Neuro Care

The Department of Neurology and Neurosurgery at Virinchi Hospitals, with a commitment to providing personalised case- specific care, offers evidence-based treatment approach in the management of several neurological disorders that affect nerves, muscles, spinal cord and brain. We have an integrated team of experts including neurologists, neurosurgeons, neurophysiologists, interventional neurologists, stroke and cerebrovascular disease specialists, neuro-oncologists, paediatric neurologists, neuro-technicians, rehabilitation experts, physical & occupational therapist and pain management specialists. The team deals with a host of diseases affecting the brain, spine and the peripheral nerves-including stroke, brain tumours, spinal degenerative diseases, epilepsy, cerebrovascular diseases (aneurysm, avm, stenosis, etc.), movement disorders, neuropathies, paediatric  neurological disorders, and spinal cord tumours.

Mutliple Disciplines

Our motto is to treat and restore all sorts of neurological disorders precisely without disturbing the basic functions of the body. To ensure this, we bring together latest innovations in neurology, sophisticated technology and experienced team of doctors who work collaboratively by rendering services under the following sub-specialities:

Neurology OPD Services

  • Stroke/ TIA Clinic
  • Headache/ Migraine Clinic
  • Dementia Clinic
  • Movement Disorder Clinic
  • Epilepsy Clinic
  • Neuropathy Clinic

Neurosurgery

  • Cranial Endoscopic Neurosurgery
  • Minimally Invasive Spine Surgery
  • Endovascular Neurosurgery
  • Neuro-Oncology – Brain Tumor  Surgery
  • Paediatric Neurosurgery
  • Cervical Disc Replacement
  • Balloon Vertebroplasty /Kyphoplasty
  • Awake Neurosurgery
  • Day care spine (micro & endoscopic discectomy / disc surgery)
  • Functional neurosurgery for Parkinson’s and other movement disorders
  • Epilepsy Surgery
  • Image guided/Neuronavigation Guided Surgery

Superior Technologies

Virinchi Hospitals is equipped with the best of technology and armed with unparalleled expertise to reassure patients with superior quality care that they truly deserve.

  • 3Tesla MRI
  • 128 slice CT Imaging
  •  State-of-the-art Operating Microscope (including vascular and tumour fluoroscence)
  • Neuronavigation System—for brain and spine surgeries
  • Sophisticated Neurophysiology (EMG, NCV, EEG) technology and Video-EEG diagnostic procedures
  • Intraoperative Neurophysiological Monitoring
  • Neuroendoscopy
  • Cath lab for – Endovascular Neuro-interventions

We’re committed to enhance patients’ care, minimize neurological complications and redefine healthcare scenario in India.

Interventional Neurology

The department aims to provide quality care to every patient, every time. The medical evaluation includes laboratory tests, imaging studies, and consultations with specialists as deemed necessary by the physician.

The department uses a well-defined protocol, which is based on unique treatment models to ensure the best possible outcomes for patients. This is made possible in an environment wherein the entire specialist team follows a common plan, and is ready to treat all sorts of neurological illnesses at any time.

When you visit us, we evaluate your medical concerns. Based on your physical examination and previous medical history, we recommend tests, if we deem them necessary, and coordinate consultations with other specialists based on your medical needs. After testing has been completed, we will review the results with you and make the final recommendations. We offer “treat and care” beyond hospital strategy that ensures the care providers and care takers understand disease management better in the long run.

The state-of-the-art neurocritical care unit makes this department amongst a very few in India with all advanced neuromonitoring systems. The department offers a comprehensive care in acute neurological disorders such as stroke, epilepsy, status epilepticus, tropical neurological disorders, movement disorders, and acute nerve & muscle disorders.

Treatment is offered for the following neurological disorders

  • Disorders of the brain, meninges, spinal cord, nerves & muscles
  • Stroke, epilepsy, movement disorders (Parkinson’s disease)
  • Dementias (Alzheimer’s disease), infections of the brain, neuropathy, myopathy, myasthenia gravis & crisis
  • Headache, trigeminal neuralgia, cervical and lumbar spondylosis, Gullen Barie Syndrome
  • Systemic diseases associated with neurological disorders, paraneoplastic syndromes, subarachnoid haemorrhage
  • Both parenchymal and extra-parenchymal vascular brain & spinal disorders 

Common Diagnostic tests or procedures used in the workup include

Neuro Imaging

Comprehensive protocols are made for each disease to evaluate it completely for treatment and decision making – for instance, stroke protocol, epilepsy protocol, dementia protocol, etc.

  • CT with perfusion
  • MRI with diffusion/ perfusion/ spectroscopy/ functional
  • Cerebral DSA

Neurophysiology

  • Neuro-Sonology (TCD / Carotid Doppler)
  • EEG/ Video EEG
  • NCV/ EMG/ H-reflex
  • VEP/ BAERA/ SSEPs/ QSRT
  • Autonomic testing
  • EMG guided Botulinum Toxin for dystonia’s

 Common Therapies Offered / Procedures performed in the Neuro-intensive Care Unit include

  • Intravenous Thrombolysis 24hrsX7Days
  • Continous EEG Monitoring 24hrsX7Days
  • ICP Monitoring for TBI and Major Strokes
  • Hemicraniotomy for Major Strokes 24hrsX7Days
  • Advanced ventilation for Myaesthenia crisis and GBS
  • Meningitis & Encephalitis management 24hrsX7Days
  • TCD monitoring for recanalization/ vasospasm/ restenosis

Neuro-Cath Lab

  • Diagnostic Cerebral DSA
  • Intra-arterial Thrombolysis
  • Mechanical thrombectomy
  • Aneurysm Exclusion by coiling/ Spasmolysis
  • AVM/ Tumour Embolization
  • Carotid and Intracranial stenting
  • Diagnostic Spinal DSA
  • Spinal DVF/AVM/ Tumour embolization

Stroke Unit

  • First hour monitoring NIHSS/ MRS
  • First hour dysphagia & speech assessment
  • First 24Hrs physiotherapy and clinical psychologist assessment
  • First 24Hrs critical management of HTN/ DM/ TEMP/ SATURATION/Neuro-rehabilitation with mobilisation
  • Monitoring thrombolysis/ anti-platelets/ OAC/ DVT prophylaxis/ stroke education/ rehabilitation
  • Evaluation for secondary prevention of stroke

Video EEG

  • Refractory seizure evaluation
  • PNES evaluation
  • Selection for epilepsy surgery

Botulinum Toxin

  • Hemifacial Spasms
  • Blepharospasm
  • Cervical Dystonia
  • Writer’s Cramp
  • Task specific dystonia’s
  • Post stroke spasticity
  • Chronic daily headache

Neuro-Rehabilitation Comprehensive services

These services includes Physiotherapy, Occupational therapy, Speech therapy and Clinical Psychologist for:

  • Post Stroke Patients
  • Degenerative Brain and Spine Diseases
  • Traumatic Brain Injuries
  • Post GBS Patients
  • Movement Disorder Patients
  • Vertigo Patients
  • Neonatal Brain injuries
  • Learning disabilities