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Dr. J Mariano Anto Bruno Mascarenhas - Neurosurgeon, Chennai

Dr. J Mariano Anto Bruno Mascarenhas

91 (1676 ratings)
MCh - Neurosurgery, MBBS

Neurosurgeon, Chennai

17 Years Experience  ·  500 at clinic  ·  ₹660 online
Dr. J Mariano Anto Bruno Mascarenhas 91% (1676 ratings) MCh - Neurosurgery, MBBS Neurosurgeon, Chennai
17 Years Experience  ·  500 at clinic  ·  ₹660 online
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A trusted, patient focused, Punctual, Disciplined, Polite Neurosurgeon with Good Communication skills, Has kept up to date with the latest treatment modalities, drugs and investigations.......more
A trusted, patient focused, Punctual, Disciplined, Polite Neurosurgeon with Good Communication skills, Has kept up to date with the latest treatment modalities, drugs and investigations. Is well versed in Management of Cranial and Spinal Trauma, Brain & Spine Tumours, Spinal Instrumentation, Minimally Invasive Procedures like Stereotaxy, Cranial & Spinal Endoscopy, Percutaneous Spine Fixation
More about Dr. J Mariano Anto Bruno Mascarenhas
With over 20000 patients who loyally go to him for medical advice, Dr J Mariano Bruno Mascarenhas has made a name in Neurosurgery in Chennai. He is, by far, one of the best people in the field of neurosurgery - a rare medical field that helps in operating on dysfunctional nerves in the event of extreme damage and deterioration of the various parts of the nervous system. His main focus is on conducting minimally invasive procedures that will have very little impact on the rest of the body, even as the chances of recovering soon are high. Dr J Mariano Bruno Mascarenhas is well known for carrying out his tasks with a delicate hand and the expertise that can only come from years of careful practice and keen insight. When it comes to the brain and the spine, his dictum is that surgery is the last resort and he usually tries to take the high road of allied therapy and minimally invasive procedures that will help the patient battle the often debilitating symptoms that come with any damage to the nervous system. With an approach based on the tweaking of one?s diet and building on one?s routine, he ensures that a change comes from within so as to help the nervous system flourish well and make the most of the changes happening from outside. This has made him one of the best neurosurgeons in Chennai. He is also available for consultation online and is a sought after name at many super speciality hospitals and clinics through the length and breadth of Chennai.

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Education
MCh - Neurosurgery - Madras Medical College - 2013
MBBS - Tirunelveli Medical College - 2000
Languages spoken
English
Awards and Recognitions
Certificate of Appreciation for Designing Web Based Interface for Monitoring and Evaluation
Gold Medal in Paediatrics
KK Bisaria Award for Best Paper in Allied Neurosciences
Professional Memberships
Indian Medical Association (IMA)
TNGDA
NSI
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CNS
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Advanced Brain & Spine Treatment, Prime Indian Hospital, 1051, (Old No-506) Periyar Salai (Poonamalle High Road), Amaravathi Nagar, Arumbakkam, Chennai - 600106, ChennaiChennai Get Directions
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Pituitary Glands - How To Spot The Signs of It?

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Pituitary Glands - How To Spot The Signs of It?

Pituitary tumors are a rare occurrence, and not all of them show some kind of symptoms. However, in some cases, the patients may display few symptoms. This totally depends on whether the tumor is functional or non-functional. When the tumor is functional, it means that they are releasing excess hormones while non-functional tumor would not cause excess release of hormones.

Types of pituitary tumors:
As already pointed, there are two variants of pituitary tumors- functional and non-functional.

  • Functional adenomas can lead to issues owing to the hormones they release. Typically, a functional adenoma creates an excess amount of a single hormone. The symptoms are dependent on the type of hormone secreted by them.
  • Tumors which do not lead to excess secretion of hormones tend to become large even before they are noticed. They may lead to different kinds of symptoms when they press against other parts of the brain or nerves or other areas of the pituitary.
  • Non-functional adenomas which do not lead to any symptoms are often found owing to the MRI or CT scan performed for other health troubles. These tumors are becoming more common since CT scans and MRIs are done more commonly, and these are the most prevalent type of tumors. There is no need to treat them as long as they do not cause any discomfort or symptoms.

Symptoms caused by pituitary tumors:
The carcinomas, as well as macroadenomas, are large enough to press on a nearby nerve or other parts of the brain regardless of whether they are functional or not. This may lead to signs and symptoms such as loss of peripheral vision, headaches, dizziness, facial numbness or pain, blurred or double vision and loss of consciousness. Sudden bleeding into the tumor can lead to loss of consciousness and even death. Depending on the type of nerves affected by the pituitary tumor can cause weakness, unexplained loss or gain of weight, nausea, feeling tired and cold, menstrual changes, erectile dysfunction, and reduced interest in sex, particularly in men.

Treatment of pituitary tumors:
Many patients suffering from pituitary tumors do not need any treatment. However, there are various factors like the size, type, and reach of the tumor that play an important role in deciding whether the patients require treatment or not. Moreover, the age of the patients and overall health conditions are the most crucial aspect in the decision of the same.

Surgical removal of the pituitary tumor is generally advised by the doctor when the tumor is pressing on the optic nerves or when the tumor is overproducing some hormones. On the other hand, radiation therapy makes use of high-energy X-rays for destroying tumors. Lastly, treatment with medicines can help in blocking excess secretion of hormone and even shrink certain types of pituitary tumors.

Brain Mapping Surgery - Why It Is Performed?

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Brain Mapping Surgery - Why It Is Performed?

Brain mapping is a technique where the biological quantities of a human brain are represented as spatial quantities resulting in maps. As with many other medical technologies, brain mapping is fast-evolving as well. Among several uses, brain mapping is chiefly used while performing surgery on the brain.

When surgery is to be performed on the brain such as surgery for epilepsy, the surgeon would want to comprehend how the brain areas are affected by seizures. The surgical intervention is meant for removing as much as seizure focus as possible while preserving crucial functions like understanding, speech, vision, movement, and sensation.

Why is brain mapping performed?
Brain mapping is a process which helps in identification of functions of various parts of the brain. Mapping the brain by stimulating different areas of the brain areas can aid in creating a map for a particular person. The map allows the doctor in understanding what parts of the brain are responsible for performing critical functions including sensation, movement, speech and other functions.

Which functions of the brain can be mapped electrically?
Typical areas of the brain which have motor, language, visual and sensory functions are needed to be mapped. When current is applied to a single area at a time, the doctor understands which part of the brain is responsible for which function.
When the patient is not able to speak due to the current, then the area is likely to be crucial for language function. If the limbs, face or trunk of the patient stop moving as the current passes, the area that is tested is responsible for movement. On the other hand, if the individual experiences tingling, numbing, and other sensations when the current is applied, it means that a sensory region is discovered.

How is electrical brain mapping performed?
Electrical brain mapping for guiding brain surgery for epilepsy can be performed in two distinct processes: directly during the surgery or in a two-stage procedure.

Two-stage procedure:
In the first stage of the process, the surgeon creates an opening in the skull which helps in exposing the surface of the brain. Small electrical contacts or electrodes are placed on the brain surface even though no brain tissue is removed. As soon as the electrodes are in the right position, the scalp is closed. The electrodes not only record the seizure of the patient electrically but also allow mapping of various areas of the brain. The last stage is surgery where abnormal brain tissues are removed.

Brain mapping process during surgery:
Electrical brain mapping may also be performed during the surgery which exposes part of the brain. This is termed as intraoperative brain mapping since it occurs while performing the main operation. The process of mapping may last for an hour to several hours at a stretch.

Brain mapping is also used to diagnose neurodegenerative diseases like Alzheimer’s and Parkinson’s. In these cases, the brain map shows extreme shrinkage of the brain due to tissue loss. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.

3381 people found this helpful

Hallucinations - Few Warning Signs You Might be Suffering From!

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Hallucinations - Few Warning Signs You Might be Suffering From!

Getting Hallucinations is a mental condition where a person sees, feels, hears, and tastes things that actually don't exist beyond one's heightened imagination or delusion. It involves the experience of perceiving something not present. Hallucinations can be pleasing or frightening. However, there is almost always an identifiable cause behind it.

They can be triggered by:

  1. Taking hallucinogenic or psychotropic substances
  2. Mental conditions like dementia and schizophrenia
  3. Neurological conditions like Alzheimer's disease or Parkinson's disease
  4. Macular degeneration, leading to loss of vision
  5. Migraines and brain tumor can also lead to such delusions

Some of the signs of hallucinations:

  • Hearing voices: The medical term for hearing voices is called an 'auditory hallucination'. A person may sense sounds or noises coming from inside or outside of their mind. The noise might be random or disrupting. One might also feel the voices talking to each other or trying to tell them something. Most of the times, these voices come from inside the person's mind; or in some cases, one's heightened perception may make a normal noise delusional.
  • Seeing things: This is also called visual hallucinations. For instance, one may see unnatural things like a floating chair in thin air. It all depends on a person's perception. Sometimes these hallucinations appear as bright flashy spots or rays of light.
  • False sense of taste and smell: Technically these are known as gustatory and olfactory hallucinations respectively. One may feel a kind of odor coming from one's body or surrounding; or a person might feel that something he/she is drinking or eating has an odd taste. This is again heightened mal-perception causing delusional sensory activities.
  • Tactile hallucinations: This is when a person feels things that don't exist. One may feel that he/she is being touched or tickled even when no one else is around or that insects are crawling beneath the skin. One may experience strange sensations, which are not a part of a reality. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.
3454 people found this helpful

Few Causes of Sciatica You Need To Know!

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Few Causes of Sciatica You Need To Know!

Sciatica refers to the pain one experiences due to the irritation or compression of nerve roots contributing to formation of Sciatic nerve. The sciatic nerve is the longest and widest nerve in the body, running from the lower back, down to the back of each leg. The pain can occur in the lower back and spread to the hips, buttocks and leg. Sciatica generally affects one side of the body. There are numerous causes of irritation of the sciatic nerve and sciatica.

Some of them are:

  1. Spinal Stenosis: The narrowing of the spinal canal caused by natural wear and tear of the vertebrae (individual bones in the spine protecting underlying nerves) of the spine is known as spinal stenosis. The narrowing may put pressure on the roots of the sciatic nerve, causing pain.
  2. Herniated Disc: A disc is made up of cartilage and acts as a cushion between vertebrae, allowing flexibility of the spine. A herniated or slipped disc occurs when a disc is temporarily pushed out of place, putting pressure on the sciatic nerve.
  3. Spondylolisthesis: It is a condition where one of the lower vertebrae slips forward over another. This also causes a collapse of the disc space between both, causing the nerve to get pinched. This may cause sciatica.
  4. Piriformis Syndrome: Piriformis is a muscle found deep inside the buttocks, which connects the lower spine to the upper thighbone, running directly over the sciatic nerve. Spasming of this muscle can pressurize the sciatic nerve, triggering symptoms of sciatica.
  5. Sacroilitis: Sacroillac joints are the place where the lower spine meets the pelvis and inflammation of one or both of these joints causes sacroilitis. This can give rise to symptoms of sciatica as it causes pain in the lower back, buttocks and legs.
  6. Spinal tumors: Very rarely, tumors growing inside or along the spine may put pressure on the sciatic nerve.
  7. Infection or injury: Muscle inflammation, infections, fractures or any other spinal injury may lead to irritation or compression of the sciatic nerve.
  8. Pregnancy: Pregnant women may suffer from sciatica due to weight gain, expansion of the uterus or increased fluid retention or other changes occurring in the body, which put pressure on the sciatic nerve.
  9. Other causesOsteoarthritis and fractures caused by osteoporosis may also affect the sciatic nerve, producing symptoms of sciatica. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.
3429 people found this helpful

When I masturbate I get lower back pain and I know fully well it's only because of masturbation. I also have premature ejaculation. I learnt in net that premature ejaculation is caused due to back pain. How can it be cured? Please help me.

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
When I masturbate I get lower back pain and I know fully well it's only because of masturbation. I also have prematur...
Masturbation is Physiological It means it is a normal phenomenon It does not cause any problems It does not have any side effects It does not interfere with your general Health It does not interfere with your Sex Life There is no need to Stop it And There is no need to worry about this Please do not believe non medical articles or rumours If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again at lybrate.com/bruno . I will be happy to answer your questions.
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Doctor ,Can the Men and Women of above 75 years of age masturbate ?Do their hidden organ get erected easily?

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Doctor ,Can the Men and Women of above 75 years of age masturbate ?Do their hidden organ get erected easily?
Masturbation is Physiological It means it is a normal phenomenon It does not cause any problems It does not have any side effects It does not interfere with your general Health It does not interfere with your Sex Life There is no need to Stop it And There is no need to worry about this Please do not believe non medical articles or rumours If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again at lybrate.com/bruno . I will be happy to answer your questions.
1 person found this helpful
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Purpose and Types of Brain Tumor Surgery

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Purpose and Types of Brain Tumor Surgery

Although surgery is considered to be the first step of treatment in any form of tumor but its feasibility depends upon the type, size and location of the tumor. It is not necessary that every kind of brain tumor might require surgery.

Indications of Brain Tumor Surgery

  • Diagnosis of the type of tumor by taking a sample of the tumor for laboratory examination
  • Complete resection of tumor
  • Removal of the tumor as much as possible to slow down its growth and improve the symptoms.
  • Remove the tumor in order to help other treatment
  • Provide direct access for other forms of treatment like chemotherapy, radiotherapy etc.
  • To relieve pressure caused by tumor on surrounding structures

Types of Brain Tumor Surgery

The different types of surgery that are performed in cases of brain tumor include the following:

Craniotomy: Craniotomy is the most commonly performed procedure to remove brain tumor along with a piece of bone. The removed bone is replaced and the tumor is sent for histopathology (biopsy). The surgery is performed using a high end microscope by any of the following techniques:

  • Extended bifrontal craniotomy
  • "Eyebrow" craniotomy (supra-orbital craniotomy)
  • "Keyhole" craniotomy (retro-sigmoid craniotomy)
  • Orbitozygomatic craniotomy
  • Translabyrinthine craniotomy

Shunt: A narrow piece of flexible tube with a pressure regulated valve in between is called a shunt. This is used to relieve the intracranial pressure caused by obstruction of the natural brain fluid (CSF) pathway by tumor mass. The procedure involves insertion of a drainage system into the brain to remove or drain excess of blocked fluid into the peritoneal cavity.

Stereotactic surgery: This surgery is done by creating a three-dimensional image called stereotaxy using computers. It aims to find out the location and position of the tumor. In fact it can also be done to aid tumor removal, implant radiation pellets or for other treatments.

Embolization: It is a procedure used to reduce the amount of blood supply to a tumor by blocking the blood flow in the selected arteries. It is generally performed before the main surgery.

Endoscopy and endoscope assisted surgery: Endoscope is the tool which helps to closely visualize the tissue through small openings in difficult to reach areas. This tool can be used in various brain surgeries to precisely reach the target location without damaging the adjacent structures.

Adjuvant modalities to improve outcome: In addition to above mentioned surgeries, following surgeries may also be performed in relation to brain tumor treatment:

  • Laser surgery
  • Photodynamic laser surgery
  • Ultrasonic aspiration
  • Fluorescent-guided surgery
  • Electrophysiological monitoring 

    If you wish to discuss about any specific problem, you can consult a neurosurgeon.

3223 people found this helpful

Neuroplasticity - 7 Things You Must Know About it!

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Neuroplasticity - 7 Things You Must Know About it!

The neurones in the brain are constantly reorganising their connections both functionally and physically according to the environment, your thinking and behaviour. This ability is known as neuroplasticity. Through neuroplasticity the nerve cells of brain can compensate for injury to some parts of the brain and enable a person to recover from stroke, birth abnormalities. It is also beneficial in treating autism, ADD, learning disabilities and helps manage obsessive compulsive disorders.

Here are seven things you should know about neuroplasticity.

  1. Change depends on the attentiveness of the brain: Neuroplasticity changes can only happen if the brain is alert and active. When the brain is active it releases neurochemicals that are necessary for the neurone connections to change. If a person is distracted to inattentive, these changes cannot happen.
  2. The more the effort; the bigger the change: Neuroplasticity changes depend on how motivated the person is to change or learn new tasks. For this reason, when it comes to using neuroplasticity for physiotherapy, it is essential to first deal with any depression or anxiety issues the patient might be having before attempting to rehabilitate them.
  3. It helps strengthen neural connections: Repetition of actions is one of the key elements of neuroplasticity in physiotherapy. Through this, the strength of neurone connections is strengthened to include sensory information, movement and cognitive patterns.
  4. It improves cell to cell connections: This is crucial to a patient’s rehabilitation as it increases reliability and makes a person more independent. In turn, this makes behaviour patterns more reliable.
  5. It helps predict actions: A task can usually be broken down into a series of smaller tasks. For example, feeding oneself can be broken down into steps that begin with lifting a spoon and filling it with food to finally putting the spoon into your mouth. Hence, along with completing an action, the brain must also know what to do next. Neuroplasticity helps improve this associative flow and allows the brain to predict the next step.
  6. Changes can be temporary or permanent: Initial changes due to neuroplasticity are temporary ad only if the brain determines the experience to be desired is this change made permanent. This is why when treating mobility issues, patients are not always able to repeat tasks in the same way.
  7. Memory guides the learning: When making new neural connections through neuroplasticity, the brain is taught to discard unsuccessful attempts and only remember the experience of the successful attempts. From here, adjustments are made to improve the connection. If you wish to discuss about any specific problem, you can consult a neurosurgeon.
1 person found this helpful

Neuroplasticity - 7 Things You Must Know About it!

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Neuroplasticity - 7 Things You Must Know About it!

The neurones in the brain are constantly reorganising their connections both functionally and physically according to the environment, your thinking and behaviour. This ability is known as neuroplasticity. Through neuroplasticity the nerve cells of brain can compensate for injury to some parts of the brain and enable a person to recover from stroke, birth abnormalities. It is also beneficial in treating autism, ADD, learning disabilities and helps manage obsessive compulsive disorders.

Here are seven things you should know about neuroplasticity.

  1. Change depends on the attentiveness of the brain: Neuroplasticity changes can only happen if the brain is alert and active. When the brain is active it releases neurochemicals that are necessary for the neurone connections to change. If a person is distracted to inattentive, these changes cannot happen.
  2. The more the effort; the bigger the change: Neuroplasticity changes depend on how motivated the person is to change or learn new tasks. For this reason, when it comes to using neuroplasticity for physiotherapy, it is essential to first deal with any depression or anxiety issues the patient might be having before attempting to rehabilitate them.
  3. It helps strengthen neural connections: Repetition of actions is one of the key elements of neuroplasticity in physiotherapy. Through this, the strength of neurone connections is strengthened to include sensory information, movement and cognitive patterns.
  4. It improves cell to cell connections: This is crucial to a patient’s rehabilitation as it increases reliability and makes a person more independent. In turn, this makes behaviour patterns more reliable.
  5. It helps predict actions: A task can usually be broken down into a series of smaller tasks. For example, feeding oneself can be broken down into steps that begin with lifting a spoon and filling it with food to finally putting the spoon into your mouth. Hence, along with completing an action, the brain must also know what to do next. Neuroplasticity helps improve this associative flow and allows the brain to predict the next step.
  6. Changes can be temporary or permanent: Initial changes due to neuroplasticity are temporary ad only if the brain determines the experience to be desired is this change made permanent. This is why when treating mobility issues, patients are not always able to repeat tasks in the same way.
  7. Memory guides the learning: When making new neural connections through neuroplasticity, the brain is taught to discard unsuccessful attempts and only remember the experience of the successful attempts. From here, adjustments are made to improve the connection. If you wish to discuss about any specific problem, you can consult a neurosurgeon.
3306 people found this helpful

Spinal Cord Injury - Signs, Causes & Prevention

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Spinal Cord Injury - Signs, Causes & Prevention

A spinal cord injury is a damage to the spinal cord. It’s an extremely serious type of physical trauma that’s likely to have a lasting and significant impact on most aspects of daily life.

The spinal cord is responsible for sending messages from the brain to all parts of the body. It also sends messages from the body to the brain. We are able to perceive pain and move our limbs because of messages sent through the spinal cord.

If the spinal cord sustains an injury, some or all of these impulses may not be able to ‘get through’. The result is a complete or total loss of sensation and mobility below the injury. A spinal cord injury closer to the neck will typically cause paralysis throughout a larger part of the body than one in the lower back area.

Causes-

A spinal cord injury is often the result of an unpredictable accident or violent event. The following can all result in damage to the spinal cord:

  • a violent attack such as a stabbing or a gunshot
  • diving into water that’s too shallow and hitting the bottom
  • trauma during a car accident (specifically, trauma to the face, head and neck region, back, or chest area)
  • falling from a significant height
  • head or spinal injuries during sporting events
  • electrical accidents
  • severe twisting of the middle portion of the torso

Symptoms-

Some symptoms of a spinal cord injury include:

  1. problems walking
  2. loss of control of the bladder or bowels
  3. inability to move the arms or legs
  4. feelings of spreading numbness or tingling in the extremities
  5. unconsciousness
  6. headache
  7. pain, pressure, stiffness in the back or neck area
  8. signs of shock
  9. unnatural positioning of the head

If you suspect that someone has a back or neck injury:

  • Don’t move the injured person – permanent paralysis and other serious complications may result
  • Call 911 or your local emergency medical assistance number
  • Keep the person still
  • Place heavy towels on both sides of the neck or hold the head and neck to prevent them from moving until emergency care arrives
  • Provide basic first aid, such as stopping any bleeding and making the person comfortable, without moving the head or neck

Prevention-

Because spinal cord injuries are often due to unpredictable events, the best you can do is reduce your risk.

 Some risk-reducing measures include:

  1. always wearing a seatbelt while in a car
  2. wearing proper protective gear while playing sports
  3. never diving into water unless you’ve examined it first to make sure it’s deep enough and free of rocks. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.
3488 people found this helpful

Herniated Disc - What are the Risks Involved in it?

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Herniated Disc - What are the Risks Involved in it?

The symptoms caused due to herniated disc can be very severe and can also cause a bit of disability. The disc of the spine is like a cushion and separates the set of bones on the backside. The discs are shock absorbers of the spine and are mainly composed of 2 parts, a soft jelly centre called the nucleus and a tough outer covering called the annulus.

Effects of Herniated Disk
A herniated or cracked disc is a severe condition and it seems to happen most commonly in the lower back.  It happens when a fraction of the soft centre gets pushed through the destabilized area due to degeneration, trauma or by putting pressure on the spinal cord. 

Nerves are located precisely at the back of every disc and are responsible for controlling everything in our body. While a disc gets herniated, the external covering of the disc tears and creates a bulge. The soft jelly gets shifted from the centre of the disk to the region where the damage has occurred on the disc. Most commonly, the bulge occurs in areas where the nerve is located and it causes strain on the affected nerve. It has been observed that individuals do not feel any painful sensations even if their disc gets damaged.

When is Surgery Recommended for Herniated Disc?
Surgery for herniated disc is recommended only after options like steroid injections, pain relievers, exercise and non-steroid anti-inflammatory drugs do not work. If the pain persists even after these options, then it becomes important to go for surgery. There are certain risks involved in this surgery like infection, bleeding or nerve damage. 

There are chances that the disc may get ruptured again if it is not removed. If you are a patient suffering from degenerative disc disease, then there are chances that problem occurs in other discs. It is very important that a patient maintains healthy weight to prevent any further complications.

The main factor that increases the risk of herniated disc is excess body weight, which causes a lot of stress on the lower back. A few people become heir to a tendency of developing this condition. Even individuals with physically demanding jobs are prone to this condition. 

Activities like bending sideways, pushing, twisting, repetitive lifting can increase the risk of a herniated disk. At times, emergency surgery is also required to avoid paralysis in a patient. If you wish to discuss about any specific problem, you can consult an orthopedist.

3510 people found this helpful

Role of Neurosurgery in Management of Stroke

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Role of Neurosurgery in Management of Stroke

A stroke may be called a brain attack. It may happen to any person at any time. A stroke occurs when blood supply to the brain is cut off. The brain cells become oxygen deprived due to the stroke and eventually die. Dead brain cells result in brain dysfunction due to which patients lose control over muscle and memory.

Strokes can be mild to life threatening and requires immediate medical attention. Stroke requires advanced care and should be treated by extensively qualified and experienced medical experts. 

Neurosurgery satisfies all the required clauses for treatment of stroke and accounts for being one of the best ways for management of stroke. Renowned hospitals have a dedicated neurosurgical wing and a team of neurological specialists who know how to deal with stroke the best.

Vascular Neurology
This form of neurology focuses on patients who have undergone a stroke or have experienced symptoms of stroke. A multidisciplinary approach is taken for the prevention of recurrent cerebrovascular conditions.

Types of stroke

  1. Ischemic stroke: This kind of stroke occurs when there is a blockage in a blood vessel, which supplies blood to the brain. This form of stroke is the more common. The underlying cause of this stroke is known as atherosclerosis, which is a condition where fatty deposits occur in the walls of the blood vessels and cause blockage in them.
  2. Hemorrhagic stroke: This type of stroke occurs when a blood vessel gets weak and ruptures into the brain. This is caused by two types of weak blood vessels known as aneurysm and arteriovenous malformation.
  3. Transient ischemic attack: This type of stroke is also known as a mini stroke. These attacks occur because of blood clots. The blockage caused is temporary or transient in nature.

Treatment of Ischemic stroke

  1. Tissue Plasminogen Activator: This is one of the best ways to treat ischemic strokes. This medicine is given to the patient intravenously. It dissolves the blood clot and improves blood flow to the area of the brain which is affected. The medicine should be given within three to four hours after stroke symptoms appear.
  2. Endovascular procedure: This is a process by which the blood clot is removed using a catheter, which gets inserted into the area of the blocked blood vessel. It helps in restoring blood flow to that area. 

Treatment of Hemorrhagic stroke

  1. Endovascular procedure: Several endovascular techniques and methods are used so that the weakening of blood vessels is reduced and less bleeding is caused.
  2. Surgical treatment: Different modes of neurosurgery may be undertaken to stop bleeding and for relieving pressure within the skull.
3494 people found this helpful

My penis size is small and I want to increase my penis size. I want to make it long and thick. Please help.

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
My penis size is small and I want to increase my penis size. I want to make it long and thick. Please help.
Hi, Welcome to Lybrate.com I am here to help you. Small Size of Penis are mostly due to wrong food habits. They are all easily treatable and Totally Curable in Most Men All you need is 1. Thorough Evaluation 2. Understanding your Specific Problems 3. Life Style Modifications: Exercises 4. Life Style Modifications: Foods to Take 5. Life Style Modifications: Foods to Avoid Please specify your present diet patterns at Lybrate.com/bruno and I will be happy to answer your questions. Take care.
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I am unable to control masturbation. As it gets tough to control erections. Moreover Ejaculations occur in one or two minutes. How to extend the time?

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
I am unable to control masturbation. As it gets tough to control erections. Moreover Ejaculations occur in one or two...
Masturbation is Physiological It means it is a normal phenomenon It does not cause any problems It does not have any side effects It does not interfere with your general Health It does not interfere with your Sex Life There is no need to Stop it And There is no need to worry about this Please do not believe non medical articles or rumours //Moreover Ejaculations occur in one or two minutes. How to extend the time?// Improper Erections, Inadequate Erections, Premature Ejaculation or Reaching Climax soon are mostly due to wrong food habits. They are all easily treatable and Totally Curable in Most Men All you need is 1. Thorough Evaluation 2. Understanding your Specific Problems 3. Life Style Modifications: Exercises 4. Life Style Modifications: Foods to Take 5. Life Style Modifications: Foods to Avoid Please specify your present diet patterns at Lybrate.com/bruno and I will be happy to answer your questions. Take care.
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12 Questions You Must Ask Your Spine Surgeon

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
12 Questions You Must Ask Your Spine Surgeon

Spine surgeries are complicated and have serious repercussions if the procedure doesn’t go as planned. Probing your doctor is therefore very critical to ensure a safe operation and early post-op recovery. Questions can range from the type of treatment chosen for speedy recovery to side effects. Here is a list of questions that you need to ask your spine surgeon:

1. Why is the surgery recommended?
Typically, there could be more than one treatment option for a particular problem. Your doctor should be able to tell you very precisely as to why the surgery is recommended and how it is going to address the problem.

2. Is there any non-surgical option?
Many spine related issues can be treated with medicines and physiotherapy. Ask your doctor if such options exist.

3. Explain the surgical procedure in detail
Your doctor should explain the whole surgical procedure, explaining the minute details and help will help you to understand the implications.

4. What is the duration of the surgery?
Spine surgeries do not take more than 2 hours. It, however, depends on the procedure that is being performed. You can also take the package for Reducing Joint/Muscle Pains.

5. How will the surgery address the pain?
It is important to know the source of the pain. Exploratory surgeries are not performed on the spine. Ask your doctor how he intends to address the pain through the surgery.

6. What are the risks involved?
Risks and side effects vary from patient to patient. For instance, a person with obesity, spondylitis and smoking has greater chances of complications associated with the operation.

7. Will the doctor perform the whole procedure or he will use practicing surgeons and intern for the job?
Many senior surgeons use interns and junior surgeons to perform a minor procedure. Get a clear understanding of the role of the doctor and his assistants. It is a good idea to know the background if the surgical team who is going to perform the procedure.

8. What is the success rate of the doctor for the procedure he is going to perform?
A successful spine surgeon should be able to give you valid data on his/her success rate and the overall success rate of surgeons all across the country.

9. How many days do you need to spend in hospital?
Your hospital stay is directly related to your insurance. It is essential to get a clear picture on the same.

10. Whether a back brace is necessary after surgery?
Limiting the spine movement speed the process of healing. Most Doctors suggest braces after a spine surgery.

11. What is the time required for recovery?
The recovery greatly varies from patient to patient. What you should ask your Doctor is the expected time required for you to join your job/school.

12. Will there be any physical limitation after the operations?
Many spine surgeries require you to refrain from strenuous jobs for a while. For instance, certain surgeries require you to stay away from driving for a while. Address all these apprehensions from your doctor.

If you wish to discuss about any specific problem, you can consult a specilized orthopedist and ask a free question.

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Health Quote of the Week

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Health Quote of the Week

Ensure adequate intake of healthy fats, and ensure adequate vitamin d and vitamin b12 status for optimal nervous system health.

1 person found this helpful

Health Quote of the Week

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Health Quote of the Week

One of the best ways of keeping your nervous system fine tuned is to spend a minimum of 15 minutes per day writing on paper.

Health Quote of the Week

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Health Quote of the Week

Diet, stress management, and mental and physical exercise are the four pillar of alzheimer's and dementia prevention.

1 person found this helpful

Lower Back Pain - 8 Signs When You Must Visit Your Doctor

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Lower Back Pain - 8 Signs When You Must Visit Your Doctor

Pain causes a lot of discomfort in the body no matter whether the pain is in the back, legs or in the head. Almost all people experience lower-back pain at some point in their lives, which can be extremely painful and can cause considerable annoyance. The first medical specialty that comes to mind for relief of lower-back pain is Orthopedics. The other two specialists that play a vital role in treating lower-back pain are the neurosurgeons and the physiatrists.

Pain in the Back
It is very difficult for the body to source the pain when it is deep and this pain could be due to infection, disease or injuries in the back, stomach and heart. It is even possible that the pain radiates to different places in the body. Often back pain is accompanied by body changes like redness, fever, neurological problems, heat, and changes in body functions and for that diagnosis of the back pain may be very severe. Patients suffering from lower-back pain and with symptoms that comprise of weakness in the foot or other symptoms of a neurologic insufficiency must definitely see a neurosurgeon.

Back pain that occurs due to reversible problems is known to vanish in a few hours or in a day. However, if it continues longer and is accompanied by body changes, then there are chances that the condition can become worse. You must consult your doctor for back pain, if any of such characteristics are witnessed. It is always better to get evaluated by a physician.

When to Consult a Doctor Immediately

  1. Back pain that is followed by a shock like a car accident.
  2. The pain in the back worsens and is constant
  3. Back pain continues for more than 4-6 weeks
  4. The pain does not improve even after taking typical remedies such as taking pain relievers or after resting.
  5. Severe pain in the back in the night and that is alleviated by rest
  6. The back pain is accompanied by abdominal pain
  7. Numbness in the upper thighs, buttocks, groin or in the genital area
  8. Weakness or tingling sensation in the arm or legs

Role of a Neurosurgeon
The neurosurgeon provides non-surgical as well surgical care depending upon the nature of the illness or the injury, and he does not just operate. The neurosurgeons are experts and offer treatment to patients suffering from any spine injury or disease, brain or peripheral nerves that deal with arms, hands, feet and legs. But there are many other neurosurgeons that confine their practice to treating back pain.

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What are the Signs and Symptoms of Nervous Breakdown?

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
What are the Signs and Symptoms of Nervous Breakdown?

Nervous Breakdown is not a medical term. It is connected to health problems associated with depression and anxiety. It often results from extreme stress and need medical help to overcome it. Although there are physical and emotional symptoms of this state of being, people often miss it. Here is a list of some common signs and symptoms related to nervous breakdown:

  1. It is hard to concentrate: It is often seen that a person finds it hard to concentrate when he is on the verge of mental breakdown. While a little stress helps in better functioning of the memory, chronic stress can prove to be lethal for the human mind and body. According to a study conducted by the University of Maryland Medical Center, it is found that too much stress results in the secretion of a hormone called cortisol which deteriorates the memory.
  2. Food becomes your best friend: An increased level of stress makes the body release certain hormones such as adrenaline for a flight response. When this hormone wears off, cortisol asks the body to replenish energy from food. This hormonal reaction results in emotional eating. As a result of stress, certain high sugar items such as ice-cream and chocolate give a good feeling to the body. According to a study conducted by the American Psychological Association it was found that 40 percent out of 3000 individual seek pleasure in high fat high sugar items.
  3. An upset stomach: Often before nervous breakdown, many people report symptoms related to IBS. A patient might also go through certain other symptoms such as stomach aches, abdominal pain and diarrhea. These indicators are related to overwhelming stress more often than not. According to a recent study conducted by the Anxiety and Depression Association of America, it is found that more than half the people suffering from IBS have anxiety or depression related disorder.
  4. Slouching becomes your favorite activity: Slouching is a major indicator of stress. A study conducted by the San Francisco State University in 2012 revealed that slouching drains more energy than skipping. Poor posture and depression is a common phenomenon in people suffering from anxiety and stress related disorder. If this is occurring way too frequently, it is time to consult a doctor and get professional help.
  5. A hyperactive nose: People with hypertension, anxiety, depression and stress often find themselves with a hyperactive sense of smell. A study conducted by the University of Wisconsin revealed that when a person is exposed to disturbing images of crashes or accident, he is often found to have a distorted sense of smell. Even neutral smells can be mistaken as foul ones by patients suffering from anxiety. If this sounds familiar, it is time to visit a doctor.
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