Study of the brain has fascinated specialists all over the globe since time immemorial. The brain being the most vital organ for survival and coordination is perhaps the most complex of them all too. This has led to a limited understanding of its working in spite of the available advanced technology. However, with the advent of techniques for diagnosis and treatment, therapeutic strategies are evolving. This is a major step towards rendering Neurosurgery safer than ever in the history of mankind.

Neurosurgery through the 20th Century-

During the beginning of the 20th century, Neurosurgery was considered as a specialty. The clinical-neurologist would draw conclusions related to lesions in the brain through neurological examination and clinical history. It enabled diagnosis of vascular lesions, spinal disorders, and brain tumors. During the second and third decades of the 20th century, vascular pathologies and brain tumors could be diagnosed indirectly through techniques like angiography, ventriculography, and pneumoencephalography. But since the operative techniques were too crude and the lack of skilled professionals were rampant, there were high rates of morbidity and mortality due to neurological conditions. Generally, after diagnosing the nature of brain lesion and its site, surgery was performed with inadequate maintenance and control of intracranial pressure and through not too sophisticated surgical instruments.

During the fifth and sixth decades of the 20th century, chemotherapy and radiation treatment came into the picture for treating malignant brain tumors, thereby reducing mortality to a good extent.

During the seventh decade of the 20th century, Computed Tomography (CT) scan provided a better understanding of the location of lesions in the brain which slightly substantiated the earlier techniques. Then, the procedures for cerebrospinal fluid diversion significantly improved management of intracranial pressure during surgery.

It was only during the last decade of the 20th century that the Neurology saw a giant progressive leap through the introduction of Magnetic Resonance Imaging (MRI) and powerful high magnification microscopes. Combined with Neuroanesthesia and Intracranial Pressure Management, this aided surgeons to work on a relaxed brain. This promoted safe removal of the brain tumor and better management of vascular lesions. Moreover, the understanding of micro-surgical anatomy improved drastically, leading to a boost in confidence levels of the micro-neurosurgeons performing the operation.

Neurosurgery in the 21st Century-

The 21st century is actually a revolutionary era that uses powerful computers in almost all the fields possible. Computer-based applications such as Neuro-imaging, Neuronavigation, Intra-operative Neuro-monitoring, and Neuro-modulation are now used in standard neurosurgical practice as a part of the routine. Extremely powerful CT scans and MRIs are used for diagnosis before surgery. The advent of nanotechnology and its application in Neurosurgery is doing great and has a promising future ahead based on the current study of scenarios. Moreover, there is a possibility of most of the Neurosurgical procedures becoming minimally invasive. Frameless Stereotaxy is another technique that helps in locating the exact position of the tumor, which further helps the neurosurgeon in navigating with great precision the very sensitive, high-risk areas of the brain. Such techniques, to a great extent, have lowered mortality and morbidity, lessened the rate of recovery, and chances of infection related to Neurosurgery.

Take Away-

A number of techniques for diagnosis and precise location of the tumor in the brain have made Neurosurgery much safer today, due to advancement in science and technology, than it ever had been in the history of mankind.

Advancements In Neurosurgery - Know How Safe It Is!

Everyone can suffer from pain in the stomach, at one time or the other and we usually ignore it. But when the pain is sudden and severe abdominal pain then it is termed as acute pain and this should not be ignored.

Often the following can be expected with acute pain:

Acute abdomen pain is usually synonymous with rapid onset of the symptoms which might indicate life threatening intra-abdominal pathology.
Pain is just a feature and not necessary that it is present at all times. An acute abdomen which is pain free usually occurs in children and women who are in their third trimester of pregnancy.
The differential diagnosis is difficult and wide especially in primary care. This is because the different organs within their peritoneal cavity might have different areas of referred pains.
Abdominal pain usually happens to be in the top three symptoms when patients present their state in the emergency and accident departments. But only few of these have acute abdominal pain.
Management of the abdominal pain should be the primary focus and an assessment should be done to reach the differential diagnosis so that care can be given accordingly.
The clinical evaluation regarding abdomen pain can change quickly. Any diagnosis which had been made can change and both doctor and patient should not be hesitant and seek other treatment.
Conditions which might cause acute abdomen pain are:

Meckel's diverticulitis or Acute appendicitis
Acute cholecystitis
Ectopic pregnancy
Acute pancreatitis.
Peptic ulcer disease
Diverticulitis.
Intestinal obstruction, including paralytic ileus (adynamic obstruction)
Pelvic inflammatory disease.
Gastrointestinal (GI) haemorrhage
Gastroenteritis.
Acute intestinal ischaemia/infarction or vasculitis.
Acute urinary retention
Renal colic or renal tract pain
Testicular torsion
Abdominal aortic aneurysm
Non surgical diseases like pericarditis, sickle cell crisis, acute intermittent porphyria, HIV-associated lymphadenopathy, bowel disease, typhoid, opiate withdrawal, enteritis, pneumonia, myocardial infarction and hepatitis.
Rare causes might include thromboemboli, phytobezoar, and phytobezoar
Diagnosis of abdominal pains:

Patients can be ordered to get their blood tests done. Also if need be then imaging can also be referred to them.
Following tests can be done to rule out the condition causing the abdominal pain:
Blood Tests: these include FBC, LFTs, glucose, amylase, clotting, calcium and arterial blood gas for pancreatitis
Crossmatch or group and save
Pregnancy test in women of childbearing age
Blood cultures
Peritoneal lavage in case of an abdominal trauma
Urine analysis
X ray of the abdomen, ultrasound, CT scan
ECG and cardiac enzymes
Laparoscopy should be a routine procedure

Don't Ignore the Acute Abdominal Pain

Know about stretch marks post pregnancy and the ways you can get rid of them.

Stretch Marks Post Pregnancy - Ways You Can Get Rid of them

You must not let the cold and dry air worsen your asthma symptoms. The air that blows during winter time greatly affects people with sinus and respiratory troubles, and all these factors contribute to worsening asthma attacks. But thankfully, there are a few tips that can be followed to curb down asthma and enjoy a lovely winter.

Washing your hands: Doing this frequently with soap and water is one of the easiest and most effective ways of avoiding the spread of cold and other diseases. You must also inculcate this habit among your children, and when you are outside, you should practice using a hand sanitiser and sanitising wipes.
Getting a flu shot: The Centre for Disease Control and Prevention (CDC) advises that all people over the age of 6 months should get their dose of the annual flu shot for protecting themselves against the flu virus. This will help keep your asthma in check.
Avoid sitting by the fireplace: Though it sounds cosy, you should refrain from sitting by the fireside if you have asthma. Burning wood is quite similar to burning tobacco and it can irritate your lungs to a great extent.
Keeping your mouth closed: Though most people are taught this since they were children, they tend to forget it or ignore it. Keeping the mouth opened is more than a social disgrace, and it even affects your lungs adversely. You can wear a scarf for covering up the nose and mouth as it would help in making the air you breathe warm.
Replacing filters: The heating system of your home may be blowing out dust and debris throughout the house, particularly when you operate it after a long time in winter. Therefore, it is imperative to clean and check the condition of the filters and replace them if necessary.
Exercising indoors: The days when it is bitterly cold outside, it is recommended to exercise indoors in a fitness club or a gym instead of doing it in the open air.
Warming up before exercising: People who are affected with asthma are able to recover faster and have a greater lung function after working out when they are warmed up. Therefore, you should try to warm up for at least 15 minutes before exercising.
Preventing asthma flares: Before you head outside, take a dose of your asthma medication and your inhaler as these will help in opening the airways and give you the necessary protection.
Having an asthma action plan: Regardless of whether it is summer or winter, you should be aware of what you should be doing in times when the symptoms flare-up.
Taking your medications: Finally, you should work with your doctor towards understanding the cause and symptoms of your asthma conditions and follow his recommendations closely to avoid recurrence of such problems.
With all these tips, you can expect to spend a happy winter. But if anything goes wrong, seek medical assistance immediately.

Asthma - 10 Ways You Can Control It!

The onset of winter brings with it chilly and dry winds. For some, it s the time to enjoy the chill weather with hot water baths and soothing drinks, and for others it s time to brave the long persistent cold and flu like symptoms which cause sickness and discomfort.

People who are allergic to the winter season can catch a cold on the slightest exposure to cold air. Sometimes, it s difficult to ascertain whether it is cold or an external allergen. In people prone to winter allergies, the allergies are mainly caused due to the allergens present in the environment. Mostly, winter allergies are also caused by the same allergens that are triggered in the summer season. 

Thus, people who have some or the other form of seasonal allergy is likely to suffer from allergies as the season changes.

Pet dander (flakes of skin in an animal's fur or hair) allergies are believed to escalate in winter since pets are mostly indoors during this season. The best way to deal with this is keeping the pet s area clean and dry, washing and changing of the bedding regularly, and avoiding physical contact as much as possible.
Dampness of clothes, blankets and shoes at home can be an allergy trigger for many people. The best way to control this type of allergy is to keep damp clothes and shoes in sun for some time. However, this may not work in many countries with extreme cold climates, which lack sunshine in their environment.
Decaying leaves and other yard waste can cause allergies due to mould and mildew. Mopping and sweeping the floors and garden can help alleviate the problem to some extent.
Dry climate can cause irritation in the nose and throat. It s important to replenish the body with adequate liquids and water rich fruits and veggies. It s important to choose your drinks wisely. Too much tea or coffee can also dehydrate the body. Go for ginger lemon honey infused in warm water for best results.
Allergy symptoms can also be caused due to too much moisture in the environment. It can give rise to a stuffy or runny nose, sneezing and coughing. Thus it s best to avoid sitting in a moist environment for long.
Sinus congestions are also common during the winter season. Steam inhalation and hot showers can help relieve the symptoms and provide relief.
Whether you are allergic to pets, moisture, dampness, dry weather or chilled winds, the thumb rule is twofold to understand what triggers your allergies and to avoid your exposure to those allergens. As we all know, allergies have no cure and they need to be managed. Drugs also help in controlling the allergy symptoms to some extent. However, it s best to prevent them as far as possible. If you are confused about what triggers your allergy, make sure to consult your doctor.

Allergy - Best Ways Ayurveda Can Help Manage It!

Headache is a very common medical problem. Nearly 25% of females and 8% of males in general suffer from headaches at some point in their life.

More than 90% of headaches are due to migraine. However headaches are also caused due to tensions and due to wrong lifestyle practices. If headaches are not treated and managed at the right time they can also complicate into - brain like hemorrhage, meningitis, brain tumors, etc.

Any new onset headache should be taken seriously as it could be because of a serious brain illness.

Common myths associated with headaches:
It's because of acidity - headaches are not caused due to acidity or'gas, as popularly highlighted.
Headaches could only be because of sleepless nights - they could be because of any strain on your body. Eyesight, tension, nasal issues, flu are few reasons.
Headaches are only because of tension - they could be because of a number of reasons, tension could be just one factor.
Headaches can be cured by self medication - persistent headaches need to be addressed by specialists. Ignoring the signs and symptoms can lead to complications.

Common symptoms of migraine are:
One sided or whole head pain
Head pain accompanied with nausea or vomiting
Irritation with loud noise and bright lights.
Increase in headache with even slight movement of head.

Reasons of headaches:
Migraine or headache episodes can be triggered due to the following reasons:
Irregular meal timings
Improper sleep
Excessive mental stress
Excessive alcohol intake
Due to intake of certain food items like red wine, chocolates, cheese, preservatives
Change of weather season
Excessive heat or cold

If headaches occur more than 1 or 2 times in a month, then medical attention becomes important. Headaches take away precious working hours from our routine, reduce your efficiency and can make you vulnerable to excessive consumption of pain killers. At a certain point of time even pain killers stops working. It is essential that you consult a specialist for medical advice and a holistic lifestyle management. Ignoring the same can lead to complications such as loss of vision &amp; paralysis of the body- after all your body's health, balance and maintenance is in your hands!

Headache- It's Better You Consult a Specialist on Time

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