INTRODUCTION:

Prof. UP Devkota served majority of Nepalese for management of their neurological diseases at our institution from the inception of the institute on 2006 AD. The Neurology department was established as a separate wing from 2014 with dedicated neurologists joining the team. With the vision of offering the best neurology training and patients’ care in neurology, the department is functioning at its best with following details.

FACULTIES:
  1. Dr. Lekhjung Thapa
    • MD (Internal Medicine)
    • DM (Neurology)
    • Consultant Neurologist & Chief of the Department
  2. Dr. Suman Bhattarai
    • MD (Internal Medicine )
  3. Dr. Anzil Mani Singh Maharjan
    • MD (Neurology)
SERVICES AVAILABLE: (All services are available 24x7 until and unless specified)
  1. Inpatient Beds:
    • General ward (Buffer): 15
    • DNG Ward (Unit 1): 15
    • ICU: 10 (combined with Neurosurgery)
    • Joanne ward: 10
    • Total: 40
  2. Emergency services:
    • Beds: 5
    • OPD: a. Sunday to Friday (9 am -5pm)
  3. Electrophysiology:
    • Routine EEG
    • NCS
    • NCS
    • F-Wave study
    • RNS
    • H-Reflex
    • SSEP
    • BAER
    • VEP
    • EMG
  4. Video-EEG monitoring
  5. Radiology:
    • 1.5 T MRI machine (Angiography/MRS/Diffusion-perfusion study)
    • 16-slices CT-Scan (Perfusion/Angiography)
    • Cath-Lab (Conventional 6-vessel angiography)
    • Ultrasound (General, Vascular, transcranial doppler)
    • Digital X-Ray
  6. Laboratory:
    • Advanced automatic analyzer for Hematology, Biochemistry, Microbiology, Serology, Pathology and various immunological tests
  7. Speech Therapy unit
  8. Physiotherapy unit
ADVANCED TREATMENTS OFFERED:
  • IV thrombolysis for acute ischemic stroke
  • IVIg for peripheral neuropathies, Myasthenia gravis and Autoimmune encephalitis and epilepsy
  • Botox therapy for various movement disorders
  • VEEG for Epilepsy classifications
  • Muscle biopsy for various neuromuscular diseases
  • Interferon therapy for Multiple sclerosis
DATA OF SERVICES PROVIDED [ 2072 Kartik-2073 Aswin ]
  • OPD: 17,128
  • Inpatient: 720
  • EEG: 1019
  • NCV/EMG: 924
  • Stroke Thrombolysis: 32
  • Botox injection: >50
EXAMPLES OF THE MOST COMMON CASES SEEN:
  1. OPD:
    • Headache
    • Epilepsy
    • Low back pain
    • Peripheral neuropathy
    • Fibromyalgia
  2. In-patient:
    • Stroke
    • Epilepsy
    • Meningitis (pyogenic and tubercular)
    • Peripheral neuropathy (GBS)
    • Headache
  3. Emergency:
    • Stroke
    • Meningitis
    • Epilepsy
    • Headache
    • GBS
INTERESTING CASES:
  • Neuroacanthocytosis
  • Neurolathyrism
  • Hymenoptera envenomation with GBS
  • Progressive myoclonic epilepsy
  • Myasthenic crisis
CURRENT RESEARCH PROJECTS:
  1. Vitamin D in acute ischemic stroke
  2. Normality NCS data of Nepalese population
  3. Profile of patients living with epilepsy presenting for electroencephalography
  4. Moya-Moya disease: a case report
  5. Takayasu arteritis: a case report
  6. Clinical profile of AIDP patients: A retrospective analysis
  7. Outcome of patients Thrombolysed with tenecteplase in acute ischemic stroke
  8. Predictors of outcome of hemorrhagic stroke
  9. Profile of patients presenting with Parkinson’s disease
  10. A randomized controlled trial of Albendazole therapy in solitary neurocysticercosis
  11. FLAIR hyperintense vessels in acute ischemic stroke
  12. CVST at NINAS: A retrospective analysis of 19 cases
  13. Hymenoptera envenomation presenting with AIDP
  14. AIDP with pyramidal signs: a rare presentation
INTERNATIONAL RESEARCH COLLABORATION:
  1. Effects of marriage on Epilepsy in South Asia: A multi-center, multicultural survey [Supported by WFNS]
  2. Stroke care application for public awareness, project with team of University of California, San Francisco, USA (Jan 2017): Health4heworld
SUPPORTING DEPARTMENTS AND SERVICES:
Department of Neurosurgery

Department of Neurosurgery is well known to be the pioneer department in the country led by Prof. UP Devkota and supported by Dr. DN Gongal for last 10 years. The department has 100 beds and a well-equipped OT and ICU set-up. The department is famous for its excellent neurosurgical care across the country. Advanced gadgets in surgical techniques are continually added to facilitate the neurosurgical outcome. To name few, the department provides neuronavigation services, stereotactic technology, endoscopic neurosurgery, transcranial Doppler, ICP monitoring etc. The institute is also known for its academic excellence in neurosurgery. It started MCh course under Kathmandu University (KU) in the year 2065 BS. FRCS-Neurosurgery candidates are also being trained here regularly. Currently there are 4 MCh residents and 3 FRCS residents.

Department of Radiology:

The department is supported by Dr. Prity Agrawal, Dr. Kajan Ranabhat and Dr. Pratik Shrestha who are experienced consultants in the department, providing regular services. Services like DSA, MRI (1.5T), CT scan, USG, Doppler, ECHO, X-Ray are routinely done. MD-Radiology residents and radiographer trainee are being posted to the department form other institutes (BPKIHS, Dharan & Nobel Medical College) regularly.

Department of Physiotherapy:

Services are provided on in-patient and out-patient basis with recent equipment and a well-set physiotherapy unit. For clinical experience, 2nd and 3rd year BPT students are regularly posted from KU.

Department of Pathology:

This well-established department is led by Dr. Rajesh Panth and is supported by Dr. Bharat Mani Pokhrel and others. Hematology, Parasitology, Biochemistry, Serology, Histopathology, Microbiology, and immunological tests are routinely conducted.

Other supportive faculties who are regularly on-call
  • Psychiatrist
  • ENT surgeon
  • Orthopedic surgeon
  • Cardiologist
  • Nephrologist
  • Pulmonologist
  • Endocrinologist
  • Dermatologist