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Dr. Shanmuga Sundharam

Neurosurgeon, Chennai

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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.
More about Dr. Shanmuga Sundharam
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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K.F Hospital

Nanganallur, ChennaiChennai Get Directions
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Instant relief from migraine headache, if any? Long term treatment, how to go about?

BAMS, MD Ayurveda
Sexologist, Lonavala
i m recommending you an following remedy which will surely help you Natural home remedy using green tea and lemon: 1. Take 1 cup warm water 2. Add a green tea bag 3. Squeeze ½ a lemon 4. Mix well 5. Drink for instant relief This is very helpful for you.
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I am 26 yrs old female I have piles, asthma, migraine, cold, backpain, what should I do?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
I am 26 yrs old female I have piles, asthma, migraine, cold, backpain, what should I do?
For back pain only sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress 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. Make sure you are not allergic to any of the medicines you are going to take. For emergency treatment contacts your nearest hospital or family doctor. If it doe s not give relief in 4-5days, contact me again. It may take care of your migraine as well.
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Sir, Mera beta 10 years ka Hai aur wo cerebral palsy se peedet Hai to Kya wo spider therapy s theek ho sakta hai. Sir please reply me must.

MD - Alternate Medicine, BHMS
Homeopath, Surat
I'd like to tell u to go for homeopathic treatment. Homeopathy has proved really good in such complicated cases. It will take time in your son's case, but you will definitely have results within 6 to 8 months.
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Understanding The Traumatic Brain Injury Better!

DNB NEUROSURGERY, M.B.B.S.
Neurosurgeon, Durgapur
Understanding The Traumatic Brain Injury Better!

Traumatic brain injury (brain injury triggered by an external event such as a fall or a road accident) can be quite a harrowing experience for the patient and their loved ones. While most people recover from the injury, the duration and extent of recovery may vary from individual to individual.

Some patients may simply suffer from a temporary amnesia, while others may remain comatose for months. The recovery time and extent of neurological deficits in traumatic brain injury is determined by the severity and location of the brain injury. The traumatic brain injury can be

Open or closed

  • Open injury: There is an opening up of the skin and other layers leading to direct contamination of the brain from external debris and the risk of brain infection is high in such a case.
  • Closed injury: here, the brain is not contaminated, but the impact may cause various degrees of injury to parts of the brain.

Primary or secondary injury:

Primary injury: it is damage caused to the brain at the time of the injury. The damage can be

  • A crack or fracture in the skull.
  • Bleeding into the layers between skull and brain, like a EDH (Extra Dural Hematoma), SDH (Subdural Hematoma) or SAH (Sub-Arachnoid hemorrhage). These are potential emergencies, especially an EDH, where timely Neurosurgical intervention can decide between life and death.
  • Due to violent shaking of the brain inside the skull cavity, there can be a damages to the entire brain including the axons and neurons without any visible hemorrhage on CT scans (Diffuse Axonal Injury). The outcome can be quiet unpredictable. It is dangerous if the brain starts swelling up excessively after a DAI.
  • A person can also suffer from brain hemorrhages and contusions within the brain matter. Large contusions may need surgical evacuation to control brain pressure. Smaller ones are treated without surgery. Deep seated contusions towards the centre of the brain cause more morbidity even if small in size.

The secondary brain injury may develop gradually (within few hours or days from the primary brain injury), further aggravating the brain tissues. This is brought about by inflammation, altered blood supply, high brain pressure, brain edema or swelling, and programmed cell death. Sometimes, even though the primary insult is small, patients may succumb due to secondary injuries which are highly unpredictable and difficult to treat.

Estimating the extent of the brain damage

The damage inflicted to the brain is assessed by the combined assessment of the following:

1. The mode of injury, especially velocity of impact.

2. How long the person has been unconscious.

3. How bad are the visible external injuries. Is it an open or closed injury?

4. Whether there was any convulsions, vomiting, ear or nose bleeding?

5. Assessment of eye opening, verbal response and movement. This is assessed and recorded by the GCS (Glasgow coma scale).A score of 15 implies the person is fully conscious, a score of 9 indicates the person is in a semi-alert state, while a score of 3 indicates a deep state of coma.

6. Brain imaging through CT or MRI. This gives a more direct information about the physical damages to the brain, and guides the decision about Neurosurgical intervention.

Treatment of traumatic brain injury:

  • Medical : medicines are administered to control brain pressure and limit the secondary injuries. It also attempts to control events like convulsions and infections.
  • Surgical: surgery becomes necessary when there are depressed fractures impinging into the brain, or large hematoma or brain swelling causing rise of brain pressure or a shift of the brain to one side. Other indications are uncontrolled CSF (cerebrospinal fluid) leakage from nose. Sometimes shunts need to be put to drain out CSF in hydrocephalus (accumulation of excess water in the brain ventricles). During surgery, parts of the skull may need to be removed (Craniectomy) temporarily to allow brain expansion and control brain pressure.
  • Accessory surgeries: smaller procedures like a tracheostomy (bypass of the windpipe) or PEG (stomach tube) may need to be done for long term care in comatose patients.
  • Rehabilitation: tireless care by nursing and physiotherapy are necessary to help patients recover faster and avoid complications like bed sore, deep vein thrombosis, spasticity and weakness of limbs.
  • Recovery: Recovery from traumatic brain injury may be time taking (weeks, months to even years). In addition to the initial treatment and medications, patients may need Brain Injury Rehabilitation. The rehabilitation aims at enabling the person to lead a normal life as early as possible. There are medications, activities, and exercises to improve one's cognitive power.

I have been suffering from migraine from the last 2 years. I have consulted a no. Of doctors. What should I do now. please help me out.

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/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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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.

MD - Homeopathy
Homeopath, Aurangabad
Migrane yes migraine headache can be cured by homeopathy take natrum mur 30 30 ml liquid sbl 1 drop daily on tongue for x 7 days and revert me back you may contact me on this site. And check my package and get customized medicines.
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Sir, I have only a problem with my head. I don't know why, but I think its migraine. How to reduce?

Doctor of Physical Therapy (DPT), Bachelor of Physical Therapy
Physiotherapist, Hyderabad
It could also be occipital headache that is caused due to strain and tightness of muscles that connect skull to the neck. You can consult a Physiotherapist specialized in manual therapy and see if that helps decrease the pain Also stretching exercises for upper neck muscles can help. Good Luck.
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My mother suffering from micro vascular ischemic diseases (as per CTscan). What is the way she can be recovered. Her age is 68 yrs. Kindly suggest me please.

BHMS
Homeopath,
Walk regularly.maintain a healthy diet..maintain ur blood sugar level...maintain cholesterol level...and must follow the instructions of doctor.with this if she continued with homoeopathic treatment she will be in a healthier state
1 person found this helpful
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Some peoples disturb in a fits problems why are coming this problem. May be genes problem and please tell me about this problem.

C.S.C, D.C.H, M.B.B.S
General Physician,
Epilepsy is a brain disorder in which clusters of nerve cells, or neurons, in the brain sometimes signal abnormally causing strange sensations, emotions, and behavior, or sometimes convulsions, muscle spasms, and loss of consciousness. Genes do play a role
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I have severe head ache and taking pain relief pills but is of no use. taken medical check up for migraine also. But it is not migraine. Due to more exposure to computer facing this problem.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bijapur
I have severe head ache and taking pain relief pills but is of no use. taken medical check up for migraine also. But ...
Dear lybrate user stay away fro the causes which generaly elevates your headache as it is a first precaution and medication you need to take. -drink water sufficiently. -take adequate sleep. -do some activities which improve your mood and release stress. -have light and healthy meals including fruits and green vegetables. -keep bowel movements clean which often causes headache.
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How To Treat And Manage Cranial Nerve Palsy?

MD in Ophthalmology, MBBS
Ophthalmologist, Delhi
How To Treat And Manage Cranial Nerve Palsy?

Cranial nerve palsy is one of the common culprits of causing double vision. This is all the more true for people above the age of 60. A person is more prone to cranial nerve palsy if he is suffering from high blood pressure and diabetes. This is the reason why this disease is more commonly known as diabetes palsy. Eventually, though they get better and the problem of double vision disappears.

Symptoms:

One weak cranial nerve leads to the weakness of other cranial nerves as well. In case the eyes fail to move together, chances are that the patient will have double or blurred vision. In case the sixth nerve gets affected, side to side double vision is encountered. For the 3rd and 4th nerve disturbance, there could be a vertical double vision. The lack of blood flow causes pain to the eye.

Possible Causes of Cranial Nerve Palsy?

Cranial nerve palsy can result from traumatic or congenital factors. They can also result from vascular diseases such as strokes, hypertension, diabetes, and aneurysms. It can also arise out of infections, increased intracranial pressure, migraines, and tumours. A patient's age and clinical findings help a doctor decide the right course of treatment.

Treatment:

There are no particular treatments which can speed up the recovery of cranial nerve palsy. In a case of pupil pain, doctors may prescribe anti-inflammatory drugs such as Motrin and Advil. They key to natural recovery is to ensure that the blood sugar and the blood pressure is diligently controlled. By patching the eyes, the problem of double vision can be resolved. They are typically worn over both the eyes. They are however known to slow down the process of recovery and strain the eye. There is no known exercise to fix this condition. Botulinum injections are sometimes used by doctors to straighten the eyes but the result of such a treatment greatly varies from person to person. Doctors mostly rely on watchful waiting until the phase passes within 6-8 weeks. Pain medications are recommended on a case to case basis.

Lifestyle Changes:

Managing cranial nerve palsy can be difficult for a working person. It involves many lifestyle changes till the condition fully cares. Some of the suggestions given by an ophthalmologist include resting the eye as long as one can. Reading or working on a computer should be eschewed since it puts great pressure on the eyes. The eye should not be contacted with forehands in case there is too much pain. Other basic hygiene issues include taking the medicine time to time, cleaning the eye with fresh water two to three times a day, putting the eye drops on time as prescribed by the doctor. If you wish to discuss about any specific problem, you can consult a ophthalmologist and ask a free question.

3805 people found this helpful

Hello Dr. sir kindly inform me is there is medicines for brain blood clot dissolve nowadays please inform me sir i would be thankful to you sir.

M.Ch - Neuro Surgery, MBBS
Neurosurgeon, Mumbai
For acute stroke tpa is used to dissolve the clot. Or an angiogram is done and the clot retrieved for prevention of stroke aspirin or clopidogrel is used.
11 people found this helpful
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I suffering from migraine with photophobia and when it starts then I take lupisulide p. Sir what its any side effect?

MBBS
General Physician, Delhi
Continuous usage wd out gap for long term can cause side effects but you are taking it on sos basis so not to worry much about side effects. Thanks for asking.
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Hello Dr. My concern is that lack of Vitamin D is causes for weight gain and thyroid is it true cause I have epilepsy since two years and I continuously gaining weight.

MSc Applied Biology, Diploma in Naturopathy
Ayurveda, Delhi
Hello Dr. My concern is that lack of Vitamin D is causes for weight gain and thyroid is it true cause I have epilepsy...
Sure both problems are known to increase weight .but right treatment life style right nutrition yoga etc have been seen to cure epileptic fits even .if controlled for more than 6 months they are seen not to be repeated.
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My mind is not responding of the life and my finger is very thin please solution the problem.

MBBS
General Physician, Jalgaon
Make your mind to respond accordingly by regular meditation, relaxing exercises Do finger exercises by using spring instruments available at sports shop Have lunch rich in proteins
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My hand is shaken (more vibrate) during writing. I write right hand. I am 26 year old. Why the reason of vibration my hand. Please suggestion me and how to solve it please help me. I am waiting your answer.

Bachelor of Occupational Therapy (BOT)
Physiotherapist, Mumbai
Hand shaken in many neurological conditions. And sometimes due to weak uncoordinated musclea of hand consult to you r doctor and then to neurologist.
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I am a 43 years old man. I am suffering from depression and migrain pain from 8 years. I could not concentrate som time. Please Advice me.

M.D,Psychiatry
Psychiatrist, Amritsar
If your diagnosis is made by psychiatrist then start tab sodium valproate 500mg at night, tab headset sos and take tab dulouxetine 20mgdaily. Report after 10 days.
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Epilepsy - How To Deal With It?

MD - Internal Medicine, MBBS
Internal Medicine Specialist, Mumbai
Epilepsy - How To Deal With It?

Epilepsy is a relatively common disorder. Most cases of epilepsy can be controlled with a combination of drug therapy and healthy lifestyle. In some cases, surgery may also be advised. Epilepsy affects not only the lifestyle of the patient but also that of their caregiver. Each person reacts to epilepsy in a different way and hence the type of care needed also varies from person to person. While some patients have few seizures and require care only when they're having a seizure others need round the clock care. Here are a few tips to keep in mind if a loved one suffers from epilepsy.

Know what type of epilepsy you are dealing with.
Not all epileptic seizures are the same. Find out what type of seizures your loved one suffers from and what are the possible triggers associated with Involve yourself in their lifestyle.

Epilepsy should not be a reason for your loved one to lock themselves in a room to stay safe. Participate in activities with them of you feel the activity may be a safety risk if they were to have a seizure; for example - swimming.

Notice seizure triggers.
Often an epileptic patient may not remember the seizure after it has occurred. As their care giver, keep a seizure diary to track their seizures and its related triggers. Look for patterns in the triggers to their epilepsy attacks.

Keep them safe during a seizure.
When experiencing a seizure, the patient will lose consciousness, experience muscle convulsions and may grit his teeth. If the person is standing, hold them so that they do not fall. If they are lying down, try turning them onto their side. Do not put anything into their mouth.

Take care of them after a seizure.
After the seizure, people are most likely to be confused, tired and have a headache. Check for injuries and keep them calm till medical help arrives. Loosen clothing around their neck and ensure that there is nothing inhibiting their breathing.

Medical identification.
While someone who suffers from seizures often is likely to always have someone with them, others who have rare seizures may often venture out alone. In such cases, ensure that they always have medical identification on them. Also make sure that their friends, colleagues etc are aware of their medical condition.

Help them maintain a healthy lifestyle.
Staying active is essential for people with epilepsy. Avoid contact sports and pick low impact exercises like walking, running or swimming. Following a buddy system is essential when an epileptic person works out.

3 people found this helpful

Physiotherapy For Dementia!

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
Physiotherapy For Dementia!

Dementia is a general classification of a brain disease that causes a long haul and frequently steady abatement in the capacity to think and recall that is sufficiently incredible to influence a man's everyday  functioning. Other normal manifestations incorporate passionate issues, issues with dialect, and a lessening in motivation. An individual's awareness is not influenced. The most common example of dementia is the Alzheimer's disease.

Physiotherapy for Dementia:
A patient with dementia can benefit from physiotherapy regardless of the possibility that the patient can't perceive their own family. Physiotherapy, notwithstanding, can be of good advantage to the individual who has dementia and also their family and parental figures at different stages. The principle explanation behind this is that recovery administrations can help the dementia patient to be as utilitarian as would be prudent for whatever length of time that is conceivable. Here are 5 ways physiotherapy benefits an Alzheimer's patient:

  1. Physiotherapy can keep up the Alzheimer's patient's freedom and mobility as much as one could expect reasonably. A physiotherapist can outline a home activity program and work intimately with relatives to administer to the Alzheimer's patient.
  2. Physiotherapists, as independent experts, embrace much detailed, separately custom-made appraisals of the disorders, action confinements and restrictions imposed upon individuals with dementia.
  3. The caretakers of individuals with dementia regularly show weakness when contrasted with their same aged companions. Physiotherapy helps with diminishing the weight of consideration by instructing caregivers to provide encouragement and upliftment to individuals with dementia.
  4. Patients with dementia are always at a risk of falling down and hurting themselves. Poor balance accounts for the danger of falls. This can be worked upon and improved by physiotherapy driven exercises. Exercise can have a huge and positive effect on behavioral and mental indications of dementia, enhancing psychological capacity and mindset, which can decrease the doses of strong medicines. Special exercise routines are assigned to the patients which help improve their body balance while walking.    
  5. Physiotherapy has crucial influence in advancing and keeping up portability of individuals with dementia. It assumes a basic part in the end of life consideration by overseeing situations, seating and complicated muscle contracture. Individuals with dementia regularly experience issues in communicating pain. Pain influences cognizance, inspiration and reaction to any intervention. Physiotherapists are specialists in recognizing and treating pain in dementia patients and give training to care home staff and caregivers of the patients.

Physiotherapy is very important for dementia patients. Regular physiotherapy sessions are beneficial for patients for improvement in condition. If you wish to discuss about any specific problem, you can consult a Physiotherapist.

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