Monday 27 April 2015

Low-cost neurosurgery in India

Indian hospitals to offer low-cost neurosurgery in India

Neurosurgery 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. For neurosurgery, patients must find surgeons who are appropriately trained. Another factor to consider is cost and reimbursement. 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. SinceNeurosurgery  in india it is still a relatively new procedure in India with a certain level of risks. The cost of Neurosurgery in India is very less compared to that of its cost in other developed countries. Most advanced surgery hospitals for Neurosurgery  in India are in most prominent cities of India.

The large number of neurosurgeries in India enables Indian hospitals to offer low-cost neurosurgery in India. Further, cost of neurosurgery in India is amongst the lowest in the world.

The neurosurgeries performed at hospitals in India include the following
  • ·         Surgery of the Skull Base
  • ·         Micro Vascular Surgery
  • ·         Brain Surgery for Epilepsy
  • ·         Interventional Neuroradiology
  • ·         Neurological Endoscopy
  • ·         Non-Invasive Stereotactic Radiosurgery
  • ·         Craniotomy
  • ·         Surgery for DBS (Deep Brain Stimulation)
  • ·         Spine Decompression Surgery
  • ·         Spine Decompression with Fusion
  • ·         Laminectomy
  • ·         Spine Disc Replacement
  • ·         Scoliosis Surgery
  • ·         Endoscopic Discectomy
  • ·         Spina Bifida

Neurosurgeons in India gravitate towards super specialisation in focus areas such as interventional neuroradiology, skull base surgeries, paediatric neurosurgery, etc. Unlike in the past when orthopaedic surgeons used to perform some spine surgeries, spine surgeries are now performed at leading hospitals in India exclusively by surgeons specially trained in spine surgery.
Success rates of Neurosurgery in India very often exceed international standards. Further, neurosurgery cost in India, is amongst the lowest in the world.

Cost of Neurosurgery in India
The cost of neurosurgery in India is truly economical. Some examples:
·         Neurosurgery cost in India for the removal of Pituitary Gland Tumour : Cost of Neurosurgery in India for the excision of pituitary tumour will involve an expenditure of US dollars three thousand to six thousand. The comparable cost of neurosurgery in the USA would be approximately 5 times as much.
·         Neurosurgery cost in India for Lumbar Spine Fusion: Cost of Neurosurgery in India for this procedure will be approximately US dollars 5000. The comparable cost of neurosurgery in the USA would be US dollars 20,000 at least
·         
Neurosurgery cost in India for spine decompression: Cost of Neurosurgery in India for this procedure would be between US dollars 6000; the cost of neurosurgery in the USA would be at least four times as much
Leading neurosurgery hospitals in India rank amongst the finest in the world. They combine the best of human resources in terms of highly qualified neurosurgeons, neurologists, interventional radiologists, interventional neuroradiologists and the best of material resources in terms of hospital infrastructure and medical equipment.

Why should you choose to get Neurology & Endovascular Neurosurgery in India?
Neurosurgery in India's top hospitals is extremely successful on account of the world class operation theatres and cutting edge technology that is available to neurosurgeons in India. For example:

·        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.

Treatment of brain and spine disorders are becoming less invasive with the advent of better imaging and interventional technologies. Interventional neuroradiologists in India now offer a wide range of minimally invasive neurosurgeries through angioplasty, placement of stents, treatment of vascular tumors, large aneurysm, embolization for resolution of arteriovenous malformations, etc

Rehabilitation care at hospitals for neurosurgery in India:

In the aftermath of complex neurosurgery, several patients will require intense physical and neuro rehabilitation. Leading hospitals for neurosurgery in Indiahave specialised equipment as well as rehabilitation specialists. Rehabilitation post neurosurgery is targeted in the following areas:
  • ·        Functional Therapy
  • ·         Mobility of Patients
  • ·         Enhanced Movement Therapy

Thursday 23 April 2015

What are the Causes and Factors of Epilepsy

Causes of epilepsy vary by age of the person. Some people with no clear cause of epilepsy may have a genetic cause. But what's true for every age is that the cause is unknown for about half of everyone with epilepsy.
  • Some people with no known cause of epilepsy may have a genetic form of epilepsy. One or more genes may cause the epilepsy or epilepsy may be caused by the way some genes work in the brain. The relationship between genes and seizures can be very complex and genetic testing is not available yet for many forms of epilepsy. 
  • About 3 out of 10 people have a change in the structure of their brains that causes the electrical storms of seizures.
  • Some young children may be born with a structural change in an area of the brain that gives rise to seizures. 
  • About 3 out of 10 children with autism spectrum disorder may also have seizures. The exact cause and relationship is still not clear. 
  • Infections of the brain are also common causes of epilepsy. The initial infections are treated with medication, but the infection can leave scarring on the brain that causes seizures at a later time. 
  • People of all ages can have head injuries, though severe head injuries happen most often in young adults.
  • In middle age, strokes, tumors and injuries are more frequent.
  • In people over 65, stroke is the most common cause of new onset seizures. Other conditions such as Alzheimer’s disease or other conditions that affect brain function can also cause seizures.

Common causes of seizures by age:

In Newborns: 
  • Brain malformations
  • Lack of oxygen during birth
  • Low levels of blood sugar, blood calcium, blookd magnesium or other eletrolyte disturbances
  • Inborn errors of metabolism
  • Intercranial hemorrage
  • Maternal drug use 
In Infants and Children: 
  • Fever (febrile seizures)
  • Brain tumor (rarely)
  • Infections
In Children and Adults:
  • Congenital conditions (Down's syndrome; Angelman's syndrome; tuberous sclerosis and neurofibromatosis)
  • Genetic factors
  • Progressive brain disease (rare)
  • Head trauma
In Seniors:
  • Stroke
  • Alzheimer's disease
  • Trauma


    When a disorder is defined by a characteristic group of features that usually occur together, it is called a syndrome. These features may include symptoms, which are problems that the patient will notice. They also may include signs, which are things that the doctor will find during the examination or with laboratory tests. Doctors and other health care professionals often use syndromes to describe a person's epilepsy.
    Epilepsy syndromes are defined by a cluster of features. These features may include:
    • The type or types of seizures
    • The age at which the seizures begin
    • The causes of the seizures
    • Whether the seizures are inherited
    • The part of the brain involved
    • Factors that provoke seizures
    • How severe and how frequent the seizures are
    • A pattern of seizures by time of day
    • Certain patterns on the EEG, during and between seizures
    • Brain imaging findings, for example, MRI or CT scan
    • Genetic information
    • Other disorders in addition to seizures
    • The prospects for recovery or worsening

    Not every syndrome will be defined by all these features, but most syndromes will be defined by a number of them. Classifying a person's epilepsy as belonging to a certain syndrome often provides information on what medications or other treatments will be most helpful. It also may help the doctor to predict whether the seizures will go into remission (lessen or disappear).

Friday 17 April 2015

TREATMENT OF CHILDHOOD BRAIN TUMORS IN INDIA


The world of childhood brain tumors has no “Welcome” sign leading into it. No matter what anyone says to minimize the situation, this statement is the most painful sentence a human can hear. The combination of fear, shock and pain can be too much to bear.
“To see such innocence, so roughly shaken by this terrible trial, at such a young age, is nothing short of incomprehensible.” I still hear this sentence, uttered by a visibly shaken parent. Instead of becoming more routine and distant, the visceral terror that it engendered in me (the supposed all-knowing physician/advisor), my delivery of such information has grown more and more difficult, even personal. I watch my own small children grow and develop. As a physician, one realizes that more than ever, there is no place for impersonal behavior when caring for the children who are afflicted by a brain tumor, benign or otherwise, and for their families as well. No amount of experience or training can help one to ease or minimize the situation.
When we discuss special areas such as:
  • Outcome: Does “excellent long-term results” mean a ten-year survival for a 3-year old– your child living long enough to be frustrated by death at the age of thirteen? We parents think only of 50 and 60 year plans. Five- and ten-year plans are unacceptable. We want to know that our grandchildren will not live to see their parents die at a young age.
  • Quality of life: Does that mean that a 5-year old child will have no hair, be skinny and slow to walk and play with his friends and classmates? How can we parents bear to live through the process of trying to give our child a childhood instead of a world of I.V. tubes, doctors who speak of life-and-death, hospital corridors and toys that our children will never play with?
  • Doctors: Who are they? Can we do anything to keep them human, warm, and caring for our child? How do we deal with our own resentment for the fearful news, difficult therapies and their human frailty? How do we keep our child happy to see them? Most children cringe at the mere mention of visiting a doctor-with-a-shot-to-give, or a visit to the dentist with his drills and instruments.
  • Hospitals: How do we keep these innocents away from such large and frightening monoliths?
  • We parents: How can we possibly bear all of this without frightening our little, loving child?
  • Hope: Yes, there IS hope! God and goodness are your guide. Your child is truly a precious gift. No matter what cards we are dealt, a child’s joy and innocence are somehow never lost. In the worst of times, a child’s pain often becomes the parent’s teacher. And when we expect the best for our children, we often get it despite all odds.
TREATMENT OF CHILDHOOD BRAIN TUMORS
Surgery:- In some cases the definitive treatment is surgery. In most, however, surgery serves as a temporizing measure that will keep a child out of trouble for long enough to get through definitive therapy that will hopefully eliminate of the tumor. Brain surgery is usually the easiest part of a child’s treatment.
Shunting:- Quite often (e.g. medulloblastomas) childhood tumors present the blockage of the fluid spaces of the brain, (obstructive hydrocephalus). In shunting, a thin silastic tube (the shunt) is placed into the fluid spaces of the brain and passed under the skin into the child’s abdomen where the fluid is absorbed.
Chemotherapy:- Unfortunately, chemotherapy is the hard part of brain tumor treatment. It is only required for more aggressive tumors. As a rule, chemotherapy should be even more aggressive than the tumor itself. The trials which are imposed both on the child and parents are many. Bravery and an unremitting attitude of hope are required by all involved.
Radiation:- Because the developing brain of a child is so very sensitive to radiation therapy, it is deliberately limited. The irony of effective radiation therapy is that when it works well, the brain damage it causes might exceed that done by the original tumor. More often than not, your doctor will recommend that if any radiation is to be given, it should be held off until the child has grown older and the brain has sufficiently matured.
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  • The treatment of these tumors usually include a combination of approaches, each tailored to deal with the problems that children are presented with:

Tuesday 7 April 2015

Advantages of Endovascular Neurosurgery/ Interventional Neuroradiology in India

Endovascular neurosurgery, is the field of medicine that combines neurosurgery with interventional neuro- radiology and treats the diseases of blood vessels of the brain and spine. This is a minimally invasive technique which entails using catheters and embolic agents or clotting agents rather than open surgeries.

The procedures are done in angiographic suite (located in the x-ray department), rather than the operating room and is done within the blood vessels using catheters to fill blood vessel abnormalities with particles, polymers or stents.
Endo vascular neuro surgery treats a variety of cerebro vascular diseases which are untreatable through conventional surgery such as:

  • Stroke
  • Aneurysms
  • Arterio-venous malformations
  • IArterial stenosis
  • Dural arterio-venous fistulas
  • Vascular Tumours
  • Carotid Cavernous sinus fistulae
  • Cerebral revascularization after clotting
  • Vasospastic arteries


The most important advantage of the endovascular approach for the treatment of aneurysms, AVMs and tumors of the brain is one, they can be treated, because sometimes they are considered inoperable or too risky to be operated and thus the patient goes without treatment. Endovascular neurosurgery is the procedure of choice in following patients:

  • Old age
  • High risk patients with diabetes and heart disease
  • Patients with contraindication for surgery or anaesthesia

Second, craniotomy or opening of the skull is avoided and thus the procedure is done through minimal invasive technique. 

This means:


Minimal damage to the normal brain tissue
Almost no mortality
Minimal chances of complications
No brain or spinal cord tissue manipulation
No scarring, pain and least discomfort to the patient
No blood loss and need for blood transfusion
Short hospital stay and fast return to normal activities
Acute stroke patients can be treated even many hours after the stroke.
Can be used to stabilize the bones and reduce pain in patients with specific types of spinal fractures such as compression fractures and fractures caused by osteoporosis.


Why should you choose to get Neurology & Endovascular Neurosurgery in India?

·         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.

Deep Brain Stimulation, Parkinson Surgery, Tremor, Dystonia, OCD Treatment at World Best Hospital in India


World-class Hospital with dedicated Neurosurgery and Neurology ICUs and centres of Specialisation for brain tumours, spinal disorders, stroke, epilepsy, movement disorders and headache.

Most Advanced Technology like Brain Suite, Biplane Neuroendovascular Angiography, Synergy S Linac System, S-7 Navigation System, Endoscopic Neurosurgery Theatre, 3 Tesla MRI, 256 slice CT scan, PET scan.

 Low Cost Treatment package which includes Airport Pick up and Drop from Airport in India, Hospital Stay, Testing/Screening, Deep Brain Stimulation Treatment, Consultations with Specialist Doctors , Nursing care, Surgeon Fee, Medicines and Consumables.


Experienced Team of professionals having a specialist Neurologist (Movement Disorder specialist), Specialist Neurosurgeon, Neuroradiologist, Physiotherapist and Dietary specialists who provide high-quality care

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