Department of Neurology
Department of Neurology has aim of providing the best medical care in the evaluation and management of patients with various neurological disorders. It also aims to uplift the academic excellence in the field of Neurology. Since its establishment, the department is moving forward under the leadership and guidance of respected Prof Dr Krishna Kumar Oli, MD, PhD. The department provides medical care to more than 500 outpatients per week and about 30-40% total admissions in the medical wards. In addition, teaching learning activities is extraordinarily immense with journal clubs, topic presentations, mortality presentations and case presentations. The department enrolls a DM Neurology resident each year and has already produced 6 batches of neurologists, out of which, 3 have joined Maharajgunj medical campus and rests are in other medical institutions around the country. Present manpower and activities of Department of Neurology has been listed below.

Faculties

1. Dr Bikram Prasad Gajurel, MD, DM (Head of department, Associate Professor)
2. Dr Ragesh Karn, MD, DM ( Asst. Professor)
3. Dr Reema Rajbhandari, MD (Asst. Professor)
4. Dr. Rajeev Ojha (Asst. Professor)

DM Residents

1. Dr Niraj Gautam (Third Year)
2. Dr Ashish Shrestha (Second Year)

Past DM residents and their current institutions

1. Dr Sunanda Paudel: Karnali Academy of Health Sciences, Jumla
2. Dr Parash Rayamajhi: Bir Hospital
3. Dr Ghanshyam Kharel: UP Devkota centre, Bansbari
4. Dr Dilli Ram Kafle: Nobel medical college, Teaching Hospital
5. Dr Krishna Dhungana: Kathmandu medical college, Teaching Hospital

Inpatient services
Neuro Ward location: Main inpatient building, second floor (near medical ICU)
General beds and Cabins
Contacts: 9803124776, [email protected]
Website: www.tuthneurology.com.np
Patient admission ward: Primarily in Neuro ward, Annex – 2 & 3, Nephro ward
Common Patients Diagnosis: Stroke, Encephalitis, Meningitis, Guillain Barre Syndrome, Multiple Sclerosis, Tuberculoma, Neurocysticercosis, Dystrophy, Cerebral venous thrombosis, Epilepsy, Idiopathic intracranial hypertension
Electroencephalography (EEG): EEG monitoring for patients in general ward and intensive care unit. (Daily)
Nerve conduction test/EMG: Nerve conduction test, Needle electromyogram, Repetitive Nerve stimulation

Outpatient Services

1. Morning OPDs on Monday 9:00 am – 1:00 pm and Friday 9:00 am – 1:00 pm
2. Evening OPD on Wednesday 2:00 pm – 4:00 pm
3. Neuro-ophthalmology OPD every Tuesday afternoon. 1:00pm – 4:00 pm
4. Neuro-otology OPD first Thursday afternoon of every month
5. Neurophysiology (Nerve conduction test and EMG) every Sunday, Tuesday, Thursday afternoon 2:00pm – 4:00pm (Dates can be taken from B-block Room 1: 9:00- 4:00 pm)

Clinical Researches

1. Thrombolysis in Acute Ischemic Stroke
2. Randomized control trial in the management of Carpal tunnel syndrome
3. Electrophysiological subtypes and outcome in Guillain Barre Syndrome
4. Telemedicine in the management of Parkinson’s Disease
5. Economic Burden of Parkinson’s Disease

Recent Publications

1. Gajurel BP. Nepal: the pain of stroke treatment. Practical Neurology. 2020 Aug 19.
2. Ojha R, Shahi S, Nepal G, Shakya A, Gajurel BP, Karn R, Rajbhandari R, Gautam N. The diagnostic quandary of magnetic resonance imaging-negative Hirayama disease: a case report. Journal of Medical Case Reports. 2020 Dec;14(1):1-5.
3. Ghimire P, Khanal UP, Gajurel BP, Karn R, Rajbhandari R, Paudel S, Gautam N, Ojha R. Anti‐LGI1, anti‐GABABR, and Anti‐CASPR2 encephalitides in Asia: A systematic review. Brain and Behavior. 2020 Aug 12:e01793.
4. Sporadic Creutzfeldt – Jakob disease: A Case Report and Review of Literature; Rajeev Ojha, Gaurav Nepal, Sujan Jamarkattel, Bikram P Gajurel, Ragesh Karn, Reema Rajbhandari; Clin Case Rep. 2020, June
5. Efficacy and safety of rituximab in autoimmune encephalitis: a meta-analysis; Nepal, Gaurav; Shing, Yow; Yadav, Jayant; Rehrig, Jessica; Ojha, Rajeev; Huang Ya, Dong; Gajurel Prasad, Bikram; Acta Neurologica Scandavica; 2020 June
6. Rayamahji P, Karn R, Gajurel BP, Rajbhandari R, Ojha R, Agrawal JP. Clinico-etiological Profile of Seizure Disorder among Adults Admitted to Tertiary Care Hospital of Nepal. Journal of Institute of Medicine Nepal. 2019 Apr 30;41(1):79-84.
7. Clinical outcome of intravenous immunoglobulin in the treatment of Guillain Barre Syndrome in a Nepalese tertiary centre. Ojha R, Karn R. Nep Med J;2(1):133-7; 2019
8. Rajbhandari R, Parajuli P, Oli KK. Ischemic Stroke in Young Adults: Study of the Subtypes, Risk factors and Predictors of Poor Outcomes. Nepal Journal of Neuroscience. 2019 Jun 12;16(1):29-34.
9. Spectrum of Cryptococcal Meningoencephalitis in Tertiary Hospital in Nepal; G Kharel, R karn, R Rajbhandari, R Ojha; Journal of Institute of Medicine, 42:1;27-31; 2018
10. Clinical Profile of Patients with Myasthenia Gravis in A Tertiary Center of Nepal; R Ojha, KK Oli, BP Gajurel, R Karn, R Rajbhandari; Nepal Journal of Neuroscience 14:14-19, 2017

Neurology Faculties

1. Dr Ragesh Karn (Assistant Prof., Head of Neurology Department)

Email: [email protected]
Qualification: MBBS, MD Internal Medicine, DM Neurology
Special Interests: Epilepsy, Movement Disorders, Peripheral Neuropathy, Awareness program of Neurological disorders
Member Societies: Nepalese Academy of Neurology, Movement Disorders Society

2. Dr Bikram Prasad Gajurel (Associate Professor)

Email: [email protected]
Qualification: MBBS, MD Internal Medicine, DM Neurology, Fellow of Cerebrovascular Diseases ( Canada)
Special Interests: Stroke, Epilepsy, Multiple Sclerosis, Neuroinfection, Volunteer service to establish acute stroke care in Nepal
Member Societies: Nepalese Academy of Neurology (Vice President), Movement Disorders Society, American Neurological Association

3. Dr Reema Rajbhandari (Assistant Professor)

Email: [email protected]
Qualification: MBBS, MD Neurology
Special Interests: Epilepsy, Multiple Sclerosis, Young Stroke, Headache
Member Societies: Nepalese Academy of Neurology, Movement Disorders Society, American Neurological Association, Nepal Epilepsy Society

4. Dr Rajeev Ojha (Assistant Professor)

Email: [email protected]
Qualification: MBBS, MD, DM Neurology, Fellow of European Board of Neurology
Special Interests: Movement Disorders, Headache, Neuromuscular Disorders, Telemedicine
Member Societies: Nepalese Academy of Neurology (Joint Treasurer), Movement Disorders Society, American Neurological Association, Nepal Epilepsy Society

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