Neurosciences/Neurology

  Pediatric Neurology

  Stroke Unit

  Epilepsy Unit

Spinal cord trauma is damage to the spinal cord. It may result from direct injury to the cord itself or indirectly from damage to surrounding bones, tissues, or blood vessels.

  Treatments

Spondylosis

The gradual deterioration of the disc between the vertebrae is referred to as Degenerative Disc Disease (DDD) or Spondylosis. Degenerative Disc Disease is very common affecting 40-50% of people over the age of 40 and becomes increasingly common as we age. It is a kind of wear and tear disease similar to osteoarthritis. Although it can occur at any spinal level, it is most common in the lumbar spine (low back). DDD can cause the discs to flatten losing their normal height.

Management

Rarely does DDD require surgery. There are several non-surgical treatments including anti-inflammatory medication, physical therapy and exercise programs. Surgery is only considered when the patient's symptoms are debilitating; interfere with activities of daily living, and non-surgical treatment has failed after a reasonable period of time, usually at least six months.

Slipped Disc

A prolapsed disc is a condition when the inner, softer part of the disc bulges out through a weakness in the outer part of the disc. The symptoms include - back pain, ache in the arm or leg and pinpricks felt in feet, toes and hands.

Management

As a rule, surgery may be considered if the symptoms have not settled after about six weeks or so. At Kulwanti Hospitals, the spine surgeons may opt for:

Keyhole surgery - it is typically performed when there is a prolapsed disc in the lumbar (lower back) region which is pressing against a nerve.

Disc replacement - An artificial disc is a device that is implanted into the spine to imitate the functions of a normal disc (carry load and allow motion).

Spondylolisthesis

Spondylolisthesis is a Greek term meaning slipping of the spine. It is the abnormal forward movement of one vertebra over the vertebra below. There are various types of spondylolisthesis.

Type 1 - Congenital Spondylolisthesis

An individual is born with the abnormality of the posterior bony arch of the spine, which causes the slippage

Type 2 - Isthmic Spondylolisthesis

Isthmic spondylolisthesis is caused by a defect in a part of the bone called the pars interarticularis. The pars bone connects the upper joint of one vertebra to the lower joint.

Type 3 - Degenerative Spondylolisthesis

Degenerative spondylolisthesis is a forward slippage secondary to arthritis of the spine.

Management

In degenerative spondylolisthesis, surgery is indicated if slippage progressively worsens or if back pain does not respond to nonsurgical treatment and begins to interfere with activities of daily living. In the congenital and high dysplastic group, surgery is done at early stages to prevent neurological complications.

Scoliosis

The spine has normal curves if seen from the sides and is seen as a straight column from the front. But in certain conditions the spine shows curvatures from the front and it is called scoliosis. The abnormal forward bending of the spine is called kyphosis.

The patients with scoliosis are pain free and do not seek treatment until the deformity is noticed. Unfortunately, at that point it may be too late to treat the disease. The size of the curve is measured in degrees on an X-ray. The progression of scoliosis is monitored by periodic x-ray studies.

Surgical Management of Scoliosis

Surgical treatment of scoliosis is employed if the curvature at detection is of greater magnitude. The aim of surgical correction is to achieve a well-balanced spine in which the patient's head, shoulders and trunk are centred over the pelvis.

Spinal Tumors

A spinal tumor or a growth of any kind - whether cancerous or not, can impinge on nerves, leading to pain, neurological problems and sometimes paralysis. The symptoms include loss of sensation or muscle weakness, especially in the legs, difficulty in walking, sometimes leading to falls and loss of bowel or bladder function.

Team That CaresRequest Information

Doctor NameRefer A Patient

Dr. Sanjeev Suri, M.S., McH

Dr. Amit Gupta M.S., McH

Dr. Vikas Shukla M.S., McH

Dr. Rajeev Kainth, M.S., McH

Dr. Alok Verma, D.M. (Neuro)

Dr. Vikas Dixit, D.M. (Neuro)

Neurosurgeries- Trauma, Spine Surgery

  Spinal Surgery

  Neurosciences

A super specialty care centre, Kulwanti Department of Neurosciences is designed to provide the highest levels of professional expertise and leadership in all major disciplines of neurosciences through an integrated team of Neurologists and Neurosurgeons dedicated to provide total patient care. The department boasts of high-end technology & offering the state-of-the-art Neuro- surgical operating room. Kulwanti Department of Neurosciences is backed with a team of highly qualified neurosurgeons and is fully equipped to perform procedures like Spine Surgery, Brain tumor surgery, Disk replacement surgery, Endovascular Neurosurgery and more.

  Brain & Spine Surgery

Neurosurgery, which includes surgery on the brain, spinal cord, skull and the bony spinal column, is a highly advanced super specialty which requires specialized training..Kulwanti Hospitals is recognized as a leader in acute neurosurgical care and is ranked among the top hospitals specializing in Neuro care in the city. Ably supported by modern Neuro-intensive care facility.

Micro - Neurosurgery

(Surgery performed using an operating microscope)

Kulwanti Hospitals offers the best in micro-neurosurgery. Almost all procedures in brain and spine are done under the magnification provided by the microscope.

Complex spinal Surgeries & Minimal Access Spine Surgery

(Microsurgery for disc prolepses. Stabilization for spinal instability and deformity)

Surgery for Spinal Cord Tumors

Spinal tumors are among the tumors most difficult to treat, as the spinal cord is highly fragile and controls functioning of the limbs. Using micro-neurosurgery, tumors in and around the spinal cord are removed, with minimal risk to the spinal cord.

Surgery for the Acute Head Injury and Spinal Injuries

With one of the highest incidences of poly-trauma occurring in India, Kulwanti Hospitals leads in managing these complex problems. With a team of orthopedic, facio-maxillary, plastic general surgeons and neurosurgeons on call round the clock, prompt and efficient treatment is available to all these patients. Reconstructive surgery is also available for patients with deformity.

Surgery for Stroke/Stroke Prevention

(Evacuation of Intra-cerebral hemorrhage, carotid endarterectomy)

Kulwanti Hospitals is one of the few centers where surgery is performed for stroke-bleeding into the brain or for very large cerebral infarcts-to remove the clots.

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.

Functional Neurosurgery

(Surgery for Parkinson's Disease/Essential Tremor)

Neuro-Endoscopic Surgery for Pituitary Tumors and CSF Leaks

Pediatric Neurosurgery

(For anomalies and tumors of the brain and spinal cord in infants and children)

Neuro-Intensive Care

Well equipped Intensive Care Unit, the neurosurgical department has a state-of-the-art neuro-intensive care unit - with modern ventilators, for adults and children and the latest invasive and non-invasive facilities for monitoring of vital functions. A committed team of intensivists, pulmonologists, infectious diseases specialists & nephrologists provide support round the clock.

Team That CaresRequest Information

Doctor NameRefer A Patient

Dr. Sanjeev Suri, M.S., McH, McH

Dr. Vikas Shukla M.S., McH

Dr. Rajeev Kainth, M.S., McH

Dr. Alok Verma, D.M. (Neuro)

Dr. Vikas Dixit, D.M. (Neuro)