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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 )
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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
I am 67 years old I am diabetic for last 10 years. I take one glucored forte daily. Sugar is under control. I get numbness and pain in feets and palms what should I do?
There is a distinct relationship between sleeping disorders and your emotional health. Both influence each other. Insomnia, a common sleeping disorder, is generally caused due to stress and tension. Depression and anxiety also account for insomnia. It has been proven by research that people who experience sleeplessness or cases of insomnia are at a higher risk of depression and similar psychiatric disorders.
Insomnia is an important factor which causes depression, and many people affected by it commit suicide. Researchers have found dysfunctional activity in the area of the brain where emotions are processed and regulated, among people with insomnia. Their study explains the mechanism by which insomnia affects and influences emotions in people, which leads to depression and other disorders.
The ways in which insomnia affects your emotions
There is a clear difference in the brain activities of people with insomnia when compared with normal people who get good sleep. There is usually a great difference between the activities of the amygdala, which are neurons in the temporal lobe of the brain. The amygdala is very important in regulation and processing of emotions.
- Insomnia disrupts the ability of the brain to process negative emotions.
- Neural change and problems with regulating emotions are also caused because of insomnia.
- Insomnia disables the ability of judging or sensing any kind of emotion by looking at the face of a person. It is difficult to judge emotions such as anger and sadness in people suffering from insomnia. This impairment occurs more in women.
- Insomnia and similar sleeping disorders affect our inhibition and disrupt our impulse control mechanism. An insomniac person is likely to develop increased impulsiveness to negative stimulus.
- People suffering from insomnia develop a perception towards negative stuff and perceive most things in a negative way, rather than looking at the bright side which a normal person tends to do. People affected by insomnia are characterized by a negative mood and are pessimists in nature.
- A sleep deprived or insomniac patient shows greater activity around the limbic area of the brain. This is the area where major emotional regulation and processing are undertaken.
- A person suffering from insomnia develops a cranky personality. The patient is in an irritable mood and is triggered by the slightest and pettiest of circumstances. An insomniac patient is also characterized by swinging moods, high temper and general fatigue, which result due to lack of sleep.
Insomnia is a sleeping disorder which directly affects a person's emotions and the processing and regulation of emotions. There is a direct and important link between insomnia and emotional disorders. If you wish to discuss about any specific problem, you can consult a Psychiatrist.
Hello Dr. Mere sir me left side drd rehta h 6 month pehle CT scan karwaya tha Khuch ni aaya. Dr. NE migrane btaya but Ab Khuch Dino se mere left eye me Kone me drd hota h sir drd k saath saath. Jb m karwat Leti hu Tb jyada hota h. Or thoda thoda jabde me b. Koi serious problem to nhi h na. Suggeste Dr.
My Dad got hospitalized on 2nd Jan due to not getting urine. Doctors performed dialysis and he is getting urine good. He is diabetic patient. He got discharged on 11th Jan 16. After discharge they have written antibiotics injections and tablets. After few days he is getting unexpected fever and shivering. All reports such as urine cultures, bone marrow aspiration, serum creation etc were observed as normal. Later again he got admitted due to less blood. Two packets cell transfers are given. They also given antibiotics. After discharge on next day he is active. Next day again he is again getting sudden shivering followed by fever. We are giving dolo 650 during shivering followed by fever. Please help me out why fever with shivering is getting continuously. If any medication and tablets are required. Please let me know.
Dear Doc, I am an Indian Classical Dancer, age 54 years. Since last 2 years I feel restlessness in my legs while sitting in the flight or as I retire on bed. As it was getting impossible to sleep, I consulted Doctor and is given Pramipex 0.125 since 6 months but still I experience a feeling of numbness and restlessness though not as intense as previously. Please advice.
My wife has thyroid from past 10 years and taking medicine and now she has migraine, what is the cause and treatment for both.
Migraine is a type of headache and is characterized by headache on one side of the head. In many cases of migraine, the pain is experienced all over the head and not just on one side. The pain is throbbing in nature. Migraine is mostly caused due to excess stress. Going out in the sun, improper sleep, exposure to loud noise and disruption in eating patterns are other common causes, which lead to migraine. Homeopathic medicines are widely used for treating migraine headaches and provide an effective remedy.
Here are some homeopathic medicines used for curing migraines of different types:
- Belladonna: This is the best homeopathic medicine for migraine which is accompanied by intense throbbing headache. A sense of fullness is also felt in the head, and the headache worsens when exposed to sunlight. Belladonna is also used for migraines developed due to exposure to cold air or catching a cold.
- Glonoinum: This form of homeopathic medicine is used for migraines where there is an excessive congestion in the head. The patient might feel that the head would burst, and it seems to be bigger. Heat is felt around the head, and the eyeballs get protruded. Glonoinum is also used to treat migraines, which occur because of long exposure to the sun.
- Spigelia: This medicine is very effective for curing migraines felt on the left side of the head or left-sided migraine. The headache is usually located over the left temporal area of the head, forehead and eyes. The patient may have the sensation of a tight band being tied around their head.
- Sanguinaria Canadensis: This is a perfect homeopathic medicine for treating right sided migraines where the pain and throbbing are felt on the right side of the head. The pain usually starts from the back of the head and settles over the right eye, affecting the entire right side of the head. The medicine is also prescribed in case of headaches, which occur during the morning and increase during the day. Migraines in women after menopause are also cured by this medicine.
- Iris Versicolor: This is an effective homeopathic medicine for treating migraine where intense nausea, vomiting and acidity are observed. The vomiting is acidic, sour and bitter in taste and a burning sensation in the alimentary canal is also felt.
- Nux Vomica: In case of migraines characterized by gastric problems, this medicine is used. It provides an effective cure for migraines, which occur due to indigestion, constipation and piles. When the migraine worsens after intake of spicy food or alcohol, this medicine provides quick treatment.
Homeopathic medicines are very efficient for curing migraine headaches and there are medicines for all types of migraines occurring due to different causes. If you wish to discuss about any specific problem, you can consult a homeopath.
I have back pain and also left leg weak ness. Numbness is there. Can you please tell me the solution for that.
I easily forget anything. If you give me any work definatly I will forget it. I am confuse at this time. Am I suffering from any disease?
He is 8 years old. As for as features known of dyslexia. Those features he has. Difficulty in writing, does not have the patience in reading, writing, not respects elders. Though his behavior was tolerated by us. He will continue his rude behaviour until we beat him. Is it necessary to get him counselling by a psychiatrist. If at all, please refer one fine psychiatrist in bangalore.
Does masturbating 2-3 in a week affect our liver or any part of our body. I feel week and I am having hair fall also. My hands shake sometimes I can not run for 5 mins.
Hello friends, I am Dr Anubhav Gupta. I am a consultant of cosmetic and plastic surgeon. Today I am going to talk about a very common topic, that is Facial injuries. Now this is something which we see very common in our day to day life. Face is comprising of a lot of structures; the skin, there is the subcutaneous tissues, there are muscles, then there is bone underneath it. So when we talk about facial injuries, we can divide them broadly into two types:
- One is the simple injuries and
- The complex facial injuries.
Now the simple injuries are the one, which we see like, our kids, they fall in the house, and they have cuts, and they have continuous lacerated wounds.
The complex facial injuries are seen when there are road traffic accidents, where there are deep cuts right up to the muscle and there are fractures of these bones.
So these are the common types of injuries related to face. Now the question which next comes to our mind is, what to do?
So in case of facial injuries, what is required to be to be done is, whenever such injuries happen, we need to apply some pressure on that, so that the bleeding stops. And if you are concerned about good scars and better looking sutured wounds, then you should consult a plastic surgeon to get it sutured. And in any case, it has to repaired, it has to be stitched. This is how the management of simple injuries is done.
But in case of complex injuries, they require advanced management, wherein not only a plastic surgeon but also a neurosurgeon and many other surgeons are involved because these injuries are usually not isolated injuries. They occur with head injuries also, and many times there are injuries to other parts of the body also. So it is better to take the patient to a better hospital. So in such injuries, what we usually do is, once the patient is stabilised, such injuries, for example a fractures, requires fixation.
Fixation means, is very similar to fracture of the hand or the limb, there is plating and screws and clamps and plasters and related things. The principles are similar for all these things also. So we use very fine, titanium plates for fractures.
The common fractured parts are the upper maxilla, or the lower maxilla or the mandible. The importance in such facial injuries, there are two priorities:-
- One is , the patient should be able to eat, even after these injuries and fractures. Because once these bones are fractured, it becomes very difficult to eat so the main priority is that the patient should be able to eat even after these injuries.
- The second thing is, the lower part of the eye. So, there should be no problem in the vision, as well as the cosmetic outcome. So these bones are put back together anatomically by plating and fixation. So that the patient can lead a normal life, i.e, having a normal vision, and is able to eat properly.
So these are the principles required for practical fixation of complex facial injuries.
Now, to know more about these types of injuries you can get in touch with me on Lybrate. Thank You.