श्री चित्रा तिरुनाल आयुर्विज्ञान और प्रौद्योगिकी संस्थान, त्रिवेंद्रम
Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum
The Neuromuscular division under the Department of Neurology focusses on the management of diseases of the peripheral nervous system: anterior horn cells, nerves, neuromuscular junctions and muscle. The diseases commonly managed by us are muscle diseases (myopathies), myasthenia gravis, acquired and chronic demyelinating neuropathies (Guillain Barre Syndrome and CIDP – chronic inflammatory demyelinating polyneuropathy), peripheral polyneuropathies and plexopathies.
The Division provides both inpatient and outpatient services to patients with neuromuscular disorders. New patients are registered in the General Neurology Clinic (on all working days from Monday to Friday) and then channelled to either inpatient care or follow up under the special team as needed.
The Speciality Clinic is held once a week on Tuesdays from 10 am to 2 pm. Patients previously registered here are reviewed and followed up in this clinic. A team for physiotherapy, occupational therapy and speech therapy work together with the doctors to provide optimal care to the patients.
Patients requiring detailed evaluation and discussion as well as certain therapeutic services are admitted in the wards and intensive care units (ICUs) under the department of Neurology. We have a team of neuromuscular specialists, Post-Doctoral Fellows and Residents along with the supporting staff to cater to the patients.
We have a state of the art facility for doing nerve conduction studies (NCS), electromyography (EMG), repetitive nerve stimulation (RNS) and evoked potentials (EP). We have two EMG machines (Nikolet Viking Select 4 channel and 2 channel machines) and one 8 channel machine to record evoked potentials (Nihon Kohden Neuropack M1 – MEB – 9200 K). The lab is run by experienced technical staff under the supervision of the faculty. Routine as well as uncommon nerve studies are undertaken in the department. The laboratory also performs advanced studies including voluntary and stimulation single fibre EMG. The appointment for NCS/ EMG studies are obtained from the Medical Records Division.
The Neuromuscular division is supported by the Neuropathology section for processing and reporting of muscle and nerve biopsies. In addition, many immunological studies including Aquaporin IgG, ganglioside antibodies, acetyl choline receptor antibody and muscle specific kinase (MuSK) antibody are performed here.
The division is currently actively involved in research activities in genetics of Neuromuscular disorders in collaboration with genetic centres.
The institute provides Neurorehabilitation services for Neuromuscular disorders and is one of the major operating centres for thymectomies in myasthenia gravis.
The Division offers a one year Post Doctoral Fellowship (PDF) programme to candidates who have completed DM Neurology or equivalent through a competitive interview. The PDFs are given the opportunity to manage and discuss difficult neuromuscular cases and are encouraged to work in innovative research projects.
The goals of the PDF Programme are
The current PDF, Dr Deepak Menon, is conducting research on genetics of motor neuron diseases and standardization of newer techniques of electrophysiology.
The Division participates actively in the training of DM Neurology residents and observers in Electrophysiology. A Neuromuscular discussion is conducted twice a week to discuss interesting journals and clinical cases. A Neurorehabilitation forum formed by neurologists, Physiatrist, occupational therapist, speech therapist, medico-social worker and residents is conducted every week to plan rehabilitation care of patients.
Many intramural research activities are ongoing in the department on motor neuron disease, electrophysiological techniques in myasthenia gravis and Guillain Barre syndrome.
To book an appointment, contact 0471-2524621