Neurology & Neurosurgery Treatment in Bangalore

The brain is one of the most amazing organs in the human body. It controls our entire body, keeping us walking, talking, breathing and is the seat of our mind and personality. The brain is incredibly complex, comprising around 100 billion neurons. It is the most sophisticated biological computer in existence! The brain acts on the rest of the body both by generating patterns of muscle activity and by driving the secretion of chemicals called hormones. This centralized control allows rapid and coordinated responses to changes in the environment.

The highly skilled multidisciplinary neurosciences team at Apollo Hospitals, Bangalore provides compassionate, comprehensive and personalized care of most complex situations, and dedicates itself to enhancing patient care through cutting edge technology and education. At Apollo Hospitals, Bangalore the team of neurosurgeons, neurologists, neuro-radiologists, neuro-anaesthetists, critical care specialists and other specialists address the full scope of problems affecting the brain, spine and the nervous system. From using deep brain stimulation to eliminate tremors of Parkinson’s Disease to performing minimaly invasive spine surgeries, we have helped revolutionize high-end neurological care in the country.

At Apollo Speciality Hospital, Jayanagar, there is a tailor appropriate approach and up-to-date therapy to our patients, The staff is committed to providing you ongoing, up-to-the point information to produce the best possible outcomes for your dear ones. We ensure an early return of patients to his/her daily routine.

The Apollo Institute for Brain & Spine are equipped to treat the entire range of neurological diseases. Trans sphenoidal surgery for pituitary tumors, spinal fusions, X-Knife for fractioned treatment of benign and malignant tumours (stereo tactic radiotherapy), and many more cutting edge treatments make Apollo Hospitals a leader in neurosurgical care. Ably supported by modern neuro-radiology services, neuro-intensive care facilities as well as medical and radiation oncology services, neurological specialists at Apollo Hospitals achieve outcomes matching those of the leading institutions across the globe.

The neurologists, neurosurgeons, critical care specialists, nurses and researchers at Apollo Hospital, Bangalore collaborate seamlessly like a single entity. To the patient it means better diagnosis and better treatment. We are renowned for providing specialised care when it comes to stroke, head & spinal injuries, brain tumors, seizure disorders, movement disorders and headaches.

Neurosurgery, which includes surgery on the brain, spinal cord, skull and the bony spinal column, is a highly advanced superspecialty which requires specialized training. With technology becoming the prime driver in most areas of healthcare, tremendous strides have been made in neuro care. Apollo Hospitals is recognized as a leader in acute neurosurgical care and is ranked among the top hospitals specializing in neuro care in the world. Also, all the Apollo Hospitals in Bangalore are Stroke Ready Centre

Treatments at Apollo Institute Neuroscience:

Cerebral aneurysms and Arterio Venous Malformations (AVMs)
Brain tumours
Traumatic brain injury
Carotid artery stenosis
Stroke and mini stroke
Chiari malformation
Parkinson’s Disease and other movement disorders
Deep Brain Stimulation (DBS)
Epilepsy
Paediatric neurological conditions
Pituitary tumours
Skull base tumours
Spine conditions: neck and back disc problems, nerve compression
Spinal stenosis, spinal cord injuries and more
Spinal intramedullary and extramedullary tumours
Pain: Trigeminal neuralgia

Advanced Facilities

As part of one of India’s leading health care providers, Institute of Spine & Brain at Apollo Hospitals have access to state-of-the-art technology.

Services/Treatments

Interventional Neuroradiology : Apollo Hospitals, provide state of the art Interventional neuroradiology services like diagnostic angiograms, carotid artery stenting, coiling of aneurysms, clot retrieval mechanical devices to help patients in various neurological disorders.

Spine and Back pain Care

We treat a full range of spine, back and neck conditions from back pain to spinal tumours. We specialize in minimally invasive procedures to spinal stenosis, disc herniation and other degenerative spine conditions. We offer microscopic and endoscopic spine procedures to treat various spinal disorders. We have an advanced treatment platform called ‘Spinal navigation system’ wherein surgeons can perform complex spinal procedures with an accuracy of a millimetre without any adverse effect on the spinal cord or nerve roots. We have the intraoperative neurophysiological monitoring system which ensures good outcomes for patient undergoing intramedullary tumor surgery and spinal cord detethering surgery.

Brain injury & Critical Care

Brain Injury

Traumatic brain injuries can be devastating to the family. The key to a successful outcome is the early starting of treatment for these patients in a tertiary care centre. Apollo Hospitals has one of the busiest brain injury centres offering state-of-the-art treatment. Apollo Hospitals has a level-1 trauma centre catering to a large population. A round-the-clock CT/MRI scan ensure complete diagnostic back up. A well monitored Neurosurgical ICU makes the recovery faster and complete. A comprehensive head injury rehabilitation programme ensures early return to normal life.

Critical Care

Critical care is the corner stone of success for any neurological practice. We are fortunate enough to have a dedicated neurosurgical ICU to cater to every serious disease of the brain and spine. There is round-the-clock care comprising of neurosurgeons, neuro critical care physicians and neuro-anaesthetists to help your loved ones recover faster and rejoin normal life.

Percutaneous Spine Surgery

This is an advanced spinal procedure wherein the spine is accessed via a 3 mm port, which is used to treat various spinal disorders like spine fracture and disc disorders. In old age osteoporotic spine fracture, artificial bone cement is deposited into the collapsed vertebral body utilizing a balloon. This technique is called ‘percutaneous balloon kyphoplasty’. In early disc bulges similar procedure is performed using ‘plasma current’ to evaporate the disc material. This is known as ‘Percutaneous Disc Nucleoplasty’ (PDN) procedure. These procedures are done under local anaesthesia as ‘day care’ procedures and the patient is sent home on the same day. Needless to say, these procedures are blood-less, scar- less, and pain less.

Micro – Neurosurgery

With operating microscopes in laminar guided air flow operating rooms, Apollo Hospitals offers the best in micro-neurosurgery. Almost all procedures in brain and spine are done under the magnification provided by the microscope. With the use of a microscope there is less damage to a normal brain or spinal cord surrounding the area of abnormality. Patients have a smooth recovery and lower incidence of surgery induced deficits. The hospital stay is reduced and thus the cost to the patient is lower.

Minimally invasive Spine Surgery

Complex Spinal Surgeries & Minimal Access Spine Surgery

With the increasing rates of high speed vehicular accidents, the incidence of spinal injuries are on the rise. And if the patients do not receive effective treatment at the earliest, they may be left with debilitation neurological defects (paralysis of hands and legs / inability to control urination and defecation). Complex spinal stabilization procedures are performed at Apollo Hospitals to achieve a high degree of spinal stability as rehabilitation often depends on it. Microsurgery (micro-discectomy, corpectomy [removal of vertebral body], laminectomy, laminoplasty) is used to treat Spondylosis, where the spine gets degenerated and causes pressure on the spinal cord and spinal nerves.

MISS (Minimal Invasive Spine Surgery)

MISS is an advanced procedure wherein the spinal system is accessed via a button-hole sized port. MISS uses specialized tubular retractors through which surgeons operate. This has multiple advantages over traditional spinal surgery. While it is minimally invasive, it is relatively painless, patient-friendly, bloodless and scar-less.

Skull Base Surgery

(Complex procedures at the base of the brain involving the bone and blood vessels)
Tumors of the skull base are often the most difficult to treat. Surgery is complex due to the critical location of the tumor in terms of proximity to vital blood vessels, nerves and requires a team of surgeons – Neurosurgeon, Head & Neck surgeon, Plastic surgeon and Vascular surgeon. With the latest in high-speed drills and saws, we are indeed well equipped for these procedures.

NEUROLOGY & NEUROSURGERY SERVICES / MILESTONES

I. Epilepsy: Comprehensive Epilepsy Programme(CEP)

Started comprehensive epilepsy programme in Apollo hospitals, Jayanagar, Bangalore, which includes both medical management and surgical approach to epilepsy.

Department is having people who are specialized in epilepsy (Epileptologist), Pediatric Neurologist, Epilepsy neurosurgeon, Neuro-radiologist well versed with imaging in epilepsy including functional imaging and a Clinical neuropsychologist. When required they are also managed by ourtrained Neuro-Psychiatrist.
Well equipped with facilities such as, Video EEG, 1.5 Tesla MRI, in-depth neuropsychological evaluation, PET –CT Scan and well-equipped specialized theatre facilities.

Apart from this, CEP includes care for

a) Women with epilepsy.
b) Elderly Epilepsy
c) Emergency in Epilepsy
d) Genetic for Epilepsy
e) Management of Difficult to treat/Refractory epilepsy.

II. Comprehensive Stroke Programme.

This include holistic Stroke care from Triaging to Neuro rehabilitation with services of strokologists, Intervention Neuro-radiologist and Neuro-rehabilitation.

Neurologists look after risk factorsevaluation and its management. Has facility for acute stroke care including AI based imaging facility. Patients eligible are immediately administrated TPA to lyse the thrombus and if required immediately taken up for Endovascular intervention with mechanical thrombectomy, using state of art Biplane DSA facility. Needed patient could undergo even carotid/vertebral stenting, which could reverse the blood flow and pathology in these vessels.

Apart from this, patient with acute SAH are being investigated and managed appropriately either by intervention neuro – radiologists (Interventionists) with clipping/coiling, wherever required neurosurgeons with rich experience in vascular surgery would operate on these cases.

In addition to above patients with intra-cerebral hemorrhage are looked after holistically by team experts.

III. Comprehensive Movement Disorders Programme.

As demography of our country is changing rapidly with increasing longevity, elderly people are frequently presenting with various neurodegenerative disorder such as Parkinson’s disease, Parkinsonism who requires periodical follow-up closely managed by experts in their field. As time passes, and response to medical treatment wanes, they will be taken up for effective Deep Brain Stimulation (DBS) with proper optimization of medications.
This programme also includes management of patient with various kinds of tremors, Dystonia, chorea and athetosis.

IV. Pediatric Neurology.

Children are not ‘miniature adults’. They need special trained personnel. Our department has very experienced pediatric neurologist who is well versed with need of children with epilepsy, epileptic encephalopathy, Autism, neurodevelopmental disorders. Apart from this people with genetic/childhood neuromuscular disorder are evaluated with proper counseling.

V. Caring for Elderly.

As elderly population is increasing very rapidly, various neurodegenerative disorders including Dementia, Mild Cognitive Impairment, and Depressive illness are frequently reported among the elderly. ApolloSpecialty Hospital, Jayanagar provides holistic care to these people with all the facilities to take care of the elderly patients.
With other associated departments available in the Apollo Group of institutions these elderly will be provided with holistic -360 O care.

Apollo Bangalore houses 3 large Comprehensive Neurosurgical & Neurological services with state-of-the-art diagnostic services including, Imaging, Electrophysiology & Epilepsy evaluation
Truebeam with framed stereotactic radiotherapy for Brain oncology services
All three hospitals in Bangalore have Interventional Neuro-radiology features
An entire gamut of Paediatric to Geriatric Minimal Access Brain surgeries ( Microscopic + Endoscopic ) with neuro navigation & intra operative neuro monitoring facilities are regularly done in all three units
All 3 hospitals have a dedicated NIC’s
Dedicated Neuro anaesthetist
Dedicated Neurology radiology lab