159
Mail Us : care@medworldindia.com