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Dr. Praveen Kumar

Neurologist, Bangalore

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Dr. Praveen Kumar Neurologist, Bangalore
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Praveen Kumar
Dr. Praveen Kumar is one of the best Neurologists in Basavanagudi, Bangalore. You can visit him at Trinity Hospital & Heart Foundation in Basavanagudi, Bangalore. Save your time and book an appointment online with Dr. Praveen Kumar on Lybrate.com.

Lybrate.com has a number of highly qualified Neurologists in India. You will find Neurologists with more than 31 years of experience on Lybrate.com. You can find Neurologists 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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Why diabetic patients getting hypoglycemia after prolonged use of diabetic medicine. And how it occurs then why they get coma.

Dietitian/Nutritionist
Dietitian/Nutritionist, Delhi
Why diabetic patients getting hypoglycemia after prolonged use of diabetic medicine. And how it occurs then why they ...
If you feel hypoglycemia than to have 4 teaspoon sugar immediately with water. Reduced your medicine dose. Increase your small frequent meal in every 2 hour. When you go to bed than to have 1glass tonnes milk with 2 to 4 marie or salty biscuits this will help or prevent coma at night.
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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

I have severe headachne for last 5 days.MRI of Brain & Venogram is done.It says enlarged pituitary gland of 13mm is seen in cranio caudal

MBBS
General Physician, Delhi
Welcome Enlargement of the pituitary gland is a frequent cause of incidentaloma and of referrals to endocrinologists for hormonal evaluation and therapeutic advice. In neuroradiological series, 25-50% of healthy women who are 18-35 yr old have a convex superior pituitary contour, but pituitary height exceeds 9 mm in less than 0.5% of cases. This study was performed to provide thorough clinical and hormonal data and long-term endocrinological and imaging follow-up data on subjects with incidentally discovered pituitary hypertrophy (height > 9 mm). Seven eugonadal nulliparous women, 15-27 yr old, referred between 1989 and 1998 with incidentally diagnosed pituitary gland enlargement (height > 9 mm) and a suspected pituitary tumor, were studied. At presentation and at yearly intervals, PRL plasma levels and corticotropic, somatotropic, and thyrotropic pituitary function were measured; and pituitary dimensions and signal on magnetic resonance imaging (MRI), before and after iv gadolinium-diethylene-triamine-pentaacetic acid injection, were assessed. PRL plasma levels were normal; and corticotropic, somatotropic, and thyrotropic pituitary function was considered normal in all cases. In all the women, the upper boundary of the pituitary was convex, on MRI, and touched the optic chiasm in four cases. The width and anteroposterior diameter of the gland were normal. The pituitary itself seemed normal, with a homogeneous signal, on plain and dynamic studies with iv contrast injection. Despite normal initial hormone values, two women underwent surgery, by the transsphenoidal approach, in another center. During surgery, the pituitary seemed normal in both cases, with no evidence of tumoral or inflammatory processes. Biopsy specimens showed the morphologic characteristics of a normal, nonhyperplastic pituitary gland. All seven women were seen at yearly intervals for 2-8 yr (median, 4 yr). Clinical and hormonal status remained stable, as did the structure and size of pituitary, on serial MRI. No tumor formation occurred, supporting the diagnosis of physiologic hypertrophy of the pituitary gland. In conclusion, these observations suggest that careful examination of MRI results may help to distinguish physiologic pituitary hypertrophy from pituitary tumors and infiltrating lesions. The former diagnosis is confirmed by normal baseline pituitary function in extensive hormonal tests. Correct identification of such patients is important to avoid unnecessary pituitary surgery and costly MRI surveillance. If you find any problem ask again. Thanks.

I am 24 year old male somtime I feel shivering in my hand and some conditions I talk with unknown person then I feel shivering in my hands nd legs and not talk proper with other person kindly advice why is shivering in body and how to recover from this problem

PDDM, MHA, MBBS
General Physician, Nashik
This can be due to hyperthyroidism or anxiety. Pls consult privately for personalised management. Dr surbhi agrawal Consultant physician and diabetologist
2 people found this helpful
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My mother is surrounded by the disease of clotting in brain, now she feels heavy ness in head what should we do?

MD - Anaesthesiology
Neurologist, Shimla
My mother is surrounded by the disease of clotting in brain, now she feels heavy ness in head what should we do?
Physiotherapy is the solution. Because once clotting occurs it takes time to heal up. Area supplied by the vessel will become necrose and leads to anxiety symptom. Kindly consult neurologist and and give good psychotherapy to mother through the doctor.
1 person found this helpful
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Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Mumbai
Ayurveda helps in cerebral palsy

Cerebral palsy refers to a group of neurological disorders that appear in infancy or childhood and permanently affect body movement and muscle co-ordination. 

Symptoms:
Lack of muscle co-ordination when performing voluntary movements (ataxia)
Stiff or tight muscles and exaggerated reflexes (spasticity)
Walking with one foot or leg dragging
Walking on the toes, a crouched gait, or a'scissored' gait
Muscle tone that is either too stiff or too floppy

Causes:
Cerebral palsy is usually due to brain damage in the first few months or years of life, brain infections such as bacterial meningitis or viral encephalitis, or head injury.

Ayurveda treatment for cerebral palsy:

Ayurveda has shown very good results in patients of cerebral palsy. Though cerebral palsy may not be fully cured, ayurvedic treatment can definitely help to reduce disability and improve the functioning of the affected individual to a great extent. The ayurvedic treatment of cerebral palsy focuses on treating the presenting symptoms and attempting to reverse the brain damage.

Medicines which help in improving the functional capacity of the brain and may also help in regeneration of damaged brain cells are:

Brahmi (bacopa monnieri)
Mandukaparni (centella asiatica)
Shankhpushpi (convolvulus pluricaulis)
Jyotishmati (celastrus paniculatus)
Kushmand (benincasa hispida)
Ustukhuddus (lavandula stoechas)
Yashtimadhu (glycyrrhiza glabra)
Ashwagandha (withania somnifera)
Shatavari (asparagus racemosus)
Guduchi (tinospora cordifolia)
Vacha (acorus calamus)
Haritaki (terminalia chebula)
Abhrak bhasma
Suvarna bhasma
Suvarna prashan

Some of these medicines are also useful in preventing or reducing convulsions.

Medicines which helps in the formation of the muscles and tissues are:

Guduchi (tinospora cordifolia)
Amalaki (emblica officinalis)
Musta (cyperus rotundus)
Panch tikta ghrita
Panch tikta ghrita guggul
Brahmi ghrita
Pancha gavya ghrita

Medicines are used to improve nerve conduction and muscular co-ordination are:

Kaishor guggul
Yograj guggul
Vata gajankush ras
Mahavatvidhwans ras
Tapyadi loh ras
Vishtinduk vati

Panchkarma therapy:

Panchakarma therapies which are useful in this condition are:

Abhyangam: massage of the entire body with medicated oils like mahanarayan oil, maha-mash-oil and maha-saindhav-oil are very useful.
Pinda sweda
Shirobasti
Shirodhara
Basti

Yoga:

Yogic postures useful in cerebral palsy are as follows:

Dandasana
Trikonasana
Bharadvajasana
Tadasana
Uttanasana
Balasana
Supta padangusthasana
Adho mukha svanasana

All these therapies and medicines show miraculous effect on the patients suffering from cerebral palsy.

(p. S: as every human being is different according to ayurveda, all have different cures. So, kindly consult us or an ayurveda doctor before taking any herbal treatments.)
4 people found this helpful

I am 43 yrs old I am suffering peripheral neuropathy for last one year and I took gabapentin at. Preva, pregabalin and mythlecobalmin how many days I have to take those tablets please give better suggestion.

MBBS
General Physician, Mumbai
Do some physiotherapy treatment along with the medicines and continue your medicines for sux more months.
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I have some kind of swelling at mine nerves some says it is called nerves ending and it is at hand ie on arms some in at back side of the body can you help me out for better cure.

MBBS
General Physician,
You may be having herpes zoster along the nerve paths pperpheral. With pain and swelling horzantally along the pathway of peripheral nerve line. It is a vira pl b infection you should consult a dermatologist. Do not self medicate.

I am suffering from chronic headache since last 3 months. It occurs with a gap of few days but when it attacks lasts for 2 days. Is it migraine or something dangerous.

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management
Pain Management Specialist, Pune
I am suffering from chronic headache since last 3 months. It occurs with a gap of few days but when it attacks lasts ...
If your headache is associated with nausea or vomiting and it occurs only on one side of head it may be migraine. In case of migraine you will also identify some triggers like light, sound, smell, lack of sleep etc. causing an attack. Try to identify what causes your headache and avoid that trigger. Also you will be having phonophobia or photophobia in migraine and your headache will worsenbwith physical activity. If your head ache has above mentioned character it is migraine. Take simple analgesics when you have headache.
2 people found this helpful
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