Department of Neurology is an integral part of Tribhuvan University Teaching Hospital and provides the best medical care, proper evaluation and clinical management of patients with various neurological disorders. Patient of neurological disorders are the major bulk of both emergency and inpatient wards. So, a team of energetic and trained faculties, residents and nursing teams are needed to maintain and develop it. In this aspect, we have plans to improve further the outpatient service and weekly specialized outpatient clinics are being planned for the near future. Further, improvement in quality of critical care and stroke were enhanced by adding more high dependency units’ (HDU)  beds last year. With the new beds added to Suresh Wagle building last year, 20-30 patients get regularly admitted in HDU and general wards. There is still a need to expand the outpatient section. With the increment of outpatient load, addition of newer faculties and outpatient space should also be expanded. In addition to daily clinical service, teaching learning activities is extraordinarily immense with journal clubs, topic presentations, mortality presentations, neurophysiology discussions and case presentations. The department enrolls a DM Neurology resident each year and has already produced 8 batches of neurologists. Department is also regularly providing guidance to various national and international electives posted for exposure of neurological disorders.

 Outpatient Services 

1. Morning OPDs on Monday and Friday
2. Evening OPD on Wednesday
3. Neuro-ophthalmology OPD every Tuesday afternoon
4. Neurophysiology (NCT, EMG, RNS) lab Sunday, Tuesday & Thursday

Academic Activities 

1. Academic Presentations by DM residents on 4 days every week (including mortality reviews)
2. Case presentation by DM residents on 3 days every week.
3. Grand round by HOD Sunday and Thursday every week.
4. Twice a month Theory and Practical classes for MD residents by Dr Bikram Prasad Gajurel
5. Supervision of MD residents during Neurology case presentation 

Faculties

1. Dr Bikram Prasad Gajurel, MD, DM, FRCP (Edin.) Fellowship in Stroke (UAH, Canada) (Associate Prof. and Head)
2. Dr Ragesh Karn, MD, DM (Associate Prof.)
3. Dr Reema Rajbhandari, MD (Lecturer)
4. Dr Rajeev Ojha, MD, DM (Lecturer)

Current DM Residents 

1. Dr Aashish Shrestha (Third Year)
2. Sumit Shahi (Second Year)
3. Dr Pukar Ghimire (First Year)
4. Dr Pradeep Panthi (First Year)

Neurology Ward

Total dedicated beds: 28

Other Annex beds: Annex 2 and 3, MICU, ICU, Suresh Wagle HDU and Medicine ward

Total patient admissions last year: 1099.

Common neurological disorders admitted: Ischemic and Hemorrhagic stroke, meningitis, encephalitis, Guillain Barre Syndrome, Myasthenia Gravis, Multiple sclerosis, Neuromyelitis Optica, Neurocysticercosis, Cerebral venous thrombosis, Neurocysticercosis, Motor Neuron Disease

Neurology Outpatient 1 year data

Total Patients in general Neurology OPD every year: Around 40,000

Total patients in Neuro-ophthalmology every year: around 900

Common Neurological Disorders: Migraine, Stroke, Epilepsy, peripheral neuropathy, PIVD, Trigeminal Neuralgia, Carpal Tunnel Syndrome, Dementia, optic neuritis, Multiple sclerosis, neuromyelitis optica.

Publications of 1 year

16 articles in international journals

5 articles in national journals

Ongoing Research

Nationwide school-based headache study

Genotype Phenotype of Parkinson’s Disease

Plasma Exchange in Neurological Disorders

Thrombolysis in Acute ischemic Stroke

International Stroke Registry

Outcome studies in hemorrhagic stroke and cerebral venous sinus thrombosis.

Outcome studies in young patients with ischemic stroke.

Department website: www.tuthneurology.com.np

Email: [email protected]

Contact ( Whatsapp/Viber): 9828071783