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

Alzheimer's disease is a neurodegenerative disorder that causes a degradation and eventually death of the brain cells. People with Alzheimer's disease suffer from a memory loss. There is also a progressive decline in the cognitive capacity of the brain.Today, Alzheimer's disease and dementia have become almost synonymous with old age. It is a heartbreaking experience to see aged people with Alzheimer's disease. They have little or no memory of the present time, of their loved people or the things around them. 

The Alzheimer's disease starts off as a mild condition and then gradually progresses through stages. In this article, we will discuss the different stages associated with Alzheimer's disease.

The first stage: This stage shows no significant changes in the affected person. Thus, without any diagnostic tests (such as a PET scan), it will be difficult to detect the condition in the initial stage.
The second stage: This stage brings about some changes in the person. The person might misplace things or may even forget words (something that is often brushed aside as a small problem). However, this seldom interferes with their daily activities. Like the first stage, this stage, in most cases, goes unnoticed.
The third stage: This is the stage that brings about visible changes in the person concerned such as
The person experiences difficulties in trying to organize things.
They forget things they have read, or heard just a few seconds back.
In some cases, the person may not be able to recollect a person's name they have just met.
Some people may end up repeating the same question over and over again.
The fourth stage: This stage marks a further decline in the mental health. The person gets forgetful about himself or herself. They also start mixing up with the dates and months or makes major goof up while cooking (misses out on ingredients).
The fifth stage: The mental deterioration reaches a step further. The person slowly starts forgetting about the present, such as their address, the time of the day, their profession and even phone numbers.
The sixth stage: The problem is getting worse. Hallucination is slowly setting in. The person is starting to forget people and their faces, mixing one identity with another.
The seventh stage: The final and unfortunately, the worst stage. The person stops talking to people, eating, or even walking. They stay confined to their world, oblivious of their immediate surrounding.
Dealing with an Alzheimer patient

In addition to the treatment and medication, a person with Alzheimer's disease needs the love, care, and support of their close and dear ones. Isolating them will only worsen the situation.
It may not be easy to deal with an Alzheimer's patient as the disease progresses, but do not be rude to them. Give them the confidence.
Always keep a paper containing their name, address and emergency contact number in their wallet.
People after the age of 50 should undergo regular health check ups.

Alzheimer's - How The Disease Progresses?

Cerebral palsy is the term for a group of neurological disorders that affects one s muscle movement and motor skills.

In most cases, the condition is caused due to a brain impairment that develops while the baby is still in the womb. Cerebral palsy may also occur shortly after or during birth.

Symptoms of Cerebral Palsy:

The signs and symptoms of the condition vary from one individual to another, ranging from mild to severe. The commonly observed ones in children are-

  Difficulty walking
  Difficulty holding on to objects
  Delay in developing motor skills- sitting up straight, rolling over, crawling
  Variation in the muscle tone- too stiff or too floppy
  Delay in development of speech
  Spasticity
  Lack of coordination of the muscles
  Difficulty swallowing and excessive drooling
  Functioning of only one side of the body
  Neurological ailments such as intellectual disabilities, seizures, and others

Types of Cerebral Palsy:

Cerebral palsy can occur in the following forms-

  Spastic cerebral palsy - Causes exaggerated reflexes and muscle stiffness. This is the most common type of cerebral palsy, affecting nearly 80% of the population.
  Dyskinetic cerebral palsy - Causes abnormal, involuntary movement of the legs, arms, and hands. It may also affect the movement of the tongue and face, thereby making it difficult to talk or swallow.
  Hypotonic cerebral palsy - Causes overly relaxed muscles and reduces muscle tone. The legs and arms are easily moveable and appear saggy.
  Ataxic cerebral palsy - This is the least common type. People living with this form of the condition have problems with coordination and balance.

Diagnosis and treatment of cerebral palsy

Cerebral palsy can be diagnosed with the help of the following-

  CT scan
  MRI
  Ultrasound
  Electroencephalogram

Treatment of the condition depends on its severity. Long-term treatment includes physiotherapy, medications and surgery.

  Physiotherapy and occupational therapy helps restore muscle strength and improves muscle tone. You can try stretching exercises to improve flexibility.
  Usually, the doctor prescribes medications in the form of muscle relaxants and sedatives. Muscle relaxants reduce muscle tension, helps relieve discomfort and muscle pain.
  You may need to undergo an orthopaedic surgery in case medications and therapy does not yield positive results. The surgery will aim to release tight muscles and repair bone abnormalities caused due to spasticity.

The specialist as a last resort may recommend SDR or Selective Dorsal Rhizotomy to reduce spasticity and chronic pain. This involves operating the nerves at the base of your spinal column.

There is no permanent cure for cerebral palsy. However, the condition is manageable with the help of drugs, therapy and surgery. The kind of treatment required depends on your overall condition. While some may be able to live with the condition without much assistance, others may require immediate medical intervention. Therefore, it is best to consult an orthopaedic and get help if the symptoms deteriorate over time.

Cerebral Palsy - Symptoms, Types & Treatment Of It!

Autism is a developmental disorder that is usually diagnosed within the first three years of a child s life. Speech disorders and an inability to communicate with others are characteristic symptoms of autism. Speech therapy can be very beneficial for such children. Thus, it is often a major part of a treatment plan for autism. Some of the benefits of speech therapy for autistic children include:

Better articulation: Autistic children often find it hard to make certain sounds. Hence, they tend to babble or make harsh sounds or grunt instead of talking. A speech therapist can help the child learn to articulate sounds in a better way. For this, the therapist will help the child exercise the facial muscles and lips. This can make it easier for them to be understood by others.
Treating echolalia: Echolalia refers to a child s behaviour where he or she answers a question by repeating part of it. This may be because they find it difficult to express their own thoughts and feelings. Echolalia is very common amongst autistic children. Speech therapy is the only way to treat this condition. If left untreated, it could make the child withdraw into himself.
Better vocabulary: Autistic children often memorize words without understanding them. A speech therapist can help the child put words into context and thus help reduce their dependence on gestures. This can also make autistic children more confident. In addition to expanding their vocabulary, a therapist can also teach children the proper time and place for communication. For example, when to say good morning and good evening.
Initiate communication: When children are not confident of expressing themselves, they wait to be called on before saying anything. By helping them articulate sounds better and expanding their vocabulary, a speech therapist can help children gain the confidence needed to initiate conversations. With therapy, autistic children can also follow simple instructions and begin to answer questions independently. This will make them more independent.
Speech therapy does not follow the same techniques for all children. For therapy to be effective, the therapist must work in close collaboration with the child s parents and caregivers to set the right goals and monitor the child s progress. Some of the techniques that may be used include the use of electronic talkers, typing or signing, picture boards, facial exercise and massages, using rhyme to help construct sentences and using sounds to help the child expand speech sounds. If the child is non-verbal, the therapist may also introduce alternatives to verbal communication.

Can Speech Therapy Help Autistic Children?

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!

Epilepsy is a brain triggered disorder that can result in the affected person having seizures or convulsions of the body. Such convulsions last about a few minutes and the person undergoing epileptic seizure might be unaware of what s happening to him/her during those brief moments. They may recover and appear disoriented for a few minutes more. 

Epilepsy can t be cured but is treated through medicines called anticonvulsant drugs.

Epilepsy is a neurological disorder brought about due to unusual electrical activity in the brain
The person having the disorder can have episodes of seizures where there can be sudden involuntary movements of the person s whole body and shaking of the arms and legs lasting a few minutes
The condition can occur to anybody irrespective of age but children seem to suffer more from the condition following a head injury or emotional trauma
Electroencephalogram or EEG is the best way for the doctor to understand the exact nature of the disorder and this will help in the treatment.
Treatment through drugs is the most popular way of keeping the convulsions under check
Medically, if the patient goes without seizures for a few years under regular medication then there is every possibility the person may not suffer further convulsions
Apart from medication, dietary regulations have also been adopted by many physicians to treat the condition. Low carb and high protein items are advised as a way to reduce/stop the epileptic seizures
In some cases, the doctor might decide to conduct a surgery to remove the aberrant part of the brain to treat the individual for epilepsy
People with epilepsy have to take a lot of precautions in their daily routines to avoid getting seriously injured if they were to suffer a sudden attack of seizures
Driving and swimming are to be avoided by them
People standing around can help reduce the suffering by turning the person over to one side and offering a support to the head. Care can also be taken to remove any object that can cause injury to the person while having the convulsions.
Some doctors study the pattern of the seizures occurring and help in regulating them in such a manner that the person gets the convulsions only in the nights while asleep
This can limit the damage done to the person and can also help the person in going about normal routines
Parents must inform the school authorities if their children suffers from epilepsy so that they can provide first aid to such students immediately if episodes occur in school
Epilepsy is a brain-related disorder that can cause the person to go through involuntary shaking of the body and the limbs. It is usually treated with drugs.

Epilepsy - Common Facts About It!

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