Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 28 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 with Dr. Puneet Agarwal
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. Puneet AgarwalYour feedback matters!
How to know the type of headache i. E. If it's just a normal headache or a migraine attack when already suffering from migraine?
Epilepsy is a form of chronic disorder and it is characterized by recurrent seizures. The episodes of epileptic seizures may differ from person to person. These seizures could be a result of genetic disorder or a result of trauma or stroke. During a seizure, a patient may also experience symptoms of neurological disorders and sometimes lose consciousness.
Medical help for epilepsy
Epilepsy itself cannot be cured using medication, but proper medicines help in eliminating recurrent seizures. These medicines stabilize the electrical activity within the brain preventing seizures.
How effective is the medication for epilepsy?
The success of controlling seizures using medicines depends on the type and severity of the epilepsy. Medicines for epilepsy are usually very effective and may fully keep seizures under control. However, controlling seizures caused due to brain problems may be more difficult. Usually, epilepsy medicines can control seizures for a long period of time when they are taken regularly.
When is medical help needed?
The decision about when to start medicines for epilepsy is a tricky one. This is because a first seizure cannot confirm whether a person has an on-going epilepsy problem. A second seizure may occur after many years or may not happen at all. Prediction of seizures is also quite difficult.
The severity of seizures also indicates when to start medicines for treatment. In case a first seizure is quite severe, medication should be started at once. Some people have very mild seizures even though they may be recurring in nature, and medication can be avoided in this situation.
All the pros and cons must be thought over before starting medications for the treatment of epilepsy. It is advisable to wait for a second seizure and then start medications for treatment. In most cases, medication is started after a second seizure occurs, twelve months within the first seizure. You should always consult a doctor to know when you need to start taking medicines to treat the condition.
For making the most out of the medicines to control seizures, you should follow certain steps:
- You must take medications exactly as your doctor has prescribed.
- Before switching to generic versions of your medicines or before taking other prescribed medicines, you must consult your doctor.
- You should never stop taking the medicines.
- In case you experience enhanced depression, mood swings and suicidal thoughts, you should talk to your doctor immediately.
- In case you have migraine, you should let your doctor know so that he can prescribe you anti-epileptic medicines, which also prevent migraines.
Medicines cannot treat the underlying cause of epilepsy, but these help in controlling seizures and this is the most common symptom of epilepsy. Medication should be started at a proper time and must be continued without stopping.
My daughter is suffering from cerebral palsy. We r giving her occupational therapy but she is not responding well. We r frustrated.
Is there any treatment for Parkinson's disease. Already just want to know is there anything to do to control the tremors in the hand.
Hello Dr. I was diagnosed for epilepsy for 3 years and last year my course get completed bt. From then my hairs are falling out. I was on epsolin 300 er. I did'nt use hair oil daily too. So now i am confused either my hairs are falling because of drug I took or due to what? please help me. And please tell me different types of hair fall patterns. Hairs from sides are more falling out and hairs density on the whole head is becoming less and less. Some hairs are grey too. Please help me. I am taking paratab bz. Is it right?
Hello Doctor, My Grandpa is suffering from severe constipation. He is using Anti Psychotic medications like Risperidone and Quetiapine for his audible hallucinations. Normal laxatives like Milk of Magnesia is not working for him now a days. When a more powerful laxative is given, he is experiencing uncontrolled diarrhea. To control this diarrhea, he is having eldoper drug. After two days, he is suffering again from constipation. His stomach is very rigid and rarely he is experiencing urinary retention problem and using Furosemide for relief. He suffering a lot from these stomach problems. Please see the below further details: Age: 85 years, Weight: 95 Kg Height: 5.6 Ft Current Medical problems: Hypertension, Constipation, Insomnia, Knee Pains, Audible Hallucinations, Occasionally Urinary retention. Current Medications: Qutan, Alprazolam, Acemiz-MR, Risdone, Telmikind-H, Zincovit, Occasionally Furosemide. Could you please suggest a long term solution for his constipation. Thanks
Occupational therapy has a big role in children with autism. To improve their attention. Concentration. And sitting tolerance. Which is an absolute necessity of every child become independent in age appropriate activity? In autism, children lacking eye contact. There in own world lot of distraction. Sensory seeking behaviour. Stereotyped behaviours. Repetitive thinks of some nonmeaningful play. Spinning objects. Moving around. Unable to sit at one place. Which interferes in the day to day life. Occupational therapist having knowledge and skills of sensory integration. Can only handle that kind of children? They will get benefit from purposeful and meaningful play activities provided in each therapy sessions is going to improve the child sense of orientation. Surrounding and sense of entity as a child that I am also having some role in society and I have to perform well confidently. Occupational therapy also improves fine motor and gross motor skills in children which are required in daily routine to perform the task eg. Writing. Climbing. Also, the occupational therapy helps to improve the sensory integration in speech area to communicate with oromotor musculatute. And last but not the least take the child towards independence in social and environmental challenges. Guys if you see any signs of motor delay or speech delay. Please consult a neuropaediatrician and occupational therapist who are practicing in paediatrics.
I an 24 year old male since last year I an experiencing Insomnia I have used a couple of medicines switched a number of doctors but it did not help me.
Hi Muscular distrofy problem mostly who person. Boy or girl. Its genetic problem. or birth time sercumtancy create problem,Please help
I am 20 yrs old and when I sit continuing few hours my back goes numb. please help me regarding this.
I usually get shivering of hands in presence of someone near to me. I won't get much shivering when I am alone. Specially during writing. Is there any treatment.
I am 20 years old. 6 months back I had felt numbness on my left hand (mostly on the fingers) and little pain on my left shoulder. I have taken x-ray and it has shown the presence of cervical rib. Then as per the advice of doctor I have taken some tablets, thn after few days every difficulties have gone. Then after 4 months I had felt the same pain and numbness. I took mri cervical spine and Mr. angiogram, the result showed the presence of cervical rib bilaterally but no evidence of compression. Then I was advised to take Neuro conduction velocity test by the doctor. It shows that severe compression on median nerve at the point of wrist. What shall I do now? Is all these problems happening because of cervical rib? What shall I have to do? Can I get rid of these pain without surgery?
I'm 19 years old, an an insomniac. I've tried having sleeping pills several times but was of no help. It's been nearly a month now that I'm suffering from this disease. What should I do?
Sir I have numbness and pain in my feet, legs and feeling in both hands. B12 test is ok. Is I hv aids. I have no other symptoms like fever, cough, headache, vomiting, loose motion.
A fifty-four years old Marwari patient from Assam presented with progressive jaundice and intermittent episodes of abdominal pain for three months. CT scan of abdomen showed a small (1.5 x 1.5 cm) mass in the bifurcation of common bile duct which is causing biliary tract obstruction and hence jaundice. Portal nodes were not enlarged and there was no lesion in the liver parenchyma. At presentation, serum bilirubin level was high (14.7 mg/dl). Endoscopic biopsy and brushing cytology was adenocarcinoma and clinic-radiological diagnosis was ‘Klatskin tumour’.
- Metallic stenting was done to relieve jaundice and after stenting serum bilirubin level came down rapidly. PET scan showed increased uptake in the biliary duct region mass without any sign of metastasis. He was evaluated and planned for treatment with robotic radiosurgery. He was treated using robotic radiosurgery (CyberKnife) with high precision radiotherapy technique after fiducial placement (gold seeds) near the tumour. After one year, the patient had no obvious complain, liver function (no jaundice) was normal and CT scan evaluation showed completed resolution of the mass.
- Klatskin tumour is an uncommon tumour that arises from the bifurcation of common bile duct in the abdomen (duct that drains bile from liver). Patients usually present with progressive (increasing) persistent jaundice followed by pain in the upper abdomen. Surgical excision is the mainstay of treatment. However, surgery is not possible in majority of the patients owing to the location of the tumour, high jaundice and medical condition. Chemotherapy may not be an optimal option in majority of the patients as they present with high jaundice. Majority of such patients with poor medical condition are treated with only supportive care and prognosis is dismal (survival for a few months only).
- Patients with metallic stent have relief from jaundice but unfortunately in a few weeks time, the stent gets blocked with tumour growth. Patients again present with high jaundice and have severely impaired quality of life. They complain of severe itching of entire body, loss of appetite and succumb due to impaired liver function from high jaundice/obstruction. The treatment is to have a longer ‘jaundice-free period’ which in turn improves quality of life and possibly survival function as well.
- Stereotactic body radiation therapy’s high dose radiation ‘sterilizes’ the metallic stent and bile duct region. It is assumed that with radiation therapy, blockage of bile duct and stent is delayed and patients have longer jaundice-free period.In Klatskin tumour, CyberKnife allows to deliver high dose of radiation in a short duration to the target without significant morbidity. If you wish to discuss about any specific problem, you can consult an Oncologist.