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!

Aging comes with many health problems including mild hearing loss. Usually, this mild hearing loss does not come alone. According to medical studies, adults, particularly males with hearing loss, mild or severe, are at a higher risk of developing Dementia and Alzheimer s disease. The risk increases as the hearing loss worsen. People with mild hearing loss are at twice the risk of developing dementia compared to people with normal hearing.

Dementia is a group of symptoms and diseases that affects the thinking, memory and social abilities that interfere with the daily functioning of an individual. However, memory loss alone does not mean that one has Dementia. Out of the many causes, Alzheimer s disease is usually the cause of Dementia. Alzheimer s disease is a progressive disease that affects the brain cells to degenerate and dies, destroying memory and other mental functions. 

How Hearing Loss Causes Alzheimer s?

According to medical studies, hearing loss causes several brain changes which increase the risk of developing Dementia. Hearing loss can lead to brain shrinkage, the process in which the section of the brain responsible for hearing becomes inactive. This condition leads to loss of tissues and alterations in the brain structure, developing as the first connection between hearing loss and Alzheimer s. Studies show that the brain of people shrinks more quickly who have hearing loss as compared to the brain of an individual with normal hearing. 

The second link created with an overwhelmed or overloaded brain. In hearing loss, the brain works overtime in understanding what others are saying. When the brain strains too much only for hearing every time and every day, it exhausts an individual s mental energy and snatches the brainpower required for other important mental functions, such as thinking, remembering and acting. This can further lead to Dementia, Alzheimer s and other mental disorders. 

Hearing Aids to prevent Dementia and Alzheimer s

According to various studies, hearing aids are not only helpful in improving one s hearing but they can also preserve an individual s mental and emotional health. Early diagnosis and treatment of a possible hearing loss help reduce risks later in life.

At times, the symptoms of undiagnosed hearing loss are mistaken with the symptoms of Alzheimer s. Hearing impairment makes it challenging for an individual to listen and respond to verbal signs. It increases the feeling of confusion, paranoia, and isolation. 

Hearing aids can relieve the symptoms of Alzheimer s. According to a study hearing aids slow down the rate of memory loss and improve an individual s quality of life.

Takeaway

Adults, especially males with hearing loss have a greater tendency of developing Dementia and Alzheimer s. Hearing loss causes brain to overwork leading to the loss of important mental functions. Hearing impairment can worsen the symptoms of Dementia and Alzheimer s. 

Hearing aids do help in improving the condition and symptoms of Alzheimer s and improve one s quality of life. A timely diagnosis can make a big difference.

Dementia And Alzheimer's Disease In Elderly - Could Hearing Loss A Reason?

If you are young chances are you aren t worried about this particular neurodegenerative disease, and rightly so since the only people afflicted by it are above the age of 50. Although, there are a lot of cases where it develops in the younger age bracket, so you need to be careful and examine the signs of early onset Parkinson s and be wary if any of these symptoms apply to you.

Parkinson s is a neurological disorder wherein the dopamine-producing neurons are affected in a particular area of the brain. It can cause tremors and balance problems, eventually worsening over time. Here are some signs that you should keep an eye out for:

Tremors: If you are experiencing tremors, while at rest, in your hands, arms, fingers or your jaw then it is a sign that you need to be aware about. In an excitable or stressful situation, the tremors may even worsen.
Micrographia: Your hand movements become restricted and, as a result, your handwriting may become cramped and the words smaller in size. Examine your handwriting from the past with your present one, if you find a noticeable difference in the size and positioning of the letters and if you feel like the sentences are extremely crowded together, be wary.
Olfactory issues: One of the symptoms of early onset could be the loss of the sense of smell. If you feel like you can t sense stronger aromas like that of spices and pickle or even bananas as well as others and it isn t because your nose is blocked then you need to be on the lookout.
Sleeping troubles: There are times when you feel restless in bed while trying to sleep. If this becomes a routine then it could be a sign that you are prone to Parkinson s. Sudden movements and jerking while sleeping is a bad sign.
Stiffness: If your arms and joints feel stiff without reason, and you feel like free body movement is restricted or limited if you feel like you can t swing your arms or move your fingers freely, it is a definite sign that you might have Parkinson s. Stiffness can even lead to muscle pain in various parts of the body. Bradykinesia or slowness of movement is common with the stiffness of the body.
Constipation: If every time you have to defecate you have to strain yourself and put a lot of pressure on your bowels, and bowel movement does not come naturally or easily, even with the inclusion of roughage in your diet, it is a symptom.

6 Signs Of Early On-Set Parkinson's That You Need To Look Out For

Dementia is a general classification of a brain disease that causes a long haul and frequently steady abatement in the capacity to think and recall that is sufficiently incredible to influence a man's everyday  functioning. Other normal manifestations incorporate passionate issues, issues with dialect, and a lessening in motivation. An individual's awareness is not influenced. The most common example of dementia is the Alzheimer's disease.

Physiotherapy for Dementia:
A patient with dementia can benefit from physiotherapy regardless of the possibility that the patient can't perceive their own family. Physiotherapy, notwithstanding, can be of good advantage to the individual who has dementia and also their family and parental figures at different stages. The principle explanation behind this is that recovery administrations can help the dementia patient to be as utilitarian as would be prudent for whatever length of time that is conceivable. Here are 5 ways physiotherapy benefits an Alzheimer's patient:

Physiotherapy can keep up the Alzheimer's patient's freedom and mobility as much as one could expect reasonably. A physiotherapist can outline a home activity program and work intimately with relatives to administer to the Alzheimer's patient.
Physiotherapists, as independent experts, embrace much detailed, separately custom-made appraisals of the disorders, action confinements and restrictions imposed upon individuals with dementia.
The caretakers of individuals with dementia regularly show weakness when contrasted with their same aged companions. Physiotherapy helps with diminishing the weight of consideration by instructing caregivers to provide encouragement and upliftment to individuals with dementia.
Patients with dementia are always at a risk of falling down and hurting themselves. Poor balance accounts for the danger of falls. This can be worked upon and improved by physiotherapy driven exercises. Exercise can have a huge and positive effect on behavioral and mental indications of dementia, enhancing psychological capacity and mindset, which can decrease the doses of strong medicines. Special exercise routines are assigned to the patients which help improve their body balance while walking.    
Physiotherapy has crucial influence in advancing and keeping up portability of individuals with dementia. It assumes a basic part in the end of life consideration by overseeing situations, seating and complicated muscle contracture. Individuals with dementia regularly experience issues in communicating pain. Pain influences cognizance, inspiration and reaction to any intervention. Physiotherapists are specialists in recognizing and treating pain in dementia patients and give training to care home staff and caregivers of the patients.
Physiotherapy is very important for dementia patients. Regular physiotherapy sessions are beneficial for patients for improvement in condition.

5 Ways Physiotherapy Helps in Dementia

A migraine is considered to be one of the worst headaches of all. It causes excruciating pain along with a range of other symptoms. Notably, a migraine pain is very different in nature compared to general headache. A migraine pain is mostly felt on any one side of the brain. Since a migraine is difficult to diagnose, here is a list of 5 signs that will help you to understand, if your headache qualifies as a migraine:

Vision splotches: It is very common among migraine patients to experience blind spots and a sudden flash of light. While this might appear to be a little unusual, it is pretty normal for migraine patients. The visual cortex of the brain is responsible for incidences like these. They often pace up and slow down to cause such unnatural feelings. For cases like this, the nerve gets activated by the optical lobe and crashes immediately resulting in such sensations. These visible auras are felt by both the eyes.
A spinning sensation: A migraine patient often gets a swirling sensation. This requires them to immediately lie down. This is accompanied with nausea and throwing up. Certain migraine-induced changes caused in the brain causes hearing imbalance which is very similar to vertigo. These auras often serve as the onset of a migraine and can last for over one hour before the actual migraine cycle starts. If a person is suffering from these symptoms, it is a clear indication that he is suffering from a migraine.
Light sensitivity: Migraine patients often becomes oversensitive to sound and light. This is perhaps the reason why most migraine sufferers like to spend more time in dark and solicitude. Studies have shown that sudden exposure to light activates the optic nerve fiber which in turn activates the pain receptors in the brain. A study conducted by the Nature Neuroscience journal conducted in the year 2010 showed that even blind person (with a migraine) suffers from a sudden glow of light.
Touch sensitivity: Sensory auras often cause sharp pain from tiniest of touches. This is a condition known as the allodynia. This is a condition by which the spine and the brain get super excited by the inflamed blood vessels. This condition should be reported to a doctor since the most common medicine of a migraine does not work well if a patient is suffering from allodynia.
Funny Face: Aura of the tongue, face and lips are known as cheiro-oral. There is a type of aura that makes even speaking and eating difficult. At time sufferers feel that they are suffering from serious diseases such as brain tumor. If this condition prevails, it makes sense to contact your doctor at the earliest and start medication.

5 Signs You Are Suffering From Migraine

The skin is an elastic organ (yes, it is an organ!), but only to a certain extent. It has a limit to which it can accommodate the underlying tissues. With the increase in bulk, for example, puberty, pregnancy, muscle mass building or surgical implants, the skin is made to stretch beyond its limits. What happens is this stretch causes the skin to stretch too, and these stretch marks or striae become an unpleasant thing that needs to be hidden. 

Dressing needs to be changed so that they are not showing. Dermatologists see a big demand for getting rid of these marks too. There have been conventional, time-tested methods which help in getting rid of these. However, with newer advancements in dermatology, the platelet rich plasma is being widely used for getting rid of these stretch marks.

Why stretch marks? 

In any of the scenarios above, the stretch marks appear because there is a lack of underlying supportive tissue when it is stretched out. There is a lack of collagen and connective tissue, causing stretch marks. These are most evident in fat collecting areas like breasts, abdomen, thighs, upper arms, etc.

What is platelet-rich plasma or PRP? 

The blood is composed of a liquid portion known as plasma, which contains three main types of cells i.e. white blood cells, red blood cells, and platelets. The white blood cells are the ones responsible for fighting infections. The red cells give blood its color and also are responsible for carrying nutrients to the various organs. The platelets are tiny fragments of cells which help in blood clotting. Platelets are also rich in what are called totipotent cells, which can grow into any type of cells. When the body is affected, due to injury, infection, trauma, etc., these get concentrated in the affected area and are produced in large numbers to help in the recovery of the particular affected area.

Technique: 

The area to be treated is isolated and prepared. Blood is centrifuged to remove other cells and obtain platelet rich plasma. This RPR is injected into the underlying layers of the skin. This induces the release of growth factors into the connective tissue space. Collagen is produced over a period of time, which causes the skin to become taut and lose the stretch marks. The injection can be repeated if required on the topmost layer. It can also be mixed with thrombin to form a gel, which is then used similarly. Using it both in the underlying and superficial layers helps in completely getting rid of the marks.

Studies have shown a reduction in both the depth and size of the stretch marks and some might require two to three repeat injections.


Stretch Marks - How PRP Therapy Can Help You?

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