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Dr. Dhruv Chaturvedi  - Neurosurgeon, Delhi

Dr. Dhruv Chaturvedi

MBBS, MS - Neuro Surgery

Neurosurgeon, Delhi

25 Years Experience  ·  900 - 1000 at clinic
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Dr. Dhruv Chaturvedi MBBS, MS - Neuro Surgery Neurosurgeon, Delhi
25 Years Experience  ·  900 - 1000 at clinic
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Personal Statement

Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Dhruv Chaturvedi
Doctor has been a practicing Neurosurgeon for 22 years. Doctor is a MBBS, MS - Neuro Surgery. You can book an instant appointment online with Dr. Dhruv Chaturvedi on Lybrate.com.

Lybrate.com has top trusted Neurosurgeons from across India. You will find Neurosurgeons with more than 34 years of experience on Lybrate.com. You can find Neurosurgeons online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Specialty
Education
MBBS - UCMS (Delhi), - 1994
MS - Neuro Surgery - UCMS (Delhi), - 1999
Languages spoken
English
Hindi
Awards and Recognitions
Presented a Paper Entitled ?Evaluation of Factors Affecting the Development of Hypothalamus and Pituitary Lesions in Fatal Closed Head Injury: A Prospective Study? at Neurocon, Vishakapatnam, India
Presented a Paper Entitled ?Evaluation of Factors Affecting the Development of Hypothalamus and Pituitary Lesions in Fatal Closed Head Injury: A Prospective Study? at Neurocon, Vishakapatnam, India
Professional Memberships
Delhi Medical Association (DMA)
Indian Medical Association (IMA)

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Understanding The Traumatic Brain Injury Better!

DNB NEUROSURGERY, M.B.B.S.
Neurosurgeon, Durgapur
Understanding The Traumatic Brain Injury Better!

Traumatic brain injury (brain injury triggered by an external event such as a fall or a road accident) can be quite a harrowing experience for the patient and their loved ones. While most people recover from the injury, the duration and extent of recovery may vary from individual to individual.

Some patients may simply suffer from a temporary amnesia, while others may remain comatose for months. The recovery time and extent of neurological deficits in traumatic brain injury is determined by the severity and location of the brain injury. The traumatic brain injury can be

Open or closed

  • Open injury: There is an opening up of the skin and other layers leading to direct contamination of the brain from external debris and the risk of brain infection is high in such a case.
  • Closed injury: here, the brain is not contaminated, but the impact may cause various degrees of injury to parts of the brain.

Primary or secondary injury:

Primary injury: it is damage caused to the brain at the time of the injury. The damage can be

  • A crack or fracture in the skull.
  • Bleeding into the layers between skull and brain, like a EDH (Extra Dural Hematoma), SDH (Subdural Hematoma) or SAH (Sub-Arachnoid hemorrhage). These are potential emergencies, especially an EDH, where timely Neurosurgical intervention can decide between life and death.
  • Due to violent shaking of the brain inside the skull cavity, there can be a damages to the entire brain including the axons and neurons without any visible hemorrhage on CT scans (Diffuse Axonal Injury). The outcome can be quiet unpredictable. It is dangerous if the brain starts swelling up excessively after a DAI.
  • A person can also suffer from brain hemorrhages and contusions within the brain matter. Large contusions may need surgical evacuation to control brain pressure. Smaller ones are treated without surgery. Deep seated contusions towards the centre of the brain cause more morbidity even if small in size.

The secondary brain injury may develop gradually (within few hours or days from the primary brain injury), further aggravating the brain tissues. This is brought about by inflammation, altered blood supply, high brain pressure, brain edema or swelling, and programmed cell death. Sometimes, even though the primary insult is small, patients may succumb due to secondary injuries which are highly unpredictable and difficult to treat.

Estimating the extent of the brain damage

The damage inflicted to the brain is assessed by the combined assessment of the following:

1. The mode of injury, especially velocity of impact.

2. How long the person has been unconscious.

3. How bad are the visible external injuries. Is it an open or closed injury?

4. Whether there was any convulsions, vomiting, ear or nose bleeding?

5. Assessment of eye opening, verbal response and movement. This is assessed and recorded by the GCS (Glasgow coma scale).A score of 15 implies the person is fully conscious, a score of 9 indicates the person is in a semi-alert state, while a score of 3 indicates a deep state of coma.

6. Brain imaging through CT or MRI. This gives a more direct information about the physical damages to the brain, and guides the decision about Neurosurgical intervention.

Treatment of traumatic brain injury:

  • Medical : medicines are administered to control brain pressure and limit the secondary injuries. It also attempts to control events like convulsions and infections.
  • Surgical: surgery becomes necessary when there are depressed fractures impinging into the brain, or large hematoma or brain swelling causing rise of brain pressure or a shift of the brain to one side. Other indications are uncontrolled CSF (cerebrospinal fluid) leakage from nose. Sometimes shunts need to be put to drain out CSF in hydrocephalus (accumulation of excess water in the brain ventricles). During surgery, parts of the skull may need to be removed (Craniectomy) temporarily to allow brain expansion and control brain pressure.
  • Accessory surgeries: smaller procedures like a tracheostomy (bypass of the windpipe) or PEG (stomach tube) may need to be done for long term care in comatose patients.
  • Rehabilitation: tireless care by nursing and physiotherapy are necessary to help patients recover faster and avoid complications like bed sore, deep vein thrombosis, spasticity and weakness of limbs.
  • Recovery: Recovery from traumatic brain injury may be time taking (weeks, months to even years). In addition to the initial treatment and medications, patients may need Brain Injury Rehabilitation. The rehabilitation aims at enabling the person to lead a normal life as early as possible. There are medications, activities, and exercises to improve one's cognitive power.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3541 people found this helpful

Hello doctor, I am in such a situation that I am not able to concentrate, there is allot of confusion going on in my head, back side of head seems to be stopped working or numb. I am having nux voice 200 and kali phos 6x but still I am not able to study and remember things clearly. I was having a feeling of anxiety lump in my throat which is gone but there is still a little pain at the back of my head. My thoughts process is completely devastated what to do pls help as my exams are near and I have to study. I have shifted to homeopathic medicine kali phos and aneva sativa. My mind does not feel fresh even sleeping for 10 hrs and I feel like my mind is not resting and my memory and thoughts have become non existent pls help its very difficult to live like this.

Ph.D clinical psychology, M.Phil - Clinical Psychology
Psychologist, Mumbai
Hello doctor, I am in such a situation that I am not able to concentrate, there is allot of confusion going on in my ...
Hi, hope you are getting 1. some natural daylight, 2. lots of oxygen (through a. just normal breathing and b. if possible sometimes deep breathing, also through c. adequate water, d. Whole hearted laughter, even if it's 'artificial'!), 3. some physical exercise for even as less as 15 min/day, 4. Normal, healthy balanced food, 5. A good posture that doesn't strain the back of your neck. In case you are not getting these, first you could give yourself these for say a week or so and if there is no improvement at all, please see a GP, also consider getting your vitamin B12 and vitamin D3 tested. All the best!

I have been suffering from a brain haemorrhage pblm since 2 years. And now the blood clotting occurred everywhere in left brain. Please help me.

M.Ch - Neuro Surgery
Neurosurgeon, Panaji
If you are a diabetic with high cholestrol levels and smoking, you could have suffered from cerebral haemmorge due to uncontrolled sugars and blood pressure. Pl abstain from high fat high cholestrol high salt diet and smoking/alcoholism and exercise regularly. Everything will be fine in due course. Avoid stress as much as possible too.
6 people found this helpful

I'm 21 years old male. I have epilepsy. I'm taking sodium valproate 200 mg from 3 years should I stop taking it or continue it.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
Hi. Valporate sodium should takes 3 to 5 years course. Never stop it before consult the treated doctor. Pl. Checkup the valporic acid in blood and then consult again till then take this continue. And do eeg test also.
1 person found this helpful

What is the medicine of migraine and how to make my pennis in correct direction it is turn to right.

BHMS
Homeopath, Sindhudurg
What is the medicine of migraine and how to make my pennis in correct direction it is turn to right.
Migraine is a disorder characterised by headache, specifically affecting one side of the head (i.e. unilateral side). Migraine headaches are mostly throbbing or pulsating in nature. Common accompanying symptoms are nausea, vomiting and sensitivity to light and noise. The intensity of a migraine headache may vary from moderate to severe. Homeopathy offers excellent scope for treating migraine. Homeopathic medicines for migraine are reliable and safe. They offer effective treatment for migraine. In fact, they work wonders for acute migraine attacks or even chronic migraine. Homeopathic medicines for migraine are selected as per individual case. Individual symptoms are studied in detail and the appropriated medicine prescribed. Homeopathic medicines identify and attack migraine at the root. Migraines with or without aura respond wonderfully well to Homeopathic medicines. Top ranked Homeopathic medicines for migraine are Belladonna, Glonoinum, Iris Versicolor, Epiphegus and Nux Vomica.you can consult me for homoepathic treatment without side effects.
2 people found this helpful

My grandpa is 60 years old. Two months ago he suffered with brain stroke. Quickly he is taken to hospital and doctors gave an anti clot injection worth 50000rs. He came back to normal by that day evening. My question is what steps he should take to prevent getting a stroke again? What to eat and what not to eat? Is it possible for any damage to his brain due to his first stroke? Do brain cells die during a stroke? He is a smoker cum alcoholic occasionally. Both are occasional not regular.

MCh, Strokology fellowship
Neurosurgeon, Mumbai
Your Dr. have prescribed blood thinner medicines which should be taken regularly. Healthy lifestyle is most important. Less fatty, less refined carbs, less salt, more fruits and green leafy vegetables. Raw garlic is good option. Regular exercise and yoga. Don't think about brain cells and damage which already occurred. Quit tobacco. Regular check ups with your doctor.
1 person found this helpful

I am 28 year old male. I am suffering continue migraine pain since last 2 years. Pl help me what should I do for it?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
There is evidence that certain dietary supplements and vitamins can help with certain types of pain. Fish oil is often used to reduce pain associated with swelling. Topical capsaicin, derived from chili peppers, may help with arthritis, diabetic nerve pain, and other conditions. There's evidence that glucosamine can help relieve moderate to severe pain from osteoarthritis in the knee. Do reply back for private consultation. And detailed treatment plan.

I rarely get headaches in both area near ears and I really can feel blood pumping through the veins, is it migraine ?

MBBS, Diploma in Nutrition and Health Education (DNHE), Diploma in Clinical Cosmetology
General Physician, Noida
I rarely get headaches in both area near ears and I really can feel blood pumping through the veins, is it migraine ?
Hello, you can take 1. Tablet crocin (paracetamol 650 mg) one tablet when required for headache after food for 2-3 days (maximum 2 tablets with gap of 12 hour can be taken in a day) 2. Adequate sleep 6-8 hr in a day 3. Get check eyes for refractive error 4. We need to go for ent evaluation to rule out sinusitis 5. Get your bp checked 6. Regular physical exercise and meditation and yoga and kindly get your cbc checked and review with reports and kindly give me complete history of your headache for further management like like duration, severity, aggravating factors/relieving/ triggering/ associated factor to reach diagnosis.

Sir my father has been diagnosed with cerebral moderate atrophy and he has consumed the prescribed medicine for almost 5 moths, however he could complain that everyday he is feeling fatigue and he feels sleepy. Seeking for your valuable solution.

MBBS
General Physician, Jalgaon
Sir my father has been diagnosed with cerebral moderate atrophy and he has consumed the prescribed medicine for almos...
Please Continue current medicine Give him Badam pak by Patanjali 2 tsf twice a day Saraswatarishta 15 ml twice daily with water Re Consult me on Lybrate after 3 wks.

I take 3 tablets of sibelium 10 mg. What can I do now. What is the side effect. please help me.

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG
Sexologist, Sri Ganganagar
The common side effects of Sibelium 5 MG Tablet are drowsiness, weight gain, nausea, heartburn, anxiety and depression.
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