Best Doctors in India for Neurofibromatosis Treatment

Profile Highlights:

  • Dr. Suresh Sankhla is an accomplished Neurosurgeon in Mumbai specializing in endoscopic neurosurgery and onco-neurosurgery.
  • Dr. Sankhla acquired his training in neurosurgery under the guidance of the best trainers from well-known medical institutes and hospitals in Ireland, UK, USA as well as India.
  • He has an equal interest in research and has published more than 100 articles, papers, and abstracts in renowned national and international peer-reviewed journals.

Profile Highlights:

  • Dr. Tariq Matin is a Neurologist in Gurugram specializing in Interventional Neuroradiology.
  • He holds over a decade of experience in the field and holds a fellowship from Foch Hospital, France in interventional neurosurgery and also received his training from AIIMS in Delhi.
  • He provides treatment for acute ischemic stroke with the use of mechanical and chemical thrombolytic agents and endovascular coiling of complex aneurysms.

Profile Highlights:

  • Dr. Arulselvan V L is one of the finest Neurologists in India, with an overall experience of nearly 33 years.
  • Dr. Arulselvan was bestowed with an Excellence Award for aptitude in Anatomy in his academics.
  • He takes a holistic approach to treating conditions like Myelitis, Encephalitis, Meningitis, Cerebral or Brain Aneurysm, PSR, PBC, Brain Tumor Surgery, and Sleep Disorders and performs different therapies.
  • He has a periodical ‘JIAN’ under his name.

Profile Highlights:

  • Dr. Rajendran S is a veteran Neurologist in Tamil Nadu with nearly 3 decades of experience.
  • Dr. Rajendran acquired advanced training in Neuropsychiatry from Cardiff, UK, and also obtained M.Sc. in Clinical Neurology from London.
  • He treats conditions like Stroke, Parkinson’s Disease, Back & neck pain, Neurological dysfunction, Surgical Clipping, Endovascular Coiling, Cerebral Angioplasty, Lesionectomy, MVD, PSR, and Restless Leg Syndrome, etc.

Profile Highlights:

  • Dr. S. Yogaraj is an experienced Neurologist in India, having over 24 years of experience in the field.
  • He specializes in treating emergency neurology conditions like stroke, neuromuscular disorders, CNS infections, Peripheral Nerve issues, etc.
  • Dr. Yogaraj is instrumental in designing, implementing, and reporting electrophysiological training. He trained physicians, neurologists, and paramedical staff.

Profile Highlights:

  • Dr. Dhanaraj is a recognized neurologist in India with 45+ years of experience.
  • Dr. Dhanaraj was awarded Life Time Achievement Award from Tamil Nadu DR. MGR University, Chennai for his exemplary services.
  • He presented about 50 research papers and received awards for a couple of them. Dr. Dhanaraj also authored a book on Acute Cardiovascular disease.

Profile Highlights:

  • Dr. Geetha Lakshmipathy is one of the most renowned Neurologists in India with a rich experience of more than 45+ years. Her experience stretches across academic, research, clinical, and administrative work.
  • Dr. Geetha Lakshmipathy offers the best medical services for Nerve and Muscle Disorders, Brain mapping, Spinal Disorders, Digital Subtraction Angiography, Epilepsy Treatment, Deep Brain Stimulation, skull surgery, Peripheral Neuropathy (Diabetic/ CIDP/ CIDP), etc.
  • Dr. Lakshmipathy presented and published many research studies at various places and guided students of DM-Neurology for their thesis.

Profile Highlights:

  • Dr. Panneer is one of the most renowned Neurologists in India with huge 50+ years of research and clinical experience in the field.
  • Dr. Panneer is believed to have expertise in Migraine treatment and neurological disorders management.
  • He offers consultation and medical services for Neurosurgery, cerebral angioplasty, Stereotactic Radio Surgery, PBC, Alcohol Withdrawal Syndrome, sleep disorders, skull base surgery, etc.

Profile Highlights:

  • Dr. Sivaji Vani serves as a Pediatric Neurology Consultant at Apollo Hospitals, Chennai.
  • Before Chennai, she served in the UK and has developed a sound knowledge in the field of Pediatric Neurology.
  • Her overall experience of 26 years involves the treatment of patients with giddiness problems, neurological problems, vertigo, epilepsy, stroke, spinal disorders, etc.

Profile Highlights:

  • Dr. Praveen Gupta is one of India’s top Neurologists, who is currently serving as the Principal Director & Unit Head of Neurology at Fortis Memorial Research Institute, Gurugram.
  • Over the course of his 23-years career, Dr. Gupta has made a lasting impact on the field of neurological treatment.
  • Among his many firsts, Dr. Gupta founded the first-ever stroke centre in Gurugram and pioneered the use of single-arm mechanical thrombolysis, which completely changed the way strokes are treated in the area.
  • He also pioneered Deep Brain Stimulation (DBS) treatments for Epilepsy and Parkinson’s disease, raising the bar for neurological care.
  • Gupta has been the founder of two prestigious neurology departments at prestigious corporate hospitals, Artemis and Paras. He has consistently managed the highest possible number of both inpatient and outpatient cases, with an exceptional daily volume of 50 and 100 patients respectively.
  • As a highly sought-after speaker, Dr. Gupta often contributes to the progress of neurological treatments and services by sharing his knowledge at national and international conferences.

Best Hospitals in India for Neurofibromatosis Treatment

Paras Hospital, Gurugram

Hospital Highlights:

  • Paras hospital was established in 2006 and is the 250 bedded flagship hospital of Paras Healthcare.
  • The is supported by a team of doctors of international and national repute.
  • The hospital is NABH accredited and also the first hospital in the region to have a NABL accredited laboratory.
  • The hospital provides specialty medical services in around 55 departments including Neurosciences, Joint Replacement, Mother & Child Care, Minimal Invasive Surgery, Gynecology and Obstetrics, Ophthalmology, Dermatology, Endocrinology, Rheumatology, Cosmetic and Plastic surgery.
  • The hospital is equipped with state-of-the-art technologies.

S L Raheja Hospital, Mahim, Mumbai

Hospital Highlights:

  • SL Raheja hospital is a 140-bed multi-specialty tertiary care hospital that is being managed by Fortis Healthcare Ltd.
  • The hospital is a benchmark in healthcare and medical facilities in the neighborhood of Mahim & the western suburbs.
  • L.Raheja Hospital, Mahim has one of the most effective ICU and Casualty care services.
  • The hospital provides specialty medical services in Cardiology, Oncology, Neurology, Orthopedics, Mother & Child Care, and in Diabetes.

Wockhardt Hospitals, Mumbai

Hospital Highlights:

  • Wockhardt Hospitals were established in the year 1973, originally called First Hospitals and Heart Institute.
  • Wockhardt Hospitals are super specialty health care networks in India, nurtured by Wockhardt Ltd, India’s 5th largest Pharmaceutical and Healthcare company.
  • Wockhardt Hospitals is associated with Partners Harvard Medical International, an international arm of Harvard Medical School, USA.
  • Wockhardt Heart Hospital performed India’s first endoscopic heart surgery.
  • The hospital has a state-of-the-art infrastructure equipped with the latest technologies and modern equipment.
  • It has special Centers of Excellence dedicated to the major specialties to provide hassle-free and high-quality clinical care.

Pushpawati Singhania Hospital & Research Institute, New Delhi

Hospital Highlights:

  • Established in 1996, Pushpawati Singhania Research Institute is one of the top hospitals in the NCR region, as well as one of the top facilities in India for gastroenterology. The hospital is one of South Asia’s first institutes in medical and surgical treatment for diseases related to digestion.
  • The hospital is equipped with state-of-the art facilities coupled with the latest equipment as well as renowned consultants from various parts of India as well as other parts of the world.

Indian Spinal Injuries Center, New Delhi, India

Hospital Highlights:

  • The Indian Spinal Injuries Center (ISIC), provides state-of-the-art facilities for the management of all types of spinal ailments.
  • Staffed with internationally trained, acclaimed, and dedicated spine surgeons, the hospital provides cutting-edge medical & surgical technology. The hospital provides comprehensive management of spinal injury, back pain, spinal deformities, tumors, osteoporosis, etc.
  • The hospital performs motion-preserving spine surgeries including disc replacement and dynamic fixation, and minimally invasive spine surgeries such as endoscopic disc excision.
  • The orthopedic service of the hospital covers all orthopedic ailments including trauma, joint diseases & replacements, oncology, pediatric orthopedics & upper limb ailment.

W Pratiksha Hospital, Gurgaon

Hospital Highlights:

  • W Pratiksha Hospital, Gurugram, is one of the best hospitals in the NCR region. It is also a top hospital in India for IVF. Since its inception, the hospital has performed over 5500 successful IVFs. The hospital also specializes in gynecology.
  • With over 20 years of experience in providing quality healthcare, the hospital is known as one of the most trusted and valued health providers in India.
  • Equipped with world-class medical facilities and advanced technology, the hospital’s doctors and clinicians also have a track record of delivering excellent results. The hospital is also known for focusing on preventive well-being as much as on curative treatment.
  • The hospital has earned the trust of its patients, by providing the best available treatments at affordable costs.

Narayana Superspeciality Hospital, Gurugram

Hospital Highlights:

  • Situated near DLF Cyber City, Gurugram, Narayana Superspecialty Hospital is one of the top medical facilities in the Delhi NCR region, catering to the needs of the people. Known for its commitment to quality medical care and patient service, the hospital is a state-of-the-art facility with planned and well-equipped sections, which includes a spacious OPD area as well as comfortable patient rooms.
  • It is the closest super-specialty hospital from Indira Gandhi International Airport towards Gurugram, and also the nearest super specialty hospital from DLF Cyber City. It is also close to major residential areas in Gurugram.
  • It is part of the renowned Narayana Health Group. Established in 2000, by Dr. Devi Shetty, a renowned cardiac surgeon, it has grown to be one fo India’s leading healthcare groups.

Sir Ganga Ram Hospital, New Delhi

Hospital Highlights:

  • Sir Ganga Ram Hospital, New Delhi is known to provide the latest medical procedures with the latest technology in all of its units.
  • The hospital has a team of reputed doctors, nurses, and healthcare professionals that ensure that patients receive quality care at affordable costs.
  • Staffed with a team of highly qualified doctors, dedicated nurses, and paramedical and non-medical staff, the hospital aims to lead in healthcare delivery, medical education, training, and research.
  • As per the vision of the founder, the hospital also provides free treatment to the economically weaker sections of society.
  • Sir Ganga Ram Hospital also provides training to young doctors under the Diplomate in National Board(DNB) program. The DNB program at the hospital was started in 1984 and it is known for currently running the maximum number of DNB specialties in the country. It also has the distinction of having the first bone bank in India.

KIMS Hospital, Hyderabad

Hospital Highlights:

  • KIMS Hospital (a brand name of Krishna Institute of Medical Sciences) is one of the largest and best multi-speciality hospitals in Hyderabad. The hospital provides various treatments to an enormous number of patients.
  • The hospital has a capacity of more than 3000 beds. KIMS Hospitals offers different healthcare services in more than 25 specialities and super specialities.
  • The hospital is equipped with modern medical equipment and technology. It has robotic equipment to provide minimal invasive techniques for patients.
  • The hospital is aimed at providing world-class healthcare facilities and services at an affordable cost for patients.
  • The various specialities and departments of the hospital include neurosciences, gastroenterology & hepatology, robotic science, reproductive sciences, dental science, oncological sciences, organ transplantation, heart and lung transplantation and mother and child care.

Fortis Hospital, Shalimar Bagh

Hospital Highlights:

  • Fortis Hospital in Shalimar Bagh is a multi-super specialty hospital that strives to provide world-class patient care by leaving no stone unturned.
  • Fortis, Shalimar Bagh, with 262 beds and a 7.34-acre footprint, provides the best level of medical care through its team of doctors, nurses, technicians, and management professionals.

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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