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Dr. Samir Khagare

Neurosurgeon, Delhi

Dr. Samir Khagare Neurosurgeon, Delhi
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Samir Khagare
Dr. Samir Khagare is one of the best Neurosurgeons in Rajender Nagar, Delhi. You can visit him at City Hospital in Rajender Nagar, Delhi. Book an appointment online with Dr. Samir Khagare and consult privately on Lybrate.com.

Lybrate.com has an excellent community of Neurosurgeons in 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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B-1/1, Pusa Road, Old Rajender Nagar, DelhiDelhi Get Directions
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My mother is now 72, she is facing dymencia problmen since 3 year, is there any treatment ?

MD - Psychiatry
Psychiatrist, Indore
Yes there is treatment available. It is called management like for diabetis and high blood pressure. Person have to take medicine for life. There is a b and c symptoms of dementia. A =activity of daily living can be treated with donepezil and admenta medicines. B=behavioral problems can be treated with appropriate drugs, and c = cognitive or intellectual and memory related symptoms, can be slowed down in progress by same drugs.
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Autism in Children

CCT, FRCPCH , MRCPCH, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Delayed Speech: Can it be autism?

Autism spectrum disorder (ASD) is a range of complex neurodevelopment disorders, characterized by social impairments, communication difficulties, and restricted, repetitive, and stereotyped patterns of behaviour. Males are four times more likely to have an ASD than females. A recent study in US found 1 in 68 children suffering from autism.
What are some common signs of autism?

The hall feature of ASD is impaired social interaction. As early as infancy, a baby with ASD may be unresponsive to people or focus intently on one item to the exclusion of others for long periods of time. A child with ASD may appear to develop normally and then withdraw and become indifferent to social engagement.

Children with an ASD may fail to respond to their names and often avoid eye contact with other people. They have difficulty interpreting what others are thinking or feeling because they can’t understand social cues, such as tone of voice or facial expressions, and don’t watch other people’s faces for clues about appropriate behaviour. They lack empathy.

Many children with an ASD engage in repetitive movements such as rocking, or self-abusive behaviour such as biting or head-banging. They also tend to start speaking later than other children. Children with an ASD don’t know how to play interactively with other children. Some speak in a sing-song voice about a narrow range of favourite topics, with little regard for the interests of the person to whom they are speaking.

Children with characteristics of an ASD may have co-occurring conditions, including Fragile X syndrome (which causes mental retardation), tuberous sclerosis, epileptic seizures, Tourette syndrome, learning disabilities, and attention deficit disorder. About 20 to 30 percent of children with an ASD develop epilepsy by the time they reach adulthood.
How is autism diagnosed?

Very early indicators that require evaluation by an expert include:
• no babbling or pointing by age 1
• no single words by 16 months or two-word phrases by age 2
• no response to name
• loss of language or social skills
• poor eye contact
• excessive lining up of toys or objects
• No smiling or social responsiveness.

If you find any of these features in your child, please consult the local pediatrician or child neurologist if available who can assess your child in detail. There is no single blood test to diagnose autism. However, the doctor needs to look into certain disorders in which children have similar features or having features of autism in addition to other signs of that disorder. E.g. Tuber sclerosis, Landau-kleffner syndrome (a form of Epilpesy), other childhood epilepsies, some metabolic and genetic disease. So your doctor may do some blood test, hearing assessment, EEG, etc. depending upon the presenting features and assessment.

What role does inheritance play?

Twin and family studies strongly suggest that some people have a genetic predisposition to autism. Identical twin studies show that if one twin is affected, there is up to a 90 percent chance the other twin will be affected. In families with one child with ASD, the risk of having a second child with the disorder is approximately 5 percent, or one in 20. This is greater than the risk for the general population.

Do symptoms of autism change over time?
For many children, symptoms improve with treatment and with age. Children whose language skills regress early in life (before the age of 3) appear to have a higher than normal risk of developing epilepsy or seizure-like brain activity. During adolescence, some children with an ASD may become depressed or experience behavioural problems, and their treatment may need some modification as they transition to adulthood. People with an ASD usually continue to need services and supports as they get older, but many are able to work successfully and live independently or within a supportive environment.

How is autism managed?

There is no cure for ASDs. However, it is important to diagnose it early and look for associated conditions like ADHD (Attention deficit hyperactive disorder), Epilepsy, sleep disorders, etc. Earlier is intervention, better is the outcome. Therapies and behavioral interventions are designed to remedy specific symptoms and can bring about substantial improvement. The ideal treatment plan coordinates therapies and interventions that meet the specific needs of individual children.

Educational/behavioural interventions: Therapists use highly structured and intensive skill-oriented training sessions to help children develop social and language skills, such as Applied Behavioural Analysis. Family counselling for the parents and siblings of children with an ASD often helps families cope with the particular challenges of living with a child with an ASD.
Medications: Doctors may prescribe medications for treatment of specific autism-related symptoms, such as anxiety, depression, or obsessive-compulsive disorder. Antipsychotic medications are used to treat severe behavioural problems. Seizures can be treated with one or more anticonvulsant drugs. Medication used to treat people with attention deficit disorder can be used effectively to help decrease impulsivity and hyperactivity.
Other therapies: There are a number of controversial therapies or interventions available, but few, if any, are supported by scientific studies. Parents should use caution before adopting any unproven treatments. Although dietary interventions have been helpful in some children, parents should be careful that their child’s nutritional status is carefully followed.

Conclusion: Autism is seen commonly now a day. The main features are delayed speech, poor eye contact and social interaction and restricted interest with repetitive behaviour. Parents and physician should aware of its early symptoms so that early intervention can be started.

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My 5 year old daughter diagnosed with dyskinetic cerebral palsy she can not walk and talk she start neck holding from 9 month age. And sitting 4 year age she problem in learning tasks please tell me about her best treatment option.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Don't worry, nothing to worry as you encourage your daughter with good neuro physician & and do have neuro developmental therapeutic exercises with qualified neuro or ndt specialist physiotherapist and good speech pathologist and qualified special educator or all this in one good quality special school near to your home and correct follow up with them and neuro physician may help her to do her functional activities to maximum extent.
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My friends grandson 16 yrs old is asked to use encorate 200 for 6 months, though the mri scan shows poisitive. Is it advisable to use the medicine for longer period

M.D.( Pediatrics), DCH
Pediatrician,
If paediatrician has advised, yes it is necessary. Follow up withe same paediatrician is also necessary
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Hot packs are very effective as they dilate blood vessels and increase blood flow, delivering needed nutrients and oxygen to cells in the area being heated, aiding the removal of cell waste and promoting healing.

MD - Psychiatry, MBBS
Psychiatrist, Patna
Hot packs are very effective as they dilate blood vessels and increase blood flow, delivering needed nutrients and ox...
If used judiciously and cautiously it may be useful remedy, but as a routine one should not apply hot packs. Constant exposure to heat after many years is known to produce damage to tissue, skin ulcer and cancer (for example" kangri cancer").
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I am 30 years old whenever I sit ideal my mind will go blank and suddenly a giddiness kind of thing strike my mind. I feel like falling down. It will be there for complete 2 mins. So what to do kindly help.

MBBS, MD - Internal Medicine
General Physician, Delhi
Dear , it could be that you are having absence seizures? but we will need further details for evaluation.
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I had a slip dics (due to lifting heavy article) some 3 years back. Even after rest and medication, I feel numbness in my lower limbs when I sit or stand for more than half hour. Doctors say this could be due to some nerve compression. Physiotherapy also has been tried.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I had a slip dics (due to lifting heavy article) some 3 years back. Even after rest and medication, I feel numbness i...
Do take ift and vacuum therapy physiotherapy treatment for pain relief for 12 days followed by strengthening and spinal extension exercise from neuro physiotherapist avoid bending forward apply hot and cold water fomentation for thrice a day for 7 days or do consult me.
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Hi, i'm 18 year old from last fours months i'm sick my symptoms changes time after time fifteen days back I was feeling 2) nervousness in whole body specially heart and stomach 3) insomnia 4) dry mouth 5) health anxiety 6) i'm feeling my mind blank 7) feeling of getting crazy 8) heavyness on head 9) drowsiness 10) nausea 11) heart palpitations 12) muscle tension 13) restlessness 14) dizziness 15) always one thought remain in mind that when I will fine always thinking about health after than I got fine for 7 days now from last four days i'm feeling i'm feeling 1) heavyness on my head 2) excessive dizziness 3) excessive drowsiness, 4excessive nervousness 5, disbalanced, 6) excessive tiredness, 7) something like deafness in my ear 8 worried, 8) feeling of my mind getting blank 9) dis orientation, 10) difficult in concentrate on a past event 11) memory disturbing 12) health anxiety this all from last four months my signs and synptoms changes time after time I consult many physican but nothing improve i'm unable to understand what happens to me please suggest me what to do I take these medicine in past I take these medicine I take 1) etizolam 2) para cr (paroxentine) 3) riser 4) escitalopram (cipralex) 5) propanolol please suggested me what to do? help me.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
It seems you have anxiety neurosis some recent heart break some recent loss some recent exams can lead to all this try to meditate remember your god take deep breaths you may also b having some mild allergy take deworming tablet try to relax keep your self busy god bless.
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I am 23 year old female, I wanna I ask you I am suffering from migraine. How can I recover this?

BHMS, MD - Homeopathy
Homeopath, Vellore
Dear lybrate user, greetings! for the migraine - the stress is most important cause, try to relax and do mediation. Avoid being much stress, if you can able share you symptom I could you help you in better way. Thank you have a healthy life
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I am 30years old, last 10years taking Veniz xr 75 for my depression n migraine pain. I was trying t stop the medicine but the withdrawal symptoms are too much. Can you please suggest me how to get rid off from it.

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Hyderabad
Veniz SR should not be stopped suddenly. Gradual tapering and stopping this drug would prevent withdrawal symptoms.
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I am 42 years old and I have a migraine, also survical spondolytus kindly advise.

BAMS, YIC, DEC
Ayurveda,
Hi you should take ayurvedic treatment called greeva basti also with oral medicine for more details you can contact me.
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How to know that the the headache which I have almost every week is a migraine attack or not.

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
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Is snoring a prime reason for sleep apnea? Can one assume that if there is no snoring, there is no sleep apnea. Give a detailed answer, sir?

MBBS
General Physician, Mumbai
Snoring is just a symptom and sleep apnoea can be due to adenoid swelling or any obstacles in the pathway of upper respiratory tract
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My son after epilepsy got over, now facing(past 5 yrs) Hearing hallucination.He is 31 yrs.& taking Halo Piridol 1.5 mg 0-0-2, Clozopine 100 mg 0-0-1, Dichorate 250 mg 0-0-1, Mirt 15 mg 0-0-1,D-vinit 0-0-1, Topirol 50 mg 0-0-1, THL(pacitane) 0-0-1, Hearing is not violent now; but occasionally he gets suicide tendency. Is there any way out. For this ?

Hypnotherapist, DCS, BSIC, Advanced Trainee of Transactional Analysis, Advanced Skills in Counselling
Psychologist,
Ayurveda system has excellent treatment for this type of illness. Let him also meet a counsellor to overcome suicide thoughts.
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What are the symptoms of migraine? I suffer from severe headache. Is it migraine?

M.D Medicine
Internal Medicine Specialist, Neemuch
What are the symptoms of migraine?
I suffer from severe headache. Is it migraine?
Severe throbbing headache, intermittent, with nausea, vomiting. Aggravated by any stimuli like wind, cold, stress, not proper sleep etc. But before diagnosing as migraine one should check his bp, eye refractive error-spect number, ear problem etc. But once diagnose treatment is simple, but have to take for long time.
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What is the difference between seizure attack and panic attack. What do we call if someone gets sudden feeling of fear. Losing concentration. Becoming very sluggish. Unable to think logically. Mind goes blank. Unable to have restful sleep. Sudden change in appearance and behaviour and you will have this condition suddenly without any reason and whenever it happens others able to identify easily and by taking tablet at that time will make you normal again within couple of minutes. And no idea when it will reoccur again. What is it? why it happens and what to do to not to happen? Please advise.

MD - Psychiatry
Psychiatrist, Chennai
What is the difference between seizure attack and panic attack.
What do we call if someone gets sudden feeling of fea...
Seizure attack is due to abnormal electrical activity in brain, which can produce motor, sensory, emotional or behavioral problems depending on the area of the brain in which the electrical activity occurs. Panic attack is sudden severe form of extreme anxiety, characterized by feelings of doom, going crazy, dying, something terrible going to happen, pounding heart, sweating, tremors and so on. This is due to serotonin imbalance in the brain. Consult a psychiatrist, and get treated.
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I am 20 and I have been suffering from migraine since 4-5 years. Actually no doctor detected it as migraine before. Now about 1 month ago an Rheumatologist detected it as migraine. I have been taking medicines since 2 months but they are not much effective.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Migraine is not a disease it could be well managed with proper balanced diet and avoid stress anxiety and anticipating the things do regular physical activity and breathing exercises for about 30 minutes regularly or do contact me for further assistance best wishes.
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I am suffering from migraine head ache since 5years. I am taking treatment and using ZEROGRAIN tabs. Please give me some advice to avoid this.

BAMS
Ayurveda, Ambala
To get relief from migraine- * give a balanced diet with vegetables, cereals, milk, fruits. Sit in the sun rays for atleast 8-10 minutes daily. * do bhramari pranayam twice a day. * practice sarwangasan and shirshasan under the guidance of yoga expert. * sit with the gyan mudra in hands. * take rogan badam (almond oil) and put it 1/2 tea spoon in a glass of milk and drink it in the morning. * if the headache is very severe & untolerable then you can take a tablet of paracetamol or ibuprofen. * you can take 2 teaspoon of shankhpushpi syrup in the morning. You can consult me for your doubts and detailed treatment.
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I am suffering from depression and mental problem. I have also faced a problem of migraines how can I prevent this disease?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I am suffering from depression and mental problem. I have also faced a problem of migraines how can I prevent this di...
Hi take pranacharya no tens capsule 1_1 twice a day...1-1 drop of cow ghee in both nostrils at night time before sleep...take shirshooladi vajra ras twice a day with honey....avoid tea and coffee
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