Category Archives: Uncategorized

why-is-preoperative-counseling-required-before-spine-surgery

The best Preoperative counseling reduces Post op Dr Patient conflict

 

We have all seen patients who don’t do as well as they should or don’t fully recover from their symptoms following surgery. Patients may feel dissatisfied, and the doctor-patient relationship may become strained. In general, any patient would expect to return to their normal life following any surgery, including minimally invasive spine surgery.

This could be due to a variety of factors. These are primarily due to a lack of understanding of the nature of spine diseases and inadequate preoperative counseling. Often, what the patient expects may or may not be near to reality, necessitating counseling during the preoperative consultation.

On the other hand, the recovery from spine surgery depends on several factors, including your overall health, the severity of your illness, the severity of your symptoms before surgery, and the type of surgery used to treat your problem.

At Dr. Rao’s Hospital, well-trained and seasoned neurosurgeons collaborate to ensure that patients receive the care they need, whether urgent care, minimally invasive spine surgery, advanced diagnostics, treatment, or rehabilitative services. Hence, we are considered one of the best neurology hospitals in Guntur, Andhra Pradesh

Dr. Mohana Rao, the founder of the hospital, is a highly qualified and skilled neurosurgeon in Andhra Pradesh. He has years of expertise performing minimally invasive spine procedures to cure a broad spectrum of spinal issues successfully.

Moreover, Dr. Mohana Rao may advise decompression, microdiscectomy, and spinal fusion when patients suffer from back discomfort and sciatica caused by intervertebral disc issues. 

Spinal fusion is a surgical treatment that uses rods and screws to fuse the discs. It takes a few months for the patient to recuperate and resume their previous lifestyle fully. The majority of this is predicated on pre-existing damage and the severity of the symptoms.

 

Many patients are terrified of minimally invasive spine surgery due to media-driven false news, and they wait until it is too late. They are convinced that the procedure will be harmful to them. Because the recovery has been slow, they believe their position has been justified, creating a self-fulfilling prophecy. They may not do well when they ultimately have surgery due to an emergency.

Implants can irritate the tissues around them, causing pain following surgery. Furthermore, discomfort can be caused by scar tissue that is healing and muscle spasms caused by spinal misalignment. These complications are uncommon and impact only a small percentage of people following minimally invasive spine surgery.

It’s reasonable to be disappointed due to the appearance of a complication. Unfortunately, all operation carries the potential of complications. Thus, this slight risk must be understood before the patient undergoes any procedure in any specialty. Therefore, Dr. Mohana Rao, one of the best neurosurgeons in Guntur, discusses the risk vs. benefit ratio with each patient and their attendants before any surgery.

Back disorders can have a variety of origins, and modern medicine is still striving to figure out what causes many of them. People usually expect symptoms like neck pain/back pain, numbing sensation, loss of sensation, limb weakness, and loss of control over the bladder and bowel caused by nerve compression to disappear after treatment involves repairing nerves and following nerve decompression. The process of recovery does not occur overnight. Damaged nerves need a long time to restore their functions. 

The speed with which you recover following nerve decompression is mainly determined by the extent of nerve damage you had before the treatment. It is difficult for the patient to recover from permanent injury. Surgery delays play a crucial part in this. On the other hand, nerve damage can usually be reversed, and even severe patients can expect a slow recovery that takes weeks to months after surgery.

Factors that may delay recovery 

If your overall health is good, you may be able to recover more quickly and successfully. According to several studies, the following conditions may reduce the success of back surgery:

  • Poor psychosocial well-being
  • Pre-existing depression in the patient
  • Smoking and alcohol consumption 
  • Overweight/Obesity
  • Patient’s age
  • Other underlying medical condition

Factors in Minimally Invasive Spine Surgery

If the surgical approach does not address the patient’s ailment correctly, the patient may not recover. Furthermore, if any difficulties or errors occur during the process, the surgery is more likely to fail.

Post-operative Factors

Patients who have the following symptoms shortly after back surgery may not be able to recover:

  • Subdural or epidural hematoma
  • Spinal column infection
  • Fluid collection surrounding the surgical region in the spine
  • Nerve damage

If a patient develops transition syndrome and fails to recover following surgery, the efficiency of surgery may be harmed.

As previously stated, a variety of factors have an impact on your recovery from minimally invasive spine surgery. The type of surgery, the ailment being treated, the surgeon’s experience, the post-operative rehabilitation plan, and many other factors influence the outcome. If you have undergone minimally invasive spine surgery and aren’t recovering as planned, consult Dr. Mohana Rao, one of the leading spine surgeons in Guntur, Andhra Pradesh, to figure out the problem. He will explain the situation and assist you in dealing with it. If necessary, revision surgery may be offered depending on the condition and situation.

pediatric-neurosurgery-in-guntur-india-dr-raos-hospital

The best Pediatric Neurosurgery in Guntur, India

Pediatric Neurosurgery in Guntur, India

 

Pediatric neurosurgery focuses on children’s brains, which are still growing and developing. This expertise is part of the treatment strategy for a child with a condition that only surgery can resolve.

When a severe ailment afflicts a child, it creates immense mental and physical stress for the child and family. Pediatric neurosurgical disorders are frequently complicated and elaborate. However, Dr. Mohana Rao, a leading pediatric neurosurgeon in Hyderabad, has the expertise to treat your child if they have problems with the head, spine, or nervous system. Dr. Rao’s hospital is the best pediatric neurosurgery hospital in India serving with pediatric neurosurgery fellowship trained Dr. Rao.

It may be challenging for children to effectively express their pain, so parents have to be very observant and immediately take them for a check-up if they see anything amiss.

Pediatric neurosurgeons deal with various neurosurgical issues that aren’t always the same as those addressed by adult neurosurgeons. It is critical to have specialized expertise in disorders pertaining to pediatric neurosurgery problems. 

Dr. Mohana Rao, one of the best neurosurgeons in Guntur, has extensive skills in treating minor to complex pediatric neurological disorders. He is the founder of Dr. Rao’s Hospital, a leading neurology hospital in Guntur.

Pediatric neurosurgeons and their immense responsibility

Pediatric neurosurgeons diagnose, treat, and manage a variety of nervous system disorders and abnormalities in children, including brain tumors, spinal aneurysms, vascular abnormalities, cerebral palsy, hydra syphilis, and other birth abnormalities affecting the nervous system. Precision and attentiveness are possibly two of a neurosurgeon’s most critical personality traits.

Pediatric neurosurgeons also do prenatal counseling with pregnant women whose babies have congenital disabilities of the nervous system. 

Neurological difficulties in children are common and can last a lifetime. Hence, pediatric neurosurgeons need to operate, considering the physical changes as the child grows. Pediatric surgeons work with children from infancy through late adolescence. Needless to say, they form a special bond with their patients that last a long time.  

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Dr. Mohana Rao is an esteemed pediatric neurosurgeon in Guntur. He treats all his patients with compassion and utmost care. Dr. Rao’s Hospital has the most advanced and latest neurosurgery D:\Digicore\UNOSEARCH\Dr Mohana Rao Neurosurgeon Guntur\SourceMomnchild.jpgequipment that assists the surgeons in giving excellent surgical outcomes.

Parents know that their children with neurosurgery problems will get the best treatment under Dr. Mohana Rao’s expertise and support. 

How do I know if my child has a Neurological disorder?

Children, especially infants, cannot effectively inform their parents about their discomfort and problems. So it is crucial to look out for any symptoms that look out of the ordinary:

  • Paralysis, either partial or full
  • Weakness in muscle, lack of balance
  • Loss of sensation loss, partial or total
  • Spasms or seizures
  • Struggling when reading or writing
  • Difficulty with attention, memory, and reasoning
  • Pain that cannot be determined
  • Decrease in alertness
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If you notice such symptoms, please ensure that you get your child diagnosed as soon as possible. You can contact Dr. Mohana Rao, one of Guntur’s most renowned pediatric neurosurgeons, at +91 9010056444 / 9010057444.

Some standard pediatric neurosurgical procedures:

Craniotomy

A craniotomy is a surgical procedure that exposes the brain by removing the bone flap, a portion of the skull’s bone. This enables the neurosurgeon to access the part of the brain that needs to be operated on. The neurosurgeon replaces the bone flap after completing the procedure. 

A craniotomy may be performed for several reasons; some are mentioned below:

  • To diagnose, remove, or treat brain tumors
  • To clip or repair an aneurysm
  • To treat a traumatic head injury
  • To operate on foreign objects like bullets
  • To treat an infection or swelling in the brain

Partial or complete removal of brain tumors

A brain tumor occurs when abnormal cells start growing in the brain, they can be cancerous or non-cancerous. 

Sometimes the tumor may grow in a particularly delicate brain area, making it impossible to remove it altogether. In such cases, the neurosurgeon only operates on the part of the tumor which can be safely removed. This is called Debulking; the procedure is to ease the pressure of the tumor on the brain.

Resection is the procedure when the neurosurgeon can remove the entire tumor safely without posing any risk to the patient. 

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Epilepsy Surgery

Epilepsy is a neurological illness with abnormality in the way the brain functions. This results in seizures or episodes of odd behavior, feelings, and even loss of consciousness. The surgeons closely assess the cause of the epileptic seizures and remove that part of the brain.

Rhizotomy

An injury or disorder of a nerve can limit how that body part functions. If it is impossible to repair the damaged nerve, the pediatric neurosurgeon isolates the affected nerve and removes it.

Soft tissue release Surgery

Cerebral palsy (CP) is a collection of disorders that impact the patient’s movement, balance, and ability to maintain posture.

The goal of orthopedic surgery is to improve mobility and range of motion. The short tendons and tight muscles are elongated or released in this procedure. This can help alleviate spasticity in the legs and aid bone alignment.

Conclusion

Children are precious, and it is painful to see them struggling to function normally. We cannot imagine how much suffering they must endure, especially if they have neurological disorders

Pediatric neurosurgery involves resolving issues related to the most complex parts of the human body. Neurosurgery is an intricate field. Dr. Mohana Rao, a seasoned neurosurgeon in Guntur, has deeply researched the human brain and the hundred billion cells contained within it to help children lead as active a life they possibly can and cope better through their lifetime.

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If you notice any unusual behavior in your child which is unexplainable, do not wait and contemplate. Contact us to consult with Dr. Mohana Rao, one of the best pediatric neurosurgeons in Guntur.

 

brain-tumor-causes-and-treatmentdr-raos-hospital

Brain Tumor – Causes and the best Treatment | Dr Raos Hospital

 Brain Tumor: Causes and Treatment.

Have you or someone in your family been diagnosed with a brain tumor? You have a lot of doubts that need to be answered and assured that there are treatments for brain tumors. Speak to your neurosurgeon in Andhra Pradesh. Your doctor is your best guide in these times.

Brain tumors might compromise brain function if it grows large enough to push on nearby nerves, blood vessels, or tissue. Your recovery from the tumor largely depends on:

  • The tumor’s type, grade, and location.
  • The success of tumor removal surgery.
  • Your age and overall health.

Dr. Mohana Rao Patibandla, the founder of Dr. Rao’s Hospital, is amongst the best neurosurgeons in Andhra Pradesh.

Dr. Rao’s Hospital is a state-of-the-art neurology hospital in Guntur, with an aim to give comprehensive treatment facilities to patients suffering from brain, spine, and nerve damage or abnormality. 

If you or anyone in your family is looking for the best brain tumor treatment in Guntur, we have some of the best neurologists and neurosurgeons working with us.

To know more about brain tumor treatment, please continue reading this article.

Brain Tumors and Brain Cancer | Johns Hopkins Medicine

First, let’s know,

What is a brain tumor?

Cells that have grown abnormally in or around the brain is called a brain tumor. 

Brain tumors can be either benign (non-cancerous) or malignant (cancerous). Some tumors develop swiftly, while others grow slowly.

Only approximately a third of all brain tumors are malignant. Even if they are benign, brain tumors can affect brain function by impinging on surrounding nerves, blood vessels, and tissue. 

Primary tumors are those that form in the brain.

The Most Common Brain Tumor: 5 Things You Should Know | Johns Hopkins  Medicine

Secondary tumors or metastatic tumors have moved to the brain growing from another section of the body.

Here, we will get some information on primary tumors. Primary brain and spinal cord tumors come in a variety of shapes and sizes.

Types of Primary Brain Tumors:

Tumors of the brain and central nervous system are classified by their location and the type of cells they affect.

Benign brain tumors:

Vestibular schwannomas, also named acoustic neuromas, is a tumor that develops on the vestibular nerve (the nerve that leads from the inner ear to the brain).

Pineocytoma: Pineocytoma is a slowly progressing tumor of the pineal gland, situated in the deep brain, and secretes melatonin hormone.

Gangliocytoma: These tumors develop in neurons (nerve cells) and affect the central nervous system.

Meningioma: A tumor in the meningeal layer that protects the brain and spinal cord. They are mostly non-cancerous.

Pituitary adenoma: These tumors develop in the pituitary gland near the base of the brain. 

Chordoma: Chordomas are slow-growing tumors that usually start at the base of the skull or the bottom of the spine. They’re mostly harmless (not cancerous).

Malignant brain tumors:

Glioma: Glioma is a type of tumor that develops in the glial cells surrounding and aid nerve cells. Gliomas are classified as follows:

Astrocytomas are tumors that develop in the glial cells known as astrocytes.

Glioblastoma: Glioblastomas are astrocytomas that grow aggressively.

Oligodendroglioma: These rare malignancies start in myelin-producing cells (a layer of insulation around nerves in the brain).

Medulloblastomas are rapidly growing tumors that originate at the base of the skull. They mostly prevail in children.

 

What causes brain tumors? 

A variety of factors causes a brain tumor.

  • Unusual cell propagation is caused by a genetic mutation.
  • Radiation from X-rays. 
  • Chemicals in the environment. 
  • Family history.

What signs and symptoms do you have if you have a brain tumor?

A brain or central nervous system tumor can cause no symptoms in some persons. Doctors may detect cancer while treating another problem in some situations.

A brain tumor may create symptoms when it grows and presses on nearby nerves or blood vessels. The location, nature, and size of a brain tumor and the affected portion of the brain influence the signs and symptoms. They may include the following:

  • Headaches that are persistent or severe, or that begin first in the morning or disappear after vomiting.
  • Changes in behavior or personality.
  • Confusion.
  • Problems with balance and coordination.
  • Trouble concentrating.
  • Nausea and vomiting.
  • Tingling, numbness,  or weakness in one side or section of the body or face.
  • Vision, hearing, or speech difficulties.
  • Seizures.
  • In ordinary sleepiness
  • Thinking, memory, speaking, and understanding language problems

Diagnosis of Brain Tumour: 

Doctors use several tests to confirm the presence of a brain tumor. These tests include the following:

Physical examination and medical history: Your doctor will do a general physical examination to search for signs of sickness. Your doctor will also inquire about your past and present surgeries and medical treatments and family history of diseases.

Blood test: To see if there are any tumor markers.

Biopsy: A tissue sample is taken and sent for testing.

PET scans, CT, MRI, and SPECT are imaging techniques that assist doctors in finding tumors and deciding whether they are malignant or benign. 

Spinal tap for the presence of a malignant tumor in the central nervous system.

A tumor is graded 1-4 based on how fast it is growing and likely to spread.

Treatment option for brain tumor:

The location, size, and kind of tumor determine the course of treatment. To treat a tumor, most neurosurgeons in Hyderabad frequently utilize a mix of medicines, surgeries, and radiation.

The surgeon decides the approach of the surgery to limit harm to functional parts of the brain.

They work very cautiously, sometimes performing surgery while the patient is conscious. 

Sometimes, the surgeons have to perform a craniotomy, where they have to surgically cut out a fragment of the skull to reach the tumor.

Types of Craniotomy:

  • Extended Bifrontal Craniotomy
  • Retro-Sigmoid “Keyhole” Craniotomy
  • Translabyrinthine Craniotomy
  • Minimally Invasive Supra-Orbital “Eyebrow” Craniotomy
  • Orbitozygomatic Craniotomy

Other Treatment Methods

Radiation:

High dosages of X-rays are used to kill brain tumor cells or reduce the tumor. Before surgery, some people receive radiation to reduce a brain tumor so that the surgeon has to remove less tissue.

Chemotherapy:

Anti-cancer medications destroy cancer cells in the brain and throughout the body during chemotherapy. Chemotherapy can be injected into a vein or taken orally. Sometimes, doctors will use chemotherapy before surgery to shrink the tumor. Following surgery, your doctor may recommend chemotherapy to eliminate any cancer cells that remain or to prevent tumor cells from developing.

Immunotherapy:

Immunotherapy, often known as biological therapy, is a cancer treatment that uses your body’s own immune system to fight the disease. The primary goal of the treatment is to activate the immune system.

Targeted therapy:

Drugs that target specific traits in cancer cells without hurting healthy cells are known as targeted treatments. If you are having problems with the adverse effects of chemotherapy, such as exhaustion and nausea, your doctor may offer targeted therapy.

Laser thermal ablation

Laser thermal ablation is a treatment that kills tumor cells with lasers.

Active follow-ups. A doctor uses regular tests to keep an eye on the tumor for symptoms of growth.

How may a brain tumor be prevented?

A brain tumor is unavoidable. Avoiding smoking and excessive radiation exposure can help you prevent having a brain tumor.

What is the prognosis for those who have a brain tumor?

Different people and brain tumors have different outcomes. The type, grade, and location of the tumor; effective removal of the entire tumor; and your age and overall health are all factors that can affect your prognosis.

In many patients, the surgeon can successfully treat a brain tumor.

Brain tumors can come back in some persons following therapy. To keep the tumor from developing or spreading, these people may need to continue treatments such as chemotherapy or radiation. Following brain tumor therapy, you should see your doctor regularly.

the-effects-of-osteoporosis-on-the-spine

The best Osteoporosis Spine treatment in Guntur

Osteoporosis is a bone disease that affects both men and women. Millions of people around the world have it or are at greater risk of getting it.

Osteoporosis affects roughly 40 million Americans | Information provided by  Spine Nevada in Reno, Sparks and Carson City

Image Source: Spine Nevada

A healthy bone has microscopic gaps on the inside like a honeycomb. Osteoporosis enlarges these gaps, causing the bone to deteriorate in strength and density. Furthermore, the exterior of the bone becomes thinner and weaker. 

This condition can strike anyone at any age, but it is more common in the elderly, particularly women. Osteoporosis makes people more prone to fractures, especially in the spine, known as vertebral compression fractures.

Early diagnosis and treatment can be of great help as they prevent further compression and irreversible change in the spine. You can consult Dr. Mohana Rao Patibandla, one of the best neurosurgeons in Guntur, at Dr. Rao’s Hospital for advanced surgical intervention. 

What are the symptoms of spine fractures?

A compression fracture can result in back or neck pain as well as loss of height. It is a  fracture in one of your neck or back vertebrae that is so weak that it breaks under normal spinal pressure.

The fracture can cause symptoms such as:

  • Severe sudden back pain
  • Have problems in twisting or bending your body
  • Pain that increases when you walk or stand
  • Curved shape spine
  • There is far more significant pain and discomfort in moving if the fracture is in the lower spine

What are the causes of osteoporosis?

Osteoporosis and Spinal Fractures - OrthoInfo - AAOS

Image Source: OrthoInfo – AAOS

Osteoporosis is a natural aging process in which our bones weaken as we get older. The vertebrae in the spine might narrow and flatten due to it. This can result in a hump or rounded back in older adults giving them a bent forward look. 

The weaker vertebrae are particularly vulnerable to fracture. When too much pressure is applied to a weak vertebra, its front cracks and loses height, resulting in a vertebral compression fracture. They are most commonly caused by falls. However, persons with osteoporosis can sustain a fracture just by coughing, twisting, or sneezing.

How is osteoporosis diagnosed?

Your doctor will evaluate your medical history and do a physical exam to determine if you have osteoporosis. They may also conduct blood and urine tests to look for disorders that could cause bone loss. Tests to check the levels of calcium and vitamin D are also included.

To determine whether you have a spine fracture, your doctor will recommend an X-ray, MRI, or CT scan to examine your bones more closely.

Further, he will ask you to undergo a bone density test called bone densitometry, or dual-energy X-ray absorptiometry (DEXA).

Treatment for vertebral compression fracture

1. Nonsurgical treatment

Most of the people with a spinal compression fracture recover within three months without needing to have the fracture fixed. Simple measures, such as a brief period of rest and the use of pain medications, when necessary, are all that is required. The doctor may ask the patients to wear a brace to limit their movement and allow the spinal compression fracture to heal.

The doctor may also recommend lifestyle changes and prescribe calcium, Vitamin D, bisphosphonates, and anabolic bone drugs.

2. Surgical Treatment

Surgery may be recommended if you have significant pain that does not respond to nonsurgical treatment. Patients with recent spinal compression fractures are the best candidates for surgery. Your doctor will discuss which operation is best for you based on the type of spinal compression fracture you have. 

Dr. Rao’s Hospital is one of the best neurology hospitals in Guntur, where you are offered advanced minimally invasive vertebral augmentation procedures.

3. Kyphoplasty

During this procedure, the surgeon inserts a balloon tamp into the fractured vertebra. The balloon is then inflated, which helps in the restoration of the vertebra’s height and shape. The small cavity is left behind by the device that the doctor fills with special bone cement.

4. Vertebroplasty

Here, the surgeon directly injects the bone cement into the narrowed vertebra to keep it stable. It helps to alleviate discomfort and help avoid additional vertebral fractures and a bent spine.

5. Cemented augmented fenestrated screws

In patients with low bone quality due to osteoporosis, fenestrated screws for cement augmentation provided effective and long-lasting outcomes.

They are used for spine stabilization in the elderly, allowing for rapid functional recovery in fractures and deformities. 

It also overcomes the problem of screws loosening in individuals with inadequate bone stock due to osteoporosis and causing morbidity. 

Contact Dr. Mohana Rao Patibandla, one of the best neurosurgeons in Guntur, Andhra Pradesh, for superior treatment options for spinal compression fractures due to osteoporosis.

best-functional-neurosurgery-in-andhra-pradesh

The Best Functional Neurosurgery In Andhra Pradesh

The goal of functional neurosurgery is to restore neurological health and function. We treat chronic neurological problems with various procedures at Dr. Rao’s Hospital in Guntur, Andhra Pradesh, including deep brain stimulation and neuromodulation. This is one of the fastest-growing subspecialties in neurosurgery. It offers considerable promise to patients with previously untreatable neurological diseases.

At our Guntur hospital, every patient is evaluated correctly. Patients are frequently evaluated by a big interdisciplinary team that specializes in a specific condition and uses cutting-edge diagnostic techniques. A comprehensive assessment is obtained using a full spectrum of diagnostic means, and therapeutic procedures are implemented with state-of-the-art technology under the direction of Dr. Mohana Pratibandla, the best neurosurgeon in Guntur and the only neurosurgeon to have studied all the subspecialties of Neurosciences and received extensive training in the USA.

Diagnosis and Comprehensive Assessment

Clinical: Our multidisciplinary team includes neurosurgeons, neurologists, psychologists, and physiologists. As a result, we can accurately detect neurological illnesses and assess how they influence the patient’s health, quality of living, and cognition.  

Imaging: The neural axis can be viewed using a variety of cutting-edge imaging techniques. MRI and CT and functional imaging such as PET, SPECT, and fMRI are examples of imaging used.

Electrophysiology: Other than nervous system testing with EMG and EEG, precise electrophysiological assessments are required when applying focused therapy. Single cellular microelectrode recordings of the basal ganglia and mapping of neurons in eloquent cortical areas of the brain are among the tests performed.

Disorders of the Nervous System

Many previously thought-to-be-untreatable chronic neurological illnesses are now treated in our department successfully. Regimens are begun as usual, but now successful surgical therapies may also be administered – and even done early in the course of the disease – before adverse effects from frequent medication use occur.

At Dr. Rao’s Hospital in Guntur, functional neurosurgeons are presently treating:

• Parkinson’s disease, dystonia, tremor, hemifacial spasm, Tourette’s syndrome, among others

• Epilepsy

• Spasticity originating in the brain (Spinal cord injury and MS)

• Neuropsychiatric disorders, such as depression and OCD

• Chronic pain caused by neuropathic injuries or disorders, and cancer

• Nerve damage, such as trigeminal neuralgia and postherpetic neuralgia.

Are you suffering from any of the above conditions?

You are not alone! Many people in Andhra Pradesh are suffering from some or other disorder stated above.

But do not worry! Now is the time to seek the solution to your neurological problems by visiting our renowned hospital in Guntur, Andhra Pradesh.

At our hospital in Guntur, we have a team of experts that provide the best functional neurosurgery in Andhra Pradesh.

You might be interested to know the neurosurgical treatments offered by us!

Below we have mentioned the modern neurosurgical treatments performed at our hospital by the best functional neurosurgeon in Andhra Pradesh.

What are the modern neurosurgical treatments offered at Dr. Rao’s Hospital in Guntur?

The following are some of the modern neurosurgical treatments performed by our experienced neurosurgeon in Guntur-

Neuromodulation

Neuromodulation allows a neurosurgeon to modify or modulate nerve activity using electricity or pharmaceutical drugs in a problematic area.

When treating parts of the spinal cord, peripheral nervous system, and brain that are crucial to the patient’s normal functioning, neuromodulation allows for precise targeting and is relatively safe.

Deep Brain Stimulation (DBS) 

Source-www.recoveryanswers.org

Deep Brain Stimulation is used to treat essential tremors, Parkinson’s disease, epilepsy, OCD, and dystonia. Electrodes are placed in specific brain locations, and electrical impulses are generated to control the brain’s abnormal processes.

Chemical imbalances that produce abnormalities can be corrected with the help of these electrodes. At the upper chest, the programmable generator is hidden beneath the skin.

 Stereotactic neurosurgical treatment

The use of stereotactic neurosurgery can help locate regions in the brain’s deepest recesses. To detect areas deep within the brain for treatment, such as deep-seated brain cancers, a neurosurgeon uses a specialized 3-dimensional coordinate system with MRIs or CT scans.

During stereotactic procedures, the patient is awake and responsive, which reduces the risk of adverse effects on the brain. This procedure can treat epilepsy, deep-seated brain tumors and deliver radiation and drugs to the innermost sections of the brain.

What are the advantages of functional neurosurgery?

Some of the advantages of functional neurosurgery are as follows:

• Functional neurosurgery is gaining traction as a safe and effective therapy choice for neurological patients.

• Because of advances in neuroimaging and surgical processes, functional neurosurgery accuracy has substantially improved.

• The neurosurgeon can work more accurately, focusing on the regions that need treatment while avoiding crucial regions or those that don’t need treatment.

• Functional neurosurgery offers a rapid recovery time for patients.

• Successful functional neurosurgery provides significant pain relief and minimizes patients’ need for painkillers.

Wow! Isn’t functional neurosurgery a beneficial treatment option?

Then what’s stopping you from availing it?

Visit Dr. Rao’s Hospital in Guntur to get the best functional neurosurgery treatment in Andhra Pradesh! 

You are just a visit away from your solution! 

Dr. Rao and his treating staff at Dr. Rao’s Hospital understand the importance of precise and timely diagnosis, consistent monitoring, complication management, and patient compliance. We place a stronger emphasis on these areas. And thus, we are known to provide the best functional neurosurgery in Andhra Pradesh. 

So, what are you waiting for? 

Visit now!

epilepsy-precautions-and-treatment-in-andhra-pradesh

EPILEPSY PRECAUTIONS AND THE BEST TREATMENT IN ANDHRA PRADESH

Do you often feel anxious?

Do you experience contraction and jerking of muscles? 

Do you often lose consciousness and feel weak? 

If yes, it is likely you have epilepsy. Epilepsy is a neurological disorder in which brain activity becomes abnormal, causing seizures or periods of unusual behavior, sensations, and sometimes loss of awareness. It is quite common in Andhra Pradesh. 

But do not worry! Every problem comes with a solution. The issue of epilepsy can be treated by getting the best epilepsy treatment in Andhra Pradesh. Dr. Rao’s Hospital provides the best epilepsy treatment in Guntur, Andhra Pradesh. Dr. Mohana Rao Patibandla, our Medical Director, is a highly regarded neurosurgeon in Andhra Pradesh. He is one of the few neurosurgeons who has undergone training in the United States and is a neuroscience specialist and provides the best Epilepsy Treatment in Andhra Pradesh. Keep reading this article to know the treatment options offered by our top neurosurgeon in Andhra Pradesh to treat epilepsy. This article also states the precautions one should take to control seizures.

What are the treatment options available in Guntur to treat epilepsy?

Source-medcraveonline.com

Medications are usually used to treat epilepsy first. If drugs don’t work, doctors may recommend surgery or another treatment option.

Medication

The majority of people with epilepsy can get rid of seizures by using just 1 anti-seizure drug, often known as an anti-epileptic drug. Others may find that taking a combination of drugs reduces the intensity and frequency of their seizures.

Children with epilepsy who do not have symptoms of epilepsy can eventually stop taking their drugs and live a life free of seizures. After 2 or more years of being seizure-free, many adults can stop taking their medications. Your neurosurgeon in Guntur will let you know when is the right time to discontinue your drugs.

It can be challenging to find the right drug and dosage. When deciding which medicine to prescribe, our neurosurgeon in Guntur will evaluate your condition, your age, the frequency of your seizures, and other considerations. Our experienced neurosurgeon will also go over any other medications you’re taking to make sure they don’t interact with the anti-epileptic drugs.

Your doctor would most likely start you on a single medicine at a low dose and progressively raise the dosage until the seizures are under control.

There are about 20 different anti-seizure drugs on the market. The type of epilepsy medicine prescribed by your doctor is determined by the kind of seizures you have and other criteria like your age and other medical conditions.

Follow these measures to get the most excellent seizure control possible with medication:

·Follow the directions on your prescription carefully.

• Before switching to a generic version of your medication or using other medicines, over-the-counter drugs, or herbal therapies, always consult your doctor.

• Do not discontinue your medication without first consulting your physician.

• If you detect new or increasing thoughts of suicide and depression or experience changes in your behavior or mood, contact your doctor right away.

• If you suffer from migraines, tell your doctor. Your doctor may prescribe Anti-epileptic drugs to treat epilepsy and prevent migraines. 

With initial medication, at least 50% of persons newly diagnosed with epilepsy will be seizure-free. If anti-epileptic meds aren’t working, our neurosurgeon may recommend surgery or some other treatments. Regular follow-up appointments will be scheduled to monitor your medications and condition. 

Surgery

When medicine fails to keep seizures under control, surgery can be a helpful alternative. Our neurosurgeon in Guntur removes the part of your brain that causes seizures during epilepsy surgery.

Surgery is frequently performed when examinations reveal that:

• The source of your seizures is a limited, well-defined area of your brain.

• The operation site in your brain does not interfere with essential functions, including language, speech, vision, hearing, or motor function. 

When an open operation is too hazardous for some kinds of epilepsy, minimally invasive techniques like MRI-guided stereotactic laser ablation may be a useful therapeutic option. In these procedures, our neurosurgeons use a thermal laser probe to damage the tissue in the brain that causes seizures to manage the seizures better.

Therapies

Stimulation of the vagus nerve: 

Doctors implant a device called a vagus nerve stimulator beneath the skin of your chest, similar to a heart pacemaker, in vagus nerve stimulation. The vagus nerve in your neck is attached to wires from the stimulator.

The battery-operated device sends electrical energy bursts to your brain via the vagus nerve. It’s unclear how this gadget prevents seizures; however, it can usually decrease seizures by twenty to forty percent.

Ketogenic diet: 

The ketogenic diet is a high-fat, low-carbohydrate diet. The body burns down fats instead of carbohydrates for energy with a ketogenic diet. Some children with epilepsy have reduced their seizures by adhering to a rigorous low-carbohydrate, high-fat diet.

Deep brain stimulation:

 Deep brain stimulation involves the implantation of electrodes into a specific area of the brain, usually the thalamus. The electrodes are attached to a generator that is surgically placed in your chest. The generator provides timed electrical pulses to your brain regularly, which may help to lessen your seizures. This therapy is frequently used to treat persons who have seizures that do not respond to medicines.

Responsive neurostimulation: 

These pacemaker-like devices, which can be implanted, can help significantly reduce the number of seizures that occur. These devices scan brain activity patterns to identify seizures early on and provide an electrical charge or a medication to end the seizure before it leads to any harm. According to research, this therapy appears to have fewer side effects and can lead to long-term relief from seizures.

Now, let us discuss the precautions to control seizures.

What are some of the precautions to control seizures?

Some of the precautions to control seizures are as follows- 

  • Good compliance with medications 
  • Following a proper sleep schedule
  • Avoid alcohol

The best neurosurgeon in Andhra Pradesh advises epilepsy patients with severe and uncontrolled seizures to take the following precautions-

  • Avoid driving
  • Avoid unsupervised swimming
  • Avoid high impact sports activities

So, now is the time to tell the problem of epilepsy goodbye by getting the best solution for epilepsy at our renowned hospital in Guntur. 

We are the key to the door of neurological solutions. We help you access the best solutions to all your neurological problems. At our hospital in Guntur, we have effective and the best solutions for treating all your neurological issues. 

So, what are you waiting for? 

Visit Dr. Rao’s Hospital in Guntur, Andhra Pradesh now! You are just a visit away from the solution to your epilepsy problem or other neurological problems!

get-the-proper-treatment-for-neurotrauma-in-andhra-pradesh

Get The best Treatment For Neurotrauma In Andhra Pradesh

 

A brain, spine, or nerve injury is known as neurological trauma. Accidents involving autos, sports, bikes, or falls can result in this sort of injury. It can impact the organs, bones, muscles, and blood vessels, among other body parts.

But do not worry! At Dr. Rao’s Hospital in Guntur, we have a team of professionals who provide the best neurotrauma treatment in Guntur. Our Medical Head, Dr. Mohana Rao Patibandla, is the best neurotrauma surgeon in Guntur. He is among the few neurosurgeons who are excellent in neurosciences and trained in the USA. 

Before we come to the treatment options provided by the best neurology hospital in Guntur to treat neurotrauma, let us discuss more in detail about neurotrauma, its causes, and symptoms.

Neurotrauma is a term that encompasses two distinct conditions:

1. ABI (acquired brain injury) and

2. SCI (spinal cord injury)

Acquired brain injury can cause issues with concentration, planning, and social interaction, whereas an injury to the spinal cord damage can leave you paralyzed for the rest of your life.

Individuals with ABI or SCI may require assistance with daily tasks.

ABI and SCI have also been associated with severe mental health disorders such as depression and behavioral problems.

What are the causes of traumatic brain injury?

Source-link.springer.com

A blow to the head or other severe injury to the body can result in traumatic brain injury. The severity of the injury can be determined by several factors, including the nature of the injury and the power of impact.

The following are examples of common incidents that result in traumatic brain injury:

  1. Falls:

     The most prevalent cause of traumatic brain injury in older adults and children are falling from bed or a ladder, downstairs, in the bath, and other falls.

  1. Vehicle-related crashes:

TBI is commonly caused by collisions involving vehicles, bicycles, motorbikes, and pedestrians engaged in such events.

  1. Violence: 

Common causes include gunshot wounds, child abuse, domestic violence, and other assaults. A shaken baby syndrome is traumatic brain damage in neonates induced by forceful shaking.

  1. Sports injury: 

Sports injuries are prevalent among children and teenagers. Injuries from various sports, such as boxing, football, baseball, lacrosse, skateboarding, hockey, and other high-impact or intense activities, can result in traumatic brain injuries.

  1. Explosive blasts and other combat injuries: 

In active-duty military troops, explosive blasts are a common cause of traumatic brain injury.

What are the signs and symptoms of neurotrauma?

The following are the immediate and delayed signs of neurotrauma:

• Confusion

• Concentration difficulties

• Vision that is hazy

• Infants exhibit irritation and continuous crying.

What are the neurotrauma therapy alternatives accessible in Guntur, Andhra Pradesh?

At Dr. Rao’s Hospital, a top neurology hospital in Guntur, the following treatment methods are used by our neurotrauma surgeon to treat neurotrauma-

Rest, medicine, and surgery are all part of neurotrauma treatment in Andhra Pradesh. Neuropsychological therapy, physical therapy, speech therapy, occupational therapy, and rehabilitation drugs are also available, depending on your needs. The following are the various types of surgery used to treat neurotrauma at our neurology hospital in Guntur:

External ventricular drain placement

A small tube called an external ventricular drain (EVD) is used to drain excess cerebrospinal fluid (CSF) from the brain. Illness or injury may be the cause of the additional liquid. The pressure in and around the brain rises when there is too much fluid—an EVD aids in lowering brain pressure to a safe level.

Lumbar drain placement

A lumbar drain is a tiny tube inserted into your lower back and spinal column to drain or collect cerebral spinal fluid (CSF).

Spinal decompression

A surgical treatment called spinal decompression relieves pressure on the spinal cord or a compressed nerve root. The bone channels through which the spinal cord and nerves flow are opened by spinal therapy. This allows them to move about freely.

Spinal fusion

Spinal fusion is a procedure that permanently joins two or more vertebrae in your spine, preventing them from moving. Spinal fusion permanently joins two or more vertebrae in your spine to improve stability, relieve pain, or rectify deformities.

Techniques for spinal fusion are aimed to mirror the natural healing process of damaged bones. Our experienced neurosurgeon fills the area between 2 spinal vertebrae with bone or a bonelike substance during spinal fusion. To hold the vertebrae together until they recover into one solid unit, rods, screws, and metal plates may be utilized.

Decompressive craniectomy

A decompressive craniectomy is a type of brain surgery in which a part of the skull is removed. When the brain expands due to an accident, the pressure inside the skull can build up, causing more damage. Removing a part of the skull can lessen the chance of severe brain injury, and in some cases, it can even save a person’s life.

Cranioplasty

The surgical repair of a bone defect in the skull caused by a previous operation or accident is known as cranioplasty. Different types of cranioplasties exist, but the majority entail raising the scalp and reconstructing the contour of the skull with the original skull piece or a custom-molded graft manufactured from titanium, synthetic bone substitute, or other materials.

Minimally invasive spine instrumentation, halo stabilization, complex craniofacial repair, kyphoplasty/vertebroplasty, sacropelvic spine instrumentation, and fusion are among the numerous other surgical techniques performed at our hospital in Guntur to treat neurotrauma.

So, what are you waiting for?

Visit Dr. Rao’s hospital in Guntur, Andhra Pradesh, to get the best neurotrauma treatment in Andhra Pradesh.

The solution for neurotrauma is just a visit away!

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Brain Hemorrhage, causes, diagnosis and The best Treatment in Andhra Pradesh

 

Are you experiencing a severe headache?

Are you experiencing seizures?

Are you having coordination and balancing issues?

Are you having vision problems?

If yes, then it is likely that you are suffering from a brain hemorrhage.

A brain hemorrhage is a kind of stroke. It is caused by an artery in the brain bursting and leading to localized bleeding in the surrounding tissues. The brain cells get killed due to this bleeding.

But there is a solution for every problem. One can get treatment for brain hemorrhage by visiting Dr. Rao’s Hospital in Andhra Pradesh. We are one of the top neurology hospitals in Andhra Pradesh. Dr. Mohana Rao Patibandla, the founder of this hospital, is a world-acclaimed interventional neuro specialist and neurologist in Andhra Pradesh. He provides effective treatment options for treating brain hemorrhage.

But before we come to the treatment options, first let us discuss the causes and symptoms of a brain hemorrhage.

What are the causes and risk factors of brain hemorrhage?

The major risk factors of brain hemorrhage are as follows-

Trauma to the head: For people under the age of 50, injury is the major cause of brain hemorrhage.

Hypertension: Hypertension can cause blood vessel walls to deteriorate over time. Untreated hypertension is the main cause of brain hemorrhages.

Aneurysm: This is when the wall of a blood vessel swells and weakens. It has the potential to burst and hemorrhage into the brain and cause stroke.

Anomalies of the blood vessels: Blood vessel problems in and around the brain can be present at birth and not detected until symptoms appear.

Amyloid angiopathy: This is a blood vessel wall irregularity that can emerge as a result of excessive blood pressure or age. Before causing a big bleed, it may create undetectable, minor bleeds.

Bleeding or blood problems: Both sickle cell anemia and hemophilia can lead to a decrease in blood platelets.

Liver problems: This disorder is linked to an increase in overall bleeding.

Tumors of the brain.

What are the common symptoms of brain hemorrhage?

Some of the common symptoms of brain hemorrhage are as follows-

  • Severe headache
  • Seizures
  • Vomiting
  • Vision problems
  • Speech problems
  • Coordination and balancing problems
  • Loss of consciousness
  • Problems in reading or writing
  • Numbness
symptoms of a brain hemorrhage

Are you experiencing one or more of the above symptoms?

Then it is advisable to visit Dr. Rao’s Hospital, the best neurology hospital in Andhra Pradesh now!

What is the treatment for a brain hemorrhage?

In the event of a brain hemorrhage, quick medical treatment in the form of surgery is required. However, the sort of surgery will be determined by the patient’s age, overall health, the severity of the brain damage, and the location of the damage.

The decompression procedure relieves the pressure that the brain is under. The expert neurosurgeon at Dr. Rao’s Hospital in Andhra Pradesh will remove the pooled blood while also repairing the damage to the brain. The size of the pooled blood is decreased when the hematoma is drained, and the patient’s pain is relieved. The neurosurgeon at Dr. Rao’s Hospital, Andhra Pradesh can do this by performing open surgery or craniotomy, which involves partially removing a portion of the skull and doing an open operation to drain the hematoma. The neurosurgeon will also drain the blood vessels that have ruptured during the procedure. Only after the hematoma has grown to a large size is this procedure conducted.

We use a needle to make a hole in the skull to drain the hematoma in the Simple aspiration surgical procedure. The trickiest part of this procedure is figuring out where the blood is coming from. The endoscopic evaluation approach is identical to the basic aspiration procedure, with the exception that an endoscopic is used to locate the hematoma’s location. A computed tomography (CT) paired with a suction tool will be utilized to locate and remove the hematoma in the stereotactic aspiration procedure.

Anti-epileptic drugs, anti-anxiety medications, and other medications may also be prescribed by our neurosurgeon to manage symptoms such as severe headaches and seizures.

What is the after-care instructions?

A lot of factors influence the post-treatment guidelines for a brain hemorrhage operation. A subarachnoid hemorrhage caused by an aneurysm may necessitate the patient being admitted to the hospital for at least 2 weeks to be monitored for the likelihood of cerebral vasospasm. The recovery period is quicker and less stressful for those who did not have their aneurysm rupture. These individuals may be discharged from the hospital in a few days and resume their normal activities. Even after being released from the intensive care unit, patients who had a craniotomy operation (aneurysm clip ligation) have to stay a few more days in the hospital. After being discharged, such patients can continue their routine activities, but they should avoid any intensive activity that could put them under stress or strain. Patients are advised to visit their doctor in Andhra Pradesh on a regular basis as part of the follow-up routine.

How much time does it to recover from the surgery?

It takes roughly 4-6 weeks for a craniotomy operation or any other type of brain bleeding to heal entirely.

What are the treatment’s alternatives?

Consumption of foods such as fish oils and herbal plants can be used as an alternative treatment for brain bleeding. Yoga and the use of ginkgo Biloba and healing crystals can also aid. However, in the event of a severe brain hemorrhage, surgery may be the only choice.

So, are you suffering from a brain hemorrhage? Then visit Dr. Rao’s Hospital, the best neurology hospital in Andhra Pradesh for effective brain hemorrhage treatment.

The-Best-Brain-arteriovenous-fistula-or-Malformations-treatment-in-Guntur

The best Brain arteriovenous fistula or Malformations treatment in Guntur

What are the signs and symptoms of an arteriovenous fistula in the brain?

Patients in Guntur receiving brain fistula therapy describe a pulsatile tinnitus-like sensation in one ear that is heartbeat-accompanied.

Tinnitus occurs when a patient hears blood flow behind their ear, a characteristic whooshing sound synchronized with their heartbeat.

In the cavernous sinus that serves your eye, fistulas can form. As a result, the eye may become puffy, uncomfortable, and red.

The deadliest kind of fistula has no symptoms at all at first. They will bleed and alarm the patient and doctor at once. It interferes with the brain’s natural venous drainage, leading to a variety of neurological problems, such as seizures and strokes.

How is a brain arteriovenous fistula diagnosed?

 Screening involves the MRA TOF, CTA, or MRA and detects only 60% of the cases. A catheter angiogram is the gold standard for diagnosing AFV.

A DAVF can result in both edema and actual bleeding, each of which happens in a different part of your brain’s venous system. CT head scans can detect both of these conditions.

An MRI is utilized to determine the shape and size of a dAVF. It aids in detecting micro-hemorrhages and the influence of any fistula-related abnormal blood vessels.

How is an arteriovenous fistula (AVF) treated?

The treatment options used at Dr. Rao’s Hospital in Guntur to treat arteriovenous fistula in the brain are as follows-

Endovascular embolization:

This is a catheter-based procedure that involves injecting a “glue-like” substance into the arteries feeding the DAVF or directly into the vein draining the DAVF (the Junction of the arteries and venous sinus that is the fistula site). This surgery aims to close the fistula as much as feasible.

Microsurgery:

Microsurgery can be done alone or in conjunction with endovascular embolization.

Microsurgery is a type of surgery that uses a microscope to clear up problems. It disconnects the faulty connection with a titanium clip or resection. It prevents blood from flowing unevenly from your artery to your vein. We repeated the angiography shortly afterward to check that the treatment was successful.

Stereotactic radiosurgery:

In life-threatening conditions, your doctor may recommend stereotactic radiosurgery. During a painless outpatient procedure, your doctor will place a stereotactic frame on your head. Music therapy makes the treatment go as smoothly as possible.

After the head frame has been fitted, your doctor in Guntur will perform a head CT scan. The operation takes about 30 minutes to complete.

So, to treat brain arteriovenous fistulas, visit our best neurology hospital in Guntur, Dr. Rao’s Hospital. The solution to the problem of brain arteriovenous fistulas is just a visit away.

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Dr Rao's Hospital the best neurosurgery and spine surgery hospital in India

COVID-19 Neurological Complications

Are You Aware of the COVID-19 Neurological Complications?

The COVID-19 pandemic, or coronavirus infections caused by SARS-CoV-2, has stormed the world. The world has not experienced a destructive pandemic since the 1918 Spanish Flu or Influenza Pandemic. Though the respiratory system is the most common clinical presentation, a growing number of cerebral symptoms are also identified as developing problems in COVID patients.

There have been reports of CNS and peripheral nerves involved in rare cases. According to growing data, COVID-19 patients frequently have neurological symptoms such as myalgia (muscle pains), anosmia (loss of smell), a changed mental state, and headaches. Dizziness and headache were the most prevalent CNS symptoms. Other possible side effects include encephalopathy, encephalitis, strokes, and convulsions. 

Patients who visit Rao Hospital in Guntur for proper consultation from the best neurologist in Guntur always have questions about how COVID-19 affects different neurological complications.

Let us attempt to investigate all possible COVID-19-related neurological problems.

Some instances in France and China have been linked to encephalopathy. SARS-CoV-2 has been found in some individuals’ CSFs.

Most patients at the best neurology hospital in Guntur have reported a lack of sense of smell (anosmia) and ageusia, a frequent worldwide finding. In the absence of additional clinical characteristics, these symptoms are possible.

Acute cerebrovascular illness has been identified as an emergent consequence of COVID-19, with a stroke occurring in two to six percent of documented hospitalized cases.

Though the number of infections that lead to neurological disease is likely to remain low, diagnosing neurological disease in moderately symptomatic and asymptomatic people can be difficult, especially when the infection happened weeks ago.

Patients with sepsis may develop encephalitis or polyneuropathy in up to seventy percent of cases.

According to research by Lewis and colleagues, six percent of patients who underwent a CSF investigation showed significant positive SARS-CoV-2 levels in their CSF.

A cytokine storm can cause a type of headache. It generally happens between the seventh and tenth day after COVID-19 infection begins.

One-third of the survivors had experienced disorientation, clumsy movements, and a dysexecutive condition that was characterized by inattention.

Coagulopathy might cause cerebrovascular illness, as some signs suggest, since the virus can harm endothelial cells, producing irritation and thrombotic events as well.

The involvement of the brain has also been linked to a hypersensitivity reaction and tissue damage in immunohistochemistry investigations.

COVID-19-affected individuals are at high risk for 

And other neurological problems.  

Neurocognitive impairment has been observed in many recovered patients and survivors. Furthermore, individuals frequently report losing their sense of taste and smell. So, visit the best neurology hospital in Guntur if you feel any of these complications after surviving from COVID – 19 infection. Take proper care of yourself and treat your complications with appropriate medications. 

Conclusion

COVID neurologic problems are less common than respiratory disease and its related consequences, although they may extend future issues. The most frequent first neurological signs of COVID-19 are tiredness, myalgia, and muscular discomfort. However, tiredness, muscular pain, and myalgia are typical findings in almost forty percent of patients. As the number of people sick grows across the world, neurological illness may become more common. Regardless of whether the COVID-19 virus is involved directly or indirectly, neurological consequences such as strokes and encephalitis can result in life-long impairment, requiring long-term care and putting a financial strain on the family.