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Dr. Balaji Pai

Neurosurgeon, Bangalore

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Dr. Balaji Pai Neurosurgeon, Bangalore
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Balaji Pai
Dr. Balaji Pai is one of the best Neurosurgeons in Basavanagudi, Bangalore. You can consult Dr. Balaji Pai at Trinity Hospital & Heart Foundation in Basavanagudi, Bangalore. Save your time and book an appointment online with Dr. Balaji Pai on Lybrate.com.

Lybrate.com has a number of highly qualified Neurosurgeons in India. You will find Neurosurgeons with more than 30 years of experience on Lybrate.com. You can find Neurosurgeons online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Trinity Hospital & Heart Foundation

#27, Sreram Mandira Road, Basavanagudi. Landmark: Near RV Teacher Collage CircleBangalore Get Directions
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I am 20 years my hands are shaking a lot I am scared whether I am having a disease and all the people with whom I go will recognize this and will ask about it I am feeling shamed is there any cure for this please help me.

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
I am 20 years my hands are shaking a lot I am scared whether I am having a disease and all the people with whom I go ...
It is the most common of all involuntary movements and can affect the hands, arms, head, face, voice, trunk, and legs. Most tremors occur in the hands. In some people, tremor is a symptom of a neurological disorder or appears as a side effect of certain drugs.
1 person found this helpful
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My friend met with an accident on Saturday night due to blood clot in central part of the brain, he is in deep coma right now since that day. Please help me know he can be recovered.

PDDM, MHA, MBBS
General Physician, Nashik
The outcome for coma and vegetative state depends on the cause and on the location, severity, and extent of neurological damage: outcomes range from recovery to death. People may emerge from a coma with a combination of physical, intellectual, and psychological difficulties that need special attention. Recovery usually occurs gradually, with patients acquiring more and more ability to respond. Some patients never progress beyond very basic responses, but many recover full awareness. Patients recovering from coma require close medical supervision. A coma rarely lasts more than 2 to 4 weeks. Some patients may regain a degree of awareness after vegetative state. Others may remain in a vegetative state for years or even decades. The most common cause of death for a person in a vegetative state is infection such as pneumonia. Duration depends on the severity of the injury and patient general condition, often short; rarely more than 2-4 weeks.
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FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
About neuro - linguistic programme (nlp)
Neuro linguistic programme (nlp) can bring about long lasting changes in behaviour. It is believed to recognise the connection between the neurological process (neuro) language (linguistic) and behavioural patterns learned through experience (programming) that can be changed to achieve specific goals in life.
3 people found this helpful

What are causes and symptoms of migraine and what precautions we have to take get rid of migraine.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Migraine is a relapsing headache disorder. It causes episodic one sided headache associated with nausea and/ vomiting, relieved by medicines and rest and aggravated by factors like impaired sleep, stress, allergies, loud noise, sun exposure etc. In addition to taking medicines for acute headache attacks you also have to take treatment foe prevention of further episodes. This can be decided according to the type, duration, severity of headaches, medicines taken so far and associated symptoms like stress, anxiety, depression, sleep problems etc. Avoid precipitating factors which specific to individuals.
2 people found this helpful
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My mother age 63 yrs has been diagnosed with carpal syndrome. So what is the treatment for tbe same. Can it can be cured through medicines and exercises or surgery is the only option. What are the success rate of surgery?

MD, DNB (Medicine) DNB ( Neurology)
Neurologist, Pune
Offcourse medication and splinting at wrist do help to reduce treatment. if medical management don't help or NCV shows oncreased severity ,will benefit by surgery
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Hi my cousins brother has epilepsy since last 9 years with medicines. How much time he need to continue with medicine. Is it curable epilepsy completely ?Please tell.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Epilepsy is a treatable disorder. Medicines have to be taken for atleast 3 years after the last fit has occurred. If seizures keep on occurring at intervals then medicines need to be changed or added accordingly, and further continued for 3 years. For any further queries on the disorder or treatment options, you may consult online.
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I am 25 years. Old. I have migraine problem last 5 years. I have not talking any treatment please tell me which medicine I use in migraine problem.

MBBS
General Physician, Mumbai
For headache take tablet paracetamol and we can start after examination tablet propranolol and also take tablet folvite 5mg once a day for six months and tablet vitamin d3 60000iu once a week for six months.
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My muscles shiver whenever I do some lifting or my body is warmed up. Specifically hands.

MPTh/MPT
Physiotherapist,
This might be due to lack of muscles spindles. Kindly do stretches for your hands regularly for two week. This will be help full
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I have a child. She is suffering from generalized seizure since last six years. Now she takes 5ml valparin twice a day and clonazepam 0.25 once a day and cereflo four ml twice a day. Seizure stopped last one year. But language problem can not develop.

BHMS
Homeopath, Chennai
Seizures are a condition wherein the nerves are very excitable. Triggered by certain factors. Medication include those that decrease excitability. But in the process general neural function is also suppressed, leading to dullness, memory weakness, and social behavioral changes. Consider homeopathy to correct the underlying cause of seizure in the child - as you can be tapered and stopped of seizure medicines and return to normal functioning.
1 person found this helpful
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I am an 18 year old boy, I am suffering from a disease migraine, I consulted many doctors nd taken all the remedy but can not get through it. I need your help what should I do now?

MBBS
General Physician, Cuttack
1. Take crocin Advance one Tablet sos after food up to a maximum of three tablets daily at the time of attack, apply ice pack, massage scalp/temple 2. Drink plenty of water and take rest. 3. Avoid stress, anxiety, depression, agitation, exposure to loud noise, bright light, strong smell inadequate sleep, continuous use of cell phone since it precipitates migraine attack 4. Avoid salted /processed food, aged cheese, excess tea/coffee/alcoho (red wine)/caffeinated beveragesl. Don’t skip/postpone your meal, avoid hunger since it triggers the attack 5. Go for regular exercise, reduce weight if over weight 6. Practice yoga, meditation, deep breathing exercise to calm your mind, control your emotion and relieve you from stress 7. If You have chronic migraine, you have to take migraine prophylaxis like propranolol/ vasograin after consulting physician 8. Consult neurologist to exclude other causes of headache and if required, take CT scan of brain.
1 person found this helpful
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Is there any permanent remedy for migraine? Can it be prevented for whole life if treated once?

PDDM, MHA, MBBS
General Physician, Nashik
No, migraine cannot be cured. Avoid triggers. If certain foods or odors seem to have triggered your migraines in the past, avoid them. Reduce your caffeine and alcohol intake and avoid tobacco. In general, establish a daily routine with regular sleep patterns and regular meals. In addition, try to control stress. Exercise regularly. Regular aerobic exercise reduces tension and can help prevent migraines. If your doctor agrees, choose any aerobic exercise you enjoy, including walking, swimming and cycling. Warm up slowly, however, because sudden, intense exercise can cause headaches. Obesity is also thought to be a factor in migraine headaches, and regular exercise can help you maintain a healthy weight or lose weight.
1 person found this helpful
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Brain Tumors - How Radiosurgery Can Help?

MD, MBBS
Oncologist, Ernakulam
Brain Tumors - How Radiosurgery Can Help?

Short course radiation therapy is the one of the most talked about subject in recent years and also a fascinating research zone. Hypofractionated radiation therapy is an old concept, but only in recent years with tremendous improvement in radiation therapy delivery technologies there is a significant visible surge in it’s applicability in clinical practice. Modern radiation therapy technology is capable of delivering high dose to the target while sparing majority of the adjacent critical structures. Hence, it is possible to deliver short course of treatment regimen with higher dose per fraction without increasing in toxicity. In brain tumours, radiosurgery with gamma-knife is considered standard of care in many of the clinical indications such as small meningiomas, acaustic schwannomas, residual low grade gliomas, AVMs and solitary/ oligo brain metastasis. Gamma-knife radiosurgery is in clinical practice for more than five decades.

There are several prospective and randomized studies (level I evidence) with long-term follow up data supporting the use of radiosurgery in these clinical indications. Other indications of radiosurgery are pituitary tumour, craniopharyngiomas, glomus tumours, chordomas and others. Robotic radiosurgery (CyberKnife®) is precision radiosurgery delivery system and an extension of gamma-knife system. CyberKnife uses the principle of gamma-knife, but with linear accelerator source instead of multiple cobalt sources. CyberKnife is capable to treating all tumours indicated for gamma-knife with similar accuracy.

This modern tool has some additional advantages from gamma-knife, such as

1) CyberKnife can use fractionated treatment, hence relatively larger tumours can be treated.

2) Require only thermoplastic mask, no need for invasive frame.

3) Has inverse planning system, can spare critical structure.

4) There is a ‘intra-fraction’ correction technology with imaging.

5) There is no need to change the source, hence may be more cost effective.

6) Can be used to treat extra-cranial tumours also. CyberKnife has a linear accelerator attached with a robot and is capable of treatment from various coplanar and non-coplanar field arrangements. CyberKnife has sub-millimeter accuracy and unmatched dose distribution.

The advanced technology behind CyberKnife uses image guidance technology and computer-controlled robotics to deliver and extremely precise dose of radiation to targets, avoiding the surrounding healthy tissue, and adjusting for patient and tumor movement during treatment. In conclusion, CyberKnife is an extension of gammaknife radiosurgery delivery system. This machine has immense promise to treat with short course regimens with high dose and improve local control without increasing toxicities. If you wish to discuss about any specific problem, you can consult an Oncologist.

2943 people found this helpful

Is the stem cell therapy really work in autism? My child is 3 years old with autism please suggest.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Is the stem cell therapy really work in autism? My child is 3 years old with autism please suggest.
Yes it will work, but the best way to treat autism is the homoeopathic method. Because stem cell therapy will be for temporary and again chances for developmental lacking mat arise after few years. Where as homoeopathic medicines changes the genetic code to normalcy... If you wish to know more, feel free to ask...
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I'm 50 years old. And i'm having a severe pain in my shoulders. The pain starts from the neck, and comes to the shoulders. Whenever the pain comes, the area gets swelled up. What should I do? Is it related to physiotherapy or should be consulted to neurologist? what should be done to this pain?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. You will have to tell me since when have you been experiencing neck pain, the radiation of pain is it to shoulders or goes in your hands also? is there any weakness, numbness, paresthesias etc also associated with it? swelling can be due to multiple reasons, but if your swelling is in both shoulders then it can be related to your physiotherapy, my advice will be to stop your physical therapy till swelling subsides, take anti inflammatory medications initially, do ice packs at home, take adequate calcium and vitamin d as per your requirement and let me know in 2-3 weeks time how you are feeling? do not hesitate to contact me if you need any further assistance.
2 people found this helpful
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I am 18 years old and I have migraine problem for three years. After having this problem I got spices with progressive glasses but it was vain because I have still migraine problem. Please can you tell me the cure of it.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Migraine is a relapsing type of headache disorder. Treatment for this includes medicines to relieve acute and severe attacks of headache. Also to prevent relapses you need to take a prophylactic treatment and avoid precipitating factors of migraine. Prophylactic treatment has to be decided individually according to the onset of headaches, severity, duration, associated symptoms of sleep, anxiety, stress etc spectacles and glasses have no role in treatment of migraine.
2 people found this helpful
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My daughter age 16 years old. Problem is head pain (migraine) everyday please advise me and which qualified doctor I can visit.

Fellowship in Primary Care Cardiology, MBBS
General Physician, Gurgaon
Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Migraine which is occuring daily can be very debilitating for the patient. I suggest she should be put on a long term management plan which would address acute episodes of pain as well as prevent the attacks from happening. For this she may need some medications and physical therapy in form of yoga and other relaxation techniques. I suggest you consult a physician who would investigate her baseline parameters and begin a management plan for her.
1 person found this helpful
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During recent days 3 times I suffered a epileptic type condition where there were no seizures but some slight muscle stiffness combined with short 2 minutes unconscious period is seen where I can see people around but couldn't respond . One doctor suggested to take eeg and MRI scan to rule out the issue but I took the tests twice nothing negative came out everything was normal even then the doctor suggested levipil 500 mg . Is this right way to take medication ?

MBBS, MD (Medicine), DM (Neurology)
Neurologist, Delhi
Muscle stiffness associated with short unconsciousness would still be interpreted as a seizure/fit by a consultant in neurology. The mere fact that concerned investigations (mri/eeg) are negative does not exclude the diagnosis of epilepsy. I also feel you must be on medication as advised. Finally please do not question the consultant's opinion as mentioned in the last sentence of your note - is this the right way to take medication.
2 people found this helpful
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My dad has been suffering from epilepsy for about 40 years and he has been on medications such as phenobarbital 60 mg and I would really like the seizures to stop, can I have some advise please?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Epilepsy is a recurrent tendency to have fits or seizures. Usually the treatment of epilepsy is directed towards keeping the patient" seizure free" if your father is seizure free for more than 3 ears in a row with ongoig medications, you can consider tapering the number or dose of medications to zero and try stopping medications, under the doctors supervision. Since your father is having seizures for last 40 years, this seems less likely. So he might have to continue the minimum dose and number of medications further.
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