Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 25 years of experience on Lybrate.com. You can find Neurologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Treatment of Neurological Problems
Treatment of Nerve And Muscle Disorders
Treatment of Paralysis
Cerebral Palsy Treatment
Brain Tumor Surgery
Electroconvulsive Therapy (Ect) Treatment
Surgery Of The Facial Nerve
Radiofrequency Neurotomy Procedure
Spine Surgery Treatment
Traumatic Brain Injury (Tbi) Treatment
Treatment of Traumatic Brain Injury (Tbi)
Assistive Walking Device Training
Vagus Nerve Stimulation ( Epilepsy )
Submit a review for Dr. A. BhattacharyaYour feedback matters!
Although surgery is considered to be the first step of treatment in any form of tumor, but its feasibility depends upon the type, size and location of the tumor. It is not necessary that every kind of brain tumor might require surgery.
Indications of Brain Tumor Surgery
- Diagnosis of the type of tumor by taking a sample of the tumor for laboratory examination
- Complete resection of tumor
- Removal of the tumor as much as possible to slow down its growth and improve the symptoms
- Remove the tumor in order to help other treatment
- Provide direct access for other forms of treatment like chemotherapy, radiotherapy etc.
- To relieve pressure caused by tumor on surrounding structures
Types of Brain Tumor Surgery: The different types of surgery that are performed in cases of brain tumor include the following:
Craniotomy: Craniotomy is the most commonly performed procedure to remove brain tumor along with a piece of bone. The removed bone is replaced and the tumor is sent for histopathology (biopsy). The surgery is performed using a high end microscope by any of the following techniques:
- Extended bifrontal craniotomy
- "Eyebrow" craniotomy (supraorbital craniotomy)
- "Keyhole" craniotomy (retro-sigmoid craniotomy)
- Orbitozygomatic craniotomy
- Translabyrinthine craniotomy
Shunt: A narrow piece of flexible tube with a pressure regulated valve in between is called a shunt. This is used to relieve the intracranial pressure caused by obstruction of the natural brain fluid, Cerebrospinal fluid (CSF) pathway by tumor mass. The procedure involves insertion of a drainage system into the brain to remove or drain excess of blocked fluid into the peritoneal cavity.
Stereotactic surgery: This surgery is done by creating a three dimensional image called stereotaxy using computers. It aims to find out the location and position of the tumor. In fact it can also be done to aid tumor removal, implant radiation pellets or for other treatments.
Embolization: It is a procedure used to reduce the amount of blood supply to a tumor by blocking the blood flow in the selected arteries. It is generally performed before the main surgery.
Endoscopy and endoscope assisted surgery: Endoscope is a tool, which helps to closely visualize the tissue through small openings in difficult to reach areas. This tool can be used in various brain surgeries to precisely reach the target location without damaging the adjacent structures.
Adjuvant modalities to improve outcome: In addition to above mentioned surgeries, following surgeries may also be performed in relation to brain tumor treatment:
- Laser surgery
- Photodynamic laser surgery
- Ultrasonic aspiration
- Fluorescence guided surgery (FGS)
- Electrophysiological monitoring
Hi I am 32 years old male, I am having migraine head ache for the last 3 years. Is there any treatment avail for this ?
My sister suffered by migraine, she consulted many doctors even she tried art of living but still she not satisfied with problem.
My dad is suffering from blood clot on his left brain and his right arm and right leg is losing strength. Doctor said that he might need an operation for that. So how much a Neurosurgery cost in India?
Hai doctor! Past few weeks I get weird feeling on my right hand, it's like current passing through and very little of numbness. It from my shoulder to my thumb. On my thumb above the nail it's constantly numm and feel like no sense. What should I do? Should I consult doctor? If yes which specialises I should. Thanks and regards Yuva.
Nowadays I can't able to inserting thread into needles or pulling elastic rubber so hard as my hand and fingers trembling shaking whenever I try to focus on it. Please help me.
I am suffering from migraine from last 1 year and day by day it's getting worse. I have tried medicine but it is just a temporary solution. What should I do to improve it.
She has numbness in palms and feet at night while sleeping? What is the reason for it? Is there any solution for it?
Parkinson's disease affects the part of the brain that controls muscle movement. The exact cause of this disease is not known, but there is a decrease in a chemical called dopamine in the brains of people with Parkinson's. There is no cure for Parkinson's, but it often progresses slowly and the signs can be managed.
The 4 most common signs of Parkinson's are:
- tremors or shaking when at rest
- muscle stiffness
- slowed movement or problems starting a movement
- problems with balance and movement
As these signs worsen, you may also have trouble walking, talking, swallowing or doing simple tasks such as bathing or dressing. As the disease progresses, other signs such as pain, bowel or bladder problems and sleep problems may occur.
When you start to show signs of this disease, you should consult a neurologist for diagnosis and start medicines. Then you should consult a physiatrist or rehabilitation physician for making rehabilitation plan to prevent early onset of disability. Rehabilitation plan contains medicines, physical therapy or specific exercises, occupation-specific advises brace, etc.
The physical therapist can help you learn exercises that can help you with movements.
You may need to work with your neurologist or physiatrist to make adjustments in your medicines to keep your signs controlled. Over time, many people have side effects from the medicines used to treat Parkinson's disease. You may also need occupational therapy or speech therapy to deal with signs as the disease progresses. As your signs get worse, surgery may be an option to reduce tremors.
Things you can do to manage your signs:
- walk slowly with a straight posture and with your legs further apart.
- Think about taking big steps to help keep your steps more normal.
- use a 4-prong cane or a walker if needed.
- if you become stuck or freeze in one place, rock gently from side to side or pretend to step over an object on the floor.
- place tape strips on the floor to guide you through your house.
- Remove area rugs and furniture from your walking path.
- stand up from a chair or bed slowly to avoid feeling dizzy or lightheaded.
When using the bathroom
install grab bars on the walls beside toilets and inside showers and bathtubs to help you stand up.
- use a shower chair inside the shower.
- install an elevated toilet seat to make standing up easier after using the toilet.
- shave with an electric razor.
- wear loafers or shoes with velcro.
- wear simple dresses or pants with elastic waistbands such as sweatpants.
When eating or drinking:
- use a cup with a large handle to make it easier to hold.
- use a bowl instead of a plate to limit spills and make it easier to scoop up food.
- Work closely with your rehabilitation team to manage your signs of Parkinson's disease. Rehabilitation can significantly improve your quality of life.
I am asking for my Father. His age is 73 years History: Left side paralysis - June 2006. 10 Years back Regular medicine: Tab. Tozaar 25: 1-1 Tab. Atormac 10: 0-1 Tab. Antiplar plus: 0-1 Recently on 25th Oct 2016, he is diagnosed with 6th nerve palsy. His right eyeball can move upper, lower and left side but unable to turn on right side. Sometimes he is facing the problem of double vision. MRI reports shows normal. Doctor has prescribed below medicines Tab. Neutrogem 800: 1-1 Tab. Nueromin plus: 0-1 Tab. Elirab DSR: 0-1 Tab. Solubet: 1-0 Here I request you to 1) please check whether the treatment is going on right track? 2)Whether I need any investigation/ check up? 3) How many days required for recovery?
Hypopituitarism is defined as a condition in which the pituitary gland is unable to produce enough hormones. Under-secretion of pituitary hormones affects reproduction, body growth and blood pressure. It also results in pre-mature aging.
The pituitary gland is a small bean-shaped gland situated at the base of your brain, behind your nose and between your ears. Despite its size, this gland secretes hormones that influence nearly every part of your body.
In hypopituitarism, you have a short supply of one or more of these pituitary hormones. This deficiency can affect any number of your body's routine functions, such as growth, blood pressure and reproduction.
Meningitis (brain infection)
Hypophysitis (autoimmune inflammatory disorder)
Sarcoidosis is an infiltrative (accumulation of cells and tissues in excess of the normal amount) disease which occurs in various organs.
Impaired hormone secretion by the pituitary gland is caused by genetic mutations.
Sheehan’s syndrome: It is a condition in which the pituitary gland gets damaged due to severe blood loss during childbirth.
Hypothalamus (a part of the brain which is located above the pituitary gland) diseases wherein the pituitary activities are directly affected by the hypothalamus.
Reduced sex drive
Irregular menstruation, pubic hair loss, hot flashes (feverish heat), and inability to breast-feed properly because of low breast milk production).
Dwarfism in children
Increased sensitivity to cold temperature
Reduction in body hair or facial hair
Hormone replacement drugs include:
Corticosteroids: Adrenocorticotropic hormone deficiency leads to low production of adrenal hormones (different kinds of hormones such as cortisol and adrenalin, produced in the endocrine glands). These drugs act as a replacement of adrenal hormones.
Growth hormone: Growth hormone, also known as somatropin, is injected beneath the skin. This treatment method promotes growth, which balances the height in children. Growth hormone deficiency in adults is also cured by these medications to some extent.
Surgery: Surgical procedure is needed if the condition of hypopituitarism is the result of a tumor. The doctor will remove the tumor through surgery, thus resulting in normal growth.
Radiation: Radiation therapy helps in reducing the size of the tumor which causes stunted growth or pre-mature aging. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
Does nerve damaging stops after taking medicine for resting of mind like ibruphen or any SRRI Or it continues without letting know to brain.
I am 19 years old female nd suffering from migraine last 1 year. firstly I take alophty medicine but now I take homeopathy can ther any way to relief from desires.
I am having migraine constantly. I am using medicines but can not get rid of them. What should I do?
I am 64 years old and suffering from restless leg syndrome for about 20 years. For last 5 years I am taking pramipexole 25 mg bid. Up to last year is was doing good but now is has very little or no effect. What should I do?
I regularly get migraine attack and sometimes the pain feels over the brows upper portion. Please help.
Questionnaire for obstructive sleep apnea
1- do you snore loudly
2- tiredness or fatigue even after
Good night's sleep
3- has anyone observed you stop
Breathing / gasping during sleep
4- do you have blood pressure
5- are you older than 50 years
6-do you weigh more for your height
7- neck size more than 40 cm around
8- male gender
If your answer is yes to three or more of the above questions, then you may be at risk of obstructive sleep apnea.