Best Doctors in India for Neurofibromatosis Treatment

Profile Highlights:

  • Dr. Abhaya Kumar is a leading name in the field of Neurosurgery who is an expert in Minimally Invasive Spine Surgery, Brain surgery, and Stereotactic Radiosurgery and has performed more than 1400 spine surgeries and 1100 brain surgeries in KDAH alone.
  • Dr. Abhaya Kumar’s primary focus includes Minimally Invasive Spine Surgery (MISS) and has handled over 800 MISS cases till date in the hospital with 96% successful results.

Profile Highlights:

  • Dr. Ashok Hande is a renowned neurosurgeon in Mumbai who holds the credit for 300 AVMs, 1400 skull base tumor surgeries, 3600 surgeries for cranial and spinal trauma, 1200 lumbar prolapsed intervertebral disc surgeries, 800 cerebral aneurysms, and more than 100 microvascular decompressions.
  • He holds an experience encompassing 25+ years and holds the credit for pioneering neurosurgery in Mumbai by bringing in new and advanced neurosurgical procedures for brain and spine surgery.

Profile Highlights:

  • Dr. Deepu Banerji is a leading name in the field of Neurosurgery in India and possesses extensive skills in minimally invasive and micro neurosurgery.
  • He has been practicing neurosurgery for over 28 years and is counted among the best microscopic neurosurgeons in the country.
  • Apart from minimally invasive surgeries, his expertise lies in skull base surgery, brain tumors surgery, vascular surgery, and spine surgeries, and has handled numerous cases of brain and spine diseases and disorders.

Profile Highlights:

  • Dr. Madhusudan H V is an expert Neurosurgeon in South India with 22+ years of experience in neuro and spine surgery.
  • With a specialization in minimally invasive neurosurgeries, Dr. Madhusudan holds the credit for more than 7000 neurosurgeries. He also finds interest in endoscopic interventions and frameless navigations.

Profile Highlights:

  • Dr. Prahraj S S is a leading Neurosurgeon who specializes in all types of neurological surgeries and has performed over 6000 neurosurgeries till date along with complex cranial and spine surgeries.
  • He is one of the most renowned neurosurgeons in the country and has provided his services to some of the premier medical institutes in India such as NIMHANS where he performed a large number of spinal surgeries.

Profile Highlights:

  • Dr. Praveen K S is a highly qualified neurosurgeon with over a decade of experience in handling all kinds of neurological diseases and disorders.
  • He specializes in Pediatric Neurosurgery, Neuro-Oncology, Endoscopic neurosurgery, Aneurysms, and Neuro- Trauma and has performed over 4000 neurosurgeries in his career.

Profile Highlights:

  • Dr. Rahul Modgi is a highly established neuro and spine surgeon in Mumbai specializing in all types of brain and spine surgeries.
  • Dr. Rahul Modgi’s name has been recorded in the Limca Book of Records in 2014 when he removed the heaviest iron rod from the brain of a 17-year-old patient. He has also performed various other risky surgeries for which he has greatly appreciated.

Profile Highlights:

  • Dr. Rajakumar V Deshpande is a renowned Neurosurgeon in Bengaluru. He performed the first pedicle screw fixation surgery for a spine injury in Bangalore.
  • Dr. D V Rajakumar specializes in endoscopic neurosurgeries and has performed some of the most complex brain and spine surgeries through the endoscopic approach. His other areas of interest include minimally invasive neuro surgeries, management of cerebrovascular diseases, and brain tumor surgeries.

Profile Highlights:

  • Dr. Shirish M Hastak is one of the best Stroke Specialists in India with a specialization in Neurology.
  • Dr. Hastak underwent training in stroke management under world-renowned neuroscientist, Dr. Vladimir Hachinski at the Western University of Canada.
  • He holds more than 30 years of experience as a neurologist among which he has spent 2 decades mastering stroke management.

Best Hospitals in India for Neurofibromatosis Treatment

Fortis Escorts Hospital, New Delhi

Hospital Highlights:

  • Over the last 33 years, the Fortis Escorts Heart Institute has set new standards in cardiac treatment with groundbreaking research. It is now known around the world as a centre of expertise for Cardiac Bypass Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology, and Paediatric Cardiac Surgery.
  • The hospital has cutting-edge laboratories that perform a wide range of diagnostic tests in Nuclear Medicine, Radiology, Biochemistry, Haematology, Transfusion Medicine, and Microbiology.
  • Fortis Escorts Heart Institute boasts a diverse group of bright and experienced doctors who are backed up by a team of highly qualified, experienced, and devoted support professionals as well as cutting-edge equipment such as the recently installed Dual CT Scan.
  • Approximately 200 cardiac doctors and 1600 personnel currently collaborate to manage over 14,500 admissions and 7,200 emergency situations each year. The hospital now has a 310-bed infrastructure, as well as five cath labs and a slew of other world-class amenities.

Rela Hospital, Chennai

Hospital Highlights:

  • RIMC is a multi-specialty hospital in a sprawling area of ​​36 acres located in Chromepet, Chennai, Tamil Nadu, India.
  • The facility has 450 beds including 130 critical care beds, 9 operating rooms, modern reference laboratories and radiology services, and is conveniently located near road, rail and air transportation.
  • RIMC is led and managed by world-renowned physicians committed to healthcare.
  • RIMC offers the broadest range of clinical care, education, and research. The hospital offers state-of-the-art technology and modern treatment facilities designed to provide health care at an affordable cost.
  • Rela Institute is driven by patient needs, comfort and confidence.

CARE Hospitals, Hyderabad

Hospital Highlights:

  • CARE Hospitals were established in the year 2000, by CARE Group.
  • The multispecialty hospital has 435 beds, including 120 critical care beds, with an annual inflow of 180000 outpatients and 16,000 in-patients.
  • The hospital provides specialty medical services in Cardiology, Cardiothoracic Surgery, Pediatric Cardiology, Pediatric Cardiothoracic Surgery, Neurology, Neurosurgery, Nephrology, and Urology.
  • The hospital has the first dual source, 128 slice CT scanner (for high precision cardiac imaging) – the first of its kind in south India.
  • The hospital offers a wide range of accommodation facilities for the convenience of its varied patient base, ranging from general wards to super deluxe rooms.

Fortis Hiranandani Hospital, Mumbai

Hospital Highlights:

  • Fortis Hiranandani hospital was established in 2007.
  • The hospital is an advanced tertiary care, multi-specialty hospital equipped with 149 beds.
  • The hospital is equipped with a super ICU to provide emergency medical care to critically ill patients.
  • The hospital is NABH accredited.
  • The critical care facility in the hospital is augmented with the state-of-the-art facilities that facilitate speedier diagnosis and efficient monitoring.
  • The hospital provides specialty medical services in cardiology, orthopedic science, pediatric science, neurology, diabetic care, urology, nephrology, ENT, obstetrics, gynecology, cosmetic surgery, bariatric surgery, neuro and spine care.

Fortis Hospital, Anandpur, Kolkata

Hospital Highlights:

  • Fortis Hospital, Anandapur, Kolkata is a world-class super-speciality equipped with the latest technologies in the medical world.
  • The hospital is NABH accredited.
  • This state-of-the-art facility specializes in cardiology and cardiac surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency care and critical care.
  • The hospital, governed by integrated Building Management System (IBMS), has a pneumatic chute system, for quick vertical and horizontal transportation between floors, facilitating speedy transfer of patient specimens, documents, reports, and medicines to the concerned departments.
  • The hospital also has a nephrology department with over 28 advanced dialysis units.

Fortis Hospital Banerghatta, Bengaluru

Hospital Highlights:

  • Fortis Hospital Bannerghatta, Bengaluru was established in 2006.
  • The hospital is a 276 bedded multi-specialty tertiary care facility.
  • The hospital specializes in cutting-edge medical technology and dedicated patient care services.
  • The hospital is equipped with state-of-the-art technologies like trans-radial angioplasty, trans-abdominal cardiac surgery, and computerized TKR navigation surgery.
  • The hospital provides specialty medical services in cardiology, cardiac surgery, orthopedics, neurology, neuro-surgery, GI, and Minimal Access Surgery (MAS).

Fortis Hospital, Malar, Chennai

Hospital Highlights:

  • Fortis Malar was established in 1992 and was formerly known as Malar Hospital.
  • The hospital specializes in cutting-edge medical technology and dedicated patient care services.
  • The hospital is multi-specialty, tertiary care facility with 180 beds.
  • The hospital offers comprehensive medical care in specialties such as cardiology, cardio-thoracic surgery, neurology, neurosurgery, orthopedics, nephrology, gynecology, gastroenterology, urology, pediatrics, and diabetes.

Gleneagles Global Hospital, Parel, Mumbai

Hospital Highlights:

  • Gleneagles Global Hospital The 450-bed facility comprises of 17-stories, housing state-of-the-art infrastructure, and advanced medical care facilities.
  • The hospital offers end-to-end clinical, surgical, and diagnostic services. It is equipped with a team of eminent medical professionals aided by qualified nurses and medical staff
  • The Hospital offers advanced Endoscopic procedures, Hepatobiliary and Liver Surgeries, Surgical and Medical Gastroenterology, Bariatric Surgery, and Robotic surgery.
  • The hospital is a center of excellence for Orthopedics, Joint Replacement, Knee Replacement, and Hip Replacement surgery.

Jaypee Hospital, Noida

Hospital Highlights:

  • Jaypee Hospital is the flagship hospital of the Jaypee Group.
  • This hospital has commissioned 525 beds in the first phase and has been planned and designed as a 1200 bedded multi-specialty facility.
  • It holds the accreditation of the NABH and NABL.
  • The hospital has state-of-the-art infrastructure equipped with the latest technologies and modern equipment like 64 Slice PET CT, Dual Head 6 Slice SPECT CT, Gamma Camera, and Da Vinci Robotic Surgery for comprehensive robotic surgical solutions.
  • It has special Centers dedicated to the major specialties to provide hassle-free and high-quality clinical care.

Manipal Hospital, Dwarka, Delhi

Hospital Highlights:

  • Manipal Hospitals, Dwarka, is a super-specialty hospital in Dwarka, New Delhi, which is a part of Manipal Hospitals Group.
  • The hospital aims to provide the best treatment on par with international standards at a fraction of the cost.
  • Equipped with 380 beds, the hospital is also one of the new age hospitals which are equipped fully with state-of-the-art infrastructure, cutting-edge technology as well as the latest and advanced clinical practices. The hospital also has 13 modular Operation theatres with 118 beds which are solely meant for critical care.
  • The hospital comprises internationally acclaimed doctors and highly professional and experienced hospital and medical staff who are able to provide preventive, therapeutic, and diagnostic services all under one roof.

Neurofibromatosis

Neurofibromatosis is an incurable genetic disorder that affects the entire nervous system. It can affect the development of nerve cell tissues. It also leads to tumors known as neurofibromas to develop on the nerves, which can lead to various other problems.

In some cases, they might be harmless but they might also cause serious damage if they compress the nerves as well as other tissues.

The disorder is of three types, i.e. Nf1, Nf2 and schwannomatosis, though they are not related.

Symptoms

The symptoms of neurofibromatosis can vary, depending on the type.

The disorder can spread throughout the whole body, causing tumors as well as unusual skin pigmentation. It can manifest as bumps as well, under the skin, colored sports, bone problems, pressure on spinal nerve roots, as well as other neurological problems.

In some cases, patients can also face learning disabilities, behavioral problems, or vision or hearing loss.

NF1 – When this type of neurofibromatosis affects an individual, he/she may show a skin condition but no other related medical problems. Birthmarks and freckles are common as well, among people with this condition. Freckles might appear at an unusual location, such as the groin, under the breasts, or in the armpits. People with this type of neurofibromatosis are also at a higher risk of hypertension or high blood pressure.

NF2 – NF2 is a more serious condition in which tumors grow on nerves deep inside the body. There might be several symptoms such as facial numbness, weakness, paralysis, hearing loss, loss of balance and vertigo, tinnitus, etc.

As the tumor grows, the symptoms might get worse. Tumors may also sometimes develop on the brain, skin, and spinal cord, with potentially serious consequences. Cataracts might also occur, as well as learning disabilities and behavioral problems. Tumor sometimes develops rapidly, but some grow slowly, and the effect might not be noticeable for several years.

Schwannomatosis – It is a rare form of neurofibromatosis, that generally affects less than 1 in 40,000 people. It is generally different from NF1 and NF2. This can cause pain, tingling, numbness, or weakness in the finger and toes.

Causes

The cause of neurofibromatosis is genetic defects or mutations that are either passed on by a parent or occur spontaneously during conception.

NF1- The NF1 gene is located on chromosome 17 and this gene produces a protein termed neurofibromin that helps regulate cell growth. The mutated gene causes a loss of neurofibromin, which allows cells to grow uncontrolled.

NF2- The NF2 gene is located on chromosome 22, and it produces a protein which is termed merlin, also called a schwannomin, which helps in suppressing tumors. The mutated gene can lead to a loss of merlin, lead which can cause uncontrolled cell growth.

Schwannomatosis- Two genes are generally known to cause schwannomatosis. Mutations of the genes SMARCB1 and LZTR1, which helps to suppress tumors, are associated with this type of neurofibromatosis.

Diagnosis

For NF1

Generally, NF1 is normally diagnosed during one’s childhood. A diagnosis is generally confirmed when an individual has at least two of the following:

  • A family history of NF1
  • Lesions in the bone
  • A glioma, or tumor, on the optic nerve, which is mostly without symptoms
  • At least six “café-au-lait” spots which measure over 5 millimeters across in children or 15 millimeters in adolescents or adults
  • Freckling in the armpits, in the groin area, or under the breast
  • At least two Lisch nodules, or small brown spots in the iris
  • Two or more neurofibromas, or one “plexiform”

 

Plexiforms affect around 25 percent of people who have Nf1. Plexiforms are neurofibromas that spread around the large nerves as they grow, which leads to the nerve becoming thick and misshapen. They generally feel like knots or cords under the skin. They can be large as well as painful, and also disfiguring. Plexiform generally start forming during childhood.

A special type of lamp is used to check for any skin marks. Other diagnostic tools that your doctor can use include an X-ray, CT, or MRI scan. A genetic blood test might be required as well.

For NF2

Symptoms of NF2 generally appear around puberty or during adulthood. The most common age of onset is generally between 18 to 24 years.

Diagnosis of NF2 can be made when there is:

  • An acoustic neuroma in one of the ears, along with two or more typical symptoms, such as cataracts, brain tumors, and a family history of the condition
  • Acoustic neuroma along with brain or spinal tumors, which can be detected by an MRI or CT scan
  • An acoustic neuroma in both the ears
  • A faulty gene, which is identifiable through a blood test

 

A person having NF2 will be referred to a neurologist. Hearing and eye tests might also be conducted to check for cataracts, other eye problems, and hearing problems.

Treatment

Since there is no permanent cure for neurofibromatosis, treatments generally focus on the symptoms. Some of the symptoms generally do not need any treatment. Some of the options for treatment can include the following:

  • Surgery for removing problem growths or tumors
  • Treatment which can include chemotherapy or radiation if a tumor has turned malignant, or cancerous
  • Surgery for bone problems, such as scoliosis
  • Therapy which can include physical therapy or counseling
  • Surgery for cataracts
  • Auditory brainstem and cochlear implants
  • Aggressive treatment of pain linked to the condition
  • Stereotactic radiosurgery

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