Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 38 years of experience on Lybrate.com. You can find Neurologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Treatment of Neurological Problems
Treatment of Nerve And Muscle Disorders
Treatment of Paralysis
Cerebral Palsy Treatment
Brain Tumor Surgery
Electroconvulsive Therapy (Ect) Treatment
Surgery Of The Facial Nerve
Radiofrequency Neurotomy Procedure
Spine Surgery Treatment
Traumatic Brain Injury (Tbi) Treatment
Treatment of Traumatic Brain Injury (Tbi)
Assistive Walking Device Training
Vagus Nerve Stimulation ( Epilepsy )
Submit a review for Dr. S.Ramesh KannanYour feedback matters!
Myth: Brain damage is always permanent.
Fact: The brain can repair or compensate for certain losses, and even generate new cells.
People once believed that we were born with a finite number of brain cells, and that was it for life; if you damaged any of them you could never get them back. Similarly, many scientists believed that the brain was unalterable; once it was" broken" it could not be fixed.
Now, of course, we know that the brain remains plastic throughout life, and can rewire itself in response to learning. It can also generate new brain cells under the right circumstances.
I am 45yrs old male since last 5/6 months I am feeling numbness on my right arm' s three finger. It d' nt pain but feel uncomfortable. What is this? I don' t understand please suggest me.
I have migraine pain over a 3 years I can't unable to overcome from this problem. I reach many doctors. Kindly help me.
Mere papa ka back side kamar me se 3 nas niche aati hai vo nas mein khoon aana slow ho gaya hai jiske karan papa ko chalne mein problem ho rahi hai unki umar 66 year hai, papa ki reports dekh ke Doctor bole operation karna padega but mujhe opretion nahi karvana koi dusara ilag hay aapke pass.
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.
My daughter is 16 year old. She had been feeling headache and occasional bouts of drowsiness for quite some time. We consulted a neuro physician who diagnosed this as Migraine. Her mother also has migraine. However, my daughter has started to feel even more drowsiness and reeling of head after taking medicines prescribed by doctor. These medicines are sarotena, Practin and Sibelium. Please advise.
I am having lumbar spondylisis. According to mri report there is mild disc pressure on lower nerve. I have been doing exercises as advised by doctor and taking etoshine or ezact 90 tabs as required. It is for the last two years. Twice I felt numbness in my both the legs about 4 months back. Now I get pain or burning sensation in 3 middle fingers of left feet sometimes is it serious. Please advise.
I am 22 years old and some times my body parts become numb in the still state it happens often and I also get exhausted while doing light work so please tell me what should I do?
I Had acute embolic infarct left side stroke. Narrow escape because of immediate hospitalisation. Please advise for future life.
I have pain in the 2nd, 3rd & 4th fingers of right foot. Also the the foot area immediately below these fingers is partially numb. I feel more cold near this part of my foot when I am sleeping and it is very irritating. I am able to carry on my daily routines without much problem but can, t walk more than about a kilometer after which it starts hurting. I am 75 yrs old &am still active without any major problem. Can you please suggest some remedy/exercise.
I had sinus or migraine as one side face ache? Severe one sided face ache frequently what is it cure?
I am 24 year old mail. The problem is my hands are shivering more at recent times. I have this problem from the age of 20. It only happens when I have great amount of fear or anxiety or handling delicate things. Please let me know what I can do to cure it.
I am suffering from severe headache (migraine and sinus. Sometimes am irritating unnecessarily getting angry. I am not able to face climate fluctuations some day it raining on other day it too hot. Could you please help me.
We're all guilty of making fun of snorers, but sometimes this snoring can be a symptom of sleep apnea. Sleep apnea is a condition where breathing is not continuous and may start and stop many times while asleep. This affects the quality of your sleep and in turn can affect many aspects of your health including your cardiovascular health. Here's how:
High Blood Pressure: When a sleep apnea patient's breathing stops, the oxygen levels in the blood also suddenly fall. This can increase your blood pressure. High blood pressure means that the heart muscles need to work harder to pump blood through the body.
Cardiomyopathy: As a result of high blood pressure, the heart walls may become thicker and the heart muscles become stiffer. This is known as Cardiomyopathy. As this condition worsens, the heart becomes weaker and is unable to maintain a regular rhythm. This can eventually lead to heart failure.
Arrhythmia: An irregular heartbeat is also known as Arrhythmia. This may also be related to the changes in the heart's structure that follow the drop in blood oxygen levels. In many cases, Arrhythmia has no visible symptoms and can often go undiagnosed. This can result in the formation of blood clots in the atria which can lead to a stroke.
Sleep apnea is easy to diagnose. If the doctor feels that you show symptoms of sleep apnea, you may be asked to stay on the hospital overnight and undergo a sleep evaluation. This tests a variety of body functions including brain activity, eye movements, heart rate, breathing patterns and blood oxygen levels.
Treatment for sleep apnea depends on the causes for this condition. If you are overweight, regular exercise and a change in diet can help you lose the excess weight and cure sleep apnea. Similarly, if your sleep apnea is triggered by an allergy, treating the allergy can help cure the sleep apnea. Other forms of treatment for sleep apnea may include:
Continuous Positive Airway Pressure (CPAP): This is a machine which pumps air into the body through a nasal mask. By keeping the pressure in the machine higher than normal air pressure the upper airway passages are kept open and hence the quality of your sleep is improved. An auto CPAP machine can modulate the air pressure such that it is higher when you inhale and lower when you exhale.;
Oral devices: Your doctor may suggest oral devices that allow you to keep your mouth open while you sleep. This is easier to use than CPAP machine but less effective. Surgery is the last resort when it comes to treatment for sleep apnea.