Autoimmune disorders are one of the least understood disorders in the whole of medical science. Systemic Sclerosis is also an autoimmune disorder in which the skin undergoes changes in texture and characteristics. 

However, the changes are not confined to the skin alone. It can affect blood vessels, muscles, digestive system, heart, kidneys, as well as the lungs. It typically affects people in the age group of 30 to 50 years, but the good thing is that doctors can diagnose this at any age. 

It has been observed that more women fall prey to this disorder than men. The severity of symptoms may also vary from person to person. Nevertheless, the real cause of worry is the progressive nature of the disease. Due to this, it is, in fact, sometimes referred to as Progressive Systemic Sclerosis. 

Causes of Systemic Sclerosis 

It is an autoimmune disorder in which the immune system attacks the skin and precipitates the problem. The attack by Immune System precipitates increased collagen production in the body, which accumulates in the skin tissue. This leads to changes in characteristics and the appearance of the skin. 

Symptoms of Systemic Sclerosis 

Systemic Sclerosis affects only the skin in the early stages. It may lead to thickening of skin and development of shiny areas around bony areas, such as nose, mouth, fingers etc. However, as the disease progresses, it may limit movement of these affected areas. So one may have a problem in opening the mouth, parting fingers etc. 

Other symptoms are: 

  Loss of hair 

  Deposit of lumps under the skin 

  Blood vessels under the skin getting dilated 

  Pain in the joints 

  Breathing difficulties 

  Dry cough 

  Constipation 

  Diarrhea 

  Swallowing difficulty 

  Reflux of food from esophagus 

  Feeling of bloating after taking meals 

In addition to the above, one may also sometimes experience spasms in the blood vessels of fingers and toes. Legs and hands may turn blue or white if a person is undergoing emotional stress or is in extreme cold. This is also known as Raynaud s phenomenon. 

Risk Factors

Though the causes of the disease are not yet known, there are some risk factors which can make a person susceptible to this disease: 

  If a person is undergoing chemotherapy with certain drugs like Bleomycin or are exposed to stuff like silica dust, organic solvents etc., one may become susceptible to this disease. 

  Women are more prone to acquiring this disease than men. 

  If a person is a Native American or an African-American then too he/she is more susceptible to this problem. 

Treatment of Systemic Sclerosis 

Systemic Sclerosis can t be cured, but its symptoms can certainly be reduced to some extent. So, treatment is specific to symptoms one is experiencing, and may include using the following: 

  corticosteroids 

  immunosuppressants 

  nonsteroidal anti-inflammatory drugs 

  blood pressure medication 

  aid to resolve breathing difficulty 

  physical therapy, light therapy etc. 

The fact that this disease really can t be fully cured makes this a pretty scare disease. Silver lining is that medication and other treatment options are able to suppress most of the symptoms.

Systemic Sclerosis - What Causes It?

Although surgery is considered to be the first step of treatment in any form of tumor, but its feasibility depends upon the type, size and location of the tumor. It is not necessary that every kind of brain tumor might require surgery.

Indications of Brain Tumor Surgery
- Diagnosis of the type of tumor by taking a sample of the tumor for laboratory examination
- Complete resection of tumor
- Removal of the tumor as much as possible to slow down its growth and improve the symptoms
- Remove the tumor in order to help other treatment
- Provide direct access for other forms of treatment like chemotherapy, radiotherapy etc.
- To relieve pressure caused by tumor on surrounding structures

Types of Brain Tumor Surgery
The different types of surgery that are performed in cases of brain tumor include the following:

Craniotomy: Craniotomy is the most commonly performed procedure to remove brain tumor along with a piece of bone. The removed bone is replaced and the tumor is sent for histopathology (biopsy). The surgery is performed using a high end microscope by any of the following techniques:
- Extended bifrontal craniotomy
- "Eyebrow" craniotomy (supraorbital craniotomy)
- "Keyhole" craniotomy (retro-sigmoid craniotomy)
- Orbitozygomatic craniotomy
- Translabyrinthine craniotomy

Shunt: A narrow piece of flexible tube with a pressure regulated valve in between is called a shunt. This is used to relieve the intracranial pressure caused by obstruction of the natural brain fluid, Cerebrospinal fluid (CSF) pathway by tumor mass. The procedure involves insertion of a drainage system into the brain to remove or drain excess of blocked fluid into the peritoneal cavity.

Stereotactic surgery: This surgery is done by creating a three dimensional image called stereotaxy using computers. It aims to find out the location and position of the tumor. In fact it can also be done to aid tumor removal, implant radiation pellets or for other treatments.

Embolization: It is a procedure used to reduce the amount of blood supply to a tumor by blocking the blood flow in the selected arteries. It is generally performed before the main surgery.

Endoscopy and endoscope assisted surgery: Endoscope is a tool, which helps to closely visualize the tissue through small openings in difficult to reach areas. This tool can be used in various brain surgeries to precisely reach the target location without damaging the adjacent structures.

Adjuvant modalities to improve outcome: In addition to above mentioned surgeries, following surgeries may also be performed in relation to brain tumor treatment:
- Laser surgery
- Photodynamic laser surgery
- Ultrasonic aspiration
- Fluorescence guided surgery (FGS)
- Electrophysiological monitoring

Brain Tumor Surgery

Depression is possibly regarded as the first sign of Alzheimer s disease. According to a research, the connection between Alzheimer s disease and depression is very interesting. It has been found that the life of people who are suffering from dementia is affected in 2 different ways. Individuals who have suffered from depression in their lives are at a greater risk of developing dementia. It has also been observed that people suffering from dementia also have depression. The health condition should be treated immediately because if it is ignored it can damage the quality of life and result in worst conditions like memory loss. Temperament, as well as behavioral changes, may precede memory problems in people with the disease.

Risk factor of dementia
The significant risk factor for dementia or common form of Alzheimer s is developing depression at a younger age. The other reasons for the link are not very clear, however, it has been speculated that the inflammation that occurs in depression is a contributing factor to the Alzheimer s disease. The risk of dementia also increases with certain proteins which spiral with depression. The common signs of Alzheimer s disease include lack of appetite, sadness, agitation, weight loss, and anxiety. People suffering from this condition are unable to tell if they are depressed, but their actions help in communicating a message. It is always better to seek the assistance of a physician as doctors can make use of tools to assess the neurological disorder.

Best way to treat patients with Alzheimer s
The best way to treat patients suffering from dementia and who are depressed is to engage them in activities. It is important that they step out and do some exercises. They should go out in the sunshine. It is necessary to engage them in activities and conversations and help them to lead a higher quality of life. Some of the symptoms of dementia and depression are alike but not all of them. The major symptoms of depression include feeling tired most of the times, feeling restless, irritable, feeling worthless/guilty, unplanned weight gain and trouble in focusing. These symptoms often occur for more than 2 weeks or longer.

Difficulties caused by Alzheimer s disease
In the case of Alzheimer s disease, it becomes very difficult for the individual to communicate, learn or remember mainly because the damage is caused to the brain. Due to the brain damage, there is a possibility of changes in the personality and moods of individuals suffering from this health condition. The quality of life is affected by depression as well as Alzheimer s disease. Hence, it is always better to treat the condition immediately. For that reason, it is very important to set up a pleasant environment around and help patients suffering from this condition by helping them do enjoyable tasks and make them feel positive about life.

Alzheimer's Disease & Depression - How They Are Related?

Multiple sclerosis or MS is an autoimmune disease where the protective cover around the nerves is lost. This affects the communication between the brain and the rest of the body. Symptoms commonly experienced by patients suffering from this condition include partial or complete loss of vision, weakness or numbness in one or more limbs, double vision, tremors, slurred speech, tiredness and lack of energy, and issues with bladder and bowel movements. In the early stages of this disease, these symptoms come and go. Allopathy has no cure for this disease but can help patients manage the symptoms and slow the speed at which the disease progresses.

What causes MS?
Damaged nerve signals can cause debilitating symptoms, including:

muscle weakness
walking problems
fatigue
vision problems
MS affects everyone differently. The severity of the disease and the types of symptoms vary from person to person. The exact cause of MS is still unknown. However, it is belived that the aforementioned factors may play a role in the development of the disease.

Symptoms-

Numbness or weakness in one or more limbs 
Partial or complete loss of vision
Prolonged double vision
Tingling or pain in parts of your body
Electric-shock sensations that occur with certain neck movements 
Tremor, lack of coordination or unsteady gait
Slurred speech
Fatigue
Dizziness
How Homeopathy Can Help?

Homeopathy is also a very effective way of managing the symptoms of this disease. This is a constitutional form of medication that takes into account the patient s overall physical and mental health, emotional state and symptoms being seen to prescribe a remedy. Unlike allopathic remedies, homeopathy not only addresses the symptoms being presented but it also addresses the root cause of the disease. It has negligible side effects and can be prescribed to children and adults of all ages. The goal of a homeopathic treatment for multiple sclerosis is to reduce the severity and number of flare-ups and slow down the disease s progression rate. It also seeks to improve the patient s outlook, attitude, and energy levels thereby improving his or her quality of life.

There is no standard homeopathic remedy for this condition. As mentioned earlier, a homeopathic doctor takes into account many different factors to prescribe a remedy. Thus, two MS patients may be given different remedies if they have different physiques, personalities etc. For this reason, it is not advisable to self-medicate with homeopathy. Homeopathic treatment also requires patience as it takes a while for the body s immune system to adapt. That said, it is important to note that homeopathy cannot be considered a miracle cure for patients suffering from advanced stages of multiple sclerosis. As with allopathic medication, the earlier a homeopathic remedy is prescribed, the more effective it will be.

In addition to following a homeopathic prescription or MS, the patient is also usually advised to make a few lifestyle changes. Stress is one of the biggest triggers for an MS episode. Hence, it becomes important for MS patients to de-stress and avoid high-stress events. A healthy diet and vitamin supplements can also help to strengthen the body.

Multiple Sclerosis And Homeopathy - How Does It Help?

Living with epilepsy can be highly challenging. This is a medical condition that can be controlled with medications in most cases, but it might not be useful for all patients due to severe side effects. It is estimated that up to 30% people who have epilepsy face this issue, and in such cases, surgery might be considered as an option.

This condition typically results in seizures which is a result of sudden electrical activity in the brain. So, certain complicated epilepsy operations on the brain can help patients with their seizures and contain their symptoms.

The goal of epilepsy surgeries involves removing part of the brain that causes these seizures and disrupting parts of the nervous system in the brain that contribute to the same. The procedure also involves the installation of a device that helps control the side effects of epilepsy.

When is surgery not an option for epilepsy?
Doctors would accurately identify the part of the brain that is causing seizures as the first step. These parts are known in medical terms as the  seizure  focus. This area should not be related critical functions of the brain like movement, sensation, and language involved   else surgery would not be possible.

Surgery is not viable when seizures are severe and impair bodily movement or if the patient has serious medical conditions (like cancer or heart diseases).

Common Surgery Options Available

Lesionectomy: This is one of the most commonly used procedures. This form of surgery involves the surgeon removing brain lesions from the brain or areas of injury due to malformed blood vessels or tumors. These injuries can often cause seizures and epilepsy and can be treated effectively with lesionectomy.
Lobe resection: This is another form of treatment which is possible only if the epilepsy is located in one of the four parts of the brain   the temporal lobe. It is quite common in younger people and can easily be treated by expert neurosurgeons by removing the brain tissues that are causing epilepsy.
Multiple Subpial Transections: While the above methods involve cutting out brain tissues, sometimes such surgeries just might not be possible due to other complications. If the parts of the brain cannot be cut out, surgeons tend to adopt Multiple Subpial Transections. This procedure can help control seizures without requiring cutting out parts of the brain. Small intersections are made in the brain to disrupt the impulses from affected brain cells that cause seizures, and they do not affect normal brain activity. It helps leave all abilities intact in patients and aids in treatment very effectively.
So, if you are just fed up with dealing with the seizures, consult your doctor who will be able to advise on the course of action depending on the history and medical condition.

Epilepsy - Is Surgery An Option?

Dementia is the declining condition of the brain to function that interferes with daily life. It is not a disease but rather various symptoms. In such a condition, the communicative skills, as well as cognitive functions of the patient, compromised. Dementia is knowns to affect the functioning of memory, visual perception, and attention. These symptoms often cause disorientation, impaired judgment, and depression.

Speech therapy in Dementia is a way in which a speech-language pathologist can help the patients in maintaining a certain level of independence in themselves. Speech therapy helps in stimulating the cognitive abilities of the patient by engaging and practicing certain activities.

There are certain ways in which the cognitive functioning of the brain can be stimulated:

Spaced Retrieval errorless learning

Memory books and other Memory Aids

The speech therapists determine the changes in how a person is eating, swallowing, and drinking. The changes, if directed towards the improper cognitive abilities, are managed by certain strategies.

Other than normal activities, the person with Dementia also faces difficulty in communication aspects. It can either be verbal or non-verbal or both which includes gesturing, speaking, writing, and reading. The major areas that get affected by Dementia include social interaction, behavioral self-regulation, academic performance, as well as vocational performance.

It can get difficult to communicate with the person showing symptoms of Dementia. Hence, there are certain ways to help such situations.

Speaking Way

Speak calmly and clearly

Speak at a slower pace, so that the person processes the information and respond accordingly

Avoid speaking in sharp or loud voices

It is advisable to use simple and short sentences

Try speaking in a humorous way

You can also try to indulge them in conversations with others

Include them in a social group. Doing this can help in maintaining a sense of identity for the person with Dementia

Apart from this, speech therapists suggest that there are certain things you can talk about with the person of Dementia.

Whatever you are saying, say in a positive way

Try and avoid the direct questions

If you re asking questions, ask one at a time and try framing them in  yes  or  no  category

Try another way if the person cannot understand too complicated information. Don t repeat the same sentences.

Try to break down too much information in simpler explanations and sentences

A person with Dementia may have difficulty in determining particular information to be true or false. In such a case, try not to contradict them directly rather try to steer the conversation around the topic.

Take Away
A person showing symptoms of Dementia may have difficulty in carrying out simpler tasks of everyday life. Moreover, the patient may show certain behavioral, social, and physical imbalance. Such imbalance is caused by the declining cognitive abilities of the person. A speech therapist can help to overcome these disabilities through persistent training and practice.

Dementia - Know Speech Therapy For It!

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