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Request appointment with Lakshmi Neuro Clinic in Chennai, India
Lakshmi Neuro Clinic is a specialized center of neurosurgery for the diseases of the brain and spinal cord in Chennai, India. The center is headed by Dr. R. Ramnarayan, expert consultant general and functional neurosurgeon.
The procedures offered here include
The surgical procedures I do/plan include:
1. Deep brain stimulation (DBS) for:
a) Movement disorders like Parkinsonism, dystonias, essential tremor.
b) Some psychiatric problems like depression, OCD, and some other psychiatric illnesses.
c) Intractable alcoholism
d) Chronic pain especially the central post stroke pain.
e) Intractable epilepsy
f) Intractable obesity
g) some types of autism (aggressive types with self harm).
h) selected cases of schizophrenia.
2. Intrathecal pumps:
A). Intrathecal morphine (ITM) pumps are very useful in:
a) cancer pains
b) Failed back surgery syndromes.
c) Other types of noxious pain.
B) Intrathecal baclofen (ITB) pumps are good in
a) All types of spasticity as in
1. Cerebral palsy
2. Hypoxic encephalopathy
3. Multiple Sclerosis
4. Severe head injury
5. Spinal cord injury
7. Some Neurodegenerative illness
b) Patients in persistent vegetative state.
c) Cases of spino-cerebellar degeneration
d) Patients with cerebellar involvement in Multiple sclerosis
3). Spinal cord stimulation (SCS) is very useful in:
a) Refractory .angina/ Intractable heart Failure (Class 3 and 4)
b) Patients with failed back surgery syndrome
c). Patients with severe painful diabetic neuropathy.
d) Patients with brachial plexus injury pain
e). Patients with severe peripheral vascular disease (limb saving)
4) Sacral nerve stimulation for sphincter disturbances
a) Urinary incontinence
b) Urinary retention ( non-Obstructive)
c) Faecal incontinence
e) some cases of irritable bowel syndrome
5) Vagal nerve stimulation.for
a) intractable epilepsy
b) refractory depression
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