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Dr. Shanmuga Sundharam

Neurosurgeon, Chennai

Dr. Shanmuga Sundharam Neurosurgeon, Chennai
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
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Dr. Shanmuga Sundharam is a popular Neurosurgeon in Nanganallur, Chennai. You can consult Dr. Shanmuga Sundharam at K.F Hospital in Nanganallur, Chennai. You can book an instant appointment online with Dr. Shanmuga Sundharam on Lybrate.com.

Lybrate.com has an excellent community of Neurosurgeons in India. You will find Neurosurgeons with more than 29 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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I have severe head ache. Is this a sign of migraine? What are the precautions to be taken?

MBBS, cc USG
General Physician, Gurgaon
Hello, you may be having headache because of stress/ refractory problems/ any ENT problem or may be Migraine headache kindly follow advises given below: you can take: 1. Tablet Crocin (Paracetamol 500 mg) one tablet after food when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error for any change in no. 4. We need to go for ENT evaluation to rule out sinusitis 5. Get BP checked 6. Regular physical exercise and meditation and yoga complete history of your headache for further management like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis/relieving/ triggering/ associated factor to reach diagnosis consult physician for further management.
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I am suffering from migraine headache I was taken treatment for 6months now its agan started how to get relief from this problem.

MBBS
General Physician, Cuttack
1. Take crocin Pain relief one Tablet sos after food up to a maximum of three tablets daily at the time of attack, apply ice pack, massage scalp/temple 2. Drink plenty of water and take rest. 3. Avoid stress, anxiety, depression, agitation, exposure to loud noise, bright light, strong smell inadequate sleep, continuous use of cell phone since it precipitates migraine attack 4. Avoid salted /processed food, aged cheese, excess tea/coffee/alcoho (red wine)/caffeinated beveragesl. Don’t skip/postpone your meal, avoid hunger since it triggers the attack 5. Go for regular exercise, reduce weight if over weight 6. Practice yoga, meditation, deep breathing exercise to calm your mind, control your emotion and relieve you from stress 7. If You have chronic migraine, you have to take migraine prophylaxis like propranolol/ vasograin after consulting physician 8. Consult neurologist to exclude other causes of headache and if required, take CT scan of brain.
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My hand shake sometime. May be due to drinks or some other problem. My left hand shake more then my right one. Please advice me what to do. My drinks are not regular its? two days in a week.

MD - Psychiatry, MBBS
Psychiatrist, Patna
Hand tremors are one of the important sign of alcohol withdrawal. You should also look for other signs of withdrawal like, excessive sweating, increased heart rate, difficulty in getting sleep, restlessness, anxiety, nausea, poor appetite etc. If others signs are also present then you must consider stopping your drinking habit. Help of psychitrist may be required in quitting alcohol. If only hand tremors are there, consult a neurologist.
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Following a scratch from a pet dog in late april, I decided to go for a rabies booster dose (2 doses) since I had already taken the full course last year. Around 12 days after the rabies booster (on tuesday 5th may), I had a full-on tonic clonic seizure in my sleep (around 12.30 am). The convulsion lasted for around 3-5 mins and I ended up biting my tongue badly. I have no personal or family history of seizures (febrile or otherwise) and this was the first time ever. 15-30 mins (not sure) before the seizure occurred I remember smelling burning garbage/burnt rubber. The next morning, I rushed to the local neurologist who asked me to get an mri/mrv + eeg + lots of bloodwork done. The mri/venal mri was normal, so were the eeg and the blood-tests. The neurologist diagnosed it as late onset seizure disorder and asked me to start with keppra 750 mg twice a day. The same evening I went to another neuro for the eeg and looking at my reports and history, he advised me not to start with the medicine and wait for another seizure before starting the aeds. Also neurologist no. 1 noted that the only real insult was the rabies booster shot and was concerned about the possibility of adem. But since the mri was ok he let it go. Now its been 7 days since the seizure. I have balance issues, limb weakness, difficulty remembering stuff and since yesterday I have extremely itchy palms (with small red spots) and itchy eyes. Its so bad, I was unable to sleep at all last night. Also both my hands and legs (esp my legs) keep falling asleep even when I am sitting normally and I keep getting that pins and needles sensation. My query is this: 1. Is there a possibility of developing adem or any other form of vaccine related encephalitis in the days or weeks ahead? 2. The itchy palms and eyes are a common vaccine adverse effect. Should I be concerned about that? 3. There are more than a few cases of otherwise healthy individuals having seizures/convulsions after taking nootropic vaccines like anti-rabies, japanese encephalitis, tbe etc. Http://www. Jmedicalcasereports. Com/content/7/1/66 pls do check out this link. If my seizure was vaccine meditated. Is there a way to treat the condition (with steroids etc) and/or prevent it from recurring? please do let me know.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
H, good you consulted n had 2nd opinion too, medical science so vast so everybody almost follow scientific protocol. So rely on your Dr. He'll choose you best. Can you consider to have ayurveda opinon beside your city at ayurveda college where you may suggested for rutu shudhi seasonal detox n rasayan therapy for your issues which is said? pittaj apasmar in ayurveda terms. Prognosis is good still your Dr. Will share you to alert while driving n swiming of at operating machines.
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World Autism Day; How To Recognize It Early

MD - Psychiatry
Psychiatrist, Delhi

The Indian government only recognized autism in 2001. Till the 1980s, there were reports that the disorder didn't exist in India. Experts worldwide have estimated that 2-6 children out of every 1000 have autism. In India, currently, 10 million people are suffering.
Autism is a complex developmental disability which starts presenting itself in the first 3 years of a child's life. It is a result of a neurological disorder which affects the normal brain functions of a child, thus eventually affecting their communication (verbal as well as non-verbal) and social skills.

Keep in mind that different children behave differently due to autism; no two children will ever have the exact symptoms. Some may experience mild symptoms while others may experience severe ones.

Social skills: an autistic child will interact in a very different way. If the symptoms in the child are mild, then such people are socially clumsy and awkward, may pass comments which seem offensive to others and may or may not be out of sync with other people of their age group. For those suffering from severe symptoms, they show absolutely no interest in people whatsoever.
Autistic children also find it extremely hard to understand the feelings and emotions of others.
Touch: children with autism have shown dislike to physical contact like being touched, cuddled, hugged etc. However, this is not true for everybody. Many will sometimes hug a parent or a friend, and enjoy that moment of contact greatly.

For children with autism, their social and communicative skills lag behind while their cognitive skills develop quickly enough. Similarly, their language skills might develop rapidly while their motor skills lag behind. For example, they may not be very good at sports, but their vocabulary would be the largest in their age group.

2 people found this helpful

What are the symptoms of sinus headache and migraine? Actually some doctors said I have migraine and some said it's sinus I'm confused.

MBBS
General Physician, Cuttack
Symptoms of sinusitis a) blocked nose, runny nose, headache. B) decreased smell sensation. Pain over the sinus region c) take plain x ray/ct scan of pns to confirm diagnosis symptoms of migraine 1. Unilateral headache, eye pain 2. Throbbing and pulsating pain 3. Nausea and vomiting 4. Increased sensitivity to light and sound 5. Feeling of dizzy or faint.
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I am 24 years old I have migraine from pat 10 to 12 years but now it's like when ever I eat any sweet or chocolate my migraine starts how to avoid such things.

MBBS
General Physician, Mumbai
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 medication after clinical examination
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I am 18 years old and I have been suffering from migraine since last 9 years. I had taken number of medical treatments for this but doesn't get relief. Please suggest me something that would help me to get rid of this severe pain.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Gurgaon
A. Causes-: Improper metabolism, Suppression of natural urges, anger, jealousy, grief, poor elimination, intake of dry, pungent and salty food, intake of polluted food, mental and physical stress, viewing of TV for long periods, reading with insufficient light, sleeplessness etc. B. Origin of migraine headache-: Due to the causative factors, Pitta Dosha obstructs the flow of Vata dosha in brain, causing throbbing pain. C. Pain Management-: 1. Avoiding the cause and trigger factors. 2. Keeping a diary record of specific foods eaten, environmental exposure, sleep patterns may help to identify personal trigger factors. 3. Sneha nasya therapy at home-: Sneha nasya, instillation of medicated oils to the nostrils by Shadbindu tailam or Anu tailam yield significant benefits. 4. Apply a paste of freshly ground clay or freshly ground sandalwood to the forehead, let dry, rub off by hand and wash. 5. Mix ¼ teaspoon of clove powder with 1 teaspoon of cinnamon oil. Apply this paste on the affected area for 20-30 minutes. 6. Add chamomile powder to 1 cup of boiling water. Transfer the liquid to a cup. Drink when hot. It gives fast relief from migraine. 7. Take ½ glass of carrot juice. Add ½ glass of spinach juice. Mix well. Drink this juice twice daily. 8. Grind 10-12 grains of black pepper and 10-12 grains of rice with water to make it a paste. Apply this paste on affected area of the head for 15-20 minutes. 9. Sugar powder 16 parts, Vamshalochana 8 parts, Pippali (long pepper) 4 parts, Ela (Cardamom) 2 parts, Cinnamon – 1 part. Make fine powder and mix it, keep in tight moisture free container. Take half teaspoon thrice daily with honey. 10. Aromatherapy- Pitta calming aromas typically flower fragnances like Lily, Cloves, Lotus, Lavender, Peppermint, Rose, Sandalwood are beneficial. 11. According to ayurveda Virechan (Laxative therapy) is an effective way to reduce excess pitta. Castor oil or warm milk with ghee or triphla at bedtime is helpful. 12. Practicing meditation is highly recommended. 13. Morning and Evening walk followed by brisk exercise is recommended. 14. Avoid hard physical exertional exercises and aggresive sports competitions. 15. Avoid working for long hours continuously; take short breaks. Have a good night’s sleep (8hrs) in a dark room. D. Diet: ~~Apple, mango, papaya, cheeku, guava. ~~Salad 1hr before lunch, 1hr before dinner. ~~Buttermilk, boiled rice sauted with cinnamon, cumin seeds and garlic or asfoetida are good in the daytime. ~~Have warm and easily digestible foods, boiled and steamed vegetables, soups, vegetable juices, porridge, brown rice and whole-wheat flour. ~~Avoid yogurt, especially at night. ~~Avoid refined, oily, spicy, cold, sour foods (fermented, pickled) and stale food, aerated drinks. ~~Avoid coffee, tea, alcohol, smoking. ~~Avoid cheese, chocolate and wine. E. Yogasanas and Pranayama: Hastapadasana, Setu Bandhasana, Marjariasana, Paschimottanasana, Bhastrika and Anulom-Vilom Pranayama. NOTE: When suffering from a migraine attack: ~Lie down in a dark, quiet place & get some sleep. ~~Avoid eating. ~~Drink only water. ~~Apply hot or cold compresses. ~~ Consult doctor.
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Parkinson's Disese Myths

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai

On occasion of World Parkinson Day today April 10th There are vast advanced technology and Therapeutic Methodology been existing in Neurology Science 

One who has affected should have proper follow up with Neuro Physican and with Neuro physiotherapist for respective severity and lesion of this Neuro Progressive Disorder on Appropriate Session

Hello doctor I have problem of anxiety disorder and hand shaking now these days I have suffering from neck shaking also please suggest me good medication for this that available easiely in medical stores. If I can't improve then I go to see a doctor. Please help me.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear, instead of going to doctor and having psychiatric medicines for simple anxiety disorder, why don't you use psychotherapy methods which are quite useful? I will help you to manage your anxiety problems with the help of psychotherapy. Don't worry. Let me know the full details. Take care.
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I am a chronic patient of migraine and sinusitis. What are the precautions to be followed?

M.B;B.S, P.G.(FAMILY MEDICINE), D.O.H.
General Physician, Hyderabad
Avoid cool & fridge food items + avoid cool atmosphere like A/C, take food hot and fresh+brisk morning walk for 45mts 6days /week

Neurological Disorder - How Panchkarma Therapies Can Help?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Karnal
Neurological Disorder - How Panchkarma Therapies Can Help?

Neurological disorders may creep in due to many reasons. It may be due to degenerative diseases, accidents, other health conditions, birth defects or genetics. The most common form of disorder occurs due to non-functional brain cells in some parts, and loss of myelin sheath in neurons, which protects the nerve signals in their complete transfer from origin to destination. These losses are irreparable, but further degeneration can be avoided with Ayurveda. Panchakarma, the branch of Ayurveda, which deals with detoxification of the body and mind, specially helps. Over a period of time, it can bring back the lost sensation in nerves. Yoga, pranayama and Ayurvedic treatments lead to recovery and relief to a huge extent.

Important facts about Panchakarma
There are 3 important steps in Panchakarma, which are followed one after another to get the result. The main objective of Panchakarma is to detoxify the body. Virechanam, vamanam, sneha vasti, nasyam and kashaya vasti are the 5 folds in Panchakarma.

  • Poorvakarma or preparing the body, followed by Abhyangam or massage, followed by Elakizhi or herbal paste massage, and finally podikizhi, or steam bathing makes the body ready for receiving further treatments.
  • Njavara Kizhi is the special treatment done in Panchakarma where the body is given a rice bolus massage to improve the joint and neuro functions.

What is Njavara Kizhi?
Njavara is a variety of rice, which is specially used for Ayurvedic treatment and massages. In this treatment the rice is made into a pudding by boiling it with milk. This pudding is then made into boluses. The boluses are filled in muslin cloth, and then using these muslin bolus dabs, the whole body of the patient is massaged. This full-body massage has excellent effects on neurological and joint functions. The deep tissues within the body are rejuvenated. The treatment is carried on for 45 minutes to 60 minutes by therapists or experts. Another form of the treatment requires the rice to be made into a paste, and then the paste is applied all over the body. But this is more preferred for beautification.

Other effective therapies
Siro Vasti, Kati Vasti, Ela Kizhi and Nasyam are all different forms of Panchakarma treatment, which detoxify the body and mind and rejuvenate the body and nerve functions. But these treatments cannot be conducted on the body on your own. You need a masseur who must be a specialist in Ayurveda to do this for you. Hence contacting Ayurvedic doctors or experts would be the best to start the treatment.

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Am having chronic migraine from 15 years, is there any cure? if yes than how to approach? how much it may cost?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
migrane can be managed with lifestyle changes and medications, try muscle relaxation exercises. Relaxation may help ease the pain of a migraine headache. Get enough sleep, but don't oversleep. Get an adequate amount of sleep each night. It's best to go to bed and wake up at regular times, as well. Rest and relax. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp. It is very important keep a headache diary. Continue keeping your headache diary even after you see doctor. It will help you learn more about what triggers your migraines and what treatment is most effective. A dose of riboflavin in appropriate dose as prescribed by me, also may prevent migraines or reduce the frequency of headaches. Coenzyme q10 supplements may decrease the frequency of migraines, magnesium supplements may also be used to treat migraines do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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I am having problem with speaking,swallowing, eating, walking, and breathing.Kindly suggest?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Neurologist,
If you are above 50 yrs of age, Please consult a nearby neurologist and make sure that you are not having Parkinson's disease.
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My friend has some kind of shivering attack before some days, after consulting a doctor, the doctor told him that the attack was due to epilepsy. So I want to know what are the symptoms of epilepsy?

MBBS
General Physician, Cuttack
1. Symptoms of epilepsy may be preceded by an aura (awareness of strange odor, taste, vision), hallucination 2.Sudden fall with loss of consciousness 3. convulsion/ stiffness of extremities, frothy discharge from mouth, upward rolling of eye ball, stiffness of extremities
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I am 41 years old man I have suffered to migraine problem since 2 years. What can I do.?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
1-1 drop of cow ghee in both nostrils at night time before sleep. Take sootshekhar. Kaparda and godanti bhasm with honey two times a day. Eat green vegetables. Healthy food. Fruits. Drink plenty of water. Do pranayama early in the morning. Walk minimum for 30 minutes per day.
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I am suffering from cold and migraine headaches frequently. Some times drops of tears will cum out by watching long do not kow the solution for this check up made bye me for may doctors but no result.

BHMS
Homeopath, Ludhiana
Hello.... Avoid cold things and stress..... Take steam. It will help you to get some relief from cold.... Take ginger and tulsi tea.... Take treatment for migraine... Consult me for treatment...
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I have a migraine problem and some times my eyes is going red after headache how should I do?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do Take proper balanced diet and avoid stress anxiety and anticipating the things Do regular physical activity and breathing exercises for about 15 minutes duration each time regularly Best Wishes
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I have red eyes for 2 days what should I do? I think I am having migraine pain. Because from last year this was the same thing which I faced.

MBBS
General Physician, Mumbai
Migrane- It is characterised by one sided headache which is pulsatile in nature and with a throbbing pain usually with an aura and For red eyes we need to put antiallergic and anti inflammatory eye drops and For pain take tablet paracetamol 650 mg
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