Best Hospital for Mild Cognitive Impairment in Mumbai
RNR Medicine at Jaslok Hospital is the best hospital for MCI in Mumbai, offering non-invasive neuromodulation treatment for psychiatric diseases and chronic pain in neurological conditions. RNR Medicine uses cutting-edge technology and evidence-based protocols to help you overcome your cognitive decline and improve your quality of life.
Introduction to Mild Cognitive Impairment
Cognition encompasses higher mental functions such as decision-making, planning, attention, execution, and memory. Mild Cognitive Impairment (MCI) is a condition where individuals experience cognitive deficits and memory impairment without a significant impact on their daily activities. This condition may progress and potentially develop into dementia. In the early stages, MCI can compromise complex behaviors, including activities like driving, and may affect short-term memory. Additionally, behavioral problems such as anger or aggressiveness may occur.
Dedicated research worldwide aims to alleviate the suffering of patients dealing with cognitive impairment. Transcranial Magnetic Stimulation (TMS) is an innovative and noninvasive method that has shown promising results in recent studies. TMS works by modulating cortical excitability, offering a potential avenue for addressing cognitive issues associated with conditions like MCI.
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Candidacy for Mild Cognitive Rehabilitation
Patients experiencing cognitive decline may exhibit symptoms such as slow processing speed, poor decision-making, and difficulties with attention and planning. Performing complex tasks like driving can become challenging due to these cognitive impairments.
- Other potential candidates for TMS include those with:
- Increased risk of falls and slow walking speed.
- Memory loss, including forgetting common details like names of relatives or their home address, leading to the risk of getting lost.
- Difficulty finding words, leading to confusion.
- Poor judgment skills, mixed-up thought processes, and poor emotional control, often resulting in irritability and aggressive behavior.
It’s important to note that TMS may offer potential benefits for these individuals. Moreover, patients with various medical conditions, such as pregnancy, hypertension, diabetes, thyroid disorders, kidney diseases, and heart diseases, can participate in TMS treatment. Commonly used medical devices like stents, pacemakers, coils, orthopedic implants, etc., are usually MRI compatible and do not interfere with TMS.
Present Literature
TMS has been extensively researched globally since the 1980s, with numerous studies published in peer-reviewed journals showcasing positive outcomes and minimal adverse effects.
For instance, in Italy, a study investigated patients with mild cognitive impairment. The participants were randomized into two groups: the control group received cognitive training focusing on memory and attention, while the intervention group underwent deep TMS in addition to standard cognitive training. The findings revealed that the intervention group demonstrated more significant improvement in memory compared to the control group. Remarkably, these improvements were sustained even six months after the completion of the treatment (Mattioli et al., 2021).
Method
Transcranial Magnetic Stimulation (TMS) is a non-invasive method of neuromodulation. It involves delivering low-energy magnetic stimulation to a specific site of the brain through the skull, utilizing a specially designed coil incorporated into a helmet.
When a patient arrives, the nurse will gather a detailed medical history and update the doctor. The doctor will then discuss the most suitable protocol with the patient, determining factors such as the duration of each session, the frequency of sessions per week, and the total number of sessions. Once confirmed, this information is entered into the computer.
Following this, an evaluation is conducted to determine the Motor Threshold (MT) by applying stimulation through the helmet. Based on the pre-designed protocols, TMS is administered to the patient. For mild cognitive impairment, the patient typically undergoes about 16 sessions over an 8-week period, with each session lasting approximately 15-20 minutes.
The procedure does not require sedation or anesthesia, and fasting is not necessary before the procedure.
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Why Should You Choose Jaslok Hospital for TMS?
The Jaslok Hospital & Research Centre is among the oldest tertiary care, multi-specialty Trust hospitals in the country. Engaging in ongoing research collaborations with institutions in India and abroad, the hospital boasts a dedicated “Restorative and Regenerative Medicine” department led by consultants with over 20 years of experience.
Equipped with cutting-edge technology and equipment from the globally reputed “Brainsway” company, the department features advanced H1-7 coils, distinct from conventional coils. These coils enable the delivery of noninvasive deep Transcranial Magnetic Stimulation (TMS) with precision, ensuring maximum effectiveness. With FDA and CE clearance for the treatment of various neurological and psychiatric conditions, this advanced TMS technology surpasses the limitations of conventional TMS by reaching specific target sites such as the insula and cingulate gyrus.