Injuries are very common, especially head injuries are one of the leading causes of death and disability in adults. As per surveys conducted, 1.7 million people suffer from head injuries every year and this estimation is increasing day by day.

Head Injury is any trauma to head other than superficial injuries to face. It results in high morbidity & mortality. Head injuries are an important cause of loss of young people at their productive age.

Causes of Head Injury-

A head injury can occur due to many reasons. Some common causes of these head injuries are:

Vehicle accidents

Street fights

Fall from height

Child abuse

Symptoms of Head Injury-

A head injury is followed by various symptoms depending upon the intensity of the injury. Here is a list of the possible symptoms of brain injuries:  

Nausea and vomiting, fatigue or sleepiness, severe headache, confusion, amnesia,  loss of consciousness, seizures, loss of muscle control or paralysis in the part of the body controlled by the part of the brain that is affected, coma, dilation of the pupils and disturbance of vision, Cerebrospinal fluids might come out of the ears and nose, sometimes accompanied by blood, difficulty in breathing, low pulse rate, increase in blood pressure, difficulty in swallowing, loss of hearing, problems in cognitive functions.

Brain damage is a process, not an event. 80% are minor head injuries, 10% are moderate head injuries and 10% are major head injuries.

Management of Head Injury-

Diagnosis of a brain injury has to be detailed and very quick at the same time. It always comes under emergency cases. Some of the steps involved are:

Glasgow Coma Scale

Pupillary reaction to light

Brain stem reflex tests

Head to toe examination

CT scan of head is the initial study of choice. MRI Brain is helpful in cases of non-haemorrhagic contusions, diffuse axonal injury and deep lesions.

Surgical Indications

Head injuries with intracranial hematomas causing significant mass effect

Massive cerebral edema

Hydrocephalus

Infection

Precautions for Head Injury

Use Helmets- both riders

Use Seat Belts

Keep vehicle speed under control

Follow traffic rules

Take adequate precautions during trekking, diving

Take Away-

No head injury is minor enough to be neglected nor severe enough to be given up.

Head injuries take time to heal, but medical treatment along with neurosurgery can aid the process of recovery and also help a person to lead a healthy life in the future. Most young patients recover fully, while some older patients or patients with preexisting neurological conditions live with a degree of disability.



Head Injuries - All You Must Know!

Are you aware of behavioral and emotional disorders in children? During the developmental years of a child, constant growth and change are signified. This fact should be strictly kept in mind while dealing with behavioral and emotional disorders in children. Brain disorders like bipolar disorder, depression and anxiety disorders may affect any child during early childhood. The assistance of a mental health professional should be taken while dealing with these problems. On a global scale, almost 15% of children suffer from behavioral disorders. Among the different forms of behavioral disorders, Attention Deficit Hyperactivity Disorder (ADHD) accounts for being one of the most common ones.

Here is a list of the different forms of behavioral and emotional disorders, which are observed in children:

ADHD- This common mental disorder in children is more common in boys than in girls. Commonly, children affected with this disorder are unable to finish familiar tasks, plan or sit still. They may even lose awareness about what goes around them. ADHD-affected children may seem fine on some days, but on other days, they may experience disorganized and frenzied activities. This disorder may continue into adolescence and adulthood as well. There are several treatment options for ADHD, which may include medications, therapy and educational options.

Autism- Children affected with autism seem to become indifferent, remote and isolated in a world of their own. They are unable to form emotional ties with other people or their peers. Autism is more likely to occur in boys than in girls. The condition may result in language delays, mental retardation, and in some cases, a child may suffer high functioning and usual speech and intelligence. This is because the brain of such children functions differently than others. Consistency is very important for managing autism in children.

Bipolar Disorder- This disorder is most likely to begin in early childhood and it continues into adulthood. It is featured by extreme mood swings in the patient. A child may have extremely high or euphoric feelings, but his mood may turn into depression and sadness all of a sudden. This condition is a genetic illness, and it is often mistaken or misdiagnosed as ADHD.

Anxiety- Anxiety disorders make children feel uneasy, distressed and unusually scared for no appropriate reason. Panic disorders, featured, by intense episodes of fear, which occur without any kind of provocation or signal are a common type of anxiety disorder. OCD or obsessive compulsive disorder, which is repetitive and compulsive in nature, is another type of anxiety disorder.

It is very important to treat and deal with children s behavioral and emotional disorders at an early stage. Early diagnosis enables an early start of treatment, which prevents further degradation of the condition.

Types Of Behavioral And Emotional Disorders In Children

Getting a good night s sleep is needed not only to remove dark circles but to improve your overall health as well. Ideally, adults need 7 to 9 hours of sleep every night. This helps you stay physically and mentally healthy. However, getting a good night s sleep is easier said than done, as sleep apnea is one of the factors that could affect the quality of your sleep. This can cause a number of health issues including heart disease.

What is sleep apnea?
Sleep Apnea is a sleep disorder that can make your breathing start and stop repeatedly while you are asleep. These pauses can range from 5 times an hour to 30 times in one hour. Waking up tired after a long sleep and snoring are characteristic symptoms of this condition. This can be annoying for others, but for you, it could be life-threatening. When your breathing stops; your airways get blocked. 

This is characteristic of obstructive sleep apnea, as every time this happens, you wake up. This can increase the risk of high blood pressure. High blood pressure, in turn, can cause arrhythmia, heart failure, and strokes. This can increase the risk of a fatal heart attack by up to 5 times.

Heart disease and central sleep apnea have a cyclic relationship. In this case, heart disease causes the person to retain water and salts. At night, this excess fluid can enter the lungs making the person wake up feeling short of breath. This is not necessarily because the airways get blocked but because the brain does not send the diaphragm a signal to expand and contract. This is not as common as obstructive sleep apnea.

Reducing your risk of heart disease caused by sleep apnea
There are ways to treat sleep apnea so as to reduce the chances of heart diseases. To treat it, it must first be diagnosed. Thus, if your roommate notices you snoring, consult a doctor immediately. For a diagnosis, you will need to undergo a sleep study. This involves staying overnight in the hospital where they will monitor your sleep. Treatment for sleep apnea is known as continuous positive airway pressure or CPAP. 

This form of treatment involves wearing a mask that regulates the air pressure as you breathe thus ensuring that the air passages do not close down. In case of obstructive sleep apnea, losing weight if you are obese, can also help treat the condition and keep the airways open. 

Sleep Apnea - How It Can Increase The Risk Of Heart Disease?

Grading of brain cancer is entirely different as compared to the staging of other cancers in the body. Cancer in the breast, lung, colon etc. are staged depending on the possible spread, location of a tumor and lymph node involvement etc. However, brain tumors are graded based on the aggressiveness of the tumor cells under a microscope. The resect ability and the grade of the tumor cells guide a doctor on the treatment decisions. The decision of a brain surgery depends on factors such as the location, spread of a tumour and the general health of the patient.

Types of Brain Tumor Grading:

Grade 1 tumor- These sets of tumors are medically known as the juvenile pilocytic astrocytoma and subependymoma. They are slow growing and non-invasive. There is a likelihood of the patient getting cured with surgery.
Grade 2 tumor- These are brain tumors that do not possess dead cells as part of the tumour. But, they do portray a lot of abnormal cells. Tumors of this type can be categorized under oligodendroglioma, astrocytoma, and ependymoma.
Grade 3 tumor- Tumors of this type are graded based on the cell type of the cancer cells. For instance, an anaplastic astrocytoma is a grade 3 tumor that has no dead cells but possesses dividing cells. In contrast, anaplastic ependymoma and anaplastic oligodendroglioma are grade 3 tumor cells that have dead cells in them.
Grade 4 tumor- Tumors of this type are referred to as glioblastoma. The tumor cells are actively dividing, the growth of blood vessels is witnessed and areas of dead tissue keep expanding.

Treatment options:
Surgery- If the location of a brain tumor is such that it is accessible to a surgeon, the latter goes ahead and removes most of the tumor if not the whole. If, however, the brain tumor cells are placed very near to the surrounding very sensitive brain tissues, a doctor might remove a small portion of the tumor to curb its growth.
Radiation Therapy- This mode of treatment uses high energy X-ray beams to kill targeted cells of the brain. External beam radiation usually targets a small area of the brain. A whole brain radiation, on the other hand, is usually employed when a tumor has spread to most parts of the brain. Radiotherapy is now so evolved that it is highly targeted to tutor cells that kills cancer and spares normal brain .
Chemotherapy- Chemotherapy employs drugs to kill cancer cells. Chemotherapy can either be taken in the form of an IV or in the form of pills. The dosage of chemotherapy is decided based on the concentration of cancer cells, spread frequency, platelet count of the patient etc. The most common chemotherapy drug that is prescribed by doctors to fight cancer cells is temozolomide.

Brain Tumor - Stages and Treatment!

Multiple Sclerosis is a condition of the immune system, where it attacks the central nervous system and destroys the protective sheath of nerve fibers. This is why, it is known as an autoimmune disease. It is a disabling disease for the spinal cord and the brain. If treatment is not begun in right earnest, the disease may damage the nervous system and disabled people.

However, there is no cure for Multiple Sclerosis in modern medicine. Doctors can at most reduce the pace of progression of the disease, but not halt it. Nevertheless, Ayurveda may have an answer to this dreaded disease.

Modern Treatment for Multiple Sclerosis:

Modern medicine focuses on speeding up recovery from episodes like pain in the body, electric-shock sensations during certain movements, tremors, problems with coordination, etc. Other aspects of treatment include slowing the progress of the disease and managing the symptoms of the disease. People who are afflicted with only mild symptoms usually don t need any treatment. However, for those who have severe symptoms like jerks, slurred speech, etc., Ayurveda may be the answer.

Ayurvedic Interpretation:

In Ayurveda, the malady is interpreted as an energy disorder. Practitioners consider this problem as one arising from improper digestion. Improper digestion leads to toxin formation. If the toxins are not removed, they accumulate in various tissues of the body. According to the tenets of Ayurveda, these toxins obstruct the movement of certain energies. This precipitates neuromuscular disorders.

Ayurvedic Remedy for Multiple Sclerosis:

Ayurvedic remedies for Multiple Sclerosis involve removing the toxins and restoring digestive capacity. It uses herbal remedies for that purpose. However, the task of removing the toxins is a comprehensive one. The toxins need to be eliminated from the tissues and at the same time they need to be prevented from accumulating in the tissues. This can be done by bringing in improvement in metabolism. In fact, this is the touchstone of Ayurvedic remedies for Multiple Sclerosis. Ayurvedic practitioners use Aloe Vera gel to detoxify and improve metabolism in patients suffering from Multiple Sclerosis. Natural minerals and vitamins of Aloe Vera also help in strengthening the immune system and putting a brake on its autoimmune activities.

Lifestyle Changes:

While various remedies help to expel toxins and prevent build-up toxins, patients need to bring in a change in their lifestyle in order to bring in long-standing improvements in digestive capacity and metabolism.

Dietary Habits:

Stuff like green tea has huge potential in prevention and treatment of Multiple Sclerosis and other neurodegenerative diseases. In fact, a certain chemical known as epigallocatechin-3-gallate has the ability to prevent the T-cells of immune system from attacking the nerve sheath.

Avoid stimulants like alcohol or coffee, fermented foods, peanuts, acidic foods, etc. One should also avoid or quit cigarettes.

Foods that are helpful are whole grains, almonds, Chlorella, Spirulina, Ghee, etc. Eating food which increases the metabolism and digestion of the body will also be helpful for this situation.

Conclusion:

While modern medicine does not have an answer to Multiple Sclerosis, Ayurveda offers a glimmer of hope. Patients need to bring in a comprehensive change in their lifestyle that includes improving lifestyles and taking specific food and drinks that help in fighting the disease. One should always consult a doctor if the symptoms are visible.

Multiple Sclerosis - What Should You Know?

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!

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

Consult for Neurosurgeon - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES