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Neuro & Spine

We are a leading Service Provider of Carotid Artery Disease, Carpal Tunnel Syndrome, Cervical Spine Disorders, Cervical Spine Surgery, Disc Replacement and Dicsectomy Medical Treatment Services from Noida, India.

Carotid Artery Disease
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Carotid Artery Disease

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Your arteries carry oxygen-rich blood away from the heart to the head and body. There are two carotid arteries (one on each side of the neck) that supply blood to the brain. The carotid arteries can be felt on each side of the neck, immediately below the angle of the jaw. There are two smaller arteries called the vertebral arteries that supply blood to the back part of the brain (the brainstem and cerebellum).The carotid arteries supply blood to the large, front part of the brain, where thinking, speech, personality and sensory and motor functions reside. 
What Is Carotid Artery DiseaseCarotid artery disease, also called carotid artery stenosis, is the narrowing of the carotid arteries, usually caused by the buildup of fat and cholesterol deposits, called plaque. Like the arteries that supply blood to the heart (the coronary arteries), the carotid arteries can also develop atherosclerosis on the inside of the vessels. Over time, the buildup of fat and cholesterol narrows the carotid arteries, decreasing blood flow to the brain and increasing the risk of a stroke. A stroke is similar to a heart attack. It occurs when brain cells (neurons) are deprived of the oxygen and glucose (a sugar) carried to them by blood. Oxygen and glucose are essential for neurons to function and survive. If the lack of blood flow lasts for more than 3 to 6 hours, the damage is usually permanent. A stroke can occur if:
  • The artery becomes extremely narrowed.
  • A piece of plaque breaks off and travels to the smaller arteries of the brain.
  • A blood clot forms and blocks a narrowed artery.
A stroke can occur as a result of other conditions, such as sudden bleeding in the brain (intracerebral hemorrhage), sudden bleeding in the spinal fluid space (subarachnoid hemorrhage), atrial fibrillation, cardiomyopathy or blockage of tiny arteries inside the brain. 

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Carpal Tunnel Syndrome

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Carpal tunnel syndromeis a specific group of symptoms that can include tingling, numbness, weakness, or pain in the fingers, thumb, hand, and occasionally in the arm. These symptoms occur when there is pressure on the median nerve within the wrist. The carpal tunnel is a small space or "tunnel" in the wrist formed by the wrist bones (carpal bones) and a ligament (transverse carpal ligament). The median nerve and several tendons pass through the carpal tunnel from the forearm to the hand. The tendons are surrounded by tubes of tissue (tendon sheaths). 
The median nerve controls some movements of the thumb, and this nerve supplies feeling to most of the thumb and to the index finger, middle finger, and part of the ring finger.
What causes carpal tunnel syndromeCarpal tunnel syndrome is caused by conditions and activities that put pressure on the median nerve and decrease its blood supply, leading to tingling, numbness, pain, and/or weakness. 
Any of the following conditions or activities, or a combination of them, can lead to carpal tunnel syndrome:
  • Conditions such as hypothyroidism and rheumatoid arthritis can increase the amount of tissue in the carpal tunnel. The swelling that is common in pregnancy can also crowd structures in the tunnel.
  • Wrist injuries, bone spurs, or swelling of the tendon sheath can decrease the space available in the carpal tunnel. A common cause of tendon sheath swelling is forceful or repetitive movement of the fingers and hand, especially if the wrist is in an awkward position.
  • Conditions such as diabetes, which increases nerve sensitivity, can make the median nerve more sensitive to pressure.
  • Smoking and obesity can each increase the risk of developing symptoms.

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Cervical Spine Disorders

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Dna Health Care PariwarEstablished in 1978, Dna Health Care Pariwar is one of India's largest business conglomerates, with an asset base of over USD 10.87 billion. With a workforce of over 910,000 workers, it has a consumer base of nearly 90 million and 1707 offices across the country. 
Its diversified business interests include: Financial Services, Infrastructure and Housing, Media & Entertainment, Retail Chain, Tourism and Hospitality, NRI caring services and Hospital. 
Dna Health CareDna Health Care is a single window E-commerce platform offering over 10,000 products and 100 services to resident and Non Resident Indians. The products are deliverable all across India and the services in 197 cities through a network of 250 branches and 3500 trained Relationship Ambassadors (RA). We aim to provide excellent services in the field of Medical Tourism through the dedicated team of professionally qualified, expert people who are always there to help you and support you in every way possible. Our specialized service in the field of medical is especially designed to serve clients who wish to opt for cost effective treatment as well as avail an opportunity of a leisure travel. We ensure the world class treatment as well as travel package would fulfill their requirement, providing a rejuvenating and healing experience that would be long remembered. 
As part of its Medical Tourism portfolio, we have formed an alliance with various national & International accredit hospitals which are an integrated healthcare organizations. We have the team of experts who work round the clock for any medical or non medical assistance that you require during your treatment far away from your home. We help you in each step you take and offer total end to end services just for you.

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Cervical Spine Surgery

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The goal of cervical spine surgery is to relieve pain, numbness, tingling and weakness, restore nerve function and stop or prevent abnormal motion in the spine. Your surgeon does this by removing a disc or a bone and fusing the vertebrae together with a bone graft either in front of or behind the spine. The bone graft may be one of two types: an autograft (bone taken from your body) or an allograft (bone from a bone bank). Sometimes metal plates, screws or wires are also used to further stabilize the spine. These techniques are called instrumentation. When the vertebrae have been surgically stabilized, abnormal motion is stopped and function is restored to the spinal nerves.
What are the symptoms of cervical disc herniationThe most common symptoms of carpal tunnel syndrome are tingling, numbness, weakness, or pain of the fingers or, less commonly, the palm. Symptoms most often occur in the parts of the hand supplied by the median nerve: the thumb, index finger, middle finger, and half of the ring finger. If your little finger is not affected, this may be a sign that the condition is carpal tunnel syndrome, because the little finger is usually controlled by a different nerve than the thumb and other fingers. You may first notice symptoms at night, and you may be able to get relief by shaking your hand.
What are the Reasons for Cervical Spine SurgeryCervical spine surgery may be indicated for a variety of cervical spine problems. Generally, surgery may be performed for degenerative disorders, trauma or instability. These conditions may produce pressure on the spinal cord or on the nerves coming from the spine.
What Conditions are Treated with Cervical Spine SurgeryDegenerative DiseaseIn degenerative disease the discs or cushion pads between your vertebrae shrink, causing wearing of the disc, which may lead to herniation. You may also 

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Disc Replacement

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An artificial disc is a device that is implanted into the spine to replace a degenerative disc, whose regular function is to carry weight and allow motion. A disc is the soft cushioning structure between the individual bones of the spine, (called vertebra). Artificial discs are usually made of metal and plastic-like (biopolymer) materials, or a combination of the two. These materials have been used in the body for many years. 
Why would a doctor recommend an artificial disc replacementThe reasons for choosing to replace a disc may vary for each condition. Generally, if the pain caused by the affected disc has not been reduced enough with non-surgical treatments, such as medication, injections, or physical therapy, a doctor may suggest disc replacement. Several conditions that may prevent you from receiving a disc replacement: spondylolisthesis (the slipping of one vertebral body across a lower one), osteoporosis, vertebral body fracture, allergy to the materials in the device, spinal tumor, spinal infection, morbid obesity, significant changes of the facet joints (joints in the back portion of the spine), pregnancy, chronic steroid use or autoimmune problems.
What does an artificial disc replacement involveYour spine surgeon will gather a variety of information before recommending disc replacement surgery. In addition to taking a history and doing a physical exam, your surgeon may order various diagnostic studies, such as X-rays, magnetic resonance imaging (MRI) scans, CT scans, or discograms (a special X-ray with dye that show more detail)

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Dicsectomy is a new technique for the decompression of the lumbar disc space and removal of nucleus pulposus via a posterolateral approach. T he technique was introduced in Germany by the authors in April 1987. The method is indicated in patients with non-equestrated lumbar disc herniation with an intact lorsal longitudinal ligament. In local anesthesia, a working cannula (OD 5 mm) is placed at the dorsal lateral border of the disc. The disc space is opened with anulus trephines and the nucleus pulposus is removed with rigid and flexible forceps as well as with automated shaver systems under intermittent endoscopic control (discoscopy).The procedure is performed in local anesthesia. The results of the first thirty patients with a follow-up time between 6 months and 17 months could be graded as excellent in 13 cases, as good in 9 cases, as fair in 6 cases, and as bad in 2 cases. The relief of symptoms as judged by the patients was between 70–100 percent in the majority of the cases. Three patients had to be reoperated at the same level and site, because of either persistent or recurrent sciatica. The performance in local anesthesia, the atraumatic extraspinal approach, the reduced time of hospitalization and post-operative morbidity as well as the reduced time of work incapability are the main advantages of this new method.

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Epilepsy Treatment

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Epilepsy is a common condition that causes repeated seizures. The seizures are caused by bursts of electrical activity in the brain that are not normal. Seizures may cause problems with muscle control, movement, speech, vision, or awareness. They usually don't last very long, but they can be scary. The good news is that treatment usually works to control and reduce seizures.Epilepsy is not a type of mental illness or retardation. It does not affect how well you think or learn. You can't get epilepsy from someone else, and they can't get it from you.
What causes epilepsyOften doctors do not know what causes epilepsy. Less than half of people with epilepsy know why they have it. Sometimes another problem, such as a head injury, brain tumor, brain infection, or stroke, causes epilepsy. 
What are the symptomsThe main symptom of epilepsy is repeated seizures that happen without warning. Without treatment, seizures may continue and even become worse and more frequent over time. 

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Herniated Disc Treatment

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The bones (vertebrae) that form the spine in your back are cushioned by small discs. These discs are round and flat, with a tough, outer shell (capsule or annulus) that surrounds a jellylike material, called the nucleus.When these discs are healthy, they act as shock absorbers for the spine and keep the spine flexible. The normal, everyday pressure on the disc forces its outer surface to bulge slightly. When these discs are damaged from an injury, normal wear and tear, or disease, they may bulge abnormally or break open (rupture). When a disc bulges abnormally or ruptures, it is called a herniated disc. It may also be called a slipped or ruptured disc.Herniated discs can occur in any part of the spine. Most herniated discs affect the lower back (lumbar spine). Some occur in the neck (cervical spine) and, more rarely, in the upper back (thoracic spine). This topic focuses mainly on the lower back (lumbar) area.What causes a herniated discA herniated disc usually is caused by wear and tear of the disc (also called disc degeneration). As we age, our discs lose some of the fluid that helps them maintain flexibility. A herniated disc also may result from injuries to the spine, which may cause tiny tears or cracks in the outer layer (annulus or capsule) of the disc. The jellylike material inside the disc (nucleus) may be forced out through the tears or cracks in the capsule, which causes the disc to bulge, break open (rupture), or break into fragments.
What are the symptomsAlthough injury to the outer covering (capsule or annulus) of a disc can cause pain, often a herniated disc does not cause any pain. Pain occurs when the membrane on the outside of the spinal cord or spinal nerves is irritated. Loss of function-such as weakness or altered sensation-can be caused by pressure from the herniated disc on the nerve roots. Pain or numbness may occur in the area of the body to which the nerve travels. For example, a herniated disc that presses on one of the nerve roots of the sciatic nerve-a large nerve that extends from the lower back down the back of the leg-may cause pain and numbness in the leg, a condition called sciatica. Sciatica is the most common symptom of a herniated disc in the lower back. You may also develop back pain along with a herniated disc and sciatica. Like sciatica, this associated back pain usually subsides over time. Most back and neck pain is not caused by a herniated disc. Nerve problems caused by a herniated disc account for about 4% of low back pain. 

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Brain Aneurysm

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A brain aneurysm, also called a cerebral or intracranial aneurysm, is an abnormal bulging outward of one of the arteries in the brain. It is estimated that up to one in 15 people in the United States will develop a brain aneurysm during their lifetime.
Brain aneurysms are often discovered when they rupture, causing bleeding into the brain or the space closely surrounding the brain called the subarachnoid space, causing a subarachnoid hemorrhage. Subarachnoid hemorrhage from a ruptured brain aneurysm can lead to a hemorrhagic stroke, brain damage and death.
The main goals of treatment once an aneurysm has ruptured are to stop the bleeding and potential permanent damage to the brain and to reduce the risk of recurrence. Unruptured brain aneurysms are sometimes treated to prevent rupture. Learn more about treatment options for a brain aneurysm.

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Percutaneous endoscopic lumbar discectomy is the ultimate form of minimal invasive spine surgery. In this form of surgery, an instrument called endoscope is used. Whole surgery is done under local anesthesia and patient is fully awake during surgery. In fact for successful surgery patients active participation is necessary.Patient is made to lie prone on operation table and exact entry point is mapped on patients body using image intensifier x-ray system. A long spinal needle is passed from side of back which goes into disc directly by-passing other bone and ligaments. Through this needle guide wire is passed and after taking 5mm incision, dilator and working cannula are passed under local anesthesia., through which endoscope is passed. Camera and monitor is attached to endoscope and prolapsed part of disc is removed under vision. Wound is closed with single stitch. Patient gets immediate pain relief and he can go home in 24 hrs and can resume his work soon.
Advantages:-
  • Surgery done under local anesthesia with conscious sedation
  • 5 mm skin incision
  • Endoscope used for surgery
  • No muscle, ligament or normal tissue damage
  • Targeted fragmentectomy. (directly prolapsed disc tissue removed.)
  • Minimal blood loss
  • Patient can be discharged in 24 Hrs.
  • No prolonged bed rest required after surgery. Can resume work sooner.
  • Even prolapsed, migrated, extra-foraminal, recurrent discs can be removed. Very good technique for old and medically compromised patients.

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