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Electroconvulsive Therapy (Ect) Treatment
Assistive Walking Device Training
Radiofrequency Neurotomy Procedure
Surgery Of The Facial Nerve
Brain Suite Treatment
Brain Tumor Surgery
Cerebral Palsy Treatment
Cerebral Vascular Surgery
Csf Rhinorrhoea Repair Procedure
Decompression Microvascular Surgery
Deep Brain Stimulation Procedure
Treatment of Nerve And Muscle Disorders
Treatment of Neurological Problems
Treatment of Paralysis
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My one year old son has had an MRI done for delayed development. The diagnosis is' significant thinning of hypogenesis corpus callosum" He has not started walking. Sits for a while but tends to fall. Makes sounds like ba, pa, ma and na. Sings aloud. Very active otherwise. Quite social. Gives divine smiles. My doctor says this affects the overall growth of the child. There is no cure for it, he says. Want to know the causes, symptoms, what to expect and possible cures.
I am suffering from migraine headache from past few years ago and I am not able to bear. I got used to take pain killers but I think it did not work.
My 4 year daughter speak s only a few words or small line. She was forstrap delivered by Dr. So she got brain nerves pinch. She got conversion when she was 1.5 month. What should I do?
I suffer from Migraine since long. Not taken any medicine yet. Am Male, 59 years, occasional smoker and drinks beer/wine once in a while.
Cerebral palsy is a term used to describe a broad spectrum of motor disability which is non-progressive and is caused by damage to brain at or around birth. It is a disorder which develops due to damage to CNS and this damage can take place before, during, or immediately after the birth of the child. The damage won't worsen but remains constant. However the child may appera to worsen if not given proper intervention not because of an increase in lesion in the brain but just beacuse the damaged brain is not able to cope up with the physical demand of the growing body and the increasing demand of the environment surrounding the child.
- Genetic causes: First or second degree consanguineous marriage.
- Intrauterine virus infection: Rubella and cytomegalovirus infections which lead to severe brain damage along with associated visual and hearing problem with cataract.
- Hypoglycemia: Low blood sugar for long period lead to brain damage and epilepsy. Cerebellum is more vulnerable leading to ataxia and visual problems. Infant of diabetic mothers are more prone to hypoglycemia.
Trauma to the mother:
- Infection to the mother can make the baby prone to develop it.
- Malnourishment of the fetus especially in case of twins.
- Exposure to the mother’s abdominal area to repeated X-ray radiation, prolonged use of medications like steroids by mother.
- Prematurity: Premature babies are prone to brain damage either due to trauma during delivery and later on due to immature respiratory and cardiovascular system. Therefore, they are likely to develop hypoxia and low blood pressure also, they are more likely to develop low blood sugar, jaundice and hemorrhage because of liver immaturity.
- Vascular causes: Occlusion of the internal carotid or midcerebral artery during birth can on many occasions lead to hemiplegia.
- Trauma: trauma can occur either due to disproportion, breech delivery, and forceps delivery, distortion of head and tearing of tentorium.
- Asphyxia: It can occur by accidents and burns which could be as a result of knotted umbilical cord, cord around the neck or prolapsed cord. Multiple deliveries can cause asphyxia of the second or third infant.
- Neonatal meningitis: Usually associated with severe residual brain damage.
- Delayed cry: Causes asphyxia to the brain causing CP.
- Severe jaundice: Presence of high levels of bilirubin cause basal ganglia damage leading to athetoid cerebral palsy and high tone deafness.
- Trauma: Fall of the body after birth.
- Infection: Like meningitis, or encephalitis can cause brain damage.
TYPES OF CEREBRAL PALSY:
- Basically cerebral palsy children manifest in three common ways spastic, athetoid, and ataxic.
- Spasticity seen in cerebral palsy is usually knife that may change with change in position, which means that spasticity may vary from supine to prone.
- Athetoid cerebral palsy children exhibits slow, purposeless, wormlike, involuntary movements which flow into each other. It occurs due to basal ganglia damage commonly seen in children who suffers from an attack of jaundice following birth.
- Ataxia in cerebral palsy occurs due to cerebellar damage. Both balance and coordination is affected.
PHYSIOTHERAPY TREATMENT OF CEREBRAL PALSY
- Physiotherapy is one of the most important treatments for CP that usually begins soon after being diagnosed and often continues throughout life. Special devices and equipment are needed for some people with CP to help them with specific problems like,
- A child who develops uneven leg length may need to wear special shoes with a higher sole and heel on the shorter leg.
- Some people who are not able to walk alone may need to use canes, crutches, walkers, or wheelchairs.
EXERCISES IN SUPINE POSITION
Normalizing tone of the muscles: For cases with hypo tonicity slow passive movements, sustained stretch, cryotherapy over the muscle for 15 to 20 minutes, stimulation of antagonist movement and vibrations are used. On the contrary, for cases with hypotinicity weight bearing, joint compression, rhythmic stabilization, vibrations, cryotherapy in brisk manner and taping can be used.
Weight bearing exercises: Weight bearing exercises are necessary to promote development of tone in muscles and also to maintain the absorption of calcium into the bones. Thus the patient should be given activities like bridging, supine on elbows, sitting with weight bearing on the affected arm, and standing should be given as soon as possible within the limitation of the patient’s general medical status..
Skillful TAPING gives a tactile feedback which helps in faster development of tone in the muscles. Weight bearing exercises for the involved upper limb has also been found to be beneficial in preventing this.
Bridging Exercises: The child lies on supine position. Therapist flexed his both the knees n then helps him to lift his back from the mid area so that weight bear on his legs. This should be done in 10 -15 repetitions. Then do bridging on 1 leg and then another.
Stretching and Mobility: The muscles should be maintained at the appropriate physiological length for normal muscle control and normal postural adjustment. In CP because of delay or absence of normal movement muscles are usually in a shortened position hence stretching of the muscles is essential to increase the neuromuscular control. Length of the muscles should be maintained not only through stretching but also through various functional activities.
In supine position, the therapist holds an object so that the child grasp that object by moving his body, in this rolling activity plays an important role. The child rolls right and left to grasp the object sometimes lifting his back and limbs too.
The therapist do some exercises in vestibular ball so that child balance and coordination improves and this is the best spine stretching activity.
Good neck control and developing trunk control by using vestibular ball, he lied down in ball and doing movements that extend his spine and head is looking in upward direction.
EXERCISES IN SITTING
The therapist should hold and support the child in sitting position. Time should be noted daily.
Exercises in vestibular ball to correct the balance. Sit on the vestibular ball and then shift the weight from right side to left side by rolling the ball.
Reaching far objects: As the child sitting in the ball then the therapist should stand in front of him and tell him to reach the object that the therapist holds.
Sit to stand activities and kneeling activities, sit on the toes, sitting by cross leg by maximize wide base of support
EXERCISES IN STANDING
STANDING IN BOTH THE LEGS: The therapist should hold his knees while standing as the child flex his knees and forward trunk to avoid standing.
SQUATTING: The therapist should try and help the child to do some squats about 5 to 10 daily to increase the muscle power and strength.
WALKING with the help of therapist or a cane and use a tilt board for balancing exercises.
Standing on the side of vestibular ball and do reaching objects so that the child lifts his head in upward position for increasing the extension of neck i.e. neck control.
Developing postural reaction: Postural adjustments are essential if the child is move to move freely and to adjust to various environmental demands rapidly. Motor milestones can be best achieved by good postural reactions. Postural reactions consists of righting reactions, protective extension and equilibrium reactions. Initially children first develop righting reactions. Righting reactions allow the child to orient his head in space so that the eyes and mouth are horizontal regardless of the position of the body. It also helps in maintaining the proper alignment of the head with respect to the body.
Oromotor control training: Oromotor function depends on good head control. Common Oromotor problems are: drooling, problems in sucking, swallowing, body movements associated with speech, jaw, hyper or hyposensitivity and inadequate tongue movements. Hence the therapy should consist of good neck control, developing good trunk control, use of brush to decrease drooling.
Speech therapy helps to control the mouth muscles. This therapy can be of great benefit to children with speech or eating problems. Speech therapy often starts before the child begins school and continues throughout the school years.
Both massage therapy and physiotherapy benefit some people with CP by helping them relax tense muscles, strengthen muscles and keep joint flexible.
If you have noticed your child to be restless and anxious all the time, it might look cute as the child is highly energetic, but it could be a cause for concern at the same time. It is not normal and the child could be having ADHD that is attention deficit hyperactivity disorder. As the name suggests, it is a disorder with deficiency of attention and in which the child is always hyperactive.
ADHD is a disorder in which the symptoms usually show up before the age of seven. It is characterized by a group of behavioral symptoms that include inattentiveness, hyperactivity and impulsiveness. The impact of these symptoms is felt extensively where his overall self-esteem is affected, be it at home, preschool or school, academics or extracurricular activities and in interpersonal relationships.
The most common symptoms, which are almost diagnostic of ADHD are:
- Inability to hold attention: The child's attention span is very short and it is very difficult to keep them engaged on one particular thing.
- Increased restlessness: The child would be extremely restless and gets distracted easily.
- Fidgeting: The child would be seen constantly fidgeting with his fingers.
The following are the less common ones:
- Learning disability is rare, but can happen. However, the good news is that it does not affect the child's intelligence.
- Sleep disorders
- Difficulty in following directions
- Poor executive functioning skills
- Disorganization, which can lead to poor motor coordination and impaired movements
- ADHD kids tend to forget things very easily and need help with coordinating movements
- The child suffering from ADHD could easily tire and/or feel lethargic with very low energy levels. This can lead to the child procrastinating things and not wanting to do things on priority basis
- These children also have difficulties with fine motor and cognitive skills and so there is delay in their overall participation in games.
While these are the pressing symptoms of ADHD, occupational therapy can play a significant role in managing the child in the following ways. As a first step, the caregiver should have a detailed discussion with the school staff and any other people with whom the child interacts significantly.
This will help identify areas that need support from an Occupational Therapy, which are the following:
- Support with gross and/or fine motor skills
- Support with improving handwriting
- Support with engaging in playing sports and games
- Support in engaging in social activities
- Improving sensory processing difficulties
- Improving visual perception
- Support in adapting to the environment
- Teaching strategies to participate in various social and academic activities
So, while an ADHD child is definitely a cause for concern, proper support from family can help manage the condition. If you wish to discuss about any specific problem, you can consult a pediatrician.
Hi, I am 16 years old girl, having ESR-24, Platelate count-120, Nutrophils -40, Lymphocytes-54%, Monocytes-06%. Suffering now from breathing problem, and tremor of hands and legs. Is there any risk? what to do?
I had seizure 3 years ago. I consulted a neurologist and stated taking leviteractam tablets, still taking it. Never had seizure again in 3 years. But I'm unclear about the doctor as he is not commenting on stopping the tablets even after normal EEG reports. What should I do about this?
I suffer from severe migraine at times. How do I overcome from this health problem? Please do suggest some remedies that I can practice from home. Thanks.
My question is for neurologist. I have nerve compression in my spinal cord c6-c7 since 6 months over it is detected in MRI. If I do push ups or lift heavy weight it cause pain in my left shoulder and neck the very next day I get up from bed, solution plzz. I want 2 play games and exercise.
I have a obstructive sleep apnea problem and have been using CPAP machine for last 3 years. How can I sleep without CPAP machine and what should I do for the same? I tried to sleep without CPAP machine but I awake frequently at night and feeling sleepy all day.
I'm 19 year old fit athlete. Whenever I am close to my loved one, or I hug her, my hands start shaking and shivering. Please help.
I, at times, forget the name of a person I very well know. Like in a party I want to introduce to my wife someone whom I know. I feel at a loss to find that the name of the person whom I want to introduce does not come to my mind. Like forgetting the name of a film actor while watching a film on the TV screen. Otherwise I have a sharp memory. I can mentally multiply or add/subtract numbers, do other calculations. Like I buy something. Before the shopkeeper calculates the amount I readily come out with the figure. Being a lawyer I can remember judgments and the ratios drawn from the judgments. But I forget the names. GENERALLY BAD IN REMEMBERING NAMES. Is it the onset of dementia like Alzheimer's?
Dr my father age was 65 years. Still now he is very healthy. But unexpected peralysis was attached at right leg and hand also. And unable to speak also Dr. Please give me a advise.
I am having learning disability with ADD, dyslexia, dysgraphia. How can I concentrate and study for exams. I study but their comes a question that would I remember.
10 tips for how to sleep better:
- Rest in cozy comfort: quality mattress, soft blankets and cool temperature will reduce annoying distractions (too hot! achy back!) and help you relax.
- Turn on some soothing sounds: use a sound machine or a fan to drown out what may be preventing you from falling asleep within 15 minutes of laying down.
- Complete darkness: If your room isn’t completely dark, consider a sleep mask—this will also increase your natural production of melatonin, which is not only a great sleep inducer but a great cancer fighter as well (study).
- Snooze-inducing smells: wearing lavender lotion or using a diffuser with lavender essential oil may help you hit deep sleep sooner. Plus, who doesn’t love the smell of lavender? ahhh…
- Turn off tech and meditate: Turn off tech at least 1 hour before going to bed. Then, keep lights dim and read or meditate to let your body naturally make some sleepy melatonin (the hormone that is produced as it gets dark out, and regulates sleep and wake cycles).
- Skip or reduce caffeine: Caffeine not only prevents many folks from falling asleep at night initially, but it can also decrease the amount of restful sleep that happens at night (study). If you’re having trouble sleeping at night, try decaf, herbal tea or keep it to one cup very early in the morning.
- Go easy on the alcohol: Alcohol feels like a sedative at first because it slows down motor and brain function, leaving us feeling relaxed and worry-free. But, as it’s metabolized, acetaldehyde is produced, which acts like a stimulant in our bodies. This is what wakes us up in the wee hours of the morning unable to get the rest we need. So for a good night’s sleep, peel back on the alcohol and drink it earlier and with food (or not at all).
- No nicotine: Nicotine is similar to caffeine in that it’s a stimulant and may cause insomnia. And even once you fall asleep, you’ll have decreased slow wave sleep, which means it’s less restorative (study). Tough love: stop smoking.
- Exercise: Try to fit in 20-30 min of moderate exercise daily, but make sure to do it several hours before bed. Ideally, 20-30 minutes of cardio in the morning with some restorative yoga in the afternoon.
- Clear your mind: If you’re tossing and turning after switching the lights off, you may need to hit the reset button on your mind. Here are a few things to try. Before going to bed, journal—jot it all down. You could also try a guided meditation. If you can’t fall asleep after lying in bed for 15 minutes, get up and do something relaxing for 15-30 minutes before returning to bed. Don’t give up. You’ll find a strategy that works for you.
A carbohydrate snacks of cereal and crackers with milk before bed may help because food rich in carbohydrates and low in protein and fat may boost the production of serotonin and melatonin, brain chemicals thought to promote sleep.
L-tryptophan: it is thought to bring on sleep by raising serotonin.
Melatonin: 1-3 mg of the melatonin is recommended for sleep, but as little as 0.3mg has been used successfully.
Valerian: it act as a mild sedative and improve both the ability to fall asleep and the quality of sleep.
Kava kava: it is effective for insomnia. Kava kava and diazepam induce similar changes in brain wave activity.
Other herbs that a professional herbalist may use to treat insomnia include:
Passion flower, hops, jamaica dogwood, lemon balm, lavender flower, german chamomile, mother wort, gotukola, and skullcap.
Massage therapy with essential oil, particularly lavender may result in improved sleep quality, more stable mood, increased mental capacity and reduced anxiety.