Brain metastases from systemic cancer are the most common type of intracranial neoplasm in adults, being almost 10 times more common than primary malignant brain tumors, which cause a significant burden on the management of patients with advanced cancer (1). The lungs represent one of the most frequent sources of metastases to the brain, with a probability of (36 64%) (3). Symptoms suffered by the patients include headaches, epilepsy, focal weakness, numbness or changes in mental status. The prognosis of patients with brain metastases is not optimistic and the median survival time is  1 2 months if left untreated. The 1-year survival rate has been recorded as 10.4% (4,5). The treatment of metastatic brain tumors is complex; not only due to being able to provide local control and improve neurological function, but also due to factors such as age, performance and systemic disease status and the size, volume, location and number of metastases at presentation

CyberKnife is a robotic radiosurgery system with a linear particle accelerator (linac), which is coupled with real-time imaging to track and compensate for the patient s or target s motion. As a relatively non-invasive treatment modality, CyberKnife demonstrates certain benefits, including a more accurate target localization and improved dose delivery for the management of metastatic brain tumors that allows higher biologically effective dose delivery without increased incidence of toxicity.

In the present case, the results for the treatment of multiple brain metastases after CyberKnife surgery with a 7 8 Gy marginal dose was promising. CyberKnife for metastatic brain tumors is an effective and safe method for reducing the marginal dose prescribed for multiple brain metastases and for minimizing the radiation-related neurotoxicities. In conclusion, CyberKnife, a focused, highly-targeted radiosurgery and fractionated radiotherapy is particularly useful for multiple brain metastases. CyberKnife provides the advantage of the management of local recurrence and a tolerable complication rate. Although the treatment of brain metastases has been performed with CyberKnife, the clinical significance and optimal dose fractionation scheme require further investigation.

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CyberKnife Therapy Of 24 Multiple Brain Metastases From Lung Cancer!

Seasonal changes can be very exciting for most people. Each season brings with it a new set of colours and nature takes a new turn. However, for people with seasonal allergies, a seasonal change also comes with a set of allergies. From skin rashes to wheezing to breathing difficulties, the list of symptoms can be quite long. Asthma is the most common problem, and the attacks can be quite bothersome with wheezing attacks and breathing troubles.

With advancements in the field of medicine, there is a lot of relief for asthma patients. A little understanding on how asthma attacks happen will help in understanding how to control it. Asthma is an allergic reaction caused by narrowing of the airway with thick mucus, which makes breathing difficult. During an attack, the person can have a dry cough, face shortness of breath and wheezing.

Asthma is often triggered or worsened by some factors, and being aware of these can help prevent or manage an attack:

Common allergens like pollen, mites, ticks, furs of animals, bird feathers, specific foods (peanuts, milk products, eggs, etc.) and mold spores appear during change of season.
Environmental chemicals like cigarette smoke, car fumes, dust, etc., can also trigger an attack.
Attacks of cold or flu can lead to an asthma attack.
Workout during cold weather can be problematic, but exercise can also help control asthma attacks. Lung function improves sufficiently, but an exercise regime should be drawn up for the patient based on his condition.
Stressful emotions like anger and anxiety can also lead to an attack or make it worse.
Some medications like aspirin, beta blockers, glaucoma drops can aggravate attacks of asthma.
Once you know the triggers, here are some common measures that can help prevent and relieve the wheezing.

The preventers reduce the inflammation in the airway tube and the swelling. While they do not provide immediate relief during an attack, using these in the long term helps avoid attacks. These are low-dose inhaled corticosteroids such as beclomethasone, fluticasone, and budesonide. Doctors would advise their usage even when there are no symptoms, as asthma attacks can be triggered when they are not taking these medications for a while. Newer drugs include leukotriene antagonists like montelukast and zafirlukast. Relievers are used for symptom relief and include Salbutamol (short acting) and Salmeterol/Formoterol (long acting). Peak flow meter may be useful in acute attacks, wherein the peak flow rates can be reduced.
A good strategy is to use preventers regularly and rely on relievers during an attack. The first one helps build resistance and so reduces the incidence of attacks. Reach out to a doctor if a severe attack ensues (lasts more than 3 hours).


Tips to Control Allergy Driven Wheezing this Season

Asthma is a common disease, characterized by the inflammation of the airways. These airways are responsible for the passage of air and therefore their inflammation causes shortness of breath and extreme discomfort. Though different branches of medicines have tried in their own ways to deal with this problem, ayurveda with its emphasis on natural remedies has emerged as a clear favorite. According to ayurveda, it is the stomach that is the source of all chronic diseases. The science believes that as impurities accumulate in our system, diseases like asthma come to the fore. The different ways by which ayurveda treats asthma are:

1. Maintaining a proper diet: since stomach is identified as the source of most diseases, any attempt to treat them should begin from the stomach itself. Ayurveda believes that those foods, which are easy to digest, inevitably helps in relieving you from the bouts of asthma. The concept that operates behind this is that easily digestible food provides nutrients, which are further absorbed by the tissues. This helps in rebuilding the strong strength as well as keeps the stomach in a sound condition.

2. Herbal oil massage: a daily massage with herbal oil has always proved to have an extremely soothing and a calming effect on your system. Ideally the massage should be performed before taking a bath as it increases the blood circulation and pacify the nervous system.

3. Exercise: ayurveda is perhaps the only branch of medicine that gives equal priority to medications as well as exercises. It is believed that stretching and those exercises that facilitate flexibility can markedly reduce bouts of asthma.




Role of Ayurveda in Treating Asthma 

If there is one disease which most people would definitely be affected by, it has to be the common cough and cold. It is not without reason that it is called  common cold.  When we look back though, common cold and cough was not so common. It is evident that it has become common due to the lifestyle and environmental changes and can be managed again by looking at how it used to be managed earlier.

Ayurveda believes that health is determined by the balance between the tridoshas in the body, namely vata, pitta, and kapha. Common cough and cold are caused by an imbalance between all 3 components. The type of cough, phlegm, congestion, etc., will vary depending on which dosha is predominant. People who repeatedly have attacks of common cold would be delighted to know there are remedies which are commonly available and can keep these attacks at bay. Read on to know more.

Garlgling with salted lukewarm water soothes the throat and helps in relieving cough.
Taking a combination of honey, lemon, and lukewarm water 3 times a day is very effective in preventing common cold.
Drinking warm liquids like herbal teas and clear vegetable soups with garlic added soothes the throat and also provides antioxidant benefits against cold and cough.
Boil some handful of tulsi leaves in a litre of water, strain and drink it through the day to get rid of cough and cold.
Eating onion dipped in honey also can prevent chronic cough and cold.
Boiling tulsi seeds and ginger in water and drinking this after straining also helps the throat.
Drinking juice of betel leaves is another natural remedy.
Add some salt to mustard oil and rub it on the nose and throat to get immediate relief.
Similarly, a mixture of curd, sugar, and black pepper powder provides relief from cough and congestion.
A mixture of cinnamon, honey, and pepper also helps people with cough and cold.
Add a small quantity of asafetida (hing) to a glass of warm water and feel the relief in the lungs and throat.
Boil water with jaggery and coriander seeds, strain and drink twice a day.
A mixture of ginger and milk can be used in concentrated form to be instilled in the nose.
A mixture of fennel seeds and clove powder mixed with honey provides great relief.
Inhale the vapour of ladies finger from water in which it was boiled. This relieves throat infections and dry cough.
In addition, Ayurveda has specific yogasanas like jal neti, sutra neti, kapalbhati and setubandha, which are aimed at clearing out nasal and airway passages.

Common Cough & Cold - Ayurvedic Remedies For It!

If you are suffering from bronchitis, it is important for you to recognize whether your condition is acute or chronic in nature. Bronchitis is a condition that involves the inflammation of the airways between your lungs and the windpipe. The lining of these tubes produces mucus in large amounts that trigger a lingering cough.

Acute bronchitis is the form of bronchitis that onsets rapidly after a virus infection in your upper respiratory tract. The viruses that cause common cold or influenza, are also responsible for acute bronchitis. Moreover, the germs that are responsible for measles and whooping cough may lead to acute bronchitis. In such cases, the condition is referred to as acute infectious bronchitis. In case of dust, smoke, or fumes causing bronchitis, it is referred to as acute irritative bronchitis.

Diagnosis

For the diagnosis of acute bronchitis, you will be inquired about the symptoms you are experiencing.
After that, an overall and detailed physical examination is carried out, which confirms acute bronchitis.
In some cases, the patient might have to get an X-Ray done for ruling out other conditions such as pneumonia.
Treatment
Generally, in about two weeks, acute bronchitis resolves on its own without any medical treatment.
Medications: Several medications may be prescribed for the treatment of acute bronchitis.

Antibiotics: These are usually not used for treating bronchitis, as the condition occurs from a viral infection. However, when you have a bacterial infection, antibiotics may be useful for treating it.
Cough medicine: It is recommended for you not to suppress cough bringing up mucus, as the coughing helps in removing irritants from the lungs and air passages. In case of cough that hampers your activities, you may take cough suppressants before going to sleep at night.
Other medications: In case you have allergies, or suffer from asthma or chronic obstructive pulmonary disease (COPD), an inhaler along with other medications may be recommended for the reduction of inflammation, and for opening the narrowed passages within your lungs.
Prevention

Quit smoking immediately and try to keep away from secondhand smoke.
Keep yourself clean and hygienic during the flu season.
Try to avoid direct contact with people who are sick or infected.
Get a flu vaccine on a regular, yearly basis.
Drink a lot of fluids throughout the year.
Consider using a warm or cool, moist air humidifier for helping to thin the mucus layers blocking your air passages.
It is important for you to consult a doctor on experiencing any symptom of acute bronchitis. This will allow timely diagnosis and treatment, and prevent the condition from worsening.

Acute Bronchitis - 6 Tips To Help You Prevent It!

Acute sinusitis (acute rhinosinusitis) causes your nasal passages (sinuses) to become inflamed and swollen. This interferes with drainage and causes mucus to build up. It is difficult to breathe, area around your eyes and face may be swollen. Acute sinusitis is most often caused by the common cold. Other triggers are allergies, bacterial and fungal infections.

These self-help steps can help relieve sinusitis symptoms:
1. Get good rest. This will help your body fight infection and speed recovery.
2. Drink plenty of fluids: Like, water or juice. This will help dilute mucous secretions and promote drainage. Avoid beverages that contain caffeine or alcohol, as they can be dehydrating. 
3. Sleep with your head elevated. This will help your sinuses drain, reducing congestion.
4. Moisten your sinus cavities: Drape a towel over your head as you breathe in the vapour from a bowl of hot water. Or take a hot shower. This will help ease pain and help mucus drain.
5. Apply warm compresses to your face. Place warm, damp towels around your nose, cheeks and eyes to ease facial pain.

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Top 5 Sinus-Relief Home Remedies 

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