Metropolitan Hospital, Nairobi, Kenya

for Neurology

Neurology

Overview

We are a 150 bed capacity facility located in the heart of Buruburu. We are the most equipped Hospital in Eastlands Nairobi making us Your True Partners in Health. We have a state of the art Accident & Emergency unit capable of handling all emergencies, as well as modern wards. Our ultra-modern theatres ensure that patients are well taken care of and our critical care unit will provide much needed care when clients need life support services. We have opened a state of the art maternity wing where comfort has been emphasized to ensure that mother and baby experience the best. We also have a 16 bed renal unit for patients requiring hemodialysis.

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Languages spoken

English, Swahili (Kiswahili), Translators can be arranged for other Languages

Services

Medical records transfer

Parking available

Pharmacy

Procedures

Ophthalmology 4 procedures

Cataract Surgery

This is a procedure where the lens in one’s eye that has become cloudy (cataract) is removed and replaced with an artificial Len (called IOL or intraocular Len). Cataract is a condition that leads to loss of vision by clouding of one’s natural eye Len that lies behind the pupil and iris. It is performed by an ophthalmologist.

Age-Related Macular Degeneration (AMD) Treatment

Currently, there is no specific treatment for dry AMD, but the patient can slow their condition by taking minerals and vitamins daily. There are however the wet AMD can be managed with Anti-VEGF drugs which helps decrease the number of abnormal vessels in one’s eye. Laser surgery can also be used to manage it.

Glaucoma

A group of eye conditions that can cause blindness. With all types of glaucoma, the nerve connecting the eye to the brain is damaged, usually due to high eye pressure. The most common type of glaucoma (open-angle glaucoma) often has no symptoms other than slow vision loss. Angle-closure glaucoma, although rare, is a medical emergency and its symptoms include eye pain with nausea and sudden visual disturbance. Treatment includes eye drops, medication and surgery.

Lasik Surgery for both eyes

Lasik Surgery

General Surgery 2 procedures

Hernia Repair

A hernia is an abnormal protrusion in whole or part, through an OPENING, pathological or anatomically in the walls of its containing cavity, e.g., the abdominal cavity. Hernia Repair procedures involve returning this displaced tissue to their proper place. There are different types of Hernia Repair surgeries, i.e., Herniorrhaphy (tissue repair) and hernioplasty (mesh repair) where a mesh is usually sewn over weakened areas.

Appendectomy

This is the surgical removal of the appendix. It is performed after a patient suffering from acute appendicitis. It can be performed as laparoscopic or as an open procedure.

Dentistry 4 procedures

Dental Crown

Is a procedure used to install a dental crown after damage. Normally, it requires at least two visits to a dentist. In the first visit, dentist examines the teeth to ensure it can support the crown then starts filling the crown to ensure it can support the crown. The dentist then takes an impression of the teeth and send to the dental lab so that permanent crown is made. In the second visit, the permanent crown is installed. Several types of crowns are available, i.e., porcelain, ceramic, stainless steel, resin, and gold. The procedure can be undertaken for cosmetic reasons or repair damaged the tooth.

Dental Bridge

It is a procedure done by a dentist. A bridge is a fixed dental prosthesis used to replace a missing tooth by permanently joining an artificial tooth with an adjacent dental implant or teeth. There are four type of dental bridges, i.e., cantilever bridge, Maryland Bridge, traditional bridge and implant supported bridges.

Dental Checkup

This is a visit to a dentist. The dentist will carry out an inspection of the teeth and surrounding soft tissue to identify problems one may not be feeling or seeing. People with low risk for dental diseases need to visit a dentist at least once a year while high-risk individuals need 3 to 4 visits a year.

Braces

These are orthodontic devices used to straighten and align teeth and possibly position them with regards to a person’s natural bite. It helps improve a person’s cosmetic appearance and general health.

Cardiology 5 procedures

Cardiac Assessment

This is the systematic examination of a patient’s cardiovascular system with the aim of diagnosing cardiovascular problems. The assessment encompasses taking a comprehensive history of a patient, carrying out a thorough physical examination of a patient and finally doing investigations such as electrocardiogram, echocardiogram, central venous pressure, etc.

Coronary Angiogram

It is a type of cardiac catheterization procedure. It is performed for both interventional and diagnostic purposes. In this procedure, a dye that is radiopaque is injected into the blood vessels of one’s heart. An X-ray machine is then used to take serial images (angiograms) that give a picture of how the blood vessels are. Based on the finding, an interventional cardiologist will open the clogged vessels (angioplasty).

Coronary Angioplasty

Also known as percutaneous transluminal coronary angioplasty (PTCA) Thais is a procedure that is used to widen narrowed or blocked coronary arteries. The procedure is carried out by an interventional cardiologist. When combined with stenting, it is referred to as percutaneous coronary intervention. Is should be done within thirty minutes to 2 hours after a having a cardiac event.

Cardiology Consultation

This is a hospital checkup and review by a qualified cardiologist. It involves patient assessment, treatment planning, diagnosis and cardiac interventions.

Cardiac CT

This is a painless imaging modality that uses x-rays to take detailed images of one’s heart and its blood vessels. It may or may not be done with intravenous contrast agents. The modern multidetector CT (MDCT) is highly sensitive.

Diagnostic Imaging 4 procedures

Full Body PET CT Scan

This is an imaging modality that allows physicians to see diseases in one’s body. It utilizes a special dye that has a radioactive tracer. This tracer is injected into one's vein and after that distributed in the body where it’s absorbed by tissues and organs. It helps doctor s to see how well they are working. It measures oxygen use, glucose metabolism, blood flow, etc. It helps show problems at cellular level hence useful in detecting brain disorders, heart problems, central nervous system problems like seizure and memory disorders. It also shows the response to cancer to chemotherapy.

Abdominal Ultrasound

This is a type of medical ultrasonography that is used to visualize anatomical structures of the abdomen. It uses the reflection and transmission of sound waves to visualize internal organs of the body via the wall of the abdomen.

Chest X-Ray

This a radiograph of the chest used to diagnose chest diseases injuries. It is done using an X-ray machine that passes X-rays through the chest into a film to create the image.

Abdominal CT Scan

This is a diagnostic radiological imaging test that is done to help detect diseases of the colon, small bowel and other abdominal organs or determine the cause of abdominal pain.it is noninvasive, accurate, fast and painless.

Gynecology 10 procedures

Gynecologic Laparoscopy

It is a new alternative technique to open surgeries. It allows a surgeon to look into one's pelvis. It can be sued to remove adhesions, manage ectopic pregnancies, manage ovarian cysts, hysterectomy, oophorectomy, and myomectomy, do female sterilization (tubal ligation), diagnose & treat endometriosis and cancer investigation and lymph node sampling in cancer treatment.

Breast Biopsy

This is a procedure used to obtain a sample of a tumor in the breast for purposes of laboratory and histological analysis. Various breast sampling techniques are available, e.g., FNA, incisional biopsy, excisional biopsy, and core biopsy.

Cervical Biopsy

This is a surgical; procedure where a small amount of tissue is taken out from the cervix. The sample collected is taken to the laboratory for histological analysis to determine whether there is cancer and if present, which type. It is commonly done after abnormalities are detected in a Pap smear or routine pelvic exam including VIA/VILI. There are three types of biopsies, i.e., cone biopsy, endocervical curettage and punch biopsy.

Breast Exam

This is the clinical examination of one's breasts by medical practitioners to check them for any abnormalities. The physical exam is done by the health professional during one's routine medical checkup or when someone has complications related to breast. The exam should only be carried out by a professional trained in breast exam techniques. The results will be complemented either by mammograms or breast ultrasound.

Myomectomy

This is the surgical removal of uterine fibroids especially symptomatic ones. The procedure aims to conserve the uterus for possible future deliveries.

Hysterectomy

This is the surgical removal of the uterus. It is a procedure done by gynecologists. It can either be total (where the entire uterus, fallopian tubes, cervix and upper third of vagina is resected) or partial. The option depend upon the patient choice and the indication for the operation.

Hysteroscopy

Hysteroscopy gets its name from the thin, lighted tool used to view the womb, called a hysteroscope. This tool sends images of the inside of the womb to a video monitor. Before the procedure, you will be given medicine to help you relax and block pain. Sometimes, medicine is given to help you fall asleep. During the procedure the provider places the scope through the vagina and cervix, into the womb, gas or fluid may be placed into the womb so it expands. This helps the provider see the area better and pictures of the womb can be seen on the video screen.

Abdominal Myomectomy

Also known as an "open" myomectomy, an abdominal myomectomy is a major surgical procedure. It involves making an incision through the skin on the lower abdomen, known as a "bikini cut," and removing the fibroids from the wall of the uterus. The uterine muscle is then sewn back together using several layers of stitches. You will be asleep during the procedure. Blood loss during the surgery may require a blood transfusion. Some women store their blood before the operation in order to receive their own blood rather than blood from the blood bank. Most women spend two nights in the hospital and four to six weeks recovering at home. After the procedure, you will have a four-inch horizontal scar near your pubic hair or "bikini" line.

Hysteroscopic Myomectomy

Hysteroscopic myomectomy is a technique that can be performed only if fibroids are within or bulging into the uterine cavity (submucosal). This procedure is performed without any incisions and virtually no postoperative discomfort. Anesthesia is needed because the surgery may take one to two hours and would otherwise be uncomfortable. A small telescope, the hysteroscope, is passed through the cervix and the inside of the uterine cavity can be seen. A small camera is attached to the telescope and the view is projected on a video monitor. This magnifies the picture and also allows the physician to perform the surgery while sitting in a comfortable position.

Ovarian Cyst Removal

Ovarian Cyst Removal is a surgery to withdraw cysts (a sac filled with fluid) from one or both of your ovaries. The surgery can be performed as Laparoscopic Surgery or Open Surgery. Most of the surgeons and patients prefer laparoscopic method, nowadays.

Neurosurgery 3 procedures

Peripheral Nerve Surgery

This is practiced by surgeons from various backgrounds with expertise in plastic and reconstructive surgery, neurology, pain medicine, and orthopedics hence the need for a multidisciplinary care. The surgeries included entrapment neuropathies, nerve sheath tumors like schwannomas and acute nerve injuries.

Brain Tumor Surgery

Surgery is the common modality for managing many malignant and most benign tumors. The operation is performed by a neurosurgeon. It helps relieve seizures, remove tumors, take biopsies and enable chemotherapy or radiotherapy. Common techniques used include craniotomy, craniotomy, partial or complete removal, shunting, transsphenoidal surgery, LITT, etc.

Cranioplasty

This is the surgical repair of a deformity or defect in the skull. The defect is normally as a result of a previous injury or surgery. It might also be a congenital defect. The surgery is performed for cosmetic reasons and patient psychological wellbeing.

Oncology 4 procedures

Breast Cancer Treatment

Treatment of breast cancer depends on the stage. The treatment may involve radiotherapy, surgery or medications. The types of surgeries used included mastectomy (radical mastectomy or simple mastectomy, modified radical mastectomy, patery modified radical mastectomy), breast-conserving surgery, lumpectomy and lymph node dissection. Medical therapy involves chemotherapy for breast cancer or systemic hormonal therapy like tamoxifen.

Chemotherapy

Chemotherapy is the use of drugs to treat diseases. But in medicine, it is commonly used when referring to the medical treatment of cancer that utilizes one or more antineoplastic medications as part of a standardized chemotherapeutic regimen. They are given with the intent to reduce symptoms, prolong life or cure cancer. Each cancer has a specific regiment that has been prepared for its management. Medical oncologists administrate chemotherapeutic regiment.

Cancer Screening

The goal of this exercise is to detect cancers before their symptoms manifest. The test encompasses medical imaging, blood tests, urinalysis and other tests. It is common knowledge that the benefit of having a cancer screen done outweighs outweigh anybody harm that may result from the process. When cancerous tissues are detected early, they are easy to cure or treat. The most common cancers that are routinely screened are breast, colon, oral, prostate, pancreatic, lung, bowel and cervical cancers.

Cancer Staging

Staging is the process used to find out the amount of cancer in the body and their locations. The information is used by doctors to formulate the patient treatment plan and to determine their prognosis. There are four different ways staging is done i.e. pathological staging, post-neoadjuvanat or post-therapy staging, clinical staging and restaging (done when cancer recurs after treatment). The four factors used in staging include: site of primary tumor, the tumor size, the involvement of lymph nodes and metastases. Tests done to enable staging process include imaging tests, pathological tests, surgical reports, laboratory tests and physical examination.

Plastic and Cosmetic Surgery 1 procedures

Abdominoplasty

Also known as tummy task is a cosmetic procedure that is done to make the abdomen firm and thinner. It involves the removal of excess skin and fat from the lower and middle abdomen to tighten the fascia and muscles of the wall of the abdomen. The procedure is sought after by patient with sagging or loose tissue, especially after marked weight loss or pregnancy. Types of Abdominoplasty available include high lateral tummy tuck, floating Abdominoplasty, circumferential Abdominoplasty, extended or partial or complete Abdominoplasty and combined procedure, e.g., with liposuction.

Spinal Surgery 2 procedures

Cervical Disc Disease Treatment

The treatment of cervical disc diseases begins when your doctor takes a good history, carries out a physical examination and then order appropriate investigations. The investigations of choice of choice are CT, MRI, and X-rays that will help your doctor localize the problem. Based on this the doctor will decide whether to use the surgical or nonsurgical option. Non-surgical modalities include lifestyle modification, physiotherapy, and analgesia and heat therapy. Surgical option helps one heal fast and include cervical artificial disc replacement and anterior cervical discectomy and fusion (available in India).

Spine Surgery

This is a surgery done on the spine to treat back pain, or other damages are done on the spine by trauma or disease scoliosis, spinal stenosis, and disc herniation. It is recommended when conservative treatments are unsuccessful. It can either be done as an open or minimally invasive procedure. Common surgical approaches are lateral, posterior and anterior. Spinal surgical techniques included laminotomy, laminectomy, microdiscectomy, disc replacement, spinal fusion, and foraminotomy.

Urology 5 procedures

Bladder Neck Incision (BNI)

This is a procedure done on men experiencing difficulty passing urine due to benign prostatic enlargement or urinary tract obstruction from a tight prostate. The patient usually presents with frequency, urgency, urine dribbling, hesitancy, poor urine stream and incomplete emptying of the balder. The operation helps relieve these symptoms of obstruction.

Circumcision

This is the removal of the penile foreskin. It is the most commonly performed procedure in the world. In it, the foreskin is opened. Then adhesions removed before being separated from the glans and cut. The penis is then sutured. A recent study indicated that it lowers one's risk of contracting HIV by60%.

Cystectomy

This is the surgical removal of part or whole (radical) of the urinary bladder. Sometimes the term is used to refer to the removal of the gallbladder or a cyst. This is commonly performed after a diagnosis of bladder cancer.

Bladder Stone Removal

This is a procedure done to remove renal stones that have formed in the bladder or pound their way into the bladder hence causing obstruction and pain. Various procedures are used to remove the stones, e.g., percutaneous suprapubic crystolitholapaxy and open cystostomy.

Kidney Stones Treatment

The treatment of renal stones included taking a lot of water to help pass these stones and use of painkiller to relive renal colonic pain. Drug used included NSAIDs, diuretics narcotics and urinary retention drugs. Medical procedures that can be done to remove the stones include laser lithotripsy, uteroscopic stone removal and extracorporeal shockwave therapy.

General Medicine 7 procedures

Medical Examination

This is the process by which physicians assess the body of a patient for sings disease. In medical practice, it is terms used commonly to refer to is included a clinical examination or physical examination. It is done after a comprehensive history of a patient has been taken. It thus helps in diagnosis and formulating the treatment plan.

Abdominal Examination

This is the physical examination of the abdomen to identify signs of disease; it is done in four stages, i.e., inspection, palpation, percussion, and auscultation.

Female Health Checkup

This is a gynecological procedure used to assess the female reproductive system. It involved a physical exam of the female perineum and possibly a specular exam, Apart from this various imaging and laboratory tests can be ordered to help the doctor make a proper conclusion.

General Medicine Consultation

This is a visit to a physician or general medical practitioner. The doctor will take the patient history and carry out a physical exam of all systems after which proper investigations are done and a treatment plan formulated.

Deep Wound Treatment

A deep wound is one that cuts deeper than a quarter an inch beneath the skin surface. Due to their depth, this wound is likely to involve damage to tendons, major blood vessels, ligaments or internal organs. This can lead to both external and internal bleeding. These wounds require urgent treatment to avoid complications like shock. The bleeding has to be arrested, then cl4ned and properly dressed. Antibiotics and tetanus vaccine must be administered to the patient.

Vaccination

This is the administration of a vaccine to a person to stimulate their immune system thereby developing adaptive immunity against the target pathogen.

Male Health Checkup

This is a collection of tests and medical checks that are be performed on male person. It varies by age groups. They help detect and prevent health problem before they advance into serious health complications. The history of the man will be taken, them he will undergo a physical examination and finally some routine tests performed on him. The tests may include urinalysis, blood samples, stool samples, x-rays of some parts of the body etc.

Dermatology 3 procedures

Acne Scar Treatment

The treatment is carried out under the supervision of a dermatologist. There are various agents available in the market that are used in the management of these scars. However, for good result, the agents should only be used after a dermatology consultation.

Acne Treatment

Acne is an inflammatory papular, pustular, and follicular eruptions involving the pilosebaceous units in the skin. It is treated medical using either local or topical agents by a dermatologist. All drugs used for the management of acne act as Anti-inflammatory, Anti-comedonal and Anti-microbial agents.

Mole Removal

Mole (birth mark) is a benign disorder of melanocytes. They occur when these cells grow in cluster instead of spreading throughout in the skin. They darken after sun exposure and pregnancy. They can be removed for medical or aesthetic reasons. There are there methods of removing moles i.e. a punch excision, surgical excisions of larger moles and a shave excision.

Ear, Nose and Throat (ENT) 3 procedures

Audiometry

It is a test done to test one’s ability to perceive sound. The machine used to do the test is called an audiometer. It measures ones hearing acuity based on variations in sound tone, pitch, and intensity. It helps grade conduction deafness and rules out sensorineural hearing loss.

Thyroidectomy

This is the surgical removal of part or whole of the thyroid tissue. The Parathyroid gland is usually preserved. It can be partial thyroidectomy where part of the thyroid is preserved, or it can be total thyroidectomy where the whole of the thyroid tissue is removed. It is commonly indicated for lived conditions like goiter, thyroid malignancies, etc.

Tonsillectomy

Tonsillectomy is a surgical procedure in which both palatine tonsils are removed from a recess in the side of the pharynx called the tonsillar fossa.

Laboratory Medicine 3 procedures

Blood Test Package

This is a collection of the basic blood tests that are done to provide the physician with information about the overall wellness of a patient. It includes a complete blood count, hemoglobin, hormonal assays, a comprehensive metabolic panel etc.

Blood Tests

These Are tests done on blood samples, i.e., blood work or panel. The blood is usually extracted from a vein in the upper limb using a figure prick or hypodermic needle. It tests for specific components of bold such as cholesterol, glucose tests

Sexually Transmitted Infection (STI) Testing

STI treatment require that a proper history of signs and symptoms taken, physical examination done and relevant investigations ordered. A proper treatment plan is then prepared depending on the findings.

Neurology 3 procedures

Alzheimer's Disease Consultation

This is the evaluation of a patient suffering from dementia and symptoms of Alzheimer's disease. The doctor will assess the patient and prepares an appropriate treatment plan and inform the guardian on hoe w the patient should be cared for, the prognosis and booking future reviews.

Migraine Treatment

This is a headache of that varies in intensity and is often accompanied by sound and light sensitivity and nausea. The condition can be managed by medications. The drugs can either be pain-relieving or preventive. Pain relieving medications included painkillers, triptans, ergots, anti-nausea drugs, opioids, and glucocorticoids. Preventative medications included cardiovascular drugs, antidepressants, anti-seizure drugs, painkillers, and Botox.

Neurology Consultation

This is an appointment with a neurologist (physician that has subspecialized in neurology) for treatment, diagnosis or management of disorders that affect the nervous system.

Vascular Medicine 2 procedures

Angiography

This is a medical imaging modality that is used to view the lumen or inside of organs and vessels in the body with a special interest in veins, arteries, and chambers of the heart. It helps reveal areas of blockage or areas with pathology. They include arteriogram, venograms, CT angiography, MR angiography. Examples microangiography, coronary angiography, etc.

Angioplasty

Sometimes referred to as percutaneous transluminal Angioplasty or balloon Angioplasty.it is a minimally y invasive procedure that is done to widen obstructed or narrowed veins and arteries typically to manage atherosclerosis. A balloon catheter is passed over a guided wire to the narrowed vessel which is then inflated. A stent is sometimes inserted during the ballooning phase to ensure that the vessel will remain open after the balloon is deflated and removed. It has several used, i.e., Coronary Angioplasty, carotid Angioplasty and Peripheral Angioplasty.

Orthopedics 3 procedures

Ankle Fracture Treatment

Ankle fractures can be treated surgically or non-surgically. The method will depend on the degree of injury and the patient’s choice. The non-surgical options include casting and splinting.

Bone Fracture Treatment

Treatment depend on the severity of the fracture, patient choice and cost of treatment. Medically, reduction is done to fix a dislocated or Brocken bone. Devices available to fix fracture include orthopedic casts, splints, elastic bandages, and traction splint. Therapeutic physical therapy and joint manipulation can be done. Surgery included internal and external fixation.

Knee Arthroscopy

These is a surgical procedure that is done to teat or diagnose knee joint problems like injuries and diseases. During the procedure, a small incision is made and an Arthroscope (tiny camera) inserted into the knees therapy allowing the examiner to see the inside of the joint on a live screen.

Physical Medicine and Rehabilitation 1 procedures

Bone and Joint Screening

These are tests done to detect bone and joint diseases like cancers earlier. The test is commonly done when a patient present with bone and joint complains like pain. A bone screening test is widely used to diagnose osteoporosis. This is done by carrion out a bone mineral test.

Paediatrics 1 procedures

General Paediatrics

Includes Foetal and new-born care, Paediatric Critical Care, Asthma and other respiratory conditions, Paediatric heart conditions including cardiac surgeries, Childhood epilepsy, Food allergies and digestive disorders, Paediatric surgery, Organ transplantation- Liver, Kidney, Bone marrow transplant, Diabetes and renal conditions.

Specialists

Specialists working with Metropolitan Hospital, Nairobi, Kenya

No Specialists added, we will be updating this soon.

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If you hold any medical reports for your condition from any hospital/doctor in the world, we accept them all. By uploading the medical reports, our doctors/physicians can extensively go through the report and suggest the appropriate treatment plan required for the betterment of your health. It’s easy. Just click on “attach” and select the file.

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