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Dr. Sithram Agarwal

Neurologist, Delhi

1000 at clinic
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Dr. Sithram Agarwal Neurologist, Delhi
1000 at clinic
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Sithram Agarwal
Dr. Sithram Agarwal is a popular Neurologist in Ashok Vihar, Delhi. He is currently associated with Shree Ram Sharanam in Ashok Vihar, Delhi. Save your time and book an appointment online with Dr. Sithram Agarwal on Lybrate.com.

Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 38 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.

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English
Hindi

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Shree Ram Sharanam

House No B 3/35, Opposite Ashok Vihar Police Station, Ashok Vihar Phase 2, DelhiDelhi Get Directions
1000 at clinic
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Hypersomnolence - How It Can Be Managed?

MD - Psychiatry
Psychiatrist, Ahmedabad
Hypersomnolence - How It Can Be Managed?

Sleep is known to most as a period of rest and relaxation, but there are multiple disorders which are associated with sleep too. Hypersomnolence or hypersomnia is one of the most common sleep disordersThis is characterised by excessive daytime sleepiness and prolonged periods of sleep at night. They wake up fresh in the morning, but can easily go back to sleep any time of the day without feeling strained or tired. There is again no freshness associated upon waking up. Funny as it may sound, they can doze off even during a meal or in the middle of a conversation.

Causes: This condition is most common in men and in the early adolescent days.

  1. There is no underlying cause that has been identified, though there is a genetic predisposition.
  2. People with history of head trauma are more affected
  3. People with anxiety, depression, bipolar disorders, epilepsy, and other mental disorders are also more likely to be affected
  4. People with sleep apnea often are hypersomnolence
  5. Restless legs syndrome, narcolepsy
  6. Neurodegenerative disorders like Parkinson’s and Alzheimer’s tend to sleep more.

Symptoms:

  1. Sleeping for longer hours at night time
  2. Excessively sleepy during daytime
  3. Able to doze off anytime during the day
  4. Inappropriate and involuntary sleeping pattern
  5. Having difficulty getting out of bed after waking up, even after prolonged sleep
  6. Feeling of disorientation
  7. Feeling agitated, anxious, lethargic, and irritated
  8. Impaired cognition and memory
  9. All these lead to extreme state of drowsiness
  10. Increased tendency for hallucinations
  11. Reduced appetite and even weight loss in some people
  12. There is restlessness, reduced pace of thinking and speaking
  13. Overall reduced energy levels
  14. Social interactions are affected including work life, social functions, etc.

Diagnostic criteria:

  1. If a person happens to sleep more at night or falls asleep during the day easily for more than 3 times a week, it is usually concerning.
  2. The added feature of no tiring physical activity can also lead to suspicion
  3. In acute cases, these symptoms are present for at least a month and in chronic cases, it could be seen for up to 3 months
  4. It cannot be explained by lack of sleep on a regular basis
  5. One or more of the above conditions could be present, which can help in making the diagnosis

Treatment:
Most cases of hypersomnia would need treatment only to improve their energy levels and improve the quality of life. Very often, treating the underlying condition can lead to improvement of hypersomnia. The tired, lethargic, restless feeling affects the overall performance of a person, leaving them with a lowered self-esteem. Brain stimulating drugs like amphetamines are used to improve daytime alertness and also reduce sleepy feeling during the day. If you wish to discuss about any specific problem, you can consult a Psychiatrist.
 

4621 people found this helpful

Hello, I wanted to know whether you have treatment for advanced stage of dementia? It should result in stopping the degeneration & restoring lost functions.

Member of the Royal College of Psychiatrists, United Kingdom (MRC Psych), MD - Psychiatry, MBBS
Psychiatrist, Ghaziabad
Hello,
I wanted to know whether you have treatment for advanced stage of dementia? It should result in stopping the d...
Hi Unfortunately what you r wanting is not available anywhere in the world to the best of my knowledge. Yes if you lower your expectations. Still a lot can be done to provide relief. Remember one has to be realistic. I hope this helps Wishing you the best Rgds.
2 people found this helpful
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When Is Surgery Not An Option For Epilepsy?

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Mch - Neurosurgery, FLCS
Neurologist, Ghaziabad
When Is Surgery Not An Option For Epilepsy?

Living with epilepsy can be highly challenging. This is a medical condition that can be controlled with medications in most cases, but it might not be useful for all patients due to severe side effects. It is estimated that up to 30% people who have epilepsy face this issue, and in such cases, surgery might be considered as an option.

This condition typically results in seizures which is a result of sudden electrical activity in the brain. So, certain complicated epilepsy operations on the brain can help patients with their seizures and contain their symptoms.

The goal of epilepsy surgeries involves removing part of the brain that causes these seizures and disrupting parts of the nervous system in the brain that contribute to the same. The procedure also involves the installation of a device that helps control the side effects of epilepsy.

When is surgery not an option for epilepsy?
Doctors would accurately identify the part of the brain that is causing seizures as the first step. These parts are known in medical terms as the ‘seizure’ focus. This area should not be related critical functions of the brain like movement, sensation, and language involved – else surgery would not be possible.

Surgery is not viable when seizures are severe and impair bodily movement or if the patient has serious medical conditions (like cancer or heart diseases).

Common Surgery Options Available

  1. Lesionectomy: This is one of the most commonly used procedures. This form of surgery involves the surgeon removing brain lesions from the brain or areas of injury due to malformed blood vessels or tumors. These injuries can often cause seizures and epilepsy and can be treated effectively with lesionectomy.
  2. Lobe resection: This is another form of treatment which is possible only if the epilepsy is located in one of the four parts of the brain – the temporal lobe. It is quite common in younger people and can easily be treated by expert neurosurgeons by removing the brain tissues that are causing epilepsy.
  3. Multiple Subpial Transections: While the above methods involve cutting out brain tissues, sometimes such surgeries just might not be possible due to other complications. If the parts of the brain cannot be cut out, surgeons tend to adopt Multiple Subpial Transections. This procedure can help control seizures without requiring cutting out parts of the brain. Small intersections are made in the brain to disrupt the impulses from affected brain cells that cause seizures, and they do not affect normal brain activity. It helps leave all abilities intact in patients and aids in treatment very effectively.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2519 people found this helpful

My arms and thighs got numb more often when I was asleep. Once I have checked my blood pressure as well but it was all normal. I am confuse now. Because this happens now more frequently.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me digital x rays of ls spine. Rule out diabetes & vit. D deficiency or any other metabolic disorder. Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Do hot fomantation. Ibuprofen 200mg od & sos x 5days bio d3 max 1tab od x10 do neck, back & general exercises. It may have to be further investigated. You will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do reply back for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
1 person found this helpful
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Can Green Tea cause Migraines to happen. I am suffering from strange (head+eye) pains (ONE SIDED. Basically these are my list of problems: 1. Digestive problems of gas, bloating and sudden stomach pains that may lost from 30 mins to 1 hour and then slowly fade away. 2. I have a Pimple problem which has now subsided and reduced. Still I get active pimples on my back (backne) and upper arms. 3. I have developed this new headache type one-sided pains. Is there toxins in blood and any recommended body tests.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Neurologist,
Can Green Tea cause Migraines to happen. I am suffering from strange (head+eye) pains (ONE SIDED. Basically these are...
Indigestion and headache have relations, first you clear your Bowell movements with food regulations and medicines if needed Avoid/control spicy, salty/fried/masala food items drink plenty of boiled water check your lipid profile level
1 person found this helpful
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Sir what is maximum cost of homeo medicine per month for treatment of epilepsy decease for person aged 40 year ?

B.H.M.S., Senior Homeopath Consultant
Homeopath, Delhi
Thanks for asking your query, approximately 500 to 700 rupees per month or it can extend according to sign and symptoms of patient. Best wishes Dr. Mukesh singh.
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Hi this is Ben. I havenjoy stiff calf muscles on my left left and have knew pain when I squat. There I should also have numbness in the left toe and heel. Is this something to worry. . Is it due to weight. ?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Hi this is Ben. I havenjoy stiff calf muscles on my left left and have knew pain when I squat. There I should also ha...
It might be of muscle strain or of pathological reasons do take ust and laser therapy for pain relief 10 days followed by strengthening exercise from neuro physiotherapist best wishes.
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What are the clinical manifestation of parkinsonism, The person also have diabetes mellitus, hypertension, chronic kidney disease and congestive heart failure.

M.Sc - Psychology, MBA (Healthcare)
General Physician, Kangra
What are the clinical manifestation of parkinsonism,
The person also have diabetes mellitus, hypertension, chronic ki...
parkinsonism mainly manifest as slowness due to increased muscle tone..patient has slowness in walking slowness in eating..he or she has generalised bodyaches, heaviness in body. facial expressions decreases so much dat face appears as mask....most important feature is tremulousness of the limbs tremors will first appear in one limb then progress to involve other limbs...slowly slowly body become rigid and patient has difficulty in walking..and later on patient can become bed bound...
2 people found this helpful
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