The Telegraph
Monday , February 3 , 2014
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Best of neuro care, now at doorstep

Dr Mukund Prasad, a neurosurgeon at Paras HMRI Hospital, discussed with Shuchismita Chakraborty of The Telegraph the latest treatment facilities related to neuro disorders at the health hub. Prasad has worked in reputable hospitals like AMRI, Calcutta, and Institute of Neurosciences, Calcutta. Excerpts:

What kind of heart related special treatments do you offer or plan to start?

We have started treatment for subarachnoid haemorrhage, which, as far as we know, is not available in the city. When the area between the brain and the thin tissues that cover it starts bleeding, the area is called the subarachnoid space. Subarachnoid haemorrhage is mainly seen in accident victims. Subarachnoid haemorrhage patients suffer from severe headache coupled with vomiting and unconsciousness. If he/she does not get timely treatment, he/she may die or go into coma.

In India, around 30 per cent of such patients die on the spot, while another 30 per cent get treatment within 24 to 72 hours of the bleeding in their brains. Only 30 per cent patients reach hospital on time and recover from the disease. At Paras, both types of treatment for treating subarachnoid haemorrhage, including clipping and coiling, are available. While coiling is a non-surgical procedure and costs Rs 70,000, clipping involves surgery, which costs around Rs 90,000 to 1 lakh. In coiling, one has to pay an additional charge of Rs 18,000 to Rs 20,000 for each coil.

We also treat cerebellopontine angle tumour (in the centre of the brain) which might cause the patient to slip into coma and might weaken one side of his/her face. Surgery can address this problem but no hospital in the city does this surgery. During my stint at Institute of Neurosciences, Calcutta, I did many surgeries of CP angle tumour. Residents might not know that this surgery is available here. So they continue to visit metropolitan cities. This surgery costs Rs 1.5 lakh at Paras.

Tell me about the sophisticated machines at your hospital or plans to buy them?

We have recently bought a high-end operating microscope, very useful in all brain surgeries, from Germany at a cost of around Rs 70 lakh. We have also imported ultrasonic surgical aspirator from US at Rs 30 lakh for brain tumour surgeries. The machine helps break the tumour inside the brain and suck it in small pieces. We have imported a drill worth around Rs 35 lakh from US. The drill helps to cut the skull in every brain surgery. We also have started a cath lab at the hospital wherein angiogram, CT scan and MRI test are done.

What about research on heart diseases? Will your hospital take the initiative in this regard?

We plan to start a DNB course in neurosurgery in two years. We would initiate those students into research. But, whenever we research, our first subject would be subarachnoid haemorrhage, because at present, there is no evidence to help establish what causes it.

Does Paras plan to start dedicated ICU for post-operative neurosurgical cases as in metro cities?

We opened a dedicated ICU for post-operative neurosurgery cases for 24-hour medical assistance to patients right from our launch in August, 2013.

Tell us about yourself

I did my MBBS from Banaras Hindu University in 1996 and MS in general surgery from BHU in 2000. I did MCH in neurosurgery from Sri Chitra Tirunal Institute for Medical Sciences and Technology in 2004 and post-doctoral fellowship in micro-vascular neurosurgery from the same institute in 2005. I was assistant professor at Sri Chitra Tirunal Institute for Medical Sciences and Technology between 2005 and 2006 before joining AMRI, Calcutta, where I served from 2006 to 2011. In 2012, I joined Institute of Neurosciences, Calcutta, and last year, I joined Paras.

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