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Neuro Sciences
Neurophysiology tests
The clinical neurophysiology department performs tests which record information from the brain or the nervous system. The test is performed by positioning small discs on the hands, arms or legs. These are used to give small electrical pulses which activate the nerves and are felt as a tapping. The tests are slightly uncomfortable but not painful, and usually last about 20 to 30 minutes in total. They are usually well accepted by children. We perform test like NCV, EMG, Repetitive stimulation, facial nerve study, Blink reflex, P300 and the Autonomic nervous system test
Electroencephalogram testing
Recent technical advances have now made it possible to record and monitor the continuous digital electroencephalogram (EEG) of many critically ill patients simultaneously. At ABMH we can perform EEG, video EEG, bed side EEG and also undertake long term EEG monitoring
Intraoperative Electrophysiology Monitoring
When the affected nerve is exposed during surgery, very sensitive electrical testing can be performed, which helps guide the surgeon during brain and spine surgery. Other available intraoperative electrical tests include evoked EMG recording to monitor nearby functional nerve fascicles during tumor (schwannoma) removal, and sensory evoked potentials with stimulation of the proximal nerve roots just outside the spine to confirm that the spinal rootlets are at least partially attached to the spinal cord. This latter test is important during brachial plexus surgery
Evoked Potential study (EPS)
Evoked potentials studies measures electrical activity in the brain in response to stimulation of sight, sound, or touch. Stimuli delivered to the brain through each of these senses evoke minute electrical signals. These signals travel along the nerves and through the spinal cord to specific regions of the brain and are picked up by electrodes, amplified, and displayed for a doctor to interpret. EPS involves three major tests that measure response to visual, auditory, and electrical stimuli they are:     
     • Visual evoked response (VER) test. This test can diagnose problems with the optic nerves that affect sight.
     • Brainstem auditory evoked response (BAER) test. This test can diagnose hearing ability and can indicate the presence of brain stem
        tumors and multiple sclerosis.
     • Somatosensory evoked response (SSER) test. This test can detect problems with the spinal cord as well as numbness and weakness of the
        extremities. VEP, SSEP, BAER (multichannel).
Botulinum Toxin Injections:
Botulinum toxin injections are mainly used for Spasticity, Dystonia, Hemifacial spasm, Hyperhydrosis, Migraine, Spastic Bladder, spasmodic dysphonia to name a few. Our doctors are experienced in these injection procedures.
Occipital nerve block
An occipital nerve block is done when there is inflammation of the occipital nerves (located in the back of the head) causing headaches. Occipital nerve blocks are done for suppression of chronic headaches, cervicogenic headache, occipital Neuralgia etc. Occipital nerve blocks are not for everyone, but may prove to be a more effective means of suppressing chronicheadache than any oral medication.
Intrathecal Baclofen pump refilling and programming
ITB Therapy (Intrathecal Baclofen Therapy) is used in the management of severe spasticity.Spasticity is an abnormal increase in muscle tone caused by injury of upper motor neuron pathways regulating muscles. Injury or disease of the central nervous system may cause spasticity. Spasticity may be a result of multiple sclerosis (MS), cerebral palsy (CP), stroke, brain injury, or spinal cord injury.Severe spasticity can have a stressful effect on function, comfort, and care giving and may result in musculoskeletal complications, incoordination, loss of function, pain and permanent muscle shortening or contracture.
Multiple Sclerosis therapies
Multiple sclerosis is a chronic, often disabling disease of the central nervous system (the brain or spinal cord). It is caused when myelin, the protective insulation surrounding the nerve fibers of the central nervous system, is destroyed and replaced by scars of hardened "sclerotic" patches of tissue.Although most individuals do not become severely disabled, more than half experience spasticity, which tightens muscles and can complicate daily life. Newer oral immunomodulators and Tysabri infusions help control the disease to a great extent.
Thrombolysis for acute stroke
Thrombolytics restore cerebral blood flow in some patients with acute ischemic stroke and may lead to improvement or resolution of neurologic deficits. The therapies for thrombolysis for acute stroke done at ABMH are Intravenous thrombolysis therapy, Intraarterial thrombolysis therapy and Mechanical (Solitaire) thrombolysis.