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Epilepsy is a common illness and therefore, we commonly encounter women with epilepsy (WWE), who are either pregnant or contemplating pregnancy. There are a lot of apprehensions and misconceptions regarding managing epilepsy in this group of WWE. Here, I wish to highlight some of the important aspects of managing epilepsy in women who are planning a pregnancy or are currently pregnant.
1. If a woman is seizure-free for at least two years, she can consider withdrawing anti-epileptic drugs (aeds) under the supervision of neurologist, and then plan for pregnancy.
2. If a woman has seizures, it is better to continue aeds during pregnancy, as the risk to the baby is several times higher with seizures, as compared to that with aeds.
3. Sodium valproate has the highest risk to the developing baby, and it should be avoided in pregnancy.
5. The lowest effective dose of aed should be used.
6. Try to use only a single anti-epileptic drug, if possible.
7. Folic acid vitamin supplements should be used in pregnancy.
8. The dose of anti-epileptic medication may have to be increased during the last three months of pregnancy.
9. Ct scan of the brain should be avoided, as far as possible, during pregnancy, as radiation exposure due to it may harm the baby.
10. Mri brain is reasonably safe for baby, especially after the first three months of pregnancy. So, if needed, it may be performed.
I am suffering from migraine headache I was taken treatment for 6months now its agan started how to get relief from this problem.
Hi, My Wife age is 32 (about to 33) and she has migraine from last 4-5 years but from last 6 month it got very severe and from last few months it got worst. It has to get drip almost daily (3-4 days in a week) to get relief. We met doctor Reddy in MAX Saket, Dr. at GB Pant and currently Dr. (sits at Max Shalimar Bagh). She takes Rizack 10 mg when pain is around 40% but it does not effect. Kindly suggest the best ASAP. She is in very severe pain. Thank you.
I am getting headache in the nights 6 months back when I met doctor he said you have "migraine headache" he advised me to take paracetamol tablet for few days. Again if same issue raises means take paracetamol at that time only. For few months I didn't faced with migraine headache now again I am getting headache previous it use to come only in nights but now even I am getting in the day time also. I would like to know is there any precautions to get relief from that headache and will be any problem with that headache in feature My contact no-9492807942 My name-arun
I am 49 M, having Parkinson. Left side more affected. No relief from treatment. Please proscribe treatment which should be permanent.
A Brain Tumour can be defined as an abnormal growth of the tissues in the brain, which can disrupt the proper brain functions. Generally, the cells in the human body die and are replaced by new cells, while in the case of a tumour, the old cells do not die and form an accumulation and continues to grow to form a mass as more and more cells are added to it.
Symptoms of Brain Tumour:
- Headache: Having headache on regular basis, without any history of having such frequent headaches in past, which becomes worse because of other pressure related activities, such as sneezing, coughing, exercising might be a possible symptom of brain tumour and issues related to such sudden and frequent headaches should be taken up with the doctor without any further delay.
- Seizures: Seizures (fits) are amongst the most common symptoms of brain tumour, which might be limited to a particular body part or the whole body. Seizures might even continue after the treatment of brain tumour because of the left scar tissues in the brain.
- Numbness in arms/legs: Numbness in any body part, especially arms and legs should also be get evaluated timely, so that, if the possible reason behind them is a brain tumour, then the same could be treated well on time.
- Balancing problems: Poor coordination and balancing problems also arise as the most prominent symptom for the brain tumour and hence such small changes must be evaluated and the person suffering should be taken to a doctor immediately to get treated without any delay.
- Memory problems: Lack of concentration, poor memory and short term memory loss are few of the possible symptoms that indicate the presence of tumour.
- Nausea or vomiting: Nausea or vomiting might be the symptoms of many other possible health issues, but a headache supported by nausea and/or vomiting is one of the many symptoms of a brain tumour and hence should not be ignored.
- Facial paralysis: The inability to keep the facial activities under control also indicates the presence of a possible brain tumour and the same should also be diagnosed as soon as one experiences it.
- Change in vision: A person suffering from brain tumour might also experience changes in the vision, dizziness, blurry vision, among other sight related issues.
- Change in speech: The inability to speak properly and changes in the speech of a person may also indicate a possible presence of a tumour.
- Hearing problems: Sudden occurrence of hearing problems and other hearing related disorders might have the brain tumour as a possible reason.
Diagnosing a brain tumour may include one or more of many tests, including CT scan, Magnetic Resonance Imaging (MRI), Angiogram and biopsy. One should never ignore the symptoms of the brain tumour and should get himself/herself checked since the brain tumours might result into permanent damages to the brain; hence such issues should never be ignored. If you wish to discuss any specific problem, you can consult a neurosurgeon.