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.

How To Treat And Manage Cranial Nerve Palsy?

Migraine, the extreme headache that comes back to haunt its victims every chance it gets, can actually be managed with a controlled diet. Of course, medication is the solution, and so is surgery with botulinum toxin in extreme chronic cases. But let s try lifestyle changes before going for any of that.

Symptoms of Migraine:

Pain on the sides of the head is the characteristic symptoms of migraine, but there are others:

A throbbing sensation in the head.

Nausea from constant pain.

Photosensitivity.

More than the usual aversion to loud noises.

Sweating, stomachache, and diarrhea rarely come with the more common symptoms of migraines, as stated above.

Causes of Migraine:

Migraine is often genetic. Pain triggers include:

Hormonal changes, as in during menstruation or pregnancy or puberty.

Emotional disturbances like anxiety, depression, shock, or even excitement.

Poor posture that puts stress on the neck or head.

Tiredness or lack of sleep.

Side-effects of medication such as sleeping pills, some contraceptive pills, and medication for hormone replacement therapy.

External triggers like second-hand smoke, loud noises, very bright lights, lack of oxygen in a poorly ventilated room, dust, any strong smell.

Food Triggers

Foods that trigger migraines include:

Aged cheese with high tyramine: Blue cheese, cheddar, feta, mozzarella, brie, parmesan, gorgonzola, English stilton, Swiss cheese,

Alcohol: Red wine, scotch, champagne, beer, and vodka trigger migraine by dehydrating the body and/or due to the sulfite preservative in them.

Food preservatives: Nitrite or nitrate compounds in preserved foods like ham, sausages, hotdogs, bacon, pepperoni, and deli meat.

MSG: Monosodium glutamate in soy sauce or anything labeled  hydrolyzed  is a trigger.

Sourdough: Baked yeast products like bread, rolls, donuts, and cakes.

Nuts: Peanuts, peanut butter, dried fruits, and some seeds and nuts trigger migraine in not all but some people.

Smoked or Dried Fish

Tomatoes

Onions

Citrus Fruits: Like lemon, orange, grapefruit, Greek citron, etc.

Beans: Like lima, fava, pinto, snow peas, lentils, pole, and broad beans.

Caffeine: Anything more than 200mg of caffeine can trigger migraines.

Artificial sweeteners: Due to aspartame or sucralose content.

Chocolate: Due to beta-phenylethylamine

Avoiding these food items can alleviate symptoms of migraine. This is why one should avoid these foods in their diet. However, it is advisable to consult a Dietician or Nutritionist before avoiding or taking any food item.

Food Which Help to Cure Migraine

The elimination of diet tactics is not enough to manage migraines. There are foods that must be included in the diet. They are:

Salmon: For the vitamins, and omega 3 fatty acids that reduce inflammation and blood pressure.

Dark chocolate: Due to the magnesium content.

Fresh figs: Due to potassium and electrolytes. Avoid dried figs as they contain tyramine.

Shrimp: Due to astaxanthin and vitamins and minerals to help with inflammation.

Carrots: Beta-carotene helps.

Sweet potatoes: Vitamin C, niacin, pantothenic acid, phosphorus, Vitamin B group, manganese, copper, and potassium to the rescue.

Collard Greens

Kale

Quinoa

Ginger

Fresh fruits: Like bananas and apples.

Herbs: Like feverfew, butterbur.

Conclusion

Avoiding trigger foods, having migraines relieving foods, and having plenty of water along with enough sleep and some exercise can manage migraines well enough to not need medication.

All The Foods That Trigger Or Alleviate Migraine!

A neurological disorder is characterized by sudden recurrent episodes of sensory disturbance, loss of consciousness, and convulsions associated with abnormal electrical activity in the brain.

Role of Physiotherapy in Epilepsy

It helps improve strength, mobility, and increases the range of motion and sphere of movement.
It helps improve sensory awareness, response, balance, and coordination.
It helps to improve quality of movement and physical performance.
The Goals of Physiotherapy

To develop strength enough to support one s head upright
To have balance and motor control to maintain their trunk at midline
To use many different muscle groups
To assist necessary motion in their trunk and extremities
The physiotherapists write short-term goals for each of the items on the problem list that need to be covered to help the patient achieve the long-term goals
To understand what the patient is good at and does well
To focus on what he or she capable of doing rather than on what they can t do
To educate and provide awareness with a view to prevent injury. For example, advice on special swimming equipment to prevent drowning if he/she gets seizures in the pool
Physiotherapy treatment for a healed fracture consists of strengthening muscles that have got weak from being immobilized and stretching muscles that are stiff owing to being in the cast for a long period of time.

Physical exercise improves fitness, energy, and mood and even relieves stress. Improving overall health and wellbeing in this way can help reduce seizures. It can also help people feel more in control of their health. It also helps release  feel good  hormones into the brain, helps keep the muscles active, reduces fat levels in the body, and increases oxygen flow to the brain. It can also increase the bone density. A research showed that regular sessions of aerobic exercise (for example running, walking, swimming, cycling) for 60 minutes, twice a week, for 15 weeks resulted in a significant reduction in the number of seizures they had.

Drink water, diluted fruit juice, or squash while exercising to help replace the fluids and body. Do not exercise straight after a meal.

Team sports or group activities such as walking or gardening groups can also be a good way of increasing self-confidence. Making new friends may help with any feelings of isolation. Most sports, including contact sports like football, hockey, basketball and rugby, have not shown to increase the chance of someone having a seizure, but contact sports come with an increased risk of head injuries, which could affect people with a history of epilepsy. Protective sports headgear helps to reduce this risk. 

Role Of Physiotherapy In Treating Epilepsy!

Raising a child with dyslexia can stir up a lot of emotions. You may look ahead and wonder if this learning issue will affect your child's future. But dyslexia is not a prediction of failure. Dyslexia is quite common, and many successful individuals have dyslexia.

Research has proven that there are different ways of teaching that can help people with dyslexia succeed. There's a lot you can do as a parent too.

What are the symptoms of dyslexia?

Because dyslexia affects some people more severely than others, your child's symptoms may look different from those in another child. Some kids with dyslexia have trouble with reading and spelling. Others may struggle to write or to tell left from right.

Dyslexia can also make it difficult for people to express themselves clearly. It can be hard for them to structure their thoughts during conversation. They may have trouble finding the right words to say.

Others struggle to understand what they're hearing. This is especially true when someone uses nonliteral language such as jokes and sarcasm.

The signs you see may also look different at various ages. Some of the warning signs for dyslexia, such as a speech delay, appear before a child reaches kindergarten. More often, though, dyslexia is identified in grade school. As schoolwork gets more demanding, trouble processing language becomes more apparent.

Here are some signs to look out for:

Warning Signs in Preschool or Kindergarten

Has trouble recognizing the letters of the alphabet

Struggles to match letters to sounds, such as not knowing what sounds b or h make

Has difficulty blending sounds into words, such as connecting C-H-A-T to the word chat

Struggles to pronounce words correctly, such as saying 'mawn lower' instead of 'lawn mower'

Has difficulty learning new words

Has a smaller vocabulary than other kids the same age

Has trouble learning to count or say the days of the week and other common word sequences

Has trouble rhyming

Warning Signs in Grade School or Middle School

Struggles with reading and spelling

Confuses the order of letters, such as writing 'left' instead of 'felt'

Has trouble remembering facts and numbers

Has difficulty gripping a pencil

Has difficulty using proper grammar

Has trouble learning new skills and relies heavily on memorization

Gets tripped up by word problems in math

Has a tough time sounding out unfamiliar words

Has trouble following a sequence of directions

Warning Signs in High School

Struggles with reading out loud

Doesn't read at the expected grade level

Has trouble understanding jokes or idioms

Has difficulty organizing and managing time

Struggles to summarize a story

Has difficulty learning a foreign language

Skills that are affected by Dyslexia-

Dyslexia doesn't just affect reading and writing. Here are some everyday skills and activities your child may be struggling with because of this learning issue:

General

Appears bright, highly intelligent, and articulate but unable to read, write, or spell at grade level.

Labelled lazy, dumb, careless, immature, "not trying hard enough," or "behavior problem."

Isn't "behind enough" or "bad enough" to be helped in the school setting.

High in IQ, yet may not test well academically; tests well orally, but not written.

Feels dumb; has poor self-esteem; hides or covers up weaknesses with ingenious compensatory strategies; easily frustrated and emotional about school reading or testing.

Talented in art, drama, music, sports, mechanics, story-telling, sales, business, designing, building, or engineering.

Seems to "Zone out" or daydream often; gets lost easily or loses track of time.

Difficulty sustaining attention; seems "hyper" or "daydreamer."

Learns best through hands-on experience, demonstrations, experimentation, observation, and visual aids.

Vision, Reading, and Spelling Skills

Complains of dizziness, headaches or stomach aches while reading.

Confused by letters, numbers, words, sequences, or verbal explanations.

Reading or writing shows repetitions, additions, transpositions, omissions, substitutions, and reversals in letters, numbers and/or words.

Complains of feeling or seeing non-existent movement while reading, writing, or copying.

Seems to have difficulty with vision, yet eye exams don't reveal a problem.

Extremely keen sighted and observant, or lacks depth perception and peripheral vision.

Reads and rereads with little comprehension.

Spells phonetically and inconsistently.

Hearing and Speech Skills

Has extended hearing; hears things not said or apparent to others; easily distracted by sounds.

Difficulty putting thoughts into words; speaks in halting phrases; leaves sentences incomplete; stutters under stress; mispronounces long words, or transposes phrases, words, and syllables when speaking.

Writing and Motor Skills

Trouble with writing or copying; pencil grip is unusual; handwriting varies or is illegible.

Clumsy, uncoordinated, poor at ball or team sports; difficulties with fine and/or gross motor skills and tasks; prone to motion-sickness.

Can be ambidextrous, and often confuses left/right, over/under.

Math and Time Management Skills

Has difficulty telling time, managing time, learning sequenced information or tasks, or being on time.

Computing math shows dependence on finger counting and other tricks; knows answers, but can't do it on paper.

Can count, but has difficulty counting objects and dealing with money.

Can do arithmetic, but fails word problems; cannot grasp algebra or higher math.

Memory and Cognition

Excellent long-term memory for experiences, locations, and faces.

Poor memory for sequences, facts and information that has not been experienced.

Thinks primarily with images and feeling, not sounds or words (little internal dialogue).

Behavior, Health, Development and Personality

Extremely disorderly or compulsively orderly.

Can be class clown, trouble-maker, or too quiet.

Had unusually early or late developmental stages (talking, crawling, walking, tying shoes).

Prone to ear infections; sensitive to foods, additives, and chemical products.

Can be an extra deep or light sleeper; bedwetting beyond appropriate age.

Unusually high or low tolerance for pain.

Strong sense of justice; emotionally sensitive; strives for perfection.

What can be done at home for dyslexia?

Helping your child with dyslexia can be a challenge, particularly if you're never been confident in your own reading and writing skills. But you don't have to be an expert to help work on certain skills or strengthen your child's self-esteem.

Keep in mind that kids (and families) are all different, so not all options will work for you. Don't panic if the first strategies you try aren't effective. You may need to try several approaches to find what works best for your child. Here are some things you can try at home:

Read out loud every day

Tap into your child's interests

Use audiobooks

Look for apps and other high-tech help

Focus on effort, not outcome

Make your home reader-friendly

Boost confidence

What can make the journey easier?

Dyslexia can present challenges for your child and for you. But with the proper support, almost all people with dyslexia can become accurate readers. Your involvement will help tremendously.

Wherever you are in your journey, whether you're just starting out or are well on your way, this site can help you find more ways to support your child. Here are a few things that can help make the journey easier:

Connect with other parents. Remember that you're not alone. Use our safe online community to find parents like you.

Get behavior advice. Parenting Coach offers expert-approved strategies on a variety of issues that can affect children with dyslexia, including trouble with time management, anxiety and fear, frustration and low self-esteem.

Build a support plan. Come up with a game plan and anticipate what lies ahead.

Understanding dyslexia and looking for ways to help your child is an important first step. There's a lot you can do just don't feel you have to do everything all at once. Pace yourself. If you try a bunch of strategies at the same time, it might be hard to figure out which ones are working. And do your best to stay positive. Your love and support can make a big difference in your child's life.

9 Dyslexia Signs & Symptoms - Your Kid is Suffering from it!

Alzheimer s disease is one of the most severe forms of dementia that is, memory loss which also comes with other disorders such as reduced muscle movement. A patient with the Alzheimer s disease practically forgets even the most basic day-to-day activities and hence, the disease interrupts the lives of people suffering from it and the ones who are related to them. A commonly observed pattern in the patients suffering from the Alzheimer s disease is that most of them are aged 60 years and beyond. In simple words, it is the death of the brain cells, that is, the nerve cells which causes the memory loss at first and then the cognitive decline of other bodily functions.

Symptoms:

A patient of the Alzheimer s disease might show one or more of the following mentioned symptoms. Read the symptoms carefully and help identify the symptoms if you see them in anyone in your surroundings. Most people mistake this symptom to be something else which causes a delay in the diagnosis. But if the disorder is diagnosed at an early stage it might help people survive, or at least have a little longer until their memory stays intact. Therefore, it is of utmost importance to know about the symptoms that are given below:

The inability to remembering the information 
Repeating questions or actions
Unable to find the way on a rather regularly visited road
The decrease in decision-making ability
Poor judgment
Unable to solve complex puzzles or do tough activities
Unable to recognize familiar people such as colleagues and relatives
Unable to dress up properly
Inability in speaking mother tongue or word formation
Uncontrollable mood swings
Rude and un-empathetic social behavior such as being outspoken
They will be unable to maintain their own finances unlike before.
Stages of Alzheimer s disease
It is not unknown a fact when someone says that detecting a disease at an early stage is beneficial than at a later stage. The reason being that if a disease is detected earlier, there are more chances of treating it successfully, or in case of the Alzheimer s disease there are more chances of a medication to work on slowing down the adverse effects of the disease since there is no permanent cure available for it. Therefore, it is of utmost importance that one is aware of the early onset of the disease and also, the symptoms to make a quick diagnosis. The disease affects people between the age of 30 and 60, generally, the symptoms begin at the very early age of 30 but they do not become persistent before reaching a later-on stage. The three stages are:

Preclinical when the individual hasn t recorded any symptoms
The beginning with mild symptoms
Complete dementia

Alzheimer's Disease - Know Its Symptoms!

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

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