न्यूरोलॉजिस्ट vs न्यूरोसरजन
कब क्या चुनें? | Neurologist या Neurosurgeon
1. भूमिका एवं ट्रेनिंग (Role & Training)
| Aspect | Neurologist | Neurosurgeon |
|---|---|---|
| Medical Degree | MBBS + MD/DM Neurology (11–13 yrs) |
MBBS + MS/MCh Neurosurgery (13–15 yrs) |
| Core Domain | Medications, non-invasive therapies | Microsurgery, open & minimally invasive |
| Prescription Rights | Full authority | Pre-/post-op meds only |
| Surgical Practice | None | Primary |
| Diagnostic Tools | MRI, CT, EEG, EMG, Lumbar Puncture | Intra-op monitoring, neuronavigation |
2. उपचार दृष्टिकोण (Treatment Approach)
Neurologist Primary Methods
- Medications: Anti-seizure, anticoagulants, disease-modifying
- Non-surgical: TMS, spinal injections, physiotherapy
- Diagnostics: EEG/EMG, nerve conduction, lumbar puncture
Neurosurgeon Primary Methods
- Surgical: Tumor resection, aneurysm clipping, spinal fusion
- Minimally Invasive: Endoscopic, keyhole craniotomy
- Emergency: Thrombectomy, decompressive craniectomy
3. मरीज चयन (Patient Selection)
| Symptom / Condition | First-line Specialist | Next Steps |
|---|---|---|
| Sudden severe headache + LOC | Neurologist → Neurosurgeon | CT → possible thrombectomy |
| Drug-resistant seizures | Neurologist → Surgical eval | Consider epilepsy surgery |
| Spinal cord compression | Neurosurgeon | Urgent decompression |
| Intracranial tumor | Neurosurgeon | Resection / radiosurgery |
| Progressive muscle weakness | Neurologist | EMG → medical management |
| Herniated disc pain | Neurosurgeon | 6-wk trial → microdiscectomy |
4. आपातकालीन vs चयनात्मक (Emergency vs Elective)
| Scenario | Priority | Time Window |
|---|---|---|
| Ischemic stroke (thrombectomy) | Emergency | Within 6–8 hrs |
| Traumatic hematoma | Emergency | Immediate |
| Slow-growing brain tumor | Elective | Based on growth/symptoms |
| Herniated lumbar disc | Elective | After 6-wk conservative |
5. FAQs
Q1: सीधे Neurosurgeon से मिल सकते हैं?
जी हाँ, लेकिन पहले neurology evaluation लेने से non-surgical options exhaust होते हैं और surgical need स्पष्ट होती है।
Q2: Surgery के जोखिम?
संक्रमण, रक्तस्राव, न्यूरोलॉजिकल कमी, anesthesia complications।
Q3: Recovery Timeline?
Spine fusion: 3–6 महीना
Brain tumor resection: 4–8 सप्ताह initial recovery
Minor endoscopic spine surgery: 2–4 सप्ताह
Note: Begin with conservative treatments. Surgery only when clear benefit outweighs risks. Always seek a second opinion for major procedures.