Acoustic Neuroma in India

Acoustic Neuromas:

Acoustic neuroma is a noncancerous tumor developing on the vestibular nerve, which courses from the inner ear to the brain. The tumor is slow-growing in most of the cases. The branches of the vestibular nerve are responsible for balance, and hearing. Acoustic neuroma may exert pressure on the nerve leading to hearing loss, ringing in the ear and instability.
The origin of Acoustic neuroma is Schwann cells that cover the vestibular nerve. In rare cases, there is rapid growth, putting pressure against the brain and disturbing vital functions of the body.

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Symptoms of Acoustic Neuroma:

The signs may often go unnoticeable. The most common initial symptoms of an acoustic neuroma include,

• A decrease in hearing power, more prominent on one side.
• Tinnitus, which is a ringing sensation in the ear.
• Imbalance
• Dizziness or vertigo
• Facial numbness, weakness or loss of muscle movement. (Due to pressure on the adjacent nerves)
• Confusion
• Difficulty to swallow
• Hoarseness of voice
• Taste changes
• Headache
• acoustic neuroma

Causes of Acoustic Neuroma:

Based on the causes of acoustic neuroma, it is of two types:

Sporadic form of Acoustic Nuroma:

Acoustic neuroma associated with neurofibromatosis type II

Some other causes of acoustic neuroma are

• Loud noise
• Radiation therapy to head and neck
• Increased use of cell phones

Neurofibromatosis type II or NF2:

Neurofibromatosis type II or NF2 is a congenital disorder, involving the growth of non-cancerous tumors of the nervous system. This is the most common cause of acoustic neuroma and can be bilateral by the age of 30 years. The patients with NF2 also have other tumors affecting the spinal cord and brain, which can cause hindrance with the nervous system and other vital functions of the body.

Diagnosed

In most cases, it is difficult to diagnose acoustic neuroma as the signs go unnoticed. Following are some of the test that can help in diagnosing the tumor.

Audiometry:

The test is performed by an audiologist, in which the patient hears the sound directed to one year at one time. A wide range of sounds in different tones is radiated and the patient is asked to point out each time he/she is able to hear it.

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Radio-Imaging:

To confirm the diagnosis and measure the size of the tumor, MRI is done. The doctor can also do a CT scan instead of an MRI.

Treatment:

There are 3 basic approaches for the treatment of acoustic neuroma:

• Wait and watch
• Surgical removal
• Radiotherapy

Depending upon the extent and overall condition of the tumor, the doctor may opt for any of the above treatment options.

Wait and Watch:

In cases of very small sized tumors which do not show any growth are usually preferred to be observed. However, the doctor may recommend you to get an MRI or a CT scan every 6-12 months. The patient will need to start treatment if there are any signs of aggression or other changes in the tumor

Surgery:

The goal of the surgery is to remove the tumor while preserving the surrounding structures such as facial nerve and prevent facial paralysis and save hearing sensation. The surgery is performed under general anesthesia. Sometimes it is difficult to remove the entire tumor due to its close proximity to the vital structures such as brain or cranial nerves. There are some of the best ENT hospitals in India, which are well-equipped to perform such surgeries. Following complications may be associated with surgical treatment such as,

• Facial numbness
• Ringing sensation
• Hearing loss
• Leakage of cerebrospinal fluid through the incision
• Stroke
• Bleeding in the brain
• Meningitis

Radiation Therapy:

People with older age or chronic ailments such as heart disorders are advised to get stereotactic radiation such as gamma knife surgery, in which several gamma rays are concentrated on the tumor to destroy it without causing any damage to the surrounding structure. The procedure is conducted with high precision and with the help of an MRI or CT scan.
The radiotherapy is given in fractions over multiple sessions and it may take several months or years to show evidence of improvement

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IBS Institute of Brain and Spine

Number of beds:   50
ICU Beds:                  12
Airport Distance: 15 Km

About Hospital:

• Established in 2011, IBS Hospital specializes in advanced neurosurgery, neurology, spine surgery, and joint replacement surgeries.
• The hospital receives more than 600 international patients per year.
• It has world-class infrastructure and a dedicated team of specialists and qualified staff.

• Accredited with NABH, Institute of Brain and Spine offers a wide range of non-surgical interventions, diagnostics, and minimally invasive surgical treatments.
• The hospital provides comprehensive treatments for Parkinson’s disease, tremors, gastroparesis, spasticity, dystonia, bowel control and other unique treatments such as spinal cord stimulation, neuromodulation therapy, deep brain stimulation, sacral neuromodulation, peripheral nerve stimulation, high cervical stimulation, nerve stimulation, brachial plexus nerve stimulation, electrical cortical stimulation and drug pump insertion.
• Its rehabilitation department offers post-surgical and other treatments for a healthy and speedy recovery.
• It has collaborated with SPINE MED to provide Neuroscience facilities in TOSHKENT (Uzbekistan.)

Indraprastha Apollo Hospital

No. of beds: 900
ICU Beds:     262
Airport:  20kms

About Hospital:

• Indraprastha Apollo Hospital is a flagship hospital of India’s foremost healthcare groups,the Apollo Group. It is a highly renowned multi-speciality facility that offers tertiary and quaternary care services to domestic and international patients.
• The 900 bedded hospital is outfitted with the most modern technology for diagnostics as well as therapeutic purposes.
• A team of highly trained medical professionals work under all the 52 specialities at the hospital.

• Indraprastha Apollo is an accredited hospital with international standard quality services for patient care and safety norms.
• The hospital uses its own system, called The Apollo Standards of Clinical Care (TASCC), to maintain top standards for all kinds of treatment and procedures.
• The Apollo Organ Transplant Program is one of the most successful programs in the country that has performed over 1627 transplants (410 Liver and 1210 Kidney), including 979 transplants (289 Liver and 690 Kidney) performed at the Transplant Program in Delhi.
• It is the First Hospital in India to perform a Paediatric Liver Transplant in 1998. They have successfully performed various kinds of liver transplant for different kinds of liver conditions.
• Indraprastha Apollo Hospital has some world-reputed surgeons and specialists who are the pioneers of their specialities, especially in Cardiology and Neurology.
• The hospital has won many national and international accolades and continues to be one of the top healthcare service providers in India.
• It is the first hospital in India to get international accreditation by international (JCI) consecutively for the fourth time

BLK-Max Hospital

Number of beds: 700
ICU Beds:               175
Airport Distance: 13 Km

About Hospital:

• BLK Super Speciality Hospital was established by Dr. B.L. Kapur  in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
  
• BLK Super Speciality Hospital was established by Dr. B.L. Kapur  in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
• BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients.

• Spread on five acres of land, with a capacity of 700 beds,
• BLK Super Speciality Hospital is one of the largest tertiary care private hospitals in the country,
• BLK has consistently ranked amongst the Top 10 Multi Super Specialty Hospitals in Delhi NCR.
• The outpatient services are spread on two floors with 80 consultation rooms. All ambulatory services have been designed with the intent to create dedicated aides for all specialities, with their interventional services in close vicinity.
• The hospital has 17 state-of-the-art well equipped modular operation theatres with three-stage air filtration and gas scavenging system to ensure patient safety. All the Operation Theatres are fitted with best in class pendants, operating lights, anaesthesia workstations and advanced information management system.
• The Hospital has one of the biggest critical care programmes in the region with 125 beds in different intensive care units viz Medical, Surgical, Cardiac, Paediatrics, Neonatology, Neurosciences and Organ Transplant.
  
• Each Critical care unit is equipped with high-end patient monitoring devices, ventilators and dedicated isolation rooms.
• Liver and Renal Transplant Centres have been equipped with dedicated ICUs with individual HEPA filters, specialized instruments and equipment.
• Awarded the Prestigious Gold Award at Hospital Management Asia (HMA), Bangkok (2013) and HMA Awards 2014.

Artemis Hospital Gurgaon

Number of beds:  600
ICU Beds:                185
Airport Distance: 19 Km

About Hospital:

• Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India.
• Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
• Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.

• Artemis has around 400 + best doctors. It has put modern technology in the hands of renowned  doctors from across the country and abroad to set new standards in healthcare.
• The medical practices and procedures followed in the hospital are research-oriented and benchmarked against the best in the world.
• Top-notch services, in a warm, open patient-centric environment, clubbed with affordability, has made us one of the most revered hospitals in the country.
• Most Promising Start-Up of the Year 2007 award – Express Healthcare magazine
• Best IT Implementation for the Year 2008 – PC Quest magazine for Hospital Information System
• Best institute for Medical Value Year 2010 – The CNBC Awaaz travel awards
• Asia Pacific Hand hygiene excellence Award Year 2011 – World Health Organisation (WHO)
• The patient base is 400000
• 750000 surgeries conducted since the inception

Medanta Hospital Gurgaon

Number of beds: 1250
ICU Beds:                300
Airport Distance: 18 KMs

About Hospital:

• Medanta – The Medicity is amongst India’s largest and most renowned multi-super speciality healthcare centre with 1250 beds, 29 super speciality units and more than 800 accomplished doctors.
• Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs.
• The panel of doctors from Medanta, headed by A.S.Soin performed the first successful intestinal transplant in India.

• The team of Medanta has performed over 15,000 cardiac surgeries and 2500 joint replacement surgeries.
• It Has performed over 500 living donor liver transplants. It is the highest number of liver transplants done in India and the 2nd highest in the world.
• Further to its credits, the doctors at Medanta are highly trained experts with international repute and have contributed in making world records and claimed many firsts not only in India but on a global scale.
• It has all kinds of procedures like Liver transplant, intestine,transplant and Knee Replacement surgery.
• The hospital maintains a high standard of quality clinical care and is operational with the latest technologies like 256 Slice CT, Brain Suite with Intraoperative MRI Imaging, Da Vinci a surgical system with Robot for Minimally Invasive Surgery, Artis- Zeego Endovascular Surgical Cath Lab- with combined operating room.

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Fortis Hospital Gurgaon (FMRI) 

Number of beds:  1000
ICU Beds:                  298
Airport Distance:  17 KMs

About Hospital:

• Fortis Memorial Research Institute was established in 2001.
• It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
• Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.

• JCI & NABH Accredited Hospital, NABL Accredited Lab, NABH Certified Nursing Excellence, NABH Accredited Blood Bank
• FMRI is a 1000 bedded and 15 Operation theaters and over 400 diagnostics centres (including JVs).
• Medical facility endowed with a dedicated team of 200 world-renowned doctors, covering a number of specialities, who aim to provide the best quality medical care to all the patients, national as well as international.
• This hospital is well set up with the latest technologies and equipment throughout all the specialties and research labs, which are accredited by NABL.
• This ensures that the patients at FMRI receive diagnostic results and treatment with high accuracy and in minimum time.
• With a vision for the community, FMRI operates various speciality clinics such as, for Paediatrics, Nephrology, Neurology, Gynecology, Orthopedics, Oncology and many more, which provide long term healthcare management and follow up care.
• FMRI is the premium healthcare provider and endeavours to be known as the “Mecca of Medicine” – the ultimate healthcare destination.

Max Hospital Saket

Number of beds:   500
ICU Beds:                 267
Airport Distance: 13 KM

Brief About:

• Max Super Speciality Hospital at Saket is one of the topmost healthcare service
• Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
• With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.

• Max Hospital, Saket aims to provide the highest standard of medical care to the patients, right from admission and all the way to the patient discharge.
• Max Smart Super Speciality Hospital, Saket, offers the advantage of integrated medical care in a multidisciplinary setting provided by a faculty of highly qualified doctors, nurses, & healthcare professionals.
• Max Smart Super Speciality Hospital, Saket, is a regional hub for complex procedures such as neurovascular intervention, targeted cancer treatments, heart surgeries, orthopaedic surgeries, liver & kidney transplant, and fertility treatments.
• With over 35 Speciality units, this renowned hospital caters to many patients from different parts of India as well as abroad on an everyday basis.
• The super specialty hospital is well known for having Asia’s first and the world’s third BrainSUITE technology.
• It is an advanced Neurosurgical operation theatre, which allows the medical team to use MRI during the surgery. This sophisticated technology can be used for various kinds of brain surgery.
• Max Hospital group is also the first super speciality tertiary care centre that has the facility for advanced cardiac life support ambulances and air evacuation service.

Sanar International Hospital

Number of beds:   130
ICU Beds:                  35
Airport Distance:  20 Km

About Hospital:

• Sanar International Hospital was established in 2018.
• Sanar International Hospital founded by Mr. Naresh Kapoor.
• Sanar International Hospital offers comprehensive advanced surgical care in specialties like Cancer, Heart, Blood and Marrow Transplant, Lung, Liver, and Neurosciences along with other major departments with advanced state-of-the-art facilities.

• It establishes itself as a center of excellence with world-class infrastructure, a team of experienced surgeons, doctors, and nursing staff.
• Sanar International Hospitals is not only leaving a mark amongst domestic patients but also making it a preferable choice for patients from other countries.
• Sanar International Hospital offers comprehensive advanced surgical care in over 15 Specialties.
• The hospital’s skilled faculty is on numerous medical clinical & advisory boards and lectures nationally & internationally on a regular basis.
• It focuses on High-End Complex Surgeries with cutting-edge technology to enable the carrying-out of the most complex surgical procedures with clinical excellence at par with anywhere in the world.
• All facilities are based on the latest revolutionary and technological advancements of global standards particularly in radio diagnosis, research, clinical and surgical practices.
• Hospital technology & Radio Diagnostic foray is of the latest generation of MRI, CT, Digital X-Ray, Ultrasound, pharmacy, ambulance & 24 hrs Transfusion Medicine, Laboratory & Emergency services.
  

Accord Superspeciality Hospital

Number of beds:   380+
ICU Beds:                  41
Airport Distance:  46 Km

About Hospital:

• The story of Accord began with the thought of leveraging the new age technology with the healthcare infrastructure to serve the patients, rightly, effectively, and timely.
• Accord Superspeciality Hospital (A Unit Of SCL Healthcare Pvt. Ltd) is India’s first smart hospital and one of the first of its kind in the world.
• Accord Superspeciality Hospital aims at providing technologically advanced healthcare services to international patients who are looking out for medical tourism in India.

• It delivers world-class patient care services.
• Highly experienced team of super specialist available at accord superspeciality hospital
• It believes in enhancing the expertise of doctors through the use of augmented artificial intelligence, generated through various systems and software.
• Its smartness is the result of a super-brain that accompanies the hospital.
  

Aakash Health Care Delhi

Number of beds:  230
ICU Beds:                70
Airport Distance: 10 Km

About Hospital:

• Aakash Healthcare Super Speciality Hospital is a tertiary care facility, with 15 Dialysis, and 70 Critical care beds for treating the most complex cases in the National Capital Region (NCR) of Delhi, Dwarka.
  
• The hospital is equipped with state of the art infrastructure, latest technology, competent clinicians and compassionate staff.
  
• Aakash Healthcare Super Specialty Hospital is known for its leading care in Orthopaedic and Joint replacement surgery.
  

• The hospital also has a 24×7 ‘Trauma & Emergency Center’, blood bank, with state of art Neonatal and Paediatric ICU.
• The Super Specialty Hospital is being managed by highly qualified and trained experts from their respective fields and a unified team of healthcare experts ensure 24×7 comprehensive patient care
  
• The Hospital has deployed high-end technologies and smart digital systems along with robust Hospital Information Systems to address complex medical needs and convenience of patients.
• Mr. J C Chaudhry is the chairman of Hospital and Dr. Aashish Chaudhry is Managing Director, who is also a renowned Orthopedic Surgeon in this region.
  
• Total number of surgeries done is 25000+ till now.

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• Providing a doctor’s opinion and proper quotation
• Selecting the best hospital and doctor as per your case
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• Arranging airport pick up/ drop
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• Providing local sim card
• Arranging video consultation with specialist doctor if case requires