Neurology in Mumbai

Neurology is a branch of medicine that focuses on the diagnosis and the treatment of diseases of the nervous system. The nervous system is a complex and sophisticated system that regulates and coordinates our body activities. It is divided into two major parts:

• The central nervous system: the brain and spinal cord
• The peripheral nervous system: all nerves branching out from the brain and spinal cord, and extend to other parts of the body, including organs and muscles.

Since the nervous system is complex, there are numerous subspecialties within the field of neurology, including:

• Neurodevelopmental disabilities
• Pediatric or child neurology
• Neuromuscular medicine
• Pain medicine
• Hospice and palliative care neurology
• Headache medicine
• Vascular Neurology (stroke care)
• Sleep medicine
• Autonomic disorders
• Brain injury medicine
• Neuropsychiatry
• Epilepsy
• Neurointensive care

A doctor who specializes in treating diseases of the nervous system is called a neurologist. Symptoms that often require a neurologist help may include coordination problems, muscle weakness, confusion, dizziness, and a change in sensation. People who are having problems with their senses, such as vision, touch, or smell, may also require to see a neurologist since problems with senses are sometimes caused by disorders of the nervous system.

A neurologist may also treat patients with:

• Stroke
• Seizure disorders, such as epilepsy
• Migraines and headaches
• Brain aneurysms
• Brain tumors
• Peripheral neuropathy
• Multiple sclerosis
• Infections of the nervous systems, such as meningitis, encephalitis, or brain abscesses
• Neuromuscular disorders, such as myasthenia gravis
• Neurodegenerative disorders, such as Alzheimer’s disease and Lou Gehrig’s disease
• Sleep disorders
• Spinal cord disorders, such as autoimmune and inflammatory disorders
• Speech and language disorders

Keep in mind that neurologist does not perform surgery. If you need surgery, you will be referred to a neurosurgeon.

What does Neurology Involve?

A wide variety of different tests and procedures are used to diagnose and treat neurological conditions. On your first appointment with a neurologist, a physical and neurological exam is likely to be performed. A neurological exam is done to test muscle strength, coordination, and reflexes.

Because different diseases can have similar symptoms, more than one testing may be required for your neurologist to make a diagnosis.

Some of the procedures that fall into the field of neurology may include:

Electromyography

Electromyography (EMG) is used to measure how well your muscles react to electrical stimulation from motor neurons, which are specific nerves controlling muscle movement. It can help neurologists diagnose general muscle or nerve dysfunction, as well as spinal cord disease.

During an EMG, small needles called electrodes are inserted into the muscle by a specially trained technician. The electrodes can measure the different electrical activity occurring in muscle tissue during periods of movement and rest.

Electroencephalogram

Electroencephalogram (EEG) is performed to assess and record electrical activity in your brain. Neurons in our brain communicate with other neurons through electrical impulses, which an EEG can record. Brain wave patterns can also be tracked by an EEG. It is used to help diagnose conditions of the brain, including tumors, inflammation, injuries, as well as psychiatric disorders, epilepsy, and seizures.

During an EEG, electrodes are placed on your head. The electrodes are connected to a computer, which converts electrical signals into patterns that can be seen from a screen or printed on a piece of paper.

Lumbar puncture

Lumbar puncture is done to test your spinal fluid. It involves inserting a needle into your spine after numbing it with an anesthetic. Using the needle, a sample of your spinal fluid is taken.

A lumbar puncture can help diagnose the following conditions:

• Meningitis
• Encephalitis
• Leukemia
• Myelitis
• Dementia
• Autoimmune diseases, such as multiple sclerosis (MS)
• Bleeding in the brain

The procedure can also be used to treat conditions affecting the spinal cord. Your neurologist may inject anesthetics, cancer treatments, or antibiotics using a lumbar puncture needle.

Tensilon test

To help diagnose myasthenia gravis, your neurologist may perform a tensilon test. It involves the injection of a medicine called Tensilon. Then, your neurologist observes how medicine affects your muscle movements.

Sleep study

Chronic sleep problems are diagnosed in a Sleep Study. Also known as a Polysomnogram (PSG), this procedure involves monitoring patients during sleep and physiological data is recorded electronically.

Other tests

Other types of tests may be used by your neurologist to make a diagnosis. These may include:

• Magnetic resonance imaging (MRI scan)
• Computed tomography (CT scan)
• Positron emission tomography (PET scan)
• Biopsy
• Genetic testing
• Angiography

Botox injections

Botox injections can be done to treat some neurological conditions, such as cerebral palsy, that can cause your limbs to pull in toward your center. Sometimes, these contracted muscles can be relaxed with Botox injections.

Botox injections involve injecting tiny amounts of botulinum toxin into your skin of muscles using a thin needle.

Brain tumor treatment

A range of treatments can be done to treat a brain tumor. If your neurologist believes that you need surgery, you will be referred to a neurosurgeon who will remove as much of the brain tumor as possible through surgery.

A brain tumor may also be treated with radiation therapy, which uses high-energy beams to kill tumor cells.

Brain tumor treatment may be integrated between the departments of neurology and oncology.

Brain rehabilitation therapy

Brain rehabilitation therapy is used to help you relearn functions that are lost as a result of a brain injury. Brain rehabilitation therapy is usually integrated between specialty teams in the departments of neurology, sports medicine, psychiatry and psychology, neuroradiology, and the vestibular/balance laboratory.

Deep brain stimulation

During deep brain stimulation, electrodes are implanted within certain areas of the brain. The electrodes generate electrical impulses that can regulate abnormal impulses. These electrical impulses may also affect certain chemicals and cells within the brain.

Deep brain stimulation can be done to treat numerous conditions, including dystonia, essential tremor, epilepsy, and Parkinson’s disease. It is also being studied as a potential treatment for multiple sclerosis and stroke recovery.

Spinal stenosis treatment

Spinal stenosis is a condition that occurs when the spinal canal narrows and pinches the nerves, leading to back and leg pain. Spinal stenosis may be treated with pain medications, physical therapy, steroid injections, decompression procedure, or surgery. Surgery is usually performed if other treatments have not helped.

How Long Should I Stay in Mumbai?

Your length of stay depends on the type of procedure you have, you may be allowed to leave the hospital on the same day or you will stay for several days. For diagnostic procedures, you should be allowed to leave the hospital on the same day. However, you should wait until the results of the test are ready before you can fly home, which may take as long as 7 days, sometimes even longer. If you undergo brain tumor treatments or other types of treatment, especially treatments that involve surgical intervention, you should aim to stay in Mumbai at least for 10 days.

What's the Recovery Time?

The recovery time can be different for each procedure. It may also depend on the reason why you are having the procedure and your overall health. Your neurologist and neurosurgeon will give you a recovery timeline for each procedure. The recovery period for diagnostic procedures is typically short and you may be able to resume your normal activities within a week or so. For surgical procedures, you may need to wait 4 weeks or months until you can go back to your daily routine, including work and exercise.

What About Aftercare?

A detailed aftercare instruction will be given to you following your procedure. While the instructions will be different for each procedure, they typically include a diet plan, exercise, restrictions, and wound care (if any surgical intervention is involved). You should follow these instructions carefully in order to have a speedy and smooth recovery.

You may also need to attend follow-up checkups to monitor your overall condition and healing. For brain tumors, you may need to attend regular checkups to ensure the tumor has not come back.

What's the Success Rate?

The field of neurology is constantly advancing. The success rate of each procedure is typically high, particularly when performed by highly skilled and experienced medical professionals. Still, some procedures may carry some risks, such as bleeding, infection, and nerve injury.

Are there Alternatives to Neurology?

Since neurology is the branch of medicine to diagnose and treat problems of the nervous system, there are no other alternatives. However, if your doctor found that your disease or illness is found to be caused by other problems unrelated to the nervous system, your doctor will recommend you to see the relevant doctor.

Neurology in and around Mumbai

About Mumbai

Mumbai, formerly known as Bombay, is a big cosmopolitan city. It’s the wealthiest city in India with the highest number of millionaires and billionaires. It’s the perfect place for anyone who wants to immerse in tradition and modernity, as the city is a grand mixture of old and new. The city is also home to Bollywood, India’s film industry. Tourists flock to the city for its historical sites, amazing food, unique bazaar, and recently, for its medical tourism.

In line with India’s growing medical tourism, Mumbai has gained a lot of attention as a medical destination. In 2017, 27 percent of medical tourism activities in India took place in the state of Maharashtra. Armed with advanced medical technology, world-class doctors, hospitals with the highest-quality, affordable cost, and a wide range of healthcare, Mumbai is the leading city in the state with 80 percent of patients choose to have a medical procedure there.

Most hospitals are accredited by Joint Commission International (JCI) or National Accreditation Board for Hospitals & Healthcare Providers (NABH). Hospitals like Kokilaben Dhirubhai Ambani Hospital, Global Hospitals Mumbai, and Wockhardt Hospital South Mumbai are patients’ favorite. Among the most popular procedures are cosmetic and plastic surgery as well as eye surgery.

Popular Areas in Mumbai

Tourists are drawn to the city for various reasons. Some want to indulge in its energetic vibe, others want to be fascinated by its history.

• Gateway of India was built in 1924 and is the most valued structure in India. It’s located at the tip of Apollo Bunder, overlooking the Mumbai harbor. The structure is designed in Indo-Saracenic style with traces of Muslim architectural style. It was built to welcome King George V and Queen Mary to Mumbai. Tourists can take a stroll and learn the history of this unique landmark.
• Siddhivinayak Temple will leave anyone in awe. Built-in 1801 by Laxman Vithu and Deubai Patil, it is a Hindu temple dedicated to Lord Shri Ganesh. The temple evolved from a small place of worship to a grand temple. Politicians and Bollywood film stars frequently visit this temple. Tourists can find many interesting facts and cultural insight here.
• Elephanta Caves are a collection of cave temples mostly dedicated to the Hindu god Shiva. The caves are a UNESCO World Heritage Site. People visit to see its fine specimens of the ancient Hindu culture and tradition as well as for their rock-cut sculptures. The statue of Trimurti Sadasiva form of Lord Shiva is the most famous sculpture in this cave. The caves were named Elefante (morphed to Elephanta) by the colonial Portuguese because they found elephant statues on it.
• Marine Drives is an important destination for tourists visiting Mumbai. It’s a 3km long road in southern Mumbai which forms a natural bay. Its fantastic sunset view is very popular among locals and international tourists. People also come for its perfectly lined palm trees that offer scenic beauty.
• Film City is where most iconic scenes from India’s film were shot. It’s located near Sanjay Gandhi National Park at Goregaon East. With all the essential equipment and world-class facilities, it’s one of the largest indoor shooting facilities in India. This attraction offers tourists a world of wonder.

Weather and Climate in Mumbai

Mumbai has a tropical, wet, and dry climate. Summer starts approaching the city in late March and ends in May. It might not be the best time to visit since the temperature can get as high as 40 °C and the humidity can also be very high. If you can bear hot temperatures and high humidity, there are many festivals worth visiting during these months.

June to October is the monsoon season which sees continuous rain showers, making traveling more difficult. The temperature is not as high as the Summer.

Winter has the most pleasant weather. It starts in November and lasts until February. The temperature is not too hot or too cold and the humidity is very low, so tourists can enjoy many outdoor activities and sightseeing. The coolest month in Mumbai in January, with the temperature ranging between 13 °C to 30 °C.

Getting Around in Mumbai

Chhatrapati Shivaji International Airport is the main international airport in Mumbai. It’s the second busiest airport in India. The airport serves domestic and international flights to major cities in Asia and Europe. Budget airlines such as GoAir, flydubai, and AirAsia India.

Taxis, auto-rickshaws, and car rentals are available to travel from the airport to Mumbai’s city center. Taxis will take tourists around 25 minutes (depending on the traffic) to the city center. There are two taxi options; metered taxis and pre-paid taxis. Auto-rickshaws are metered and available from Terminal 1, they are cheaper than taxis. Car rentals are the best option if you want to have more flexibility and independence, you can rent directly at the airport.

There are various transportation modes to get around Mumbai. The local Train has 120 stops so you can get off on your nearest destination easily, trains start at 4.00am and stop at 2.00am. While the second class ticket is very cheap, it’s usually very crowded and uncomfortable. Tourists can buy a tourist ticket for 275 INR which allows them to travel in first class for the whole day.

The Mumbai Metro is a cheaper option, with the fares ranging from 10 to 40 INR. The train leaves every 4 minutes during busy hours and 8 minutes on non-busy hours. Buses in Mumbai are known as Brihanmumbai Electric Supply and Transport (BEST), they run from 5.00am to midnight.

Taxis are cheap and easy to find. The minimum fare is 21 INR for the first 1.5 km and then 1 INR for every 100 meters. Make sure to check the meter yourself before paying because some drivers are known to cheat. Auto-rickshaws are widely available, the base fare should be 18 INR and 1 INR to 2 INR for every 100 meters.

Tourist Visas in Mumbai

Citizens of Nepal and Bhutan are granted visa-free entry. Visa on arrival is available for citizens of Japan and South Korea. India provides e-Visa for 150 countries, the visa is valid for 60 days. If you come for medical treatment, you can apply for the medical attendant e-visa. Citizens of other countries are required to apply and obtain a visa to enter the country.

Additional Information

1. Local Currency: The local currency is the Indian rupee (INR). 1 USD is equivalent to 70 INR.
2. Money & Payments: tourists can find ATMs everywhere. Credit cards are accepted in most hotels and restaurants but it is advisable to always bring cash. Tipping is optional.
3. Local Language: Marathi is the state and city official language. Hindi is widely spoken. English is widely used in most places and many locals speak broken English.
4. Local Culture and Religion: Due to the growth of various communities and migrants, there are many religions in the city. Most people are Hindus, Muslims, Zoroastrians, Christians, Jains, and Buddhist.
5. Public Holidays: Mumbai celebrates almost all major religious holidays. The city hosts several annual festivals such as Ganesh Chaturthi and Holi Festival.