Name of Head of Department: Dr. Bikram Prasad Gajurel
- Department introduction/description: The Department of Neurology at Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, is a leading center for neurological care and education. Established in 2068 B.S. under the guidance of Prof. Dr. Krishna Kumar Oli, the department has been providing top-notch medical care for various neurological disorders and at the same time fostering academic excellence. Patients with neurological disorders are major bulks of emergency services, out and inpatient departments. The department is currently run by a team consisting of five neurologists and 16 nurses. The department has a separate ward with 34 dedicated beds for patients with neurological disorders. There are six critical care and four stroke high dependency beds in the ward itself. However, as the number of cases getting admitted far exceeds the beds available in the ward, equal number of cases are constantly admitted at other wards. The department provides medical care to more than 800-1000 outpatients per week and about 60-80 inpatients per day in the neurology and medical wards, HDUs and ICUs every day providing specialized services like stroke management, neuro-ophthalmology, movement disorders, plasma exchanges and botulinum toxin injections among others. The department also runs a Doctorate of Medicine (DM) in Neurology residency program, enrolling two residents each year. This program has produced several neurologists who now serve in various medical institutions across Nepal.
- Department vision, mission and goals:
The main aim of the Department of Neurology is to provide high quality and standard medical care for patients with various neurological disorders. The department has aims to expand the subspeciality services to start separate stroke, epilepsy, movement disorders, headache, neuromuscular and demyelinating diseases clinics in the near future. It also has plans to start a separate ward to admit and care for patients with acute stroke. It also aims, at the same time, to foster excellence in academic activities. Educational activities are a cornerstone of the department and feature journal clubs, topic presentations, and case discussions. The department has vision to produce qualified neurologists in adequate numbers who could serve at different areas of the country. As mentioned, the department also runs DM Neurology residency program, enrolling two residents each year. Since the current production is not adequate, the department has vision to train internal medicine and general practice residents and specialists in specific topics such as stroke, epilepsy and headaches which carry the major burden of neurological illnesses in our country. The main aim of these training is to empower community level health care workers to adequately care for patients with commonest neurological disorders. The department aims to start clinical fellowship trainings in cerebrovascular diseases in the future. The department has assisted various government programs like PEN protocol development programs, stroke protocol development programs etc. to develop appropriate protocols to help the government run and update its current programs. Research is another key focus, with faculty and residents contributing to original articles, systematic reviews, and case reports. The department has plans to work with national and international organizations like the Nepalese Academy of Neurology, Nepal Stroke Project, Nepal Epilepsy Society, International Movement Disorder Society and the World Federation of Neurology to improve the care of neurological disorders in Nepal. Overall, the Department of Neurology is committed to advancing neurological care, education and research in Nepal, making significant contributions to both patient care and medical research.
- Department faculty member
| S.N. | Full Name | Designation | Full Academic Qualifications | Joined year | Remarks |
| 1 | Dr Bikram Prasad Gajurel | Associate Professor | MBBS, MD, DM, FRCP, FAAN | 2069 B.S. | Joined as Lecturer |
| 2 | Dr Ragesh Karn | Associate Professor | MBBS, MD, DM | 2067 B.S. | |
| 3 | Dr Reema Rajbhandari | Lecturer | MBBS, MD | 2067 B.S. | |
| 4 | Dr Rajeev Ojha | Lecturer | MBBS, MD, DM | 2077 B.S. |
- Academic programs and students educated/trained each year / total
| Level | S.N. | Program name | |
| Bachelor | 1 | MBBS | Yes |
| 2 | BDS | Yes | |
| Masters | 3 | MD Internal Medicine MMC | Yes |
| 4 | MD Internal Medicine IOM Affiliated Colleges | Yes | |
| 5 | MD GP | Yes | |
| 6 | MD Psychiatry MMC | Yes | |
| 7 | MD Psychiatry IOM Affiliated Colleges | Yes | |
| 8 | MN MNC and IOM Affiliated Colleges | Yes | |
| Super-specialty | 9 | DM Neurology | Yes/Full Time Program |
- List of hospital clinical services provided and Number of patients served/treated
- Morning OPDs on Monday and Friday; and evening OPDs Wednesdays every week.
- Neuro-ophthalmology OPD Tuesday afternoon every week.
- Neurophysiology (Nerve conduction test and electromyography) every Sunday, Tuesday & Thursday afternoon every week.
- Total new patients in general neurology OPD: 19234 in 2080 B.S.
- Estimated old and referral cases in neurology OPD: around 15460 in 2080 B.S.
- Total patients in neuro-ophthalmology OPD in 079/080: 464.
- Around 88 NCT/EMG and 5-10 bedside EEG every week.
- Total 1545 patients were discharged from the care of neurology department in the year 2080 B.S.
- Research activities of the faculties/department
- Assessment of Intracranial and Extracranial Carotid Atherosclerosis in Nepalese Ischemic Stroke Patients Using CT-angiography and its Association with Vascular Risk Factors.
- Correlation between Ultrasonographic Optic Nerve Sheath Diameter and Cerebrospinal Fluid Opening Pressure in Patients Undergoing Lumbar Puncture.
- Clinical profiles and outcomes of cerebral venous sinus thrombosis.
- Clinical profiles of patients with neurological disorders admitted to Tribhuvan University Teaching Hospital.
- Maintaining stroke care registry using RES-Q (Registry of Stroke Care Quality) protocol at Tribhuvan University Teaching Hospital.
- Study of prevalence of Helicobacter Pyloric infection among Parkinson’s Disease patients and impact on motor and non-motor symptoms after eradication.
- Genotype-Phenotype Correlations in Parkinson’s Disease and Related Movement Disorders
- Impact of Telemedicine among Nepalese Parkinson’s Disease patients during COVID-19 pandemic.
- Headache prevalence and its burden among Nepalese children and adolescents: a school-based study.
- The impact of primary headache disorders on the quality of life of patients at a tertiary care center in Nepal.
- Efficacy and safety of Intravenous Immunoglobulin and Low volume plasmapharesis in Gullain-Barre Syndrome patients treatment.
- Etiologies and Outcomes of Young Patients with Ischemic Stroke presenting to Tribhuvan University Teaching Hospital.
- Autonomic Dysfunction in Parkinson’s Disease: Prevalence and Relationship with Age, Duration, Medication, And Severity
- Number of publications by faculties/department
| Original articles | Review articles | Case reports | Newspaper/Views | Online news | Total |
| 15 | 12 | 10 | 3 | 40 | |
- Training/Workshops/Conferences conducted by department (last 1 year only)
- Stroke Management Workshop for Nurses on 2080/09/29
- Annual Review of Internal Medicine on 2080/11/02-03
- Stroke Management Workshop for Nurses on 2080/09/29
- Nepalese Academy of Neurology Annual Conference on 2081/02/
- Management of Common Neurological Disorders in the Primary Care on 2081/04/12
- Stroke Management Workshop for Nurses on 2081/04/26
- Parkinsons Disease Awareness Program and interaction program with patients and caretakers, Guest: DBS surgeon Dr Farrokh Farrokhi on April 11, 2024
- Visiting Professor Program of Movement disorders society for Sleep and Botulinum Toxin workshop and departmental visit by Prof Limshen Yang, Malaysia and Prof. Ravi Yadav, India May 18-19, 2024.
- Achievements/Grants/Awards received by Dr Rajeev Ojha
- Achievements:
- International Faculty of the “Parkinson’s Disease Update” conference at Virginia Mason in Seattle, May 3 2024 organized by Seattle Movement Disorders society and Virginia Mason Health Center.
- Course Director of “MDS-AOS Management of Movement Disorder in Underserved Areas Online Course “ June 15-16, 2024( MDS-AOS: Movement Disorders Society – Asian Ocean Section )
- Junior Faculty to present at the MDS-AOS Virtual SYNERGIES course June 30, 2024.
- Grants:
- Travel Grant to attend the MDS-AOS Basic and Clinical Science School on Genetics, Kuala lumpur, Malaysia on July 13-14, 2024
- Visiting Scholar grant for a paper presentation “Parkinson’s Disease Update” conference at Virginia Mason in Seattle, May 3 2024 organized by Seattle Movement Disorders society and Virginia Mason Health Center.
- GP2 research grant for ongoing study “Genotype-Phenotype Correlations in Parkinson’s Disease and Related Movement Disorders”.
