Neurology Second Opinion and Complex Case Review

• Symptoms such as weakness, numbness, imbalance or memory change that remain unexplained
• Treatment that has not helped as expected
• An MRI or CT report with findings that are hard to understand or that differ between reports
• A serious diagnosis, before starting long-term treatment
• Advice to undergo surgery or an endovascular procedure, such as aneurysm treatment or stenting

A second opinion is a planned outpatient review. Sudden weakness, speech difficulty or a sudden severe headache is an emergency: call 108.

• Unclear brain or spine MRI findings

  White-matter changes, small lesions or incidental findings, looked at alongside the symptoms and examination.

• CIDP and other neuropathies

  Chronic inflammatory demyelinating polyneuropathy, Guillain-Barré syndrome variants and unexplained nerve weakness or numbness.

• Autoimmune encephalitis

  Changes in memory, behaviour or seizures where an immune cause is suspected, and how antibody tests fit the picture.

• Motor neuron disease (ALS/MND)

  Progressive weakness and muscle wasting, with a careful search for treatable conditions that can look similar.

• Myasthenia gravis and multiple sclerosis

  Confirming the diagnosis and reviewing long-term treatment options.

• Advice before a procedure

  Brain aneurysms, carotid narrowing and other conditions where surgery, coiling or stenting has been suggested.

Dr. Manoj takes a full history and does a neurological examination, then goes through your previous reports and the scan images themselves, not only the written reports. You will be told whether further tests are needed, what the likely diagnosis is and what the options are.

• MRI, CT or angiography images on CD or a digital link, along with the reports
• Discharge summaries and previous consultation notes
• Blood test, nerve conduction, EEG and other test reports
• A list of current and past medicines, with doses
• A short timeline of when symptoms started and how they have changed

The findings and options are explained in plain language, and a written summary is given for you and your treating doctor. Many patients continue care with their own doctor; others choose to continue treatment at KIMS Hospitals, Kondapur.