neurology services

Treatment and care of neurology pertains to the brain, spine, sensory organs and the nerves that connect them. Neurological disorders are diseases that affects the nervous system, and there are more than 600 known diseases that affect the nervous system. Some of the commonly known diseases or disorders are stroke, brain tumors, epilepsy, Alzheimer’s, headache, aneurysms, multiple sclerosis, peripheral neuropathy, memory disorders, post-herpetic neuralgia, Dural Arteriovenous Fistulae and rare disorders such as frontal temporal dementia.

Our multidisciplinary team of experts comprising of Neurologists, Neurosurgeons, Neurophysiologist, Neuro-radiologist, specialist Intensivist and other related specialties including rehab services, radiation oncologists and interventional neuro-specialists and psychiatrists, diagnose and treat a range of neurological conditions, inclusive of rare or complex disorders.

At The Kauvery Institute of Orthopaedic and Neurosciences, we provide a broad spectrum of services and treatments, to name a few, we treat movement disorders, epilepsy, cognitive conditions, dementia, cerebrovascular diseases, stroke, neuro-oncology, demyelinating disorders, multiple sclerosis, autoimmune neurology, neurophysiology, peripheral nerve disorders, sleep apnea, speech pathology, and neuromuscular diseases. Our trained team of care givers can provide a range of services from sophisticated diagnoses to advanced rehabilitation resources, utilizing the most progressive medical and surgical treatments of neurological conditions.

This multi-disciplinary team works together and covers the entire spectrum of neurological care in acute and chronic situations. They offer comprehensive care including consultation, evaluation and treatment for patients with various neurological disorders.

The Kauvery Institute of Orthopaedic and Neurosciences specializes in:

  • Treatment of Neurological disorders
  • Neurosurgery
  • Minimally invasive neuro-surgery
  • Spine surgery
  • Neuro-vascular surgery
  • Head and spine trauma
  • Stroke and Neuro Emergency Management

    Cerebrovascular Accidents (CVA) or brain attack in short is a stroke. When a brain attack eventuates, it interrupts the flow of blood to the cells of the brain, thereupon depriving the brain of oxygen, consequently the cells of the brain die. The interruption of blood flow happens when an artery is blocked and prevents blood from reaching the cells in the brain. When an artery ruptures either inside or outside the brain, it can cause a hemorrhage. Just as a heart attack requires immediate treatment, similarly a stroke should also be attended to immediately as every second is critical to the care of the patient’s survival and consequent quality of life.

    Strokes are of two types: Ischemic and Hemorrhagic.


    80% of all strokes suffered are Ischemic in nature. When fat is deposited on the innner walls of the artery, it clogs the artery, causing an ischemic stroke. Transient Ischemic Strokes occur when symptoms similar to an ischemic stroke attack occur prior to the ischemic stroke. Vision loss in a transient ischemic attack, which is usually temporary and will improve in a few minutes (approx. 10/20 minutes).


    When an artery in the inner recesses of the brain or outside it ruptures, or when an aneurysm situated at the base of the brain bursts, it causes hemorrhaging. Symptoms more specific to this kind of stroke include nausea, headache, vomiting, stiffness in the neck, seizures and unforeseen alternation in the mental state coupled with lethargy. The symptoms generally begin suddenly and accelerates with the passage of time. These types of strokes occur during any physical activity and during the day.

    A few indications that you or somebody you know is having a stroke:

    • Unexplainable, severe and sudden headache
    • Decreased or blurry vision in either one eye or both
    • Weakness, numbness and paralysis of the face, either partially or entirely
    • Speech enunciation difficulties
    • Loss of balance, dizziness or an unexplained falling
    • Difficulty swallowing
    • Difficulty in understanding or speaking
    • Appears to be incoherent

    One of the foremost causes leading to adult disability and death is stroke. Emergent, time-sensitive and supportive care is crucial when treating a stroke patient. Within an hour of a stroke patient’s arrival in our emergency room, our trained emergency care team swing into action to initially evaluate, assess, and complete all imaging and diagnostic, laboratory tests, so as to provide information on the cause of the stroke and extent of damage.

    One of the most important imaging, a stroke patient will undergo, is the computer tomography, in short a CT scan. This scan will help detect the type of stroke. Blood tests will also be done together with an EKG (electrocardiogram). These evaluations are necessary to enable the treating doctor to decide on the best course of treatment. An IV (intravenous line) may be inserted and oxygen may be given. The patient’s blood pressure and body fluids will be monitored. The patient will also be monitored for signs of drowsiness, confusion, and headache, as these are all early signs of pressure on the brain. Since a stroke can interfere with the patient’s ability to swallow, no intake through the mouth will be allowed, until such time it is clear, that the patient can swallow.

  • Epilepsy Management

    The multidisciplinary team from the Department of Neurosciences at Kauvery Hospital provide regular and complete care for adults and children with epilepsy. Epilepsy is a central nervous system disorder and it affects the activity of the nerve cells in the brain, which results in seizures. When such a seizure occurs, an epileptic patient may exhibit abnormal behavior, symptoms and sensations, and sometimes may even lose consciousness.

    The symptoms can range from the simple to the complicated in an epileptic seizure. It is estimated that about 10 percent of individuals will experience one or more unprovoked seizures. However, one incident does not constitute that a person is epileptic. To diagnose a patient to be epileptic, there have to be two or more incidents of seizures.

    Epileptic seizures can occur due to either injuries or due to medications. Sometimes the cause of the seizure can even be unknown.

    Known causes attributed to epilepsy are:

    • Traumatic brain injury
    • Brain injury that has occurred near the time of birth or during birth
    • Infections which include brain abscesses, encephalitis, HIV / AIDS or meningitis
    • Strokes
    • Dementia (Alzheimer’s disease)
    • Brain tumor
    • Abnormal blood vessels in the brain
    • Any other illnesses that affect or causes brain damage

    The Epilepsy teams at the Department of Neurosciences at Kauvery Hospital, includes neurologists, radiologists (imaging specialists), neurosurgeons, neuropsychologist and other professionals. Our experts work effectively to provide the best of care to patients with epileptic disorders. All of our subspecialized and expert care is provided under one roof, therefore, your case will be discussed among our team of experts, based on the test results which will be quickly available. Appointments will then be scheduled and coordinated with our highly specialized epilepsy experts, so that you get the best treatment, in the shortest period of time and without any long delays involved. We even manage and treat refractory epilepsies and also provide neuro-surgical evaluation on patients with intractable epilepsy. Further we provide information and advice with reference to marriage, pregnancy and genetic disorders for women with epilepsy.

    The Department of Neurosciences teams use avant-garde technology, including electroencephalography, subtraction ictal SPECT, computerized tomography, positioning emission tomography, magnetic resonance imaging and other tests to meticulously diagnose epilepsy. We even provide inpatient EEG epilepsy monitoring.

    In some cases, even mild seizures may at times require treatment, as they could be dangerous, especially if the patient’s activities involve activities such as driving or swimming. The Neurosciences epilepsy teams at Kauvery Hospital, have considerable expertise in treating epilepsy to completely oust it so as to reduce the frequency and intensity of the seizures, whether it occurs in adults or in children. The treatment choices may include medications, surgery, vagus nerve stimulation, ketogenic diet, awake brain surgery and much more.

    In case it is diagnosed that surgery is the best option to treat a patient, then you can be rest assured that you are in the best hands of the most experienced neurosurgeons who can provide you with the best of results. Neurosurgery requires precise expertise as it is one of the most complex of surgeries and our team of neurosurgeons perform epilepsy surgeries to precision with the aid of computer-assisted brain surgery instruments.

  • Headache and Migraine Clinic

    In medical parlance, headache is that pain that arises from the upper regions of the neck and originates from the structures and tissues that surround the brain. A headache occurs when there is inflammation or irritation of the following parts of the tissue and structures:

    • Muscles that encase the skull
    • Periosteum, a membrane that covers the bones
    • Sinuses
    • Meninges, comprises of 3 layers of connective tissue that cover the surface of the brain and spinal cord
    • Eyes and ears
    • Nerves
    • Arteries
    • Veins

    The nature of the pain can be of varying degrees such as a dull ache, throbbing, intense, constant or mild. Headaches have been classified into 3 categories – primary, secondary, cranial neuralgias and facial pain, and other headaches.

    Primary headaches can be debilitating and could possibly affect the quality of life. It can even be occasional, in which case the headache will resolve quickly. Primary headaches are not life threatening, but the symptoms are similar to headaches associated with strokes. Primary headaches are categorized into 4 categories and they are – Tension headaches, Traction and Inflammatory headaches, Migraine headaches and Cluster headaches.

    • Muscular Contraction or Tension headaches are prone to occur more in women than in men and it is the most common of all headaches. In a muscle contraction or tension headache the facial and neck muscles tighten or tense up causing the headache.
    • Traction and Inflammatory headaches are symptoms of disorders arising from other medical conditions that could be anything from a simple sinus infection to a complex medical condition, like stroke.
    • Vascular or Migraine headaches affect men, women and children and they are the second most common of headaches. Both boys and girls before puberty may suffer from migraine headaches but after puberty the migraines do not affect the boys as much as the girls, who may continue to have it even after.
    • Cluster headaches are also a type of vascular headaches and affect both adults and children and is a very rare type of headache. Men are more prone to suffer from this type of a headache. Cluster headaches are repetitive, that is there will be numerous episodes of headaches with intense pain, and spikes in blood pressure.


    The most common of vascular headaches is the migraine which are usually identified with severe pain on either one side of the head or on both sides. Migraine headaches also cause nausea and at times disrupts vision.

    Secondary headaches are precursors to more serious medical disorders, such as aneurysms (rupturing of weakened blood vessels), diseases of the spine, sinuses, neck, teeth and ears. Traumatic and post-concussion headaches, substance abuse and excess use of medications (rebound headaches) all fall into this category.

    Part of our neurology services include diagnostic and treatment of persistent primary, secondary, neuralgic, facial/ neck pain and other headaches. Our team of expert neurology doctors will consider historical and recent diagnostic data before creating an individualized treatment plan for the patient. The treatment options for migraines and vascular headaches include, drug therapy, stress reduction, elimination of certain types of food from the diet and biofeedback. The treating doctors will determine the nature of the headache, using the best diagnostic techniques, simultaneously looking for red flags that may herald something more serious. The most advanced laboratory equipment are used to provide the best diagnostic results and they are:

    • Computed tomography (CT) head scan
    • Electroencephalogram (EEG)
    • Laboratory testing
    • Magnetic resonance (MR) head scan
  • Neuromuscular Disorders

    Neuromuscular disorders impact the nerves that control the voluntary muscles in the body. Voluntary muscles are those muscles that help with movement. Neurons are nerve cells present in the nerves and these neurons send messages to the muscles to act. The communication between the muscles and the neurons ceases, when the neurons become unhealthy and die. Consequently, the muscles become weak and dissipate as a result of which problems such as cramps, twitching, joint movement, and pains and aches, will develop. Neuromuscular disorders can even affect the functioning of the heart causing breathing problems.

    Some neuromuscular disorders are:

    • Multiple sclerosis
    • Amyotrophic lateral sclerosis (ALS) or progressive neurodegenerative disease or Lou Gehrig’s Disease
    • Spine muscular atrophy
    • Myasthenia gravis (MG)

    Neuromuscular diseases are either inherited or genetic, which means that it is a part of family history or occurs due to genetic mutations. Sometimes immune system disorders have been known to cause neuromuscular diseases too. Most of the known neuromuscular diseases have no cure but can be treated to improve the conditions, so as to increase mobility and life expectancy.

    The affliction of neuromuscular diseases can affect any age group, even people as young as 18. Some diseases are present from birth, others become evident during childhood and yet others come to light in adulthood. Life expectancy varies from short to normal, depending on the disease and the severity. Secondary effects of muscle degeneration that affects the heart and respiratory system, can be the cause of death.

    Bladder and bowel control is generally normal in most patients with neuromuscular diseases, though they will need help in the bathroom, due to their physical inabilities.

    At our Institute of Orthopaedic and Neurosciences, our multidisciplinary team works together to provide the best of care to patients diagnosed with neuromuscular diseases. Our trained and experienced experts follow the international code of medicine safety and care for each patient under their care. Treatments offered by our neurology services are:

    • Therapy through Drugs – certain forms of muscle and nerve diseases can be treated successfully with medication, such as immunosuppressive drugs while to treat neuropathy, drugs such as anticonvulsants and antidepressants may be used.
    • Our team of physiotherapists and nutritionists will continue to evaluate patients. Strengthening of muscles through exercises does not help prevent degeneration of muscle in patients affected by neuromuscular disease, hence why being guided by our physiotherapists and doctors is important. They will be able to guide the patient with moderate and gentle exercises that will help maintain muscle tone and flexibility.
    • At The Kauvery Institute of Orthopaedic and Neurosciences we have specialists in various disciplines of medicines. Therefore if necessary, the consulting doctor will refer the patient to surgeons from our Neurological, Orthopaedic or Thoracic department for further evaluation and diagnosis. Referrals may even be made to our sub specialty team comprising speech-language pathologist, physical therapists, occupational and rehabilitation therapists, physiatrists, ophthalmologists, and pulmonary medicine specialists.
    • Patients and their family members will be counselled and educated in the management of the disease.
  • Neurophysiology (EEG and EMG) Lab
    Neurophysiology (EEG and EMG) Lab

    The Neurophysiology Clinical Lab at The Kauvery Institute of Orthopaedic and Neurosciences is equipped to provide a complete spectrum of diagnostic related laboratory services to patients undergoing neurologic evaluation.

    All routine and investigative diagnostic testing referred in-house, through our neurologists and team of multidisciplinary specialists from our Institute of Orthopaedic and Neurosciences, or from other medical groups, who desire routine or highly specialized neurophysiologic evaluations, are scheduled immediately.

    The diagnostic tests are performed by our trained and exceedingly well skilled technicians and the results are interpreted by our board certified subspecialists and these results are made immediately available to the referring specialist, doctor or surgeon.

    The Neurophysiology Labe Team comprises of academic, full time doctors, who are members of the Department of Neurosciences and Neurology. Our physicians are specially trained in all fields related to neurology associated to seizures and epilepsy, infant development, neuromuscular diseases, neurologic monitoring and sensory physiology. Our lab technicians continue to grow their professional abilities with ongoing training in electro-diagnosis, while they serve you and conduct the tests required by your referring specialist.

    Neurophysiology Lab Services provides a full range of inpatient and outpatient neuro-diagnostic and medical services, to patients with nervous system and neuromuscular diseases. Our neurophysiology lab is equipped with advanced equipment and technology, and we provide the following services:

    • Electroencephalography (EEG)
    • Electromyography and nerve conduction studies (EMG/ NCS) – study of nerve and muscle activity in patients with neurologic diseases
    • Round the clock ambulatory EEG
    • EMG/nerve conduction studies
    • Brainstem Auditory EP
    • Somatosensory EP
    • EP or evoked potential a test performed to study the activity of the brain related to sensory stimulation of sight (VEP’s), touch (SSEP’s) and hearing (BAEP’s)
    • Polysomnography (PSG’s) - examination of brain activity, breathing, eye activity and other activities of the body, while the patient is asleep.

    Our Neurophysiology Lab conducts EEG, EMG / NC, EP studies and provides services to patients afflicted by:

    • Altered mental status, coma, traumatic brain injury, epilepsy, dementia, syncope / vertigo, and encephalitis - EEG
    • Myopathy, sciatica, neuropathy and myasthenia gravis – EMG/ NC
    • Optic neuritis, anoxia, multiple sclerosis, brain pathology, coma (prognosis), and blindness - EP

    The neurophysiological lab studies and tests differ from the MRI CT and related examination as these evaluations are related to the functioning of the different parts of the nervous system, while MRI, CT scans provide diagnostics on the structure or anatomy of the nervous system.

    Apart from the basic diagnostic services, the Neurophysiology Lab at the Kauvery Institute of Orthopaedic and Neurosciences, also serves patients undergoing neurological procedures that place the nerves, brain and spinal cord at risk.

    Our intraoperative neurological monitoring techniques comprising of EEG, EMG and EP’s, play a major role during a surgical procedure, by providing a continuous evaluation of the functions of the nervous system, thereby aiding the surgeon substantially in minimizing the risk of damage.

    Our neurophysiological lab also monitors the source of seizures in epilepsy patients who are thinking of undergoing surgery. Additionally, we also provide a multimodal approach to neurosurgical planning, whereby our fMRI imaging and electrophysiological study helps to identify the areas of the brain, prior to surgery, consequently reducing any risk of impairment.

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