Parkinson s disease is a disorder involving the nervous system. It can start with a mere tremor of one hand and advances to slow movement and stiffness. The face might show little no symptoms in the beginning but the speech might become slurred. With every passing day, the condition worsens. This condition has no permanent cure but the symptoms can be improved with proper medication.

What are the symptoms?
Some unmistakable symptoms include the following:

A sudden shaking of the limb. A sudden tremor of the hand is a very common symptom of this disease.
A stiffness of the muscles that can limit the range of motion and sharp pain.
The posture of the body might get compromised. Often balancing problems are witnessed among many patients.
There could be problems with speech leading to soft, slurry or quick speech. The speech in some cases can become monotonous devoid of inflexions.
Parkinson s disease can lead to slow movement and makes performing of simple tasks difficult.
Patients often find writing very difficult
What are the possible causes of Parkinson s disease?

Specific genetic mutation can lead to Parkinson s disease in folks who have a family history of Parkinson s disease. Certain variations of the gene increase the risk of this disease
Exposure to certain environmental factors or certain toxins can trigger Parkinson s disease in an individual.
Certain cells in the brain known as Lewy bodies can trigger Parkinson s disease.
A certain kind of protein cells within the brain known as alpha-synuclein can trigger the Parkinson s disease in an individual
What are the risk factors?

Heredity: Having an immediate family member or a close relative suffering from Parkinson s disease can increase the risk of getting this disease in an individual
Age: Although not a prime risk factor, but an individual over the age of over 60 have an increased risk of getting this disease
Toxins: Exposure to pesticide or certain herbicide increase the risk of Parkinson s
Sex: Men are more likely to get Parkinson s disease than women
What is the medication for Parkinson s disease?

Carbidopa-levodopa: This is a natural chemical that gets passed to the brain and is converted to dopamine by the body. The benefits of this medication might reduce with increased symptoms.
Carbidopa-levodopa infusion: A popular drug in this category is known as the Duopa. It is administered directly into the small intestine in the form of gel through a feeding tube.
MAO-B inhibitors: Drugs from this group include rasagiline and selegiline. This is a powerful medicine. Many patient experiences hallucination during the initial days of consuming these drugs.
Anticholinergics: This medication is mainly used to counter tremors of the limbs in the early stage of the Parkinson s disease.

Parkinson's Disease - What Are The Risk Factors?

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

Facial Palsy is a paralysis of facial muscles. The weakness of facial muscles is also known as Facial Palsy. It may be caused by temporary or permanent damage to facial nerves. There are different facial nerves for different sides of the face. When nerve bundles on one side are affected, muscles on that side of the face become weak. 

Since different nerves are involved, cerebral palsy may affect different parts of the face such as lower part, left side, right side, etc. There are medicines for Facial Palsy. However, there is no standard treatment approach in modern medicine for treating Facial Palsy. However, Ayurveda can help in treating these patients.

Ayurvedic Interpretation of Facial Palsy:

In Ayurveda, Facial Palsy is referred to as Ardita, and it is defined as a disability in facial expressions and communication. The source of the disease is facial nerve paralysis, which precipitates motor and sensory impairment on the affected side of the face. According to Ayurveda, this disease can affect people of all ages. 

Ayurveda targets the dosha responsible for this disease. According to Ayurveda, the dosha responsible for this problem is known as Vata. It is thought that the face or the relevant side of the face is afflicted by Vata, which needs to be rectified.

Factors Responsible for Facial Palsy:

According to Ayurveda, there are some factors which may precipitate Facial Palsy in the long term. These include:

Speaking loudly.

Chewing hard stuff.

Laughing, sneezing or yawning excessively.

Putting heavy load on head.

Sudden change of direction of head or neck.

Having uncomfortable posture during sleep.

Using too high or too low pillows.

Anemia.

Injuries.

Excessive sleeping during the day.

Excessive use of tongue scrapers.

Excessive rubbing of the ears, eyes, and nose.

Consuming excess of alcohol.

Symptoms of Facial Palsy According to Ayurveda:

Preliminary symptoms of Facial Palsy, as mentioned in different Ayurvedic books, include: 

Blurred vision.

Loss of sense of touch on facial skin.

Pain.

Neck stiffness.

Jaw stiffness.

Distortion of the affected side.

Tremors of the head.

Shaking of teeth.

Incomplete closure of affected eyelids.

Distortion of nose.

Slurred speech.

Hoarseness in voice.

Impairment of hearing loss and smell sensation.

Pain in the ear on the affected side.

Trouble chewing and swallowing.

Sneeze getting suppressed.

Severe pain in the neck, chin, teeth, on the affected side.

Ayurvedic Treatment of Facial Palsy:

Ayurveda depends on the following to treat the problem.

Oil massages on the head.

Applications of oil to the ears and eyes.

In the case of any burning sensation, therapeutic bloodletting may also be conducted.

Medicated oil in nostrils

Oral drugs include Akaangavira Rasa, Sameera Pannaga, Ashwagandha Churna, Ashwagandharishta, etc.

Exercise including balloon breathing exercise

Conclusion:

A study published in the European Journal of Pharmaceutical and Medical Research has come up with astounding results for the efficacy of Ayurveda on Facial Palsy. This indicates that in the absence of any standard therapy, Ayurveda can offer an excellent remedy against Facial Palsy. However, it is always recommended to consult an Ayurvedic physician before opting any ayurvedic remedies or purchasing any ayurvedic medicines. Any treatment depends upon the condition of the individual. This is why one should always consult a doctor before going for any treatment.

Facial Palsy - Causes, Symptoms & Ayurvedic Treatment For It!

Epilepsy is a form of chronic disorder and it is characterized by recurrent seizures. The episodes of epileptic seizures may differ from person to person. These seizures could be a result of genetic disorder or a result of trauma or stroke. During a seizure, a patient may also experience symptoms of neurological disorders and sometimes lose consciousness.

Medical help for epilepsy
Epilepsy itself cannot be cured using medication, but proper medicines help in eliminating recurrent seizures. These medicines stabilize the electrical activity within the brain preventing seizures.

How effective is the medication for epilepsy?
The success of controlling seizures using medicines depends on the type and severity of epilepsy. Medicines for epilepsy are usually very effective and may fully keep seizures under control. However, controlling seizures caused due to brain problems may be more difficult. Usually, epilepsy medicines can control seizures for a long period of time when they are taken regularly.

When is medical help needed?
The decision about when to start medicines for epilepsy is a tricky one. This is because a first seizure cannot confirm whether a person has an on-going epilepsy problem. A second seizure may occur after many years or may not happen at all. Prediction of seizures is also quite difficult.

The severity of seizures also indicates when to start medicines for treatment. In case a first seizure is quite severe, medication should be started at once. Some people have very mild seizures even though they may be recurring in nature, and medication can be avoided in this situation. After first seizure MRI and EEG may help to know whether you have the risk of second seizure or not.

All the pros and cons must be thought over before starting medications for the treatment of epilepsy. It is advisable to wait for a second seizure and then start medications for treatment. In most cases, medication is started after a second seizure occurs, twelve months within the first seizure. You should always consult a doctor to know when you need to start taking medicines to treat the condition.

For making the most out of the medicines to control seizures, you should follow certain steps:

You must take medications exactly as your doctor has prescribed.
Before switching to generic versions of your medicines or before taking other prescribed medicines, you must consult your doctor.
You should never stop taking the medicines.
In case you experience enhanced depression, mood swings and suicidal thoughts, you should talk to your doctor immediately.
In case you have migraine, you should let your doctor know so that he can prescribe you anti-epileptic medicines, which also prevent migraines.
Medicines cannot treat the underlying cause of epilepsy, but these help in controlling seizures and this is the most common symptom of epilepsy. Medication should be started at a proper time and must be continued without stopping.

When to Seek Medical Help for Epilepsy

Epilepsy is a neurological condition that leads to recurrent seizures. Seizures arise when electrical activity in the brain suddenly surges causing a temporary disturbance within the messaging systems located between the brain cells.

Epilepsy is more common in children below the age of two years and adults above the age of 65 years.

Seizure Types

Seizures are classified into two main categories depending on their area of impact. 

A focal seizure is one that affects only one part or area of the brain whereas a generalised seizure affects the whole brain. Further, both focal and generalised seizures have various sub-categories which are as follows-

Previous nomenclature- 

Partial Seizure

  Simple Partial Seizure
  Complex Partial Seizure
  Partial Seizure with Secondary Generalization

Generalized Seizure

  Absence Seizures
  Myoclonic Seizure
  Atonic Seizure
  Tonic Seizure
  Tonic-clonic Seizure
  Mixed Seizure
  Status Epilepticus

Latest nomenclature of seizure types:

Focal seizures-

  Focal aware seizures
  Focal impaired awareness seizures (previously called complex partial seizures)
. Bilateral tonic clonic seizures

Generalised onset seizures-

  Tonic clonic seizures.
  Atonic seizures (sometimes called drop attacks) and tonic seizure.
  Myoclonic seizures.
  Absence seizures.

Symptoms

The well know symptom of epilepsy is a convulsion/ fit, a few other symptoms include-

  Intermittent spells of fainting. When this happens the patient is likely to lose control of his/her bladder or bowel movements. Following this, the person is likely to suffer from extreme tiredness.
  Spells of a blackout with difficulty in remembering
  Becoming unresponsive to any instructions or questions asked during brief periods of time
  Bouts of continuous blinking without any known reason
  Inappropriate movements that keep on occurring
  Changes in sensory perceptions
  Sudden stiffness in the body

Reasons for Epilepsy

Messaging systems within the brain are responsible for every function that goes about in your body. A disruption to this system caused by defective electrical activity leads to epilepsy in a person. Many people inherit epilepsy while others may develop this condition as a result of-

  Head trauma sustained during an accident
  A stroke or a tumour that has affected the brain impairing its normal capabilities
  An injury to the brain before or during birth
  Associated with developmental issues
  Infections of the brain

Treatment for Epilepsy

Epilepsy in childhood can be treated by using medications and by adopting dietary changes in some cases. Medications for epilepsy mainly include-

  Anticonvulsants - Helps control seizures and manages the symptoms of epilepsy
  Medications for nerve pain - Reduce pain that is caused by the damaged nerves

These medications should be consumed as and when prescribed by the doctor. You must consult a paediatrician for this, as he/she will take your child s physical and mental in consideration before starting the treatment.

Seizures that occur in childhood may be benign. This means that it will not continue into one s adult life. Further, those children who have suffered from epilepsy in their childhood have been seen to have normal mental and intellectual development in their adulthood. However, some epilepsy syndromes in children can have a devastating effect on the child.

Seizure threshold is a term that is used to refer to the conditions that are important for the production of seizures. The threshold is lower for people who are more prone to having seizures whereas the threshold is higher for those who do not have a tendency to suffer from seizures.

A Complete Guide To Childhood Epilepsy!

Migraine is the most severe forms of headaches. Migraine attacks usually include nausea, vomiting, and sensitivity to light along with the severe headaches, which are sometimes unbearable. If faced with this condition, there is only one way out to suffer through it, though pain medications do help manage the pain.

Being such a common condition, there is constant research being done about how to help people deal with migraines. In addition to popping pain killers, there is more than what a person can do to reduce the pain.

Identify the triggers: Those who have had migraine for a while would know what triggers the attack. Whether it is chocolates or eggs, get to know what can induce an attack, and if possible, stay away from it.
Stick to a schedule: Whether it is in terms of food or sleep, try and develop a routine and follow it.
Physical workout: Develop an exercise regime to cover at least 30 minutes of physical exercise. Most people see a dramatic difference with a regular exercise routine.
Bid goodbye to smoking: If you are a smoker, work at quitting this habit. It is one of the known triggers and also aggravates regular headaches.
Stress management: Whether you are going through physical or emotional stress, migraine attacks can become more frequent and severe. Manage physical stress by not sitting at the same location for prolonged periods and by doing small exercises to relax the shoulders, knees, and jaws. For emotional stress, identify what helps you relax and follow it. While deep breathing works for some, for others, it could be music. Whatever your relaxation technique may be, ensure that you follow it. Work on improving relationships that stress you out. A regular exercise routine and sleep pattern also helps in reducing physical stress.
Despite these methods, migraine attacks do happen. Follow the next few steps when you know you are getting an attack.

Stop your regular activities and find a calm environment for yourself. Let this place have less of light and sound as they can aggravate migraines.
Sleep if you are able to.
Go for a warm bath if possible.
Try hot or cold compresses, which can numb the senses and reduce the pain.
Have a caffeinated beverage as this will provides relief. Do not have it in excess as you will have hangover effects from the caffeine.
Use only those medications that were prescribed by your doctor. Do not experiment.
Lifestyle changes including exercise, diet, and stress management play a vital role in dealing with migraines.

Migraine - How To Deal With It?

Don't wait any longer, manage your Neurophysiologist online with a Lybrate doctor today

Consult for Neurophysiologist - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES