1. Long term Epilepsy Monitoring

Video-EEG monitoring refers to continuous EEG recorded for a more or less prolonged period with simultaneous video recording of the clinical manifestations. Having a correlation of the recorded behavior (video) and the EEG activity, the diagnosis of seizures or nonepileptic attacks can be made definitely in nearly all cases. EEG-video is the criterion standard for the diagnosis.

EEG-video monitoring has become available at our centers with an epilepsy program, and . The purpose of EEG-video is to answer the following questions:

Are the episodes epileptic seizures?

If not, what are they?

If they are epileptic seizures, what type of epilepsy is it?

If the seizures are focal, from where are they arising?

 

2. Greater Occipital Nerve Block for Migraine

This technique is used for pain alleviation in case of refractory migraine patients. In patients who are not responding to migraine oral medications and heaving headache frequently this technique utilizes injection of steroid and anesthetic agent in the area around Greater Occipital Nerve Block for Migraine.

 

3. Botox Injection is used at our centre for various neuro diseases like

i. Chronic Migraine

BOTOX® for injection is indicated for the prophylaxis of headaches in adult patients with chronic migraine (≥ 15 days per month with headache lasting 4 hours a day or longer).

ii. Upper Limb Spasticity
BOTOX® for injection is indicated for the treatment of upper limb spasticity in adult patients, to decrease the severity of increased muscle tone in elbow flexors (biceps), wrist flexors (flexor carpi radialis and flexor carpi ulnaris), finger flexors (flexor digitorum profundus and flexor digitorum sublimis), and thumb flexors (adductor pollicis and flexor pollicis longus).

iii. Blepharospasm and Hemifacial Spasm
BOTOX® is indicated for the treatment of strabismus and blepharospasm associated with dystonia, including benign essential blepharospasm or VII nerve disorders in patients 12 years of age and above.

iv. Cervical Dystonia
BOTOX® is indicated for the treatment of adults with cervical dystonia to reduce the severity of abnormal head position and neck pain associated with cervical dystonia.

 

4. Thrombolysis for acute stroke
Thrombolysis

If your stroke is caused by a blood clot, you may be treated with a clot-busting drug to try to disperse the clot and return the blood supply to your brain.

The medicine itself is called alteplase, or recombinant tissue plasminogen activator (rt-PA). The process of giving this medicine is known as thrombolysis.

Thrombolysis can break down and disperse a clot that is preventing blood from reaching your brain.

For most people thrombolysis needs to be given within four and a half hours of your stroke symptoms starting. In some circumstances, your doctor may decide that it could still be of benefit within six hours. However the more time that passes, the less effective thrombolysis will be. This is why it’s important to get to hospital as quickly as possible when your symptoms start.

5. Intraoperative neurophysiological monitoring

Intraoperative neurophysiological monitoring (IONM) or intraoperative neuromonitoring is the use of electrophysiological methods such as electroencephalography (EEG), electromyography (EMG), and evoked potentials to monitor the functional integrity of certain neural structures (e.g., nerves, spinal cord and parts of the brain) during surgery. The purpose of IONM is to reduce the risk to the patient of iatrogenic damage to the nervous system, and/or to provide functional guidance to the surgeon and anesthesiologist