Specialized Neuro-Immunology Care

Demyelinating Disorders Treatment

Comprehensive clinical diagnosis, acute relapse control, and disease-modifying therapies for central and peripheral demyelinating conditions.

Dr. Neeraj Kumar

MBBS, MD (General Medicine), DM (Neurology)

Senior Consultant Neurologist • Neurocare Clinic

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Understanding Demyelination

Myelin is the protective fatty sheath insulating nerve fibers throughout the brain, optic nerves, spinal cord, and peripheral nervous system. In demyelinating disorders, abnormal immune system activity attacks this protective layer, causing inflammation, scarring (sclerosis), and slowed or interrupted neurological impulses.

Because symptoms can appear unpredictably in episodic flare-ups (relapses) or progress gradually, early diagnosis using specialized neuroimaging and biomarkers is critical to prevent long-term neurological disability and preserve neural pathways.

Conditions We Diagnose & Manage

Multiple Sclerosis (MS)

Relapsing-Remitting (RRMS) and progressive forms causing sensory loss, limb weakness, fatigue, balance issues, and coordination deficits.

Neuromyelitis Optica Spectrum (NMOSD)

Severe autoimmune inflammatory attacks targeting the optic nerves and spinal cord, often associated with anti-AQP4 antibodies.

Optic Neuritis & MOGAD

Inflammation of the optic nerve causing rapid visual blurriness, painful eye movement, or Myelin Oligodendrocyte Glycoprotein antibody-associated disease.

Transverse Myelitis

Acute segment-specific inflammation of the spinal cord leading to sudden weakness, sensory band sensations, and autonomic dysfunction.

Diagnostic & Therapeutic Modalities

High-Resolution MRI Protocols: Brain and spinal cord MRI with contrast to identify demyelinating plaque dissemination in both space and time.
Specific Autoantibody Assays: Serum and CSF analysis for oligoclonal bands (OCB), Aquaporin-4 (AQP4-IgG), and MOG-IgG antibody panels.
Acute Flare Management: High-dose intravenous corticosteroid pulse therapy and therapeutic Plasma Exchange (PLEX) for severe refractory attacks.
Disease-Modifying Therapies (DMTs): Personalized selection of advanced oral and injectable immunomodulators/biologics to halt disease progression and lower relapse frequency.
Symptom & Spasticity Management: Targeted regimens for neuropathic pain, spasticity, bladder dysfunction, and mobility rehabilitation.

When to Seek Prompt Clinical Evaluation

Seek urgent neurological consultation if you experience rapid loss or dimming of vision in one eye, severe pain with eye movement, sudden weakness or numbness spreading across your torso or legs, or acute loss of bladder and bowel sensation.

Consult Dr. Neeraj Kumar at Neurocare Clinic

Schedule a specialized neurological assessment for accurate diagnosis and disease-modifying therapy.

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