Neurology is primarily concerned with disorders of the nervous system and brain. The neurological disorders include diseases involving autonomic, central and peripheral nervous systems. It may also include muscles, blood vessels and nerves. Neurological diseases include diseases of peripheral muscles and nerves, neuromuscular junctions and spinal cord. Disorders of spinal cord, nerves and the brain commonly treated by neurologists include –
A patient has to go through a number of tests that include x-rays of the patient’s skull and chest, neurological exam, patient history and physical exam. These tests are done in order to determine specific neurological injury or disorder. Nuclear medicine imaging is also involved where little amounts of radioactive materials are used for examining organ structure and function. Whereas diagnostic imaging involves the use of electrical charges and magnets for examining human anatomy. Some of the common tests include –
Surgery involving the nervous system is termed as neurosurgery. Neurosurgery is a medical specialty that is primarily concerned with the treatment and diagnosis of the patients who are suffering from disorders or diseases of the spinal column, spinal cord, brain and peripheral nerves. Both pediatric and adult patients are included in neurological care. A neurological surgeon recommends surgical and non-surgical care depending upon the nature of the disease or injury.
Pediatric neurology is primarily concerned with any disorder of the central nervous system such as spinal cord, brain, muscles and nerves in children. A pediatric neurologist treats and diagnosis conditions that include behavioral problems such as Attention Deficit Disorder (ADD), movement disorders such as cerebral palsy and seizure disorders such as epilepsy.
There are few non-invasive treatment procedures by which congenital vascular malformations, epilepsy, movement disorders and brain tumors can be effectively treated. Patients who are suffering from medically refractory epilepsy can be treated by using Ketogenic Diet Program.
Neuro Spine Surgery known as neurological surgery or neurosurgery, is primarily concerned with diagnosis, prevention and treatment of disorders that affect any part of the nervous system. The nervous system includes the brain, peripheral nerves, spinal cord and extra- cranial cerebrovascular system. The practice of neuro spine surgery is performed for correcting diseases and injuries of the spinal cord. The procedure relieves pain in the spinal cord and restores function of the suppressed nerves. Lower back and neck conditions are also corrected through this procedure.
Neuro Spine Surgery treat conditions related to the brain, peripheral nerves, spinal cord
and extra-cranial cerebrovascular system. There are different procedures involved in
Neuro spine surgery that focuses on specific conditions.
Neuro-spinal specialists can perform many types of surgeries to alleviate uncomfortable symptoms, correct misalignment, and repair spinal structures. Spine surgery may correct unhealthy abnormalities in the spinal cord, nerves, ligaments, vertebrae, and the discs between them. It can be performed in the cervical, thoracic, lumbar, and sacral portions of the spine and surrounding tissues. Some of the conditions include –
Low back pain is a very common problem these days. The prime cause of this pain is lumbar spinal stenosis. The narrowing of the spinal canal causes compression of the nerves that are moving from the lower back into the legs is termed as lumbar spinal stenosis. This condition can be seen in younger patients but usually it is seen as a degenerative condition in older people who are 60 or above. Due to aging, the disc becomes less spongy and results in reduced disc height. This also results in hardening and bulging of the disc into the spinal canal. Lumbar spinal stenosis can be categorized into two types- Degenrative (age-related) and the other is Congenital (present at birth). Degenerative is most common than congenital.
The symptoms of lumbar spinal stenosis can be seen when the back of a person is in extension and also when he stands up straight or walk. By leaning forward or sitting may provide some relief to the patient. The following symptoms can radiate through the lower back into the legs –
The most common cause of spinal stenosis is Arthritis. The condition of arthritis develops when the disc degenerates and also water content decreases. The water content is very high in young adults and children. The natural aging process results in drying up of the water and also weakens the disc. Due to these reasons, the disc spaces collapses and loses its space height. Other conditions can also affect lumbar spinal stenosis which decreases the space of the vertebral foramen or spinal canal such as –
The complete physical examination and history of a patient is evaluated. The severity of the condition and the presence of numbness or weakness can be determined with the help of patient’s physical exam. Patients having lumbar or cervical stenosis are required to take tests of either CT scan or MRI scan with myelogram. Sensation and abnormalities in strength can be evaluated by a neurological exam. Also nerve conduction studies or electromyogram (EMG) may be required for identifying irritation or damage of the nerves due to continuing compression from spinal stenosis. This also helps in determining the involved nerves.
Patients who are facing weakness and pain are considered for the surgery. Some patients also find it difficult to walk for a long time without sitting. Spinal fusion and Laminectomy are the two surgical approaches for lumbar spinal stenosis. Both these surgical approaches have resulted in great relief from pain.
There are many treatment options that provide relief from pain and also restore function. Nonsurgical methods offer relief from the symptoms of lumbar spinal stenosis
Relief from pain is one the major benefit of lumbar spinal stenosis surgery. The other benefit is that patients who have mild lumbar spinal stenosis surgery are able to return to their home on the same day and begin routine activities after some days. The recovery in the case of mild stenosis treatment is much faster as compared to open surgical procedures. The mild decompression procedure is considered as a low-risk and safe treatment.