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Dr. Koteeswaran

Neurosurgeon, Chennai

250 at clinic
Dr. Koteeswaran Neurosurgeon, Chennai
250 at clinic  ·  ₹ online
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Personal Statement

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. Koteeswaran
Dr. Koteeswaran is one of the best Neurosurgeons in Arumbakkam, Chennai. You can meet Dr. Koteeswaran personally at Appasamy Hospital in Arumbakkam, Chennai. Book an appointment online with Dr. Koteeswaran on Lybrate.com.

Lybrate.com has an excellent community of Neurosurgeons in India. You will find Neurosurgeons with more than 38 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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72, Ormes Rd, Kilpauk. Landmark:Opp.Mammy Daddy Bus Stop&Near to PSI Pain School, ChennaiChennai Get Directions
250 at clinic
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#1 & 2, SBI Officers ColonyArumbakkam. Landmark: Near Ford Showroom, ChennaiChennai Get Directions
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I am 25 years old. My symptoms are heaviness in head, headache, trembling, palpitation, deep breathing, incontinence of urine, nervousness, restlessness, pressure in eye, problem seeing in sun light, forgetfulness, dry lips etc. Please help me.

D.C.A.H, F.C.G.P., P.G.D.I.H, F.I.C.A. (USA), M.B.B.S.
Psychiatrist
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I am 25 years old. My symptoms are heaviness in head, headache, trembling, palpitation, deep breathing, incontinence ...
it seems you are having anxiety and restlessness. Are insecure and afraid of something in your life? you need to checkup with an expert nearby or connect me and meet to open your heart out to express yourself for guidance and support.
18 people found this helpful

I am 47 years. I have a history of fall with minor head injury at the back while stepping down a staire. The ct image taken showed no problem. After one week a balance problem arose and the same corrected with evert tablet. Now after 8 months the same balance problem exists even after different medications. Body get weakened with fear.

MPTh/MPT
Physiotherapist
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Kindly consult physiotherapist. Go for balance and coordination exercises. Dont depend on tablets. Dont fear. Be confident and think positive
1 person found this helpful

My father 60 yesrs old man 2 sall pahle unka brain haemorrage ho gaya h. Abhi wo tik se nahi chal pa rahe h. Please send ans and medicne.

MCh Neurosuregry
Neurosurgeon
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Hi lybrate-user could you send latest ct / mri report, as there can be many reasons behind difficulty walking after brain hemorrhage. As such no definitive medicine to improve walking, physiotherapy might be helpful. Thanks.
7 people found this helpful

My brother is having brain tumor from last 3.5 years. When it diagnosed it's of 2nd stage glioma. After that 1st surgery done. In that surgery he had loose the control of right side cause tumor is on left side. Then after 1 year again it occurs and he had a second surgery in hinduja hospital mumbai. After 2nd surgery radiation of 6 weeks also took with 5 cycles of chemotherapy tablets. After a 1.5 years again it occurs and surgery is done in July 2015. Now his tumor is in 4th stage. 4 cycle of chemotherapy have took after 3rd surgery. But from MRI doctor said that the tumor is not responding to the chemotherapy tablets. It's occurring and increasing. Please suggest actual condition and treatment if there is.

MCh Neurosuregry
Neurosurgeon
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Hello it is unfortunate that your brother had to undergo repeated surgeries, but from the information you have given it appears that he has been treated properly as per the standard guidelines for these kind of tumors. Now I guess it is grade 4 not 4th stage of the tumor and grading not staging is used for these kind of brain tumor. Treatment now is difficult and depends on the neurological and general condition of the patient, findings on mri scan like location and extent of the tumor and expectations of the patient and relatives from the treatment etc. You have to understand that these tumors are difficult to cure completely and all we can do is to give best available treatment and care. Thank you.

I am 52 year male had operated for spine l3, l4 & l5 in year 2004 for steonsis. Have been stabilized with 2 plates 6 screws and cages between vertebrates (all are made of titanium) as now I have problem in c5, c6 & c7 is it advisable for operating. I am not int. In operation as it is in sensitive area. Kindly advise.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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Hello, thanks for your query and welcome to lybrate. I am dr akshay from fortis hospital, new delhi. You will have to elaborate your problem as to a detailed discussion of your neck pain which means duration of pain and mode of onset. I would also like to ask you if it is associated with any radiating upper limb pain or any other neurological symptoms like numbness, paraesthesias ( electrical shock like abnormal sensations) or any weakness in limbs. Please also tell me about any associated symptoms like fever, weight loss etc. What medications you generally take and what has been your treatment history till now for existing problem. Kindly send me x rays and mri scans of neck so that I can see and advise accordingly. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena

I am 60 years old. Male. I have pain probably in the nerve on the side of my left toe. There no swelling or injury. The movement of toe is also free and without pain. It pains only when something touches the side of toe. Please advise. Thanks.

MBBS, MS - Orthopaedics
Orthopedist
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I am 60 years old. Male. I have pain probably in the nerve on the side of my left toe. There no swelling or injury. T...
It requires detailed investigation and examination. Preliminary investigations suggested: hb, tlc, dlc, esr, blood sugar fasting & pp, uric acid vit d urine r/e x-ray of the affected part. Anyway it may be tried sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick mattress are harmful use no pillow under the head. Do hot fomantation paracetamol 250mg od & sos x 5days. Caldikind plus 1tab od x10. Do neck, back, knee & general exercises. It may have to be further investigated. Do not ignore it. Let it not become beginning of a bigger problem. Make sure that patient is not allergic to any of the medicines that he/she is going to take. If it does not give relief in 4-5days, inform.

Sir I am suffering from Seizures, sir can you tell me about this and suffering from last 5yrs, please sir.

MBBS,J.R. Neurology
General Physician
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Suffering from seizures for the past 5 years makes you an epilepsy patient. The causes can be numerous, starting from infection to local lesions. It is mandatory that you get yourself diagnosed properly for the underlying cause and strictly follow the antiepileptic medications that have been prescribed to you. Patients do recover completely and can live a normal life without depending on drugs. Seizures are indeed a cause for concern as it can be life threatening at times. Sometimes there are triggering factors that induce seizures. So I would advise you to look for such factors and avoid them. Consult a neurologist if you haven't. Take care.
2 people found this helpful

My father has been suffering from Parkinson's disease since 2007. Now it has reached a maximum severe condition. He has been taking levodopa supplement (Syndopa (levodopa carbidopa: 250 25) which has been wearing off and causing side effects like Involuntary movement, occasional dementia and he is becoming weaker day by day. We have consulted numbers of doctor including Neurologist, Medicine specialist and we could not find a better alternative of the drugs. We used Tridopa 100 (another levodopa supplement) but the dosage is not working for my father. What I an interested to know if there is any better treatment of this disease? His health is deteriorating day by day. Please let me know.

MBBS, MD - NEUROPSYCHIATRY
Psychiatrist
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My father has been suffering from Parkinson's disease since 2007. Now it has reached a maximum severe condition. He h...
There are various kinds of drugs for Parkinsonism. Basically if one group of medicine don't work we try different. I am sure your doctor must have tried all options. Your father also needs anti dementia medicine. It should be started at the earliest as it can only prevent deterioration and cannot reverse the dementia. Keep your father in a room where he gets multiple stimulations from environment like light, air, sound and keeps in constant touch with what is happening around . This will reduce confusion of dementia

My son went through surgery for adenoids in 2009 and was 4 years at that time. Now again, he has enlarged adenoids, his growth is very slow. Does he have to go through surgery again or is there any alternative options to avoid surgery and avoid recurring again and help him with his growth.

MBBS; DNB; DLO; AFIL
Ear-Nose-Throat (ENT) Specialist
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If any remanents are left over after the previous surgery there is always a chance of adenoids to recur. Please consult ent once.

BPT, BPTh/BPT
Physiotherapist
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What is Rett syndrome?

Rett syndrome is a neurodevelopmenal disorder that affects girls almost exclusively. It is characterized by normal early growth and development followed by a slowing of development, loss of purposeful use of the hands, distinctive hand movements, slowed brain and head growth, problems with walking, seizures, and intellectual disability.
The disorder was identified by Dr. Andreas Rett, an Austrian physician who first described it in a journal article in 1966. It was not until after a second article about the disorder, published in 1983 by Swedish researcher Dr. Bengt Hagberg, that the disorder was generally recognized.
The course of Rett syndrome, including the age of onset and the severity of symptoms, varies from child to child. Before the symptoms begin, however, the child generally appears to grow and develop normally, although there are often subtle abnormalities even in early infancy, such as loss of muscle tone (hypotonia), difficulty feeding, and jerkiness in limb movements. Then, gradually, mental and physical symptoms appear. As the syndrome progresses, the child loses purposeful use of her hands and the ability to speak. Other early symptoms may include problems crawling or walking and diminished eye contact. The loss of functional use of the hands is followed by compulsive hand movements such as wringing and washing. The onset of this period of regression is sometimes sudden.
Apraxia — the inability to perform motor functions — is perhaps the most severely disabling feature of Rett syndrome, interfering with every body movement, including eye gaze and speech.
Children with Rett syndrome often exhibit autistic-like behaviors in the early stages. Other symptoms may include walking on the toes, sleep problems, a wide-based gait, teeth grinding and difficulty chewing, slowed growth, seizures, cognitive disabilities, and breathing difficulties while awake such as hyperventilation, apnea (breath holding), and air swallowing
14 people found this helpful

I am having sleep paralysis I see things when I am awake it's real or a myth if it is really happening how to cure it is there any medicine fr it.

MBBS
General Physician
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Get an EEG done and revert back with reports and also start with Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months
1 person found this helpful

My wife suddenly fell in fear and giddines she have siatica her age 57years

BPT
Physiotherapist
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Please start cervical isometric and lumbar extension exercise. After hot saline fomentation .Avoid forward bending and use pillow in side lying.

M suffering from Nerve Weakness & Anxiety which cause me Migraine Pain. 1) Blood Donation is good for me or bad 2 Does frequency of Sex matters in Nerve weakness & Migraine please tell me.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda
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Blood donation is good for you. It will reduced your disease. Any thing is excess is not good for health. Every day saunf boiled in water and take that water during meal sip by sip. It will make you help.
2 people found this helpful

I'm Divya, I get migraine usually Nd vomiting sensation I'm 25aiding for help and advice.

BHMS
Homeopath
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Dear lybrate-user •Unlike normal headaches, a migraine makes a person immobile •When a person gets a migraine attack, the only thing he'll want to do is lie down in a quiet place Trigger factors as. Intake of alcohol •Allergic reactions •Drop in blood sugar level •Nutritional deficiencies •Lack of sleep •Excessive work. Menstrual problems •When suffering from a migraine attack: OLie down in a dark, quiet place OGet some sleep OAvoid eating ODrink only water and tea OApply hot or cold compression Follow some tips 1.Take equal quantity of carrot juice & spinach juice Mix well, Drink this juice to cure migraine. 2 Add chamomile powder to 1 cup of boiling water Drink when hot. It gives fast relief from migraine. Take Homeopathy Medicine Belladona 200 twice daily for 5 days

My grandfather is 70 and he's got 3 seizures in last 1 year. Last one was one week ago and while going to hospital he had 2 fractures in his vertebrae and his shoulder too had a fracture. What should be done to cure him. And how much time to cure him?

Hand Surgery, M.S. (Orthopaedics
Orthopedist
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Dear lybrate-user you grand pa needs detailed evaluation by a neurophysician and has to be treated on long term basis with regular check up.

I am 20 male and have migraine, Blood pressure from last 2, 3, 4 months, what is will do?

cc USG, MBBS
General Physician
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I am 20 male and have migraine, Blood pressure from last 2, 3, 4 months, what is will do?
Hello, I am giving some health tips for Migraine headache •1.You can turn off light for some time •2.Apply hot or cold compresses to your head or neck. •Ice packs have a numbing effect, which may dull the sensation of pain. •Hot packs and heating pads can relax tense muscles. •3.Warm showers or baths may have a similar effect. •4.You can take Tea or coffee( but not excess) 5.Sleep well Here are some tips to encourage sound sleep. Establish regular sleep hours. •Minimize distractions. •Your eating habits can influence your migraines. •Be consistent. Eat at about the same time every day. Don't skip meals. Fasting increases the risk of migraines Avoid foods that trigger migraines Kindly tell me your BP reading so that I can guide you further kindly consult Physician for further management

My hands are shaking while eating or holding an object. Though I can't notice it. My friends do. Please help me if I have any problem.

cc USG, MBBS
General Physician
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This may be due to 1. Severe anxiety 2. Medical problem like Thyroid disorder get your following test done and review with reports 1. CBC 2. Thyroid function test(fasting)

Is it be cured the attack of paralysis at the age of 88 years since approx two years.

MBBS, DNB (General Medicine)
General Physician
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To cure paralysis , first we should know the level of lesion in brain or whether it is bleed or heamatoma, or infarction, if it is due to high BP ,please send his MRI scan report for further details.
1 person found this helpful

My daughter is suffering with epilepsy. How can we cure her?

M.D.( Pediatrics), DCH
Pediatrician
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With the help of antiepileptic medicins and proper follow up with pediatrician. Most of children are able to get of drugs after 3-4 years of convulsions free period.
1 person found this helpful

I am suffering with migraine frequently. What are the measures to control it. Tell me sir why migraine is starting.

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist
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Migraine is a relapsing disorder. It aggravates with precipitating factors. Here are few suggestions to avoid relapses - 1) Avoid direct sun exposure for long time, watching TV/ movies in dark rooms 2) Avoid fasting 3) Have adequate sleep at night. Do not change your sleep patterns often 4) Avoid stress, anxiety, excess work load Anyways, if only the recommendations are not working and you still have frequent relapses- 1) Get a treatment for acute migraine attacks 2) Start Prophylaxis treatment for preventing future migraine attacks
1 person found this helpful
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