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Dr. Jothi Kumar

Neurosurgeon, Chennai

Dr. Jothi Kumar Neurosurgeon, Chennai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Jothi Kumar
Dr. Jothi Kumar is one of the best Neurosurgeons in Nanganallur, Chennai. You can consult Dr. Jothi Kumar at Hindu Mission Health services in Nanganallur, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Jothi Kumar on Lybrate.com.

Lybrate.com has an excellent community of Neurosurgeons in India. You will find Neurosurgeons with more than 25 years of experience on Lybrate.com. You can find Neurosurgeons online in Chennai 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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100 Feet Road, Hindu colony, Nanganallur, Land Mark: Near Ranga Theater, ChennaiChennai Get Directions
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Autism in Children

CCT, FRCPCH , MRCPCH, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Delayed Speech: Can it be autism?

Autism spectrum disorder (ASD) is a range of complex neurodevelopment disorders, characterized by social impairments, communication difficulties, and restricted, repetitive, and stereotyped patterns of behaviour. Males are four times more likely to have an ASD than females. A recent study in US found 1 in 68 children suffering from autism.
What are some common signs of autism?

The hall feature of ASD is impaired social interaction. As early as infancy, a baby with ASD may be unresponsive to people or focus intently on one item to the exclusion of others for long periods of time. A child with ASD may appear to develop normally and then withdraw and become indifferent to social engagement.

Children with an ASD may fail to respond to their names and often avoid eye contact with other people. They have difficulty interpreting what others are thinking or feeling because they can’t understand social cues, such as tone of voice or facial expressions, and don’t watch other people’s faces for clues about appropriate behaviour. They lack empathy.

Many children with an ASD engage in repetitive movements such as rocking, or self-abusive behaviour such as biting or head-banging. They also tend to start speaking later than other children. Children with an ASD don’t know how to play interactively with other children. Some speak in a sing-song voice about a narrow range of favourite topics, with little regard for the interests of the person to whom they are speaking.

Children with characteristics of an ASD may have co-occurring conditions, including Fragile X syndrome (which causes mental retardation), tuberous sclerosis, epileptic seizures, Tourette syndrome, learning disabilities, and attention deficit disorder. About 20 to 30 percent of children with an ASD develop epilepsy by the time they reach adulthood.
How is autism diagnosed?

Very early indicators that require evaluation by an expert include:
• no babbling or pointing by age 1
• no single words by 16 months or two-word phrases by age 2
• no response to name
• loss of language or social skills
• poor eye contact
• excessive lining up of toys or objects
• No smiling or social responsiveness.

If you find any of these features in your child, please consult the local pediatrician or child neurologist if available who can assess your child in detail. There is no single blood test to diagnose autism. However, the doctor needs to look into certain disorders in which children have similar features or having features of autism in addition to other signs of that disorder. E.g. Tuber sclerosis, Landau-kleffner syndrome (a form of Epilpesy), other childhood epilepsies, some metabolic and genetic disease. So your doctor may do some blood test, hearing assessment, EEG, etc. depending upon the presenting features and assessment.

What role does inheritance play?

Twin and family studies strongly suggest that some people have a genetic predisposition to autism. Identical twin studies show that if one twin is affected, there is up to a 90 percent chance the other twin will be affected. In families with one child with ASD, the risk of having a second child with the disorder is approximately 5 percent, or one in 20. This is greater than the risk for the general population.

Do symptoms of autism change over time?
For many children, symptoms improve with treatment and with age. Children whose language skills regress early in life (before the age of 3) appear to have a higher than normal risk of developing epilepsy or seizure-like brain activity. During adolescence, some children with an ASD may become depressed or experience behavioural problems, and their treatment may need some modification as they transition to adulthood. People with an ASD usually continue to need services and supports as they get older, but many are able to work successfully and live independently or within a supportive environment.

How is autism managed?

There is no cure for ASDs. However, it is important to diagnose it early and look for associated conditions like ADHD (Attention deficit hyperactive disorder), Epilepsy, sleep disorders, etc. Earlier is intervention, better is the outcome. Therapies and behavioral interventions are designed to remedy specific symptoms and can bring about substantial improvement. The ideal treatment plan coordinates therapies and interventions that meet the specific needs of individual children.

Educational/behavioural interventions: Therapists use highly structured and intensive skill-oriented training sessions to help children develop social and language skills, such as Applied Behavioural Analysis. Family counselling for the parents and siblings of children with an ASD often helps families cope with the particular challenges of living with a child with an ASD.
Medications: Doctors may prescribe medications for treatment of specific autism-related symptoms, such as anxiety, depression, or obsessive-compulsive disorder. Antipsychotic medications are used to treat severe behavioural problems. Seizures can be treated with one or more anticonvulsant drugs. Medication used to treat people with attention deficit disorder can be used effectively to help decrease impulsivity and hyperactivity.
Other therapies: There are a number of controversial therapies or interventions available, but few, if any, are supported by scientific studies. Parents should use caution before adopting any unproven treatments. Although dietary interventions have been helpful in some children, parents should be careful that their child’s nutritional status is carefully followed.

Conclusion: Autism is seen commonly now a day. The main features are delayed speech, poor eye contact and social interaction and restricted interest with repetitive behaviour. Parents and physician should aware of its early symptoms so that early intervention can be started.

1 person found this helpful

He survive with febrile seizure But he have fit for a little time for 1 or 2 min Now he have fever 100 to 102 but fever not reduce.

MBBS
General Physician, Mumbai
He survive with febrile seizure But he have fit for a little time for 1 or 2 min
Now he have fever 100 to 102 but fev...
take paracetamol (according to the age and weight of patient)to reduce fever. reduce fever further by sponging with tap water.fever will reduce so will seizures. diazepam is given to children with febrile seizures.please have it prescribed by your paediatrician.
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My sister age is about 55 years. She has got problem in morning hand shivering, weakness. We had done almost all test. All are normal had b12 injection. Take all medicine. But its not after few hours in morning it will all right. Now what to do.

Master in Psychology, MD - Ayurveda, Dems, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
No need to worry Mr. Paresh, just ask your sister to avoid fried oily and junk food. Avoid aerated drinks. Take proper sleep. Do pranayama in the morning for half an hour. Take tab, neurobion forte once a day. Apply n massage mahanarayan tail on both upper limbs for fifteen minutes every alternate day in the morning.
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I can wake up late till night but getting up early leads to migraine problem. I cannot sleep very early cos of work. What should I do?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do Take balanced diet and hyderated Avoid stress anxiety and anticipating the things Do regular physical activity and breathing exercises for about 20 minutes regularly Best Wishes
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I suffered from sciatic problem now I am fine but my right leg is still numb, I am unable to fell any sensation on my right leg. What should I do?

M S Orthopaedics, MBBS
Orthopedist, Mumbai
I suffered from sciatic problem now I am fine but my right leg is still numb, I am unable to fell any sensation on my...
Hello lybrate user, sciatica is a radiating pain along the course of the nerve. Usually for the lower back to the back of thigh and then further down to the foot. This happens because of a compression on the nerve roots which leads to symptoms of tingling and numbness in your feet, and other functional deficits the nerves like sensory loss and weakness in the limbs. When this pressure of the nerves is accompanied by inflammation of nerve itself, it gives rise to the radiating pain or sciatica. This inflammation comes down with anti inflammatory drugs and rest, so the sciatica is no longer present but compression on the nerves remains so you might still be having sensory loss. But still your nerve might be recovering from the compression and you regain sensation with neurotonic drugs and time if the compression has also been resolved. But this decision making is complex and can be done by a spine surgeon and only after a thorough clinical assessment. I would suggest you get an mri done and consult a spine surgeon as soon as possible. Hope this helps.
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My daughter is about 6 years old. She have hearing problem, as per bera test doctors says that the problem will be cleared as her age grown up. But I feel that her hearing ability is constantly getting down. Please give some suggestion. If you want to see beta test report please help.

MBBS, DNB, Fellowship in Neurosurgery
Neurosurgeon, Kolkata
Dear, please do mri scan of brain, and audiometry. What is the birth history? any medicine she has got for any other disease? please let me know. Dr. Amit ghosh.
4 people found this helpful
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Hi, I'm a 21 years old male the problem is that I've pain in my body basically most of the joints sections like upper middle back, legs, shoulder, neck and feel numbness and indigestion. Please recommend me some solution so I can heel my body.

BHMS
Homeopath, Delhi
Hi, I'm a 21 years old male the problem is that I've pain in my body basically most of the joints sections like upper...
Hello,take homoeopathic medicines 1.Calc Fluor 30 (4 drops in little water) every morning empty stomach only one dose in a day for a week. 2.Rhus Tox 30 (4 drops in little water) thrice a day for a week and update with the feedback.
2 people found this helpful
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MPTh/MPT
Physiotherapist, Mumbai
More then 90% of migraine headache arises from NECK REGION.
Physiotherapy works fantastic in this condition.
10 people found this helpful

I am suffering from seizure or epilepsy what precautions should I take to prevent my self from this?

MBBS
General Physician, Chandigarh
Epileptic fit is a symptom to some thing wrong in the brain you will have to get thoroughly checked and investigated from of neurologist to find out its cause and once the cause is identified then we see how we take steps and medication to prevent it in general you should be careful not to put yourself in any situation where if you have an attack by chance and your lif gets into danger like don't drive swim don't take up any jobs near the heavy machinery where you can get caught in them accidentally etc.
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My father is suffering from progressive disease for last 2 years, in that first right palm dead then full right hand, now left hand is not working means not lifted up, doctors says this is disease called MND. And MND has no cure. So he is taking tablet riluzole for last 1 year but no improvement with some vitamins tablet. Now this effect shown in legs also.

Drama Therapy - AUTISM, Early Childhood Special Education, Master of Occupational Therapy (MOT), PG Diploma in Hospital Management, Bachelor in Occupational Therapy, CAS - Certified Autism Specialist, Sensory Enrichment Therapy
Occupational Therapist, Bangalore
My father is suffering from progressive disease for last 2 years, in that first right palm dead then full right hand,...
Its a progressive degenerative disease. If it is the correct diagnoses for your father then he can maintain the remaining strength and slow down the regression by doing maintainence therapy under any good occupational therapist. If required they will provide splints to support the functional independence.
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I am 67 years young. I have numbness in the outer portion of both thighs. Degree is more, when I get up in the morning.

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. It could most probably due to a nerve impingement. Start with tens as a modality of physical therapy, medications for neuropathic symptoms like pregabalin or gabapentin in basic doses, vitamin b 12 supplementation if there is a deficiency and let me know in 2-3 weeks time how you are feeling? also tell me whether there are any symptoms with lower back region as well? do not hesitate to contact me if you need any further assistance.
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I have multiple scattered calcific foci with healed granulomatous in my parietal lobe of brain as discovered 10 years back. I had 4 major siezures and 4 simple partial focal siezures till date. I am on a eptoin 300mg a day since 5 years. Can I consume alcohol ?

MD - Psychiatry, MBBS
Psychiatrist, Patna
Alcohol is a potent toxic material for brain. Your doctors must have advised you not to consume. Alcohol can precipitate seizure and it can reduce the effect of medicine also.
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A question for neurologist I have a family history of HD My mother diagnosed at the age of 48 With 50 CAG REPEATS I AM 26 and I got tested 2 years before with 26 CAG REPEATS This cag remains same or changes with time throughout life time.

PDDM, MHA, MBBS
General Physician, Nashik
Generally, the number of cag repeats is related to how much this process is affected, and accounts for about 60% of the variation of the age of the onset of symptoms. The remaining variation is attributed to environment and other genes that modify the mechanism of hd.
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Mujhe saans ki problm hai khaskar upstairs jane ke baad ya after walking. Aisa lagta jaise nose me kuch fassa hua balgam type and raat ko kharrate bhi kafi leti hun. Dakaar bhi kabhi nhi aata. Migraine ki kafi problm rehti. Week me 3 times attack aata migraine ka. Kabhi kabhi chest me bhi jalan rehti and fingers and arms me shivering and sleeping time ya bed pe lete time legs apne aap move krti ya baar bar move krni padti. Shivering bhi hoti. please help me.

MBBS
General Physician, Jalgaon
Mujhe saans ki problm hai khaskar upstairs jane ke baad ya after walking. Aisa lagta jaise nose me kuch fassa hua bal...
Please Avoid lethargic life style Wake up early go for morning walk in greenery daily with relaxed mind Do pranayam and yoga daily Take salads and fruits more Avoid oily spicy and fast food, non veg food, processed food Put SHADBINDU OIL drops in both nostrils regularly Take Sy Kankasav 15 ml twice a day for 7 days Somasav 15 ml twice a day for 7 days Reconsult after 7 days for further advice.
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I have spastic diplegia due to cerebral palsy by birth. Locomotor disability. How to get rid of this disability.

MD - Alternate Medicine, BHMS
Homeopath, Surat
I have spastic diplegia due to cerebral palsy by birth. Locomotor disability. How to get rid of this disability.
Please consult a homeopathic doctor for this. Your condition requires a proper consultation. It will take time but you will definitely get results. You can either find a local doctor or you can consult me online.
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Hi sir, I am 26 years old male. I am suffering from migraine. Some time I used to get severe headache. And my left hand used to pain some time Kindly tell me what should I do noq.

B.H.M.S
Homeopath, Patna
Spigelia 1m one drop daily in th morning if pain is in left side other wise if pain in right than sangunaria c 1m one drop twice daily for one month.
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My left arm always shivering when ever im using my left arm for taking cup of tea/water it vibrate.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
This is because of muscular weakness. So do massage on your shoulders with good ayurvedic oil. And lift light weight dumbwells.
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