Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 29 years of experience on Lybrate.com. We will help you find the best Neurologists online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Dhruv Zutshi
Submit a review for Dr. Dhruv ZutshiYour feedback matters!
Patient Review Highlights
Depression is possibly regarded as the first sign of Alzheimer’s disease. According to a research, the connection between Alzheimer’s disease and depression is very interesting. It has been found that the life of people who are suffering from dementia is affected in 2 different ways. Individuals who have suffered from depression in their lives are at a greater risk of developing dementia. It has also been observed that people suffering from dementia also have depression. The health condition should be treated immediately because if it is ignored it can damage the quality of life and result in worst conditions like memory loss. Temperament, as well as behavioral changes, may precede memory problems in people with the disease.
Risk factor of dementia
The significant risk factor for dementia or common form of Alzheimer’s is developing depression at a younger age. The other reasons for the link are not very clear, however, it has been speculated that the inflammation that occurs in depression is a contributing factor to the Alzheimer’s disease. The risk of dementia also increases with certain proteins which spiral with depression. The common signs of Alzheimer’s disease include lack of appetite, sadness, agitation, weight loss, and anxiety. People suffering from this condition are unable to tell if they are depressed, but their actions help in communicating a message. It is always better to seek the assistance of a physician as doctors can make use of tools to assess the neurological disorder.
Best way to treat patients with Alzheimer’s
The best way to treat patients suffering from dementia and who are depressed is to engage them in activities. It is important that they step out and do some exercises. They should go out in the sunshine. It is necessary to engage them in activities and conversations and help them to lead a higher quality of life. Some of the symptoms of dementia and depression are alike but not all of them. The major symptoms of depression include feeling tired most of the times, feeling restless, irritable, feeling worthless/guilty, unplanned weight gain and trouble in focusing. These symptoms often occur for more than 2 weeks or longer.
Difficulties caused by Alzheimer’s disease
In the case of Alzheimer’s disease, it becomes very difficult for the individual to communicate, learn or remember mainly because the damage is caused to the brain. Due to the brain damage, there is a possibility of changes in the personality and moods of individuals suffering from this health condition. The quality of life is affected by depression as well as Alzheimer’s disease. Hence, it is always better to treat the condition immediately. For that reason, it is very important to set up a pleasant environment around and help patients suffering from this condition by helping them do enjoyable tasks and make them feel positive about life.
Bell’s palsy is a neurological condition that results in a temporary paralysis of the facial muscles. This paralysis or muscle weakness occurs when the cranial nerve responsible for controlling the facial muscles become compressed, swollen or inflamed. When this happens one side of the face may become stiff or can droop. You may experience trouble laughing, smiling or closing the eye located on the side of the face that has become affected.
Most often the condition of Bell’s palsy is temporary that will go away in a few days to a few weeks time. People between the age group of 16 and 60 years are at a risk of developing Bell’s palsy. The exact reasons why the cranial nerve becomes inflamed is not known but medical experts widely believe that it is because of viral infections.
Viruses that are sometimes instrumental behind causing Bell’s palsy are:
Symptoms of Bell’s palsy can start to show up in a week or two’s time after you have developed an ear, eye or cold infection. The symptoms can occur all of a sudden and you will see them occurring usually in the morning. Generally, Bell’s palsy affects only one side of the face but it can also affect both sides. Aside from the stiffness of the facial muscles other symptoms of Bell’s palsy are:
- Trouble with either drinking or eating.
- Trouble with facial expressions
- Sudden twitching movements.
- Extreme sensitive to sound
- Eye irritation on the side(s) involved.
- Dryness of the eyes and mouth.
A Bell’s palsy condition can become risky if the person suffering from it is pregnant, has diabetes, has a pre-existing lung infection and also has a family medical history of this condition.
Most often a Bell’s palsy condition will improve on its own without requiring any treatment in a few days to few weeks time. But it can take many weeks for the facial muscles to recover their previous strength for muscle functioning.
The kinds of medications that can aid in speeding up the recovery process are:
- Corticosteroids that help to lower the swelling and or the inflammation.
- Antibacterials or antivirals to tackle the virus or the bacteria that may have been the reason behind your Bell’s palsy case.
- Certain over-the-counter drugs that can help in providing temporary relief.
- Some eye drops to deal with the eye dryness.
Some home remedies that can also be duly adopted are:
- Using a towel soaked in warm water to put on your face and get temporary relief from the pain.
- A facial massage.
- An eye patch.
- Therapy for stimulating the facial muscles.
The brain is a very complex organ, both structurally and functionally, and presents with symptoms elsewhere in the body if there is a problem within. It is akin to a central processing unit of a computer which controls the functioning of the entire body. In addition to ageing, trauma, injury, and infection can also lead to neurological symptoms which require intervention by a neurologist.
- Numb chin syndrome (NCS): This sudden numbness is often unilateral and has no dental/oral cause. NCS could either be the first indication of multiple sclerosis or systemic malignancy. Breast cancer, prostate cancer, and small cell lung cancer are shown to metastasize first to the trigeminal area and so numbness in the chin should be further investigated.
- Muscle twitches: The quivering, twitching and flickering of certain muscles is common for most of us, which is medically known as fasciculations. These occur due to muscle overuse, tiredness, or due to old age. However, when these get progressive, spread to more and more muscles, and are more regular, then it is a cause for concern. This could be the first indication of underlying motor neurone disease, and it is good to rule it out in the early phase.
- Poor vision: Vision is blurred or lost for short periods of time, usually affecting both eyes and lasting for just about a few seconds. This happens due to increased intracranial pressure, which causes sudden vision loss. However, it could also be due to underlying brain tumours that are enlarging and encroaching intracranial space.
- Bowel/bladder incontinence: Inability to control bowel or bladder movements along with symptoms like leg stiffness could mean spinal cord compression and should be discussed immediately with a neurologist. Left unattended, it could progress and lead to severe complications.
- Droopy eyelid: Whether or not it is painful, whether or not it is seen on both sides, a droopy eyelid is definitely a cause for concern. This could be due to aneurysm of an artery which can press on the cranial nerve and cause more severe symptoms.
- Banging headache: A headache as if someone hit you with a cricket bat could be the result of an internal haemorrhage in the subarachnoid space. Diagnosis needs to be confirmed with a lumbar puncture to see if the fluid has blood in it.
- Saddle anaesthesia: A tumour in the spinal column compressing on the lower spinal nerves presents as loss of anaesthesia around the genitals and buttocks. This again needs to be immediately looked at by the neurologist.
If you have any of the above symptoms, visit your neurologist, and ruling out serious causes is reason enough to cheer!
Essential tremors refer to a neurological disorder that causes uncontrollable shaking of the hands, arms, head and other parts of the body. The lower part of the body is rarely affected by this disorder. Also, both sides of the body may not be affected in the same way. This disorder does not usually need treatment unless it is severe enough to impede daily functioning and make the person dependant on others. However, patients suffering from this condition may often find it difficult to complete simple tasks like buttoning a shirt or writing.
- Brief spells of uncontrollable shaking
- Involuntary nodding of the head
- Tremors that worsen under stress
- Unsteady voice
- Internal tremors
- Difficulty coordinating voluntary movements such as walking
- Balance problems in rare, severe cases
Essential tremors also affect the psychological make-up of a person. Depression and anxiety are often associated with essential tremors. The frustration of not being able to control tremors may also make a person withdraw from friends and family. People suffering from essential tremors also have a higher than normal risk of suffering from conditions such as Parkinson’s.
The exact cause of this disorder is not yet known and hence it cannot be prevented. Genetic mutations have been credited with causing this condition is many cases but the gene responsible for it has not yet been identified. Thus, essential tremors can be passed down from parent to child. However, the severity of the tremors and the age at which symptoms first become visible may vary. While some people show signs of tremors in their early teen years, others develop tremors only in their late 40s.
These tremors can also be caused by abnormal electrical activity in the thalamus. The thalamus controls and coordinates muscle activity. Tremors caused by old age or those caused by excessive consumption of alcohol, emotional distress etc are not categorised as essential tremors. However, ageing may make essential tremors more frequent and pronounced.
Blood, urine and other lab tests do not help in diagnosing this condition. A diagnosis is usually made on the basis of an understanding of the family medical history, a physical examination and complete neurological exam. In order to rule out other triggers for the tremors, a doctor may ask for thyroid tests. At present this condition cannot be cured but medication may help reduce the symptoms and improve the patient’s quality of life.
Diabetes and dementia have more in common than the letter ‘D’. Diabetes is a disorder where the body cannot produce enough insulin. It may also make the patient’s body resistant to insulin. As a result, the body’s glucose levels fluctuate. This, in turn, increases the risk of many other conditions including vascular dementia and Alzheimer’s disease. This risk can be as high as 60%. Dementia caused by diabetes is seen more often in women than in men.
According to research studies, high levels of glucose or sugar in the body can affect the brain cells. This excessive sugar limits the amount of oxygen that can reach the brain cells and leads to the death of these cells. It also prevents brain cells from communicating with each other thus leading to vascular dementia. Vascular dementia can also be caused by a stroke or a number of small strokes. This too is an effect of diabetes as it can cause cardiovascular troubles and narrow the arteries.
Vascular dementia is the second most common form of dementia. Patients suffering from this type of dementia typically complain of memory loss and difficulty thinking. Language may also be an issue. Some of the common symptoms associated with it are:
- Trouble planning or organizing things
- Trouble solving simple problems
- Trouble making decisions
- Difficulty in following steps or a procedure
- Reduced speed of thinking
- Difficulty concentrating
- Mood swings
The risk of developing vascular dementia doubles every five years after the age of 65. Hence, it is important to keep your diabetes under control and manage your blood sugar levels. If you are on insulin, you must take the prescribed dose regularly. Do not change the dosage on your own or skip a dose. Here are a few other tips that can help you control diabetes and reduce the risk of vascular dementia.
Eat a well-balanced diet
A person suffering from diabetes should have plenty of whole grains, fruits, and vegetables. Avoid processed foods and fatty foods. Instead of frying our food, try grilling, steaming or baking it. Raw salads are great for a diabetes patient.
Exercise can improve your overall health and make your body respond better to the insulin. If you lead a sedentary lifestyle; start by adding a walk to your daily routine. You could also try cycling or swimming. Aim for at least half an hour’s exercise each day. If you cannot find the time, incorporate exercises into your daily routine. For example, take the stairs instead of the lift or park your car a little further away from your home and walk back.
Neurology is the branch of science and medicine dealing with the central and peripheral nervous system. The nervous system is made of the brain and spinal cord. The disorders, illness or injuries of the nervous system can become problematic for people suffering from them. One of the worst diseases of the nervous system is Parkinson’s disease.
It is a progressive disorder affecting the central nervous system that leads to slowing down of movement and slurring of speech over a period of time. It is a condition where the nerve cells in the brain producing dopamine (a neurotransmitter) are affected.
- Tremor: If you have noticed a slight shaking of your hands or limbs, then Parkinson’s might be the cause. The trembling can range from mild to severe as the disease progresses. The back-and-forth rubbing of your thumb and forefinger is known as pill-rolling tremor. One of the most prominent signs is your hand shaking even when it is rested.
- Bradykinesia (slow movement): As the disease progresses, you may find it difficult to move your hands or legs or going from one place to another. Even making the smallest movement will require an increased effort on your part.
- Rigid Muscles: The muscles in your body can become stiff causing you pain and making it difficult to perform physical activities.
- Masked Face: Your face may experience spasms or become stiff periodically. It can also lead to complete paralysis on one side of the face.
- Stooping or improper balance: Having Parkinson’s disease can make your body posture imbalanced resulting in stooping or hunching over.
- Decreased Automatic Movements: You may experience difficulty in smiling, blinking or swinging your arms while walking.
- Alteration in voice or speaking: Your voice can become soft or you may slur while talking. You can also experience a monotonous voice.
- Writing may become small: You can experience changes in your handwriting as it becomes small and crowded.
- Loss of Smell: The smell of food sitting right in front of you may not register in your olfactory resulting in loss of appetite.
- Constipation: Having Parkinson’s disease can lead to patients experiencing irritable bowel syndrome.
- Have Trouble Sleeping: It might be difficult to fall asleep for people suffering from Parkinson’s. Also, there are sudden movements during the sleeping process.
- Dizziness: People suffering from Parkinson’s may faint from time to time.
These were some of the symptoms and signs by which you can tell whether a person has Parkinson’s or not. However, as of now it is not curable and can only be treated with medicines. But, early detection can definitely help in preventing it from affecting the whole body.