Neurology

Description: 

                    The Department of Neurology, GMCH continues to be a leader in field of neurosciences, in providing quality health care, in teaching, and also in conducting cutting edge research. Based on the congent twin pillars of good clinical practice and sound science, the custodians of the Department of Neurology shaped the current face of neurology and what it stands for today

 

HISTORY

               Neurology was one of the earliest super-specialties to develop in GMCH.As an infant, department of neurology was born on 1971. Growth of Neurology as a discipline in GMCH was fascinating through its early founders and generations which followed. The most honored pioneers of the department  laid a solid foundation. With their dedicated efforts and sincerity, the Department of Neurology made great progress.

            DM Superspecilaty training in Neurology  was a dream to many Keralites until 1983, when DM course was started in GMCH under the leadership of Prof.Rajasekharan Nair .Since then there is no looking back. The department of Neurology has trained several neurologists and the training provided here is considered one of the best in the country.

           Initially there were 10 beds  and the space was shared by department of medicine. Later separate ward   was allotted for male patients. In 2010, when Superspeciality Block was started, we had a 40 bedded ward and 16 bedded ICU. We were able to make a big leap by starting  a full fledged Electrophysiology lab,sleep lab, Neurosonology lab and Plasmapheresis.

Facilities at a glance: 

FACILITIES/SERVICES

Outpatient services-The neurology service runs outpatient clinics on Monday,Thursday and Saturday. Patients with neurological disorders are referred from all over Kerala . On an average, about 400 patients are seen per day. There is a  rising trend in the number of patients seen in the OPD in the past decade.


Inpatient services-The neurology inpatient services are extremely busy. Currently, the neurology in-patient has 40 general ward beds. Department shares SSB-MICU(16 bedded) with other medical super speciality departments Patients are admitted from the outpatient clinic and emergency services . At any point, a large number of critically sick patients with various diseases are under the care of neurology services.


Specialized clinical services

Stroke Unit-We are  the first public sector hospital to launch thrombolysis in acute satroke and has provided free-of-cost treatment to the underprivileged strata of society. Stroke  unit  has been working 24hours  with well equipped team led by  on call neurologist for acute ischemic stroke patients. We are thrombolysing acute ischemic stroke patients who present to our side within 4.5hours. State wide inauguration of Online stroke thrombolysis  was done in 2014. Acute stroke care protocols are well established in Stroke Unit.

                  STROKE HELPLINE NUMBER-  9946332963

 

Movement disorders -State of art care is given to patients with movement disorders including Parkinson's disease. Injecting botulinum toxin for various types of dystonia is given.

Epilepsy care-The Department of Neurology is giving best care for epilepsy care, especially for patients with medically refractory epilepsy. We have currently has 2 VEEG beds besides day care services.

Neuromuscular disorders-The Department of Neurology ,since its inception, has made significant contributions to the field of neuromuscular disorders. A state-of-the-art clinical electrophysiology laboratory is present in the department. The electrophysiology lab is equipped with facilities to assist the clinicians in the diagnosis and management of complex neurological disorders. Plasma exchange is routinely being done for the care of Gulian Barre Syndrome, longitudinally extensive transverse myelitis, CIDP and  myasthenia patients..

Sleep medicine -The Department of Neurology started polysomnography for patients with sleep disorders..

Neuroinfections-The department has been on the forefront in the area of neuro-infections.Study on tubercular meningitis  is ongoing under Prof.Thomas Iype.

Neuroimmunology-The department is actively involved in the diagnosis and clinical care of multiple sclerosis and other diseases like neuromyelitis optica, autoimmune encephalitis and other inflammatory disorders of the brain Plasmapheresis and administration of immunomodulators such as interferons and rituximab are routinely being performed under the close supervision of the faculty members.

Neuro degenerative disorders--Several cases of Alzheimer's disease and other forms of dementia are seen.Many cases of  hereditary ataxias are being managed.

Clinical neurophysiology services- A state of art clinical neurophysiology lab is functional since the inception of the department, which has grown in strength over the decades. Nerve conduction study, EMG, repetitive nerve stimulation, evoked potential studies are being done.

Neurosonology Lab-Neck vessel Doppler and Transcranial Doppler studies are routinely done in our department.

Other services

24 hour consultation services for other departments in GMCH, SATH and RCC

Departmental library

Physiotherapy services for IP patient by physiotherapist

Neuropsychology services

Other activities: 

ACTIVITIES

ACADEMIC ACTIVITIES

1.      DM NEUROLOGY TRAINING

a.       DM Neurology course was started in 1983.Initially intake was one seat per year. It was increased to five per year since 2010.

 

b.      ACADEMIC SCHEDULE FOR DM RESIDENTS

Day

Activity

Monday

Topic presentation

Tuesday

Electrophysiology discussion

Wednesday

Clinical case discussion

Thursday

Seminar

Friday

Journal club

Saturday

Radiology club

 

 

c.       ALUMNI OF DM RESIDENTS

Name of Resident

Period

Dr.Dhanesh Kumar

1983-85

Dr.Rani Bhaskaran

1984-86

Dr.Manorama Devi

1985-87

Dr.P.Gopalapillai

1986-88

Dr.Shaji Prabhakaran

1987-89

Dr.P.A.Muhammed Kunju

1988-90

Dr.Thomas Iype

1989-91

Dr.B.Srikumar

1990-92

Dr.James Jose

1991-93

Dr.Mary Iype

1992-94

Dr.Andrews

1993-95

Dr.Dinesh

1994-96

Dr.Shibu Eapen

1995-97

Dr.Prakash

1996-98

Dr.Vinod Thampi

1998-2000

Dr.M.Raghavan Naik

1999-2002

Dr.D.Kalpana

2001-04

Dr.Anilkumar .T.V

2001-04

Dr.Deepak Kumar

2001-04

Dr.Shahanas

2002-05

Dr.Syamlal

2003-06

Dr.K.A.Kabeer

2004-07

Dr.Byju.P

2005-08

Dr.Chithra P

2006-09

Dr.Ranjit Sanu Watson

2006-09

Dr.Haris.A.A

2006-09

Dr.Sinchu.CM

2006-09

Dr.Praveen

2007-10

Dr.Roy Thomas

2008-11

Dr.Saumya.C.V

2009-12

Dr.Ayyappan.K

2010-13

Dr.Deepak.D

2010-13

Dr.Bindu Varghese

2010-13

Dr.Remya Prakash

2010-13

Dr.Sandeep.P

2010-13

Dr.Deep P Pillai

2011-14

Dr.Dileep.R

2011-14

Dr.Divya. S.Nair

2011-14

Dr.Joban John

2011-14

Dr.Krishnadas.N.C

2011-14

Dr.Jeslin.J

2012-15

Dr.Nazeem.P.K

2012-15

Dr.Murugan.C.Nair

2012-15

Dr.Sony  Smitha

2012-15

Dr.Susanth M J

2012-15

Dr.BenjaminRamacha

2013-16

Dr.Krishnapriya

2013-16

Dr.Neetha Balaram

2013-16

Dr.Praveen Panicker

2013-16

Dr.Rimpy Joseph

2013-16

 

 

 

2.      DNT(diploma in Neuro-Technology) course of two years duration (Four seats per year).

Name of DNT trainee

YEAR OF ADMISSION

Vipin V

2009

Shamila.S

2009

Lakshmi Chandran

2009

Gopika A T

2009

Babisha T K

2010

Vishnupriya V J

2010

Krishnapriya A

2010

Sijimol T

2010

Hema B Nair

2011

Jeeja Muhammed R

2011

Surumi S

2011

Vijila

2011

Anamika Raj

2012

Anju.S

2012

Anuja R P

2012

Sherin S

2012

Sruthi Madhu Y

2013

Mariyam S

2013

Jisa Sam

2014

Fathima F

2014

Arsharaj

2014

Sruthy V S

2014

3.      CME conducted 

1)      Epilepsy Update CME on 27/11/2016

2)      Annual Teaching Course for final year DM residents was conducted with assistance of KAN.

3)      STROKE UPDATE- A new monthly programme for orienting and training residents in the field of Stroke  Neurology was started.

November 2015-Dr.Chithra.P- Stroke recent management guidelines

December 2015-Dr.Dileep.R –Stroke Radiology

March 2016- Dr.Dileep.R –Stroke Radiology part-2

July 2016- Dr.Mathew Koshy , HOD Cardiology , NAOC in AF

 

 

4.      Publications

1.Ajith Cherian,Shaik,Afshan, Jabeen ,Rukmini,Mridula,Kandadai, Thomas Iype, Pallavi,Moturi,Muralidharan Reddy,Meena.A.K, Rupam Borgohain,Sandeep.P Epilepsy with myoclonic absences in siblings  Brain and Development 2014.

2.Ajith Cherian,C.V.Soumya,Thomas Iype, Mini mathew,P.Sandeep, Jeslin.K,Chitra.P Posterior reversible encephalopathy with PLEDS Plus due to Mesalamine. Journal Of neurosciences in Rural Practice Jan march 2014. Vol 5. issue 1
3.Iype T ,Kunjukrishnapilla A,Cherian.A, Nujum.z,Pushpa.C, Dae D,Krishnapilla .V Major Outcomes of patients with Tuberculous meningitis on Directly observed regime thrice a week, Annals of indian academey of neurology 2014:17:281-6

 

5.      Awards and prizes

Dr.Jesslin Joseph got first prize in KAN state conference for best paper presentation- A RETROSPECTIVE STUDY ON PYOGENIC MENINGITIS

Dr.Benjamin  Ramacha got second prize for best paper presentation in NSI state conference-LOCAL STEROID INJECTION IN CTS

Dr.Neetha Balaram attended final round of National TYSA Neurology Quiz competiton

Dr.Divya.S.Nair has won first prize in IAN QUIZ COMPETITION conducted at NIMHANS Bangalore .She also won second prize in SHINE quiz completion held in Chennai.

Dr.Dileep.R  got second prize for paper presentation in KAN Kerala state conference 2014 and  second prize for paper presentation in NSI Kerala conference 2015.

Dr.Neetha Balaram and Dr.Benjamin Ramacha were selected for TYSA South Zone competition 2015.

6.      CME ATTTENDED AND PAPERS PRESENTED

National IANCCON 2016 KOLKOTTA - Poster by Dr.Dileep.R , CSA of median nerve in CTS

National-IAN CONFERENCE –AGRA 2015 October.

Long term outcome of Intermittent anti tuberculous therapy for Brain Tuberculoma in immunocompetent patients: an observational study by Dr.Thomas Iype

Bifid median nerve in patients with carpal tunnel syndrome by Dr.Dileep.R

State conferences

Dr.Jesslin Joseph -KAN state conference - A RETROSPECTIVE STUDY ON PYOGENIC MENINGITIS

Dr.Benjamin  Ramacha - NSI state conference-LOCAL STEROID INJECTION IN CTS

Achievements: 

AWARDS AND PRIZES

  • Dr.Jesslin Joseph got first prize in KAN state conference for best paper presentation- A RETROSPECTIVE STUDY ON PYOGENIC MENINGITIS
  • Dr.Benjamin  Ramacha got second prize for best paper presentation in NSI state conference-LOCAL STEROID INJECTION IN CTS
  • Dr.Neetha Balaram attended final round of National TYSA Neurology Quiz competiton
  • Dr.Divya.S.Nair has won first prize in IAN QUIZ COMPETITION conducted at NIMHANS Bangalore .She also won second prize in SHINE quiz completion held in Chennai.
  • Dr.Dileep.R  got second prize for paper presentation in KAN Kerala state conference 2014 and  second prize for paper presentation in NSI Kerala conference 2015.
  • Dr.Neetha Balaram and Dr.Benjamin Ramacha were selected for TYSA South Zone competition 2015.

ONGOING RESEARCH ACTIVITIES

1) Detiorating stroke-determining factors

2) Clinical profile and electrophysiologic evolution in GBS

3) Carpal tunnel syndrome-effectiveness of steroid injection

4) Wrist Ultrasound in the diagnosis of CTS

5) Follow up of neurotuberculosis

6)Follow up Parkinsonian cohort.

7)KNIT study

succession list: 

lab,neurosonology lab and plasmapheresis.

SUCESSION LIST OF HODs

Si No

Name of HOD

Period

1

Dr.G.Vasudeva Iyer

1972-82

2

Dr. K.Rajasekharan Nair

1982-95

3

Dr.Madhusoodhanan.M

1996(5/96-7/96)

4

Dr.Mathew Cherian

1996-97

5

Dr.Rani Bhaskaran

1997-2004

6

Dr.Shaji Prabhakaran

2004-06

7

Dr.S.R.Chandra

2006-09

8

Dr.Thomas Iype

2009-

WEBCAST ON NOAC

Teaching Room,
JULY 22 2017
SSB-5
TIME 2 to 3 pm

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Course Particular

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Emergency Enquiry

MCH Casualty
(24 hrs)
ph: 0471-2528300
MCH New OP Block
(8.00 am - 02.00 pm)
ph: 0471-2528469
OP SuperSpecialty Block
(8:00 am - 5:00 pm)
ph: 0471-2528448

Contact us

Trivandrum Medical College,              
Medical College PO,
Thiruvananthapuram,
Kerala State. India PIN - 695 011
Phone no : + 91- 471 -2528386
Email id : principal@tmc.kerala.gov.in
Email id : principalmct@gmail.com

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