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Dr. Prakash Singh

MBBS, MCh - Neuro Surgery

Neurosurgeon, Delhi

27 Years Experience  ·  800 - 1200 at clinic
Dr. Prakash Singh MBBS, MCh - Neuro Surgery Neurosurgeon, Delhi
27 Years Experience  ·  800 - 1200 at clinic
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I believe in health care that is based on a personal commitment to meet patient needs with compassion and care....more
I believe in health care that is based on a personal commitment to meet patient needs with compassion and care.
More about Dr. Prakash Singh
Dr. Prakash Singh is a popular Neurosurgeon in Saket, Delhi. He has over 27 years of experience as a Neurosurgeon. He studied and completed MBBS, MCh - Neuro Surgery . You can visit him at Saket City Hospital in Saket, Delhi. Book an appointment online with Dr. Prakash Singh on Lybrate.com.

Lybrate.com has top trusted Neurosurgeons from across India. You will find Neurosurgeons with more than 28 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.

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Specialty
Education
MBBS - Indira Gandhi Medical College, Shimla - 1990
MCh - Neuro Surgery - PGIMER, Chandigarh - 1997
Awards and Recognitions
Vashisht Sewa Medal by Chief of Army Staff
Vashisht Sewa Medal by President of India
Professional Memberships
Neurological Society of India
Skull Base Surgery Soceity of India (SBSSI)

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Saket City Hospital

Mandir Marg, Press Enclave Road,Saket. Landmark: Near Maxx Hospital, DelhiDelhi Get Directions
1000 at clinic
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Kalpavriksh Super Speciality Center

Plot Number 66, Sector 12A, Landmark : Behind HDFC Bank, DelhiDelhi Get Directions
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Max Smart Super Speciality Hospital

1,Press Enclave Road,Mandir Marg. Landmark : Near Citywalk Mall Delhi Get Directions
1200 at clinic
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Swastik Polyclinic

RZ 5B, Palam Vihar Extension, Sector 6, Dwarka. Landmark: Near Sanchar Hut at Sector 1 and 6 crossing, behind JM international School, DelhiDelhi Get Directions
800 at clinic
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I have listing problem started when I children. Now I am 17 years old. What can I do?

Master of Hospital Administration, Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist, Gurgaon
Ignorance to hearing loss z nt good. Most of the time sensorineural hearing loss are irreversible. So go for hearing test./. And share the reports with me as soon as possible puretone audiometry impedance audiometry n most important do not ignore.
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Hi. I am a 28 year old male. I was driving a bike when the car in front of me suddenly stopped. I could not stop in time and hit it and fell on the ground. I was wearing a helmet. I did not get any head injury. But is it possible that I may have got a concussion? I have read that when the brain is stopped suddenly, it may bounce back and forth and hit the skull. Could it have happened in my case too? I have no symptoms of a concussion as such. Kindly help.

Neurologist,
Sorry to hear about your accident, and glad that you were infact wearing a helmet. You are right about the mechanism of concussion, and yes mild concussion can happen even without loss of consciousness; however, if there are no clinical symptoms- no headaches, dizziness, memory issues, irritability, sleep issues, etc- I would not worry about it. When people do have mild concussion the important thing is to get physical and cognitive rest, using a 5 -6 day stepwise approach to return to full activity. Best,
2 people found this helpful
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I am 24 years old I have migraine from pat 10 to 12 years but now it's like when ever I eat any sweet or chocolate my migraine starts how to avoid such things.

MBBS
General Physician, Mumbai
Migrane- It is characterised by one sided headache which is pulsatile in nature and with a throbbing pain usually with an aura and we can start with medication after clinical examination
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I am from Mumbai .I'm suffering from migraine since last 2 or 3 months .Dr. Please Can you make me sure that what is the treatment for this?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Migraine is a kind of relapsing headache. Its symptoms include - episodic unilateral or bilateral, severe and pulsating headaches, associated at times with nausea and vomiting, relieved momentarily on rest or taking medications and aggravated by precipitating factors. The treatment of migraine is mainly done for relief from acute headache attacks and later treatments to prevent future relapses. Also treatment of factors which tend to cause relapses is also important. Consult a headache specialist for a composite and complete treatment. You may contact me online for further queries and assistance in treatment in this regard.
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THE WORLD ALZHEIMER'S DAY-REVISITED

CERTIFICATION IN BACH FLOWER REMEDIES OF ENGLAND, Ph.D DOCTOR OF PHILOSOPHY IN BIOCHEMISTRY, B.S.M.S BACHELOR OF SIDDHA MEDICINE AND SURGERY,
Alternative Medicine Specialist,
The September 21, is known as “THE WORLD ALZHEIMER’S DAY”. Alzheimer’s disease (AD) is a progressive, degenerative brain disease that results in impaired memory,thinking and behavior. It has been reported that 50 lakhs of Indians are suffered from Alzheimer disease. It is 1/10 of world total AD patients.There is no cure for Alzheimer disease,Herbs and supplements, and lifestyle adjustments, may also help reduce the risk or improve quality of life.
Psychological Symptoms
• Memory loss that gets worse, starting with forgetting recent events and new information, progressing to not recognizing friends and family members
• Difficulty concentrating
• Difficulty understanding words, completing sentences, or finding the right words
• Getting lost in familiar places
• Restlessness
• Depression
• Aggression, agitation, anxiety, restlessness
• Distrusting others
• Withdrawal, disinterest, hostility, or loss of inhibitions
Physical Symptoms
• Problems with movement or coordination
• Muscle stiffness, shuffling or dragging feet while walking
• Insomnia or change in sleep patterns
• Weight loss
• Incontinence
• Muscle twitching or seizures
Preventive Care
• Eating more fatty, cold-water fish, such as tuna and salmon, may lower your risk of dementia. Fish have high levels of omega-3 fatty acids, which are good for the heart and the brain. Eating fish at least 2 to 3 times per week provides a healthy amount of omega-3 fatty acids.
• Antioxidants, such as vitamins A, E, and C (found in darkly colored fruits and vegetables), may help prevent damage caused by free radicals.
• Keeping blood pressure levels normal may reduce the risk for Alzheimer disease.
• Keeping mentally and socially active may help delay the start or slow the progression of Alzheimer disease.
Treatment
The goals in treating Alzheimer disease are to:
• Slow progression of the disease
• Manage behavior problems, confusion, and agitation
• Provide a safe living environment
• Support family members and other caregiver
Lifestyle
Studies show the following lifestyle changes may help improve behavior in people with Alzheimer disease:
• A regular walk with a caregiver or trusted companion may improve communication skills and reduce the chance of wandering.
• Bright light therapy may reduce insomnia and wandering.
• Calming music may reduce wandering and restlessness, boost brain chemicals, and improve behavior.
• Pets can sometimes help people improve behavior.
• Relaxation training and other exercises that require focused attention may help boost social interaction and make it easier to do tasks.
Nutrition and Dietary Supplements
People with Alzheimer disease may need help with their diet. They often forget to eat and drink and can get dehydrated.
Follow these tips for a healthy diet:
• Eat antioxidant foods, including fruits (such as blueberries, cherries, and tomatoes) and vegetables (such as squash and bell peppers).
• Eat foods high in B-vitamins and calcium, such as almonds, beans, whole grains, dark leafy greens (such as spinach and kale), and sea vegetables such as kelp and dulse.
• Eat more high-fiber foods, including beans, oats, and root vegetables (such as potatoes and yams).
• Avoid refined foods such as white breads, pastas, and especially sugar.
• Eat fewer red meats and more lean meats and cold-water fish.
• Use healthy oils in foods, such as olive oil
• Reduce or eliminate trans-fats, found in commercially-baked goods, such as cookies, crackers, cakes, French fries, onion rings, donuts, processed foods, and margarine.
• DO NOT smoke.
• Drink 6 to 8 glasses of filtered water daily.
• Exercise at least 30 minutes daily, 5 days a week.
Herbs
• Ginkgo (Ginkgo biloba) shows some evidence for treating early Alzheimer disease and vascular dementia. If you are taking blood-thinning medication, such as warfarin clopidogrel, or aspirin, DO NOT use ginkgo without your doctor's supervision.
• Huperzine A, a chemical made from the plant Huperzia serrata, may improve memory in both vascular and Alzheimer dementia, according to several studies in China.
• American ginseng(Panax quinquefolium) improves blood flow to the brain.
• One study found that lemon balm (Melissa officinalis) helped improve mental function in people with mild-to-moderate Alzheimer disease. Lemon balm may act like a mild sedative.
• Bacopa (Bacopa monnieri) leaf extract, called Brahmi, is used in Ayurvedic or Indian medicine to improve brain function and learning. Bacopa may slow your heart rate. People with stomach ulcers, intestinal problems, or emphysema should not tale bacopa.
• Vinpocetine (isolated from Vinca minor) may increase blood flow to the brain and help the brain use oxygen better. Vinpocetine may interact with blood-thinning medicines
Massage and Physical Therapy
People with Alzheimer disease become frustrated and anxious because they cannot communicate well with language. Using touch, or massage, as nonverbal communication may help.
Mind-Body Medicine
Music therapy, using music to calm and heal, cannot slow or reverse dementia. But it may improve quality of life for both a person with Alzheimer disease and their caregiver.
Aromatherapy
Preliminary studies suggest aromatherapy, including lavendar may help alleviate agitation among people who have dementia.
Other Considerations
Alzheimer disease can lead to many complications, including:
• Falls
• "Sundowning", withdrawal or agitation in the evening
• Malnutrition and dehydration
• Infection, from urinary tract infections or pneumonia
• Asphyxiation, stopped breathing
• Harmful or violent behavior toward self or others
• Suicide
• Poor health and support due to caregiver burnout
• Physical and emotional abuse, including neglect
• Heart disease
Alzheimer disease gets worse over time, however, people with the disease may live for many years. Those with a long-standing history of high blood pressure are more likely to get worse faster.
4 people found this helpful

My left is getting shivering like blinking past from 2 weeks. It blinks after every 10mins is there any solution to this problem.

MBBS
General Physician, Mumbai
Eyelids blinking is an involuntary movements and it will stop on its own and check your eye sight for refractive error
1 person found this helpful
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Hi - My father had a paralysis stroke about six months back, not completely recovered on the impacted left side. Major concern currently - loss of appetite, loss of weight, completely weak, likes to always be on bed and sleep, his daily and night schedules are out of track sometimes Appreciate any help and suggestion on improving above conditions current medication - clopitab, nurospur, eritel, tonact Thanks in advance

Master in Physiotherapy (MPT), Bachelor of Physiotherapy (BPT), CMT-Diploma in Osteopathy
Physiotherapist, Gurgaon
Patient after stroke got depressed thats why they got bed ridden. Try to make them happy and try to involve them in activity of daily living. Try to make them use the effected limbs. Go for ndt approach, it will definitely help.
1 person found this helpful
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I have been suffering from Parkinson's disease for the last two years and am being treated with levodopa (Dopamine) (Syndopa tablets, Ropark and Entacom. This makes me very sleepy and confused and has been hampering by work (I am a research scientist now 70 years old but till the Parkinson's hit me very active academically). I feel depressed all the time. What should I do?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Neurologist,
Parkinson's disease-KAMPAVATA (A Neurological Disorder) Parkinson's disease is a neurological disease, or brain disorder, that leads to progressive difficulty with balance and coordination. In people who have Parkinson's disease, nerve cells in a region of the brain known as the substantia nigra become damaged or die. These cells are important because they produce the chemical dopamine, which helps to coordinate body movement-basal ganglia. When dopamine-producing cells degenerate/die, the areas in the brain that control movement can no longer function properly, and symptoms of Parkinson's disease eventually develop. Parkinson? S Disease Prevalence:- Parkinson's disease can affect anyone, but it most often occurs in people who are over the age of 50. Only 15 percent of Parkinson's disease patients are diagnosed before they are 50 years old. The prevalence of Parkinson's disease is nearly the same in both men and women, and recovery rate is more in men. People with a family history of Parkinson's may have a higher risk of developing the disease, but Parkinson's disease is rarely attributed to genetics alone. Parkinson's Disease Symptoms Symptoms of Parkinson's disease usually develop after about 80 percent of the brain's dopamine-producing cells are lost. The Main symptoms of Parkinson's disease include? Tremors (Kampam)- Tremulousness (uncontrolled shaking or trembling) of the hands, arms, legs, face, body is often one of the first indicators of Parkinson's disease? Rigidity. Profound stiffness or an inability to easily move the arms, legs, and trunk, pain and stiffness on neck muscles is another hallmark of Parkinson's? Bradykinesia:- describes the unnaturally slow movements that are characteristic of people with Parkinson's disease? Poor balance- Parkinson's disease affects balance, leading to difficulty walking and impaired coordination. The symptoms of Parkinson's are generally mild at first, but become more severe over time, until they eventually interfere with your daily routine. This is usually the point when treatment is recommended. The Outlook for People with Parkinson's disease Parkinson's disease is a chronic, progressive condition, which means it is a lifelong disease that worsens over time when it is not treated properly. Each individual's situation is different, but in general, the first symptoms of Parkinson's disease usually don't require treatment and may be restricted to one area or one side of the body. Movement of symptoms to the other side of the body? Tremors that become more pronounced and interfere with activities? Bradykinesia, or slow movement, that becomes disabling? Difficulty with hand writing? Impaired swallowing and chewing? Speech that becomes monotone? Poor balance and repeated falls? Slow, shuffling gait (manner of walking? Stooped posture? Facial expressions that become stiff and blank? Chronic constipation? Poor bladder control? Sleep disturbances This progression is gradual in most people, but it may happen faster in some than others. Understandably, stress caused by the progression of the disease can lead to anxiety and depression. Ayurveda Treatment: There is cure for Parkinson's disease with Ayurveda treatment, With Ayurveda medicines and treatments we can relieve symptoms, slow down the progression and then we can completely arrest further degeneration of the of the cells, thereby we can completely control and cure the disease. If you are diagnosed with Parkinson's disease, it is important to work closely with your medical team, so your medications can be regularly adjusted to help you remain as functional as possible for as long as possible. As far as Parkinson's disease is concerned this is a brain related issue, so will surely effect the mind; so I recommend 49% treatment to patients and 51% treatment to family members.
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I am suffering from migraine from past 5 years I am taking pills every day regularly but still the intensity of the pain is increasing day by day. Please suggest.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
Hello Mr. Lybrate user Migraine headache is the worst kind of chronic headache. Migraine headache can be defined as severe pounding or pulsing headache that generally starts in the forehead and moves usually towards one side of the head (left side or right side headache) and around the eyes. Migraines, most of the times, attack with warnings or painful symptoms including nausea, vertigo, facial flushing, nasal congestion and dizziness. Acc to Ayurveda this condition is referred as ‘Sooryavarta’. Soorya means ‘Sun’ and avarta means ‘affliction’ or ‘blockage’. The headache gets worsened on sunrise, peaks during noon hours and reduces after evening. Even though this is the typical feature of this illness, it may not be true in all cases. Symptoms may vary based on body prakriti and food habits. Causes acc yo Ayurveda Suppression of natural urges Indigestion Intake of stale food Prolonged exposure to sunlight Oily and spicy food Anger, jealousy, grief, stress etc Intake of dry, pungent and salty food etc Alcohol or smoking Changes in hormone levels during a woman’s menstrual cycle or with the use of birth control pills Changes in sleep patterns – excess sleep or less sleep Exercise or other physical stress Excessive stimulation or stress on sense organs by loud noises, bright lights, strong perfumes / odours, Fasting Stress and anxiety Symptoms Moderate to severe, throbbing headache- right side or left side of the head. Head pain that gets severe with increased physical activity. Sensitivity to light and/or sound. Nausea or vomiting. Red eyes with burning sensation in eyes Loss of appetite Migraine sufferer wants to stay all alone and finds comfort in silent and dark room Depression and irritability Numbness or weakness in an arm or leg. Tips: Do not take pain killers frequently, over intake may cause rebound headache Sleep and eat on time Atleast 7 hours of sleep at night is effective. Avoid fasting. It will increase both Pitta and Vata dosha, worsening migraines. Do not skip meals. Avoid deodorant / perfume Quit smoking and alcohol. Do not use a/c for long period of time. Avoid green chilli use. You can have cinnamon, cardamom, clove, ginger and pepper. Observe for those things or foods that trigger a migraine attack, try to avoid them. Tie a tight cloth around the head to decrease blood flow to the scalp and lessen the throbbing and pounding of migraine headache. Remedies Decoction of jeera and ginger 20 ml twice a day. Raisins and almonds soak over night have in empty stomach. Pomegranate and grape juice. Carrot intake is good during attack. Apply cinnamon powder with warm water on temple and forehead. Steam inhalation with mint leaves. Rx Pathyadi kadha 10 ml_0_10 ml diluting with warm water b/f Niargim tab 1_0_1 a/f gor 3 weeks.
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At about age of 55 years her left arm suffers shivering, tingling etc. Her two of the nerves c6 and one another are blocked. Please suggest any treatment, exercise etc.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
physiotherapy laser treatment. stretching exercises . posture correction must. avoid toward bending
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Hi, Some few days my physical condition is bed. Like brain attack. please suggest me.

MBBS
General Physician, Mumbai
For pain take tablet paracetamol 650 mg and Get your vital parameters of the body checked from a nearby doctor and revert back with findings
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M. sc Psychology, BHMS
Homeopath, Hyderabad
For any injury, bleeding,bruises, lacerated wounds, head injuries, Taking Arnica 200 & belladonna 200 will help great for healing as well as for avoiding the further c/o coming from the injuries. Like clot formation,tumor formation etc.
1 person found this helpful

Dementia - Can Heartburn Drugs Trigger It?

MBBS
General Physician, Cuttack
Dementia - Can Heartburn Drugs Trigger It?

If you check the recent scientific studies, then you will come to know that PPI drugs are treated as the popular medicines to treat heartburn troubles, but as the side-effect, you will face acute cognitive troubles. Your mental condition might get affected in various ways causing memory or concentration loss, decrease in brain ability and others. Though, these drugs are very safe but only effectively treating heartburn troubles, especially gastroesophageal reflux disease (GERD)

How Dementia is related with PPI drugs? 
PPI drugs are normally recommended by doctors for treating heartburn issues, but if you are taking these drugs on a continuous basis, then you might face the unwanted signs or symptoms of dementia. This is a hardcore fact, and it has been observed by many reputed researchers of the present age. There are some commonest symptoms that can be observed due to dementia, and some of the prominent ones are as follows:-

  1. Beta-amyloid production: Beta-amyloid is a kind of protein and the growth of this specific protein increases to a great extent with the consistent intake of PPI drugs. This protein might lead to the increase in varied dementia signs, out of which the most severe kind of situation is Alzheimer's disease. This disease might get converted into dreadful condition at times, and this is the reason a regular or consistent intake of PPI drugs should be essentially avoided. If you are facing this condition, then you should report about the same to your doctor immediately. This protein is very toxic or harmful for the brain as your mental ability is being adversely affected. 
  2. Decrease of vitamin B12: If vitamin B12 decreases day by day, then acute mental disturbances will get invited. If you want to avoid this kind of condition, then nothing can be a better option other than avoiding PPI drugs. This is the only reason that doctors never recommend taking these drugs in an excessive limit. In fact, sometimes, these drugs are prescribed along with other potential medicines that can help in maintaining mental health in good condition. If you have got any family history of mental trouble, then you should reveal the same to your doctor so that strong PPI medicines are not prescribed for gastric troubles. In fact, there are few limitations among PPI drugs that are never to be prescribed by doctors and all the doctors should follow the same in a sincere manner. If you wish to discuss about any specific problem, you can consult a General Physician.
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I have headaches that occur in the middle of sleep or early mornings. Migraines that no matter how many paracetamol tabs I take it just dulls the pain but does not give complete relief. Is there any medication for Migraines or headaches that occur while getting up from sleep. It's like someone splitting your head.

BAMS, MD Ayurveda
Sexologist, Lonavala
You can go for following remedy it will help you 1. Take 1 cup warm water 2. Add a green tea bag 3. Squeeze ½ a lemon 4. Mix well 5. Drink for instant relief Causes: • Chronic headache could be indicative of an underlying ailment • The other causes of headache include: O Stress O Lack of sleep O Physical exhaustion This is very helpful.
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Always getting headache she is getting migrane tablets then also she is getting pain what to do.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
migrane can be managed with lifestyle changes and medications, try muscle relaxation exercises. Relaxation may help ease the pain of a migraine headache. Get enough sleep, but don't oversleep. Get an adequate amount of sleep each night. It's best to go to bed and wake up at regular times, as well. Rest and relax. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp. It is very important keep a headache diary. Continue keeping your headache diary even after you see doctor. It will help you learn more about what triggers your migraines and what treatment is most effective. A dose of riboflavin in appropriate dose as prescribed by me, also may prevent migraines or reduce the frequency of headaches. Coenzyme q10 supplements may decrease the frequency of migraines, magnesium supplements may also be used to treat migraines do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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MD PULMONARY, DTCD
Pulmonologist, Faridabad
HEADACHE
Headache is one of the 10 most disabling conditions overall.Over all types of headache 47% are due to migraine and tention type of headache.The prevalence of migraine headaches ranges from 8.4% to 18%.In addition to individual morbidity ,it results in great cost to society.Migraine is more prevelent in female and tention type headache is evenly distributted among both male and female.
Migraine is initialy episodic ,occuring 2 or lesstime/weak.It usualy disturb daily activities of patient and may progress to chronic migraine. Tention type of headache does not disturb daily routine of patient.Poor socioeconomic status,education,female gender,less sleep,anxiety and depression may transform episodic migraine to chronic migraine.
Sudden onset bursting headache is bad and one should consult the doctor immediatly
Overuse of pain killels can also cause headache
2 people found this helpful

I have severe headachne for last 5 days.MRI of Brain & Venogram is done.It says enlarged pituitary gland of 13mm is seen in cranio caudal

MBBS
General Physician, Delhi
Welcome Enlargement of the pituitary gland is a frequent cause of incidentaloma and of referrals to endocrinologists for hormonal evaluation and therapeutic advice. In neuroradiological series, 25-50% of healthy women who are 18-35 yr old have a convex superior pituitary contour, but pituitary height exceeds 9 mm in less than 0.5% of cases. This study was performed to provide thorough clinical and hormonal data and long-term endocrinological and imaging follow-up data on subjects with incidentally discovered pituitary hypertrophy (height > 9 mm). Seven eugonadal nulliparous women, 15-27 yr old, referred between 1989 and 1998 with incidentally diagnosed pituitary gland enlargement (height > 9 mm) and a suspected pituitary tumor, were studied. At presentation and at yearly intervals, PRL plasma levels and corticotropic, somatotropic, and thyrotropic pituitary function were measured; and pituitary dimensions and signal on magnetic resonance imaging (MRI), before and after iv gadolinium-diethylene-triamine-pentaacetic acid injection, were assessed. PRL plasma levels were normal; and corticotropic, somatotropic, and thyrotropic pituitary function was considered normal in all cases. In all the women, the upper boundary of the pituitary was convex, on MRI, and touched the optic chiasm in four cases. The width and anteroposterior diameter of the gland were normal. The pituitary itself seemed normal, with a homogeneous signal, on plain and dynamic studies with iv contrast injection. Despite normal initial hormone values, two women underwent surgery, by the transsphenoidal approach, in another center. During surgery, the pituitary seemed normal in both cases, with no evidence of tumoral or inflammatory processes. Biopsy specimens showed the morphologic characteristics of a normal, nonhyperplastic pituitary gland. All seven women were seen at yearly intervals for 2-8 yr (median, 4 yr). Clinical and hormonal status remained stable, as did the structure and size of pituitary, on serial MRI. No tumor formation occurred, supporting the diagnosis of physiologic hypertrophy of the pituitary gland. In conclusion, these observations suggest that careful examination of MRI results may help to distinguish physiologic pituitary hypertrophy from pituitary tumors and infiltrating lesions. The former diagnosis is confirmed by normal baseline pituitary function in extensive hormonal tests. Correct identification of such patients is important to avoid unnecessary pituitary surgery and costly MRI surveillance. If you find any problem ask again. Thanks.

What are the symptoms of migraine head ache? What are the remedies of migraine head ache? How to avoid migraine head ache? It's comes once in a week? Is it cause some other affect?

C.S.C, D.C.H, M.B.B.S
General Physician,
Some symptoms may include: feeling dizzy or faint. increased sensitivity to light and sound. nausea. pain on one side of the head. pulsing and/or throbbing pain. vomiting. Treatment is specific migraine drug , form the triptan class of drug
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I am feeling numbness in my right hand index finger for over two months. I mostly work with computers; also I suffer from vitamin b12 and d deficiency, for which I regularly take b12 supplement and taken vitamin d (60, 000 unit) 8 tablets in last couple of months, despite this medication the numbness persists. What else I can do for this?

Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
Dear well it seems you have carpal tunnel syndrome and need to be evaluated by an orthopedic surgeon. You should undergo surgery asap to avoid further damage to median nerve.
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