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!

Epilepsy is a disease that affects the brain's nerve cells and triggers the release of abnormal electrical signals. This can cause temporary malfunctioning of the other brain cells and result in sudden loss of consciousness. Epilepsy can affect both children and adults.

Epilepsy can be treated in a number of ways. One of the most preferred forms of treatment is homeopathy. Homeopathy addresses both the physical symptoms of the disease and the underlying factors triggering it. Another big advantage of homeopathic treatment is that it has negligible side effects.

A few homeopathic remedies that can be used to treat epilepsy are:

Cicuta
Cicuta is very effective when used to treat cases of epilepsy where convulsions are marked by violent, body distortions. This can include the horrific backward bending of the spine. These convulsions also make the person's face turn blue and trigger a locked jaw. This can also be used to effectively treat epilepsy cases triggered by head injuries and worms.

Artemisia vulgaris
This is used to often treat cases of petit mal epilepsy which are characterized by staring into space, leaning forwards or backwards and stopping a sentence abruptly. It also addresses fear that triggers epileptic attacks.

Stramonium
Convulsions triggered by exposure to bright lights or shiny objects can be treated with this homeopathic remedy. In such cases, the patient may not lose consciousness but experiences jerks in the muscles of the upper body.

Cuprum met
This homeopathic remedy is used to treat seizures that are preceded by experiencing an aura in the knees. Other symptoms that characterize this sort of an epileptic attack are spasms that begin in the fingers and toes and gradually spread to the rest of the body and jerking of muscles. This can also be used to treat convulsions that accompany menstruation and follow the delivery of a baby.

Bufo rana
Not all epileptic attacks occur you are awake. Attacks that occur in your sleep can be treated with bufo rana. Such epileptic attacks are accompanied by experiencing an aura in the genital regions. This is especially helpful for women who experience seizures during menstruation.

Hyoscyamus
Some epileptic fits are followed by a deep sleep. This type of epileptic attacks can be treated with hyoscyamus. Other symptoms addresses by this homeopathic medicine are fidgeting with bed clothes, fidgeting with fingers and muscular twitching.

These homeopathic remedies can be taken on their own or in combination with other medicines.

Top Homeopathic Remedies for Epilepsy Treatment

What is spinal stenosis: The narrowing of the gaps in the spine or the backbone is called as spinal stenosis. This leads to pressure on the nerves and the spinal cord. 5% of cases of spinal stenosis are seen in the low back of the lumbar spine. In some cases the narrowing of the spine leads to the compressing of the nerve root, which leads to pain in the leg.

Causes of spinal stenosis: It can be caused by aging, arthritis, trauma to the spine, spondylolisthesis and tumor of the spine

Symptoms of spinal stenosis: There is constant pain in the back and legs as stenosis pinches the nerve responsible for sensation and muscle power. Other symptoms are numbness and tingling in the legs, frequent falling and pain while walking.

Treatment of spinal stenosis:
-  A routine program with exercises and physical therapy are the best treatment for spinal stenosis. The exercises are not a complete cure but they are beneficial in keeping the patient active. A physical therapy can be supervised and once the period of the same is over people easily transition to the exercise program. The key for exercise is starting slowly in order to build strength.

-  Generally, the patients are counseled not to perform strenuous activities as that might worsen the symptoms of spinal stenosis. In case of lumbar stenosis, patients find it comfortable when they are flexed forward. The doctor might recommend walking while being bent over and leaning when using a walker if not walking upright; sitting in recliners is also recommended instead of straight back chairs.

-  Injections of cortisone are usually given in the epidural space. This is believed to relieve the symptoms of spinal stenosis temporarily. Though there have been studies which question the use of these injections as they lead to the risk of osteoporosis related fractures. This is still being pondered over by the doctors as a suitable treatment option as it has its own benefits and risks.

-  Medications such as the anti inflammatory medicines like ibuprofen or aspirin are helpful in controlling the symptoms of spinal stenosis. Narcotic drugs might also prove to be helpful if used with care and for a short while. This is helpful for severe pain related to the nerves. Muscle relaxants like gabapentins might also be recommended. In some case antidepressants might also be given to provide relief from pain. 
Though side effects are a concern when using these medications and the patient should let the doctor knows about their allergies.

Treatment For Spinal Stenosis - 4 Things That Are Part Of It!

It has been proven by researchers that there is no definite cure for Parkinson s disease but its side effects and symptoms can be effectively managed. Medications are made available for treating the condition and ease the movement especially symptoms like stiffness and tremor. During the early stages of the disease, it is better to take the pill along with food to avoid nausea, which can be caused due to some medicines. However, in the later stages, the medication can be taken either 1 hour before a meal or 2 hours after a meal for effective treatment.

Symptoms of Parkinson s disease
Different therapies are used to treat Parkinson s disease and these include occupational, physical and speech therapy. The disease is known to manifest in many ways and some of the symptoms include sleep problems, fatigue, and constipation. The most common symptom patients suffer from is depression, and it is estimated that about 50% of the patients suffering from this disease experience depression. Commonly the symptoms of depression include worrying, feeling of sadness, and loss of interest. It has been found in some people that Parkinson s disease occurs due to abnormal genes. However, the real cause of the nerve cell break down is not known.

Important tips to consider

The best way to deal with the side effects of Parkinson s disease includes building a health care team, finding the best doctor, and managing your medications.
It is a progressive disease and in the initial stage, it starts with a mild tremor. However, with time it affects your speech and even your cognitive abilities. For that reason, it is important that the treatment plan is recognized and the symptoms that affect day to day life are managed properly.
The disease takes a toll on the emotional and mental health of a person and it is imperative to consult a licensed psychologist for that reason. Antidepressant medications are provided by doctors to treat this condition.
How to deal with Parkinson s disease?

It is very important for people suffering from Parkinson s disease to exercise and include a nutritious diet. The diet recommendation prescribed by the doctor should be followed and one should eat a low protein diet after consulting the doctor. The movements of the intestinal muscles are also affected with Parkinson s disease and these can result in constipation. Hence, it is better to include whole grains, vegetables, and fruits in the diet and eat foods that are rich in fiber.
It is very important that you drink lots of water so that the color of the urine is clear or light yellow. A fiber supplement like Metamucil or Citrucel can be taken every day, but the instructions provided on the label should be followed.

Parkinson's Disease - How To Handle The Side Effects?

Children should be brought up with utmost care. A child should not be your centre of attraction only because it is incapable to fend for itself, but also because it is not half as aware as you are or could be about its problems. Parents punish their children for the slightest of their mistakes; they at times even threaten children to bring home a lesson. Patience and observation are two key things in good parenting. The foibles of your child might indicate at an underlying medical condition. Instead of fixating over the mistakes try and locate the root cause. Early diagnosis of autism can save your child from a bleak future.

The following are a few symptoms of autism in children:

Social interaction is a huge challenge: Children suffering from autism are usually noticed to live in a world of their own. They hardly listen to people around them or hardly talk. The presence of many people can scare them or make them conscious. When spoken to, they look away. They do not feel comfortable in revealing their joys or fears. Autistic children like to play alone; they are not interested in group activities with friends.
Difficulties in communicating their needs: Communication is the biggest problem autistic children seem to face regularly. They are not able to express their needs and emotions. If they are hungry they might scream or break things but not ask for food. They even fail to comprehend instructions and seem confounded by simple situations. Their speech could comprise of mumbling. Autism in children could make them develop a condition popularly known as echolalia under the effect of which they mouth words without knowing their meanings in an extremely strange tone.
An obsessive, repetitive behavior: Children with autism could be persistent in some of their actions. Their body gestures could be repetitive; for instance, they can continue flapping their arms for hours together. Children in certain cases are also very particular about routine. Quite strikingly, objects affect them and they might scrutinize an object meticulously.
Sensory problems: Light sound and touch can have a huge impact on children suffering from autism. Patches of light and shade intrigue them whereas high pitched sounds could depress or intimidate them. They usually prefer deep pressure touch and might not respond to anything else.

Autism in Children: Prevalent Symptoms

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 the 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.

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:
1. You must take medications exactly as your doctor has prescribed.
2. Before switching to generic versions of your medicines or before taking other prescribed medicines, you must consult your doctor.
3. You should never stop taking the medicines.
4. In case you experience enhanced depression, mood swings and suicidal thoughts, you should talk to your doctor immediately.
5. 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

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