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Dr. Raghavendra

Neurosurgeon, Chennai

250 at clinic
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Dr. Raghavendra Neurosurgeon, Chennai
250 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Raghavendra
Dr. Raghavendra is a trusted Neurosurgeon in Peravallur, Chennai. Doctor is currently practising at Dr. Raghavendra@Abhijay Hospital Pvt Ltd in Peravallur, Chennai. Book an appointment online with Dr. Raghavendra on Lybrate.com.

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#22/2, ESI Hospital Road, Peravallur Landmark : Near Peravallur Bus Stop.Chennai Get Directions
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I have a migraine problem. I am badly suffering from headache. I study in chandigarh city and it is impossible for me to go to my hometown. Kindly advice.

MBBS
General Physician, Mumbai
I have a migraine problem. I am badly suffering from headache. I study in chandigarh city and it is impossible for me...
Migrane- It is characterised by one sided headache which is pulsatile in nature and with a throbbing pain usually with an aura and we can start with tablet propranolol after personal examination
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Hello doctor I am 27 years old male suffering due to depression. I also face first stroke which is similar to epilepsy before 2 years but my ctscan, eeg ,mri reports are normal ,doctor recommend me 1 etillam 0.5 capsule at night, I take it since last 4 months, is there any safe alternative to this capsule without side effect ,please help me thanks in advance.

MD - Psychiatry, MBBS
Psychiatrist, Ghaziabad
Hello doctor I am 27 years old male suffering due to depression. I also face first stroke which is similar to epileps...
I suggest if you are fine now and not having any anxiety symptoms you can stop taking etilaam daily and shift it to sos basis that is take it in day whenever required when you feel very tensed and anxious.
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Does nerve damaging stops after taking medicine for resting of mind like ibruphen or any SRRI Or it continues without letting know to brain.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Ibuprofen is just a pain killer it will stop the sensation of pain for time being. But no action on nerves... Homoeopathic medicines can do both like improving nerve function and structure plus relieving of pain without any side effects...
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6 Magical Tips to Cope with Migraine Attacks

Ayurveda, Delhi

6 Magical Tips to Cope with Migraine Attacks

Migraines affect up to 18 percent of women and 6 percent of men in the United States. Today, migraines affect as many as four out of every five people in America.  Doctors are still unraveling the mysteries of migraines. Most doctors believe a combination of things that cause people to have migraines. The causes of migraines range from genetics to neurovascular imbalances in the brain.

Why Do Most People Experience Weather Related Migraines?

It is not entirely clear why some people experience more migraines around the change of weather.  Even though the cause of weather related migraines has not been identified, there are ways to decrease the severity, reduce and prevent migraines from occurring.

In a recent survey by the National Headache Foundation, headache sufferers were given a list of possible causes. They were asked to rank them in terms of what commonly brought on their migraines. Three out of every four respondents said that weather triggered their headache pain.

Specific weather triggers included:

  • Changes in humidity
  • Changes in temperature
  • Storms
  • Extremely dry conditions

Most people have an idea of what causes their migraines, but the real question is what can you do to help reduce the amount of migraines, decrease the severity or prevent the migraines from occurring?   Below are six tips to help you cope and find a solution to preventing your migraines. 

6 Tips on How to Cope With Your Migraines

Tip # 1 – Keep a Diary of Your Migraines:

Keeping a diary is the first step toward finding a solution, so your migraines do not disrupt you and stop you from having a healthy, happy and productive life.  The first step is to try to figure out what triggers your migraines.  One way to do that is to keep a diary of all your migraines.  If you think weather is a reason for your migraines then record any of the common weather and environmental factors that may have initiated your migraines. Keep a detailed diary and bring this diary to your doctor, so your doctor can figure what the best treatment is for you.

In your diary, you should include:

  • What part of the brain do you feel the pain?
  • What does the pain feel like?
  • The time your headache began and when it ended
  • Any changes in the weather, such as storms, high winds, or high humidity
  • Any warning signs – symptoms before the migraine occurred
  • Any treatment you tried, and whether it helped or made the migraine worse

Tip # 2 – Making Changes in Your Daily Regimen:

Making changes in your everyday life can help reduce the number and severity of migraines you are experiencing. Here are some changes you can incorporate into your life that can help improve the number of migraines you are experiencing.

  • Sleep: Make sure you get enough of sleep and try going to sleep around the same time each night.  Interruptions in your sleep schedule, getting too much or too little sleep, can trigger a migraine.
  • Exercise regularly: Research has shown that regular, moderate aerobic exercise may reduce the severity, duration, and number of migraines in many people. Regular exercise also helps control stress, another migraine trigger.
  • Eat regular meals: Eating healthy meals regularly are important to maintain level blood sugar. A drop in blood sugar can trigger a migraine.
  • Drink plenty of water: Make sure you drink plenty of water to avoid dehydration, which can trigger migraine.
  • Limit stress: For many migraine sufferers, stress is plays a big factor. Take time each day to relax. Find something that helps you relax like listening to soothing music, taking short walks, meditating or doing yoga.
  • Try complementary therapies: Try using complementary therapy to help prevent migraines. For example, you may be able to manage stress and prevent migraines through acupuncture, massages and cognitive behavioral therapy.

Tip # 3 – Incorporate Certain Foods into Your Diet:

If you are a migraine sufferer like me, you are constantly looking for prevention ideas. Certain foods can help fight off and prevent migraines.  These foods include:

  • Cayenne: Cayenne peppers are widely recognized as culinary ingredients that add intense heat and flavor to southwest American, Caribbean, Indian and Asian dishes. However, this pepper may also offer healing benefits. Capsaicin, the chemical that gives cayenne peppers their heat, may help reduce blood vessel constriction. This may help prevent rapid blood pressure fluctuations that can trigger migraine headaches.
  • Coffee: When it comes to coffee, caffeine can give you migraine relief. It is a major ingredient in many headache medications. However, if you consume too much, it can actually cause migraines. Moderation is key!
  • Flaxseed and Fish: An anti-inflammatory diet is beneficial to preventing migraines.  Flaxseeds and fish are packed with omega-3s and fiber can actually help prevent migraines.
  • Riboflavin-rich Foods: Riboflavin, also known as vitamin B-2, is one of eight B vitamins necessary for the metabolism of nutrients and protection of your central nervous system. A deficiency of this vitamin may also contribute to headaches, particularly migraines. Adding foods high in riboflavin may help stop recurring migraines by correcting deficiencies. Eggs, avocados, broccoli, romaine lettuce, alfalfa, asparagus, walnuts and mushrooms are abundant sources of riboflavin.
  • Magnesium-rich Foods: About 60 percent of migraine sufferers may have magnesium deficiencies. Magnesium is a trace mineral that may help normalize nerve impulses in your brain that transmit pain signals. This may help stop intense pain associated with migraine headaches. It may also help regulate the production of serotonin, a neurotransmitter chemical that may contribute to sudden changes in blood pressure – a contributing factor of migraines. Increase your magnesium intake by consuming foods such as kale, tofu, lima beans, kelp, garlic, apples, bananas and apricots.

Tip # 4 – Consider Dietary Supplements:

  • Magnesium: This is probably the most important one as it contributes to relaxing the brain blood vessels that cause the pain. Magnesium penetrates cell membranes, including the mitochondria. Some of the best drugs used to treat migraines are calcium channel blockers.
  • Vitamin B2: (riboflavin) – Riboflavin, which is vitamin B2, converts energy from carbohydrates. The riboflavin gives your brain more energy, which makes it less likely to be bothered by migraine triggers.
  • Vitamin B6: Vitamin B6 is needed so the body can properly use serotonin and dopamine. These neurotransmitters are necessary for normal nerve cell communication. Researchers have found lower levels of serotonin in people with migraine headaches. Therefore taking Vitamin B6 may help the body better use these crucial chemicals and it is thought be a key vitamin for migraine aura and a natural remedy for migraines.
  • Vitamin B12 & Folic acid:  Vitamin B-12 supplements may also be effective for migraine relief if taken along with vitamin B6 and folic acid. A study published in “Pharmacogenetics & Genomics” in June 2009 showed that participants who took all three supplements together saw a reduction in migraine headache frequency and the severity of their pain.

Tip # 5 – Consider the Possibilities of Herbal Supplements:

For centuries, many people have used alternative therapies to help or cure common conditions.    Certain herbs have been used to help reduce or prevent migraines.  Some can be just as strong or effective as prescription drugs. Therefore, it is important to remember, if you consider using any type of herbal supplements, consult your doctor first.  Make sure it does not conflict with any medications you are currently taking.   You should not take any herbal supplements or drugs unless your doctor says it is OK and if you are pregnant, you should not take any herbal supplements because it may harm the baby.

Herbal supplements used to reduce and prevent migraines include the following:

  • Alfalfa Leaf
  • Barberry Root
  • Bay Leaf
  • Brazilian Guarana
  • Butterbur
  • Catnip
  • Cayenne
  • Chamomile
  • Dong Quai
  • Evening Primrose
  • Feverfew
  • Ginger Root
  • Green Tea
  • Griffonia Seed
  • Hawthorne Leaf
  • Honeysuckle
  • Kola Nut
  • Lemon Balm
  • Passion Flower
  • Peppermint Leaf
  • Valerian Root
  • White Willow Bark
  • Wintergreen
  • Wood Betony

Tip # 6 – Prescription Medications:

Not all experts would recommend using medication to prevent temperature-change-related migraines.  However, if you have tried natural, holistic and alternative therapies to try to eliminate your migraines and nothing seems to be effective then you should focus on other alternatives such as prescription medications specifically made to help people suffering from migraines.

Below are some prescription medications for patients suffering from migraines:

  1. Antiepileptic drugs: Certain medications used to control seizures are also effective for preventing migraines as well. These drugs may work by calming the neurons in the brain. Neuron “hyperexcitability” plays a role in migraine and epilepsy. Up to 20% of people with epilepsy also suffer from migraines including myself.  Anti – seizure medications that help migraines include:
    1. Depacon (valproate)
    2. Depakote (divalproex)
    3. Topiragen, Topamax (topiramate)
  2.  Beta-blockers: These medications are frequently used to treat high blood pressure and heart disease. It is not clear how they help prevent migraines. Nevertheless, beta-blockers improve the blood flow and this may be significant reason why beta-blockers help prevent migraines.  Beta-blockers that have been proven effective for the prevention of migraines include:
    1.  Blocadren (timolol)
    2. Inderal, Innopran XL (propranolol)
    3. Lopressor, Toprol XL (metoprolol)
  3. Antidepressants: These medications affect the level of the brain chemical serotonin. Research has shown that Elavil (amitriptyline) and Effexor (venlafaxine) work well for preventing migraines.

What is an alternative for Vasograin as a painkiller to be taken in Migraine? What is the dosages and side effects of such medicine, if any.

MBBS
General Physician, Mumbai
For headache take tablet paracetamol 650 mg and for migrane we can start with tablet propranolol after personal examination
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From 2006 I have migraine made my life hell please recommend me some good medicine and some tips to get rid of this migraine. I am 24 year old?

MBBS, MD - Internal Medicine
General Physician, Delhi
Dear , to treat your migraine we first have to know how bad it is. There is something called midas questionnaire. Answer the questions and get back for further treatment. P. S you can look for it or I can upload it for you.
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I m 34 year old my father is suffering from als. Is there any treatment available for that.

DM - Neurology
Neurologist, Hyderabad
Till date there is no therapy or medicine to cure als. Riluzole is the only available till date which can partially delay the progression of disease for 2-3 years. Stem cell therapy is being tried in some places with partial response, but still it is in experimental stage. Some newer therapies now under trial phase. If some of these therapy become successful it will create some hope in future.
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My mother is a CVA patient since 2013 June & since then she can't perform day to day activities on her own. She has got paralysis on her left side. Since then physiotherapy was regularly done with her but with no result. So I am asking if there is any medicine to treat her at this stage?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do consult expert in neuro physiotherapist and continue good rehabilitation to her functional abilities
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Brain Surgery - When It Is Required?

MBBS, DNB, Fellowship in Neurosurgery
Neurosurgeon, Kolkata
Brain Surgery - When It Is Required?

Brain surgery involves several medical procedures, which incorporate fixing issues with the brain, including changes in the tissues of the brain, cerebrospinal fluid and brain blood flow. Brain surgery is quite a complicated method of surgery and the type of surgery to be conducted depends on the underlying conditions.

Reasons for Brain Surgery:
Brain surgery is performed for the correction of physical brain abnormalities. These abnormalities could occur because of diseases, birth defects and injuries. A brain surgery is required when the following conditions arise in the brain:

  1. Abnormal blood vessels
  2. Aneurysm
  3. Bleeding
  4. Blood clots in the brain
  5. When the protective tissue or dura is damaged
  6. Epilepsy
  7. Due to nerve damage
  8. Parkinson’s disease
  9. Any kind of pressure after an injury
  10. Abscesses
  11. Skull fractures
  12. In case of stroke and tumors

A surgery may not be required for all the above mentioned conditions, but in case of many, a brain surgery is very important as the conditions may worsen health problems.

Types of brain surgeries:

  1. Craniotomy: During this open brain surgery, an incision is made in the scalp, and a hole is created in the skull, near the area, which is being treated. After this process is complete, the hole or bone flap is secured in its place using plates or wires.
  2. Biopsy: This form of brain surgery helps in the removal of a small amount of brain tissues or tumors. After removal, the tissues or tumors are examined under a microscope. The creation of a small incision and a hole in the skull is indicated as a part of this process.
  3. Minimally invasive endonasal endoscopic surgery: This form of brain surgery enables the removal or lesions and tumors via the nose and sinuses. Private parts of the brain can be accessed without creating an incision. An endoscope is utilized in the process which is used to examine tumors all across the brain.
  4. Minimally Invasive neuroendoscopy: This process is similar to the minimally invasive endonasal endoscopic surgery. This method also involves the use of an endoscope for removal of brain tumors. Small, dime sized holes may be made in the skull to access some brain parts.

Risks:
Brain surgeries may be associated with several risks. They may be:

  1. Allergic reactions to anesthesia
  2. Bleeding
  3. Blood clot formations
  4. Swelling of the brain
  5. A state of coma
  6. Impairment in speech, coordination and vision.
  7. Problems in memory
  8. Strokes and seizures
  9. Infections in the brain

A brain surgery is a serious and very complex surgery. There are different kinds of brain surgeries, which are conducted depending on the condition and severity of the disease. If you wish to discuss about any specific problem, you can consult a neurosurgeon.

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My father had cardiac arrest after which he was treated with CPR. The entire process after cardiac arrest to hospital was for 5-10 mins and CPR lasted for 15-20 mins. He had seizures after CPR where his MRI result indicates damage to brain. He is in coma for last 1 week (exactly after the cardiac arrest). Though 2 days back he opened his eyes till 1/3rd of original but not at command. And he makes some facial expression while entering tube into his mouth or using suction pipe into his mouth. Please help me understand his chances of recovery. And how soon I can expect him to come out of coma? Appreciate your help!

MCh, MBBS, MRCS (UK)
Neurosurgeon, Chennai
This situation may be due to decreased oxygen supply to brain during the time of cardiac arrest. Brain will with stand few minutes without oxygen supply. If the time exceeds brain cells will go for damage. Sometimes it slowly recover depends upon his brain damage. He needs aggressive rehabilitation after weaning off from ventilator. Regards.
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My father had epilepsy stroke 2 years back so he is consuming eptoin from 2 years now he is not going for regular consultancy but is consuming eptoin as a regular medicine till death is it right that for epilepsy patient eptoin is compulsory till his her death?

MBBS, DPM
Psychiatrist, Agartala
It's so nice dear that you are t aking care of your father. If your father did not have epilepsy for last 2 years consecutively and it CT brain, sodium,potassium, thyroid,calcium level is normal than your physician may start lowering the dose under his supervision. You can give folic acid supplementation. Thanks.
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Brain Surgery - Reasons When You Need It!

MCh Neurosurgery, MS - General Surgery, MBBS
Neurosurgeon, Guwahati
Brain Surgery - Reasons When You Need It!

Brain surgery involves several medical procedures, which incorporate fixing issues with the brain, including changes in the tissues of the brain, cerebrospinal fluid and brain blood flow. Brain surgery is quite a complicated method of surgery and the type of surgery to be conducted depends on the underlying conditions.

Reasons for Brain Surgery:
Brain surgery is performed for the correction of physical brain abnormalities. These abnormalities could occur because of diseases, birth defects and injuries. A brain surgery is required when the following conditions arise in the brain:

  1. Abnormal blood vessels
  2. Aneurysm
  3. Bleeding
  4. Blood clots in the brain
  5. When the protective tissue or dura is damaged
  6. Epilepsy
  7. Due to nerve damage
  8. Parkinson's disease
  9. Any kind of pressure after an injury
  10. Abscesses
  11. Skull fractures
  12. In case of stroke and tumors

A surgery may not be required for all the above mentioned conditions, but in case of many, a brain surgery is very important as the conditions may worsen health problems.

Types of brain surgeries:

  1. Craniotomy: During this open brain surgery, an incision is made in the scalp, and a hole is created in the skull, near the area, which is being treated. After this process is complete, the hole or bone flap is secured in its place using plates or wires.
  2. Biopsy: This form of brain surgery helps in the removal of a small amount of brain tissues or tumors. After removal, the tissues or tumors are examined under a microscope. The creation of a small incision and a hole in the skull is indicated as a part of this process.
  3. Minimally invasive endonasal endoscopic surgery: This form of brain surgery enables the removal or lesions and tumors via the nose and sinuses. Private parts of the brain can be accessed without creating an incision. An endoscope is utilized in the process which is used to examine tumors all across the brain.
  4. Minimally Invasive neuroendoscopy: This process is similar to the minimally invasive endonasal endoscopic surgery. This method also involves the use of an endoscope for removal of brain tumors. Small, dime sized holes may be made in the skull to access some brain parts.

Risks:
Brain surgeries may be associated with several risks. They may be:

  1. Allergic reactions to anesthesia
  2. Bleeding
  3. Blood clot formations
  4. Swelling of the brain
  5. A state of coma
  6. Impairment in speech, coordination and vision.
  7. Problems in memory
  8. Strokes and seizures
  9. Infections in the brain

A brain surgery is a serious and very complex surgery. There are different kinds of brain surgeries, which are conducted depending on the condition and severity of the disease. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.

Afer delivery I got headache with in 2 months, now my kid age 5 years till now I am suffering with headache, tel me y I got headache? It's migraine headache.

MBBS
General Physician, Cuttack
Afer delivery I got headache with in 2 months, now my kid age 5 years till now I am suffering with headache, tel me y...
1.It could be a tension headache due to inadequate sleep stress and strain , Low BP/High BP,migraine, prolonged use of cell phone/computer, chronic anaemia, refractive error,chronic sinusitis, organic brain lesion 2.Avoid stress, physical and mental exertion, Avoid pronged use of cell phone 3.Go for regular exercise 4.Practice yoga, meditation and deep breathing exercise to calm your mind, control your emotion and relieve stress 5.Check for refractive error, sinusitis Hemoglobin, BP 6. Consult Neurologist to rule out other causes of headache 7. consult me for further advice
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I am 20 years old. I have a problem of migraine. Iam getting headache every morning mainly in winter what should I do sir? Can I get a solution for this problem.

MBBS
General Physician, Hyderabad
Hi! Yoga is the only permanent cure for your problem Apart from that Don't eat cheese or oily foods Eat timely, healthy Sleep well during the nights Don't over stress yourself Drink plenty of water Stop alcohol and smoking( if u do) Avoid too much travelling in the hot son Stop eating junk foods and outside catered foods Ventilate yourself well at your house
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What are the precautions to be taken to avoid migraine and is it possible to get rid of migraine completely?

MBBS, cc USG
General Physician, Gurgaon
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 Meditation This problem can be solved by Meditation, i can give you address of rajyoga meditation center near your house Consult Physician/me for further management
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Hi. From past nearly 6months I'm not getting proper sleep at night. From past 3 months it got worse I'm not at all getting sleep till 5 r 6 in morning. I hardly having 4 - 5 hrs sleep in a day. When I consulted physician he suggested me zolasma 5mg to have it at 10pm for 14days which will reset my sleep cycle. But when I'm having that tablet I'm sleeping for 14 - 16hrs a day which is making me feel numb whole day. Can someone tell me whether this things causes any affect for my health? And what should I do to get back to normal sleep cycle?

MBBS
General Physician, Hyderabad
Hi. From past nearly 6months I'm not getting proper sleep at night. From past 3 months it got worse I'm not at all ge...
Hi, sleep is very important in a day's cycle. Lack of proper sleep will effect our daily activities and make your feel tired or drowsy. As you have told the tab is making you sleep more, stop it as for now. Start your day afresh early morning at 6 am. Go for a walk. Do exercise and meditation. Don't think of your sleep problem. Continue with your days work. Don't get stressed much. Have dinner early. Do meditation and try to sleep. Even if you can't don't feel stressed, be positive. Again start your day at 6am. If you try this in a few days your sleep cycle ll come back. If it doesn't work den go for consultation n medication. All the best.
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I am 26 female. I easily get numbness in my feets and hands even when I am simply seating on sofa or lying on bed and whenever I sit cross leg after few minutes its become very hard as someone put heavy weight on my legs. Please guide me in this regard what should I have to do ?

Diploma In Orthopaedics (D. Ortho)
Orthopedist, Amravati
Hello . Having a numbness is very common if its occurring only sometimes. But in your case it definitely need evaluation. Please get your blood sugar tested. Also it can be disc related. Reply me for detail evaluation.
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Hi, My relative's Daughter lives in Mumbai is in very serious condition. She is suffering from Brain tumor and her parents gave treatment in many hospitals but no satisfactory result given by hospitals. Please Help.

BHMS
Homeopath, Chennai
Hi, My relative's Daughter  lives in Mumbai is in very serious condition. She is suffering from Brain tumor and her p...
The presenting symptoms of a primary brain tumor are typically classified as generalized or focal. Headache is more prevalent in patients with faster growing, high grade tumors. Seizures are a more common presenting feature in lower grade tumors.CSF dissemination of tumor cells should be suspected in patients with neurologic deficits that cannot be attributed to the primary tumor. Homeopathy is one of the most popular holistic systems of medicine. The selection of remedy is based upon the theory of individualization and symptoms similarity by using holistic approach. This is the only way through which a state of complete health can be regained by removing all the sign and symptoms from which the patient is suffering. The aim of homeopathy is not only to treat brain tumor but to address its underlying cause and individual susceptibility. As far as therapeutic medication is concerned, several remedies are available to cure brain tumor symptoms that can be selected on the basis of cause, sensations and modalities of the complaints. 
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