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Dr. Swatantra Mishra  - Neurosurgeon, Delhi

Dr. Swatantra Mishra

MS - Neuro Surgery, MBBS, MCh - Neuro Surgery

Neurosurgeon, Delhi

22 Years Experience  ·  1000 at clinic  ·  ₹500 online
Dr. Swatantra Mishra MS - Neuro Surgery, MBBS, MCh - Neuro Surgery Neurosurgeon, Delhi
22 Years Experience  ·  1000 at clinic  ·  ₹500 online
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Swatantra Mishra
Dr. Swatantra Mishra is a trusted Neurosurgeon in Okhla, Delhi. He has had many happy patients in his 22 years of journey as a Neurosurgeon. He has done MS - Neuro Surgery, MBBS, MCh - Neuro Surgery . You can consult Dr. Swatantra Mishra at Holy Family Hospital in Okhla, Delhi. Save your time and book an appointment online with Dr. Swatantra Mishra on Lybrate.com.

Lybrate.com has an excellent community of Neurosurgeons in India. You will find Neurosurgeons with more than 37 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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Education
MS - Neuro Surgery - PGIMER, Chandigarh - 1998
MBBS - Rajasthan University - 1996
MCh - Neuro Surgery - PGIMER, Chandigarh - 1998
Languages spoken
English
Hindi
Professional Memberships
Delhi Medical Association (DMA)
NSI
ASSI
...more
NASS - North American Spine Society
Skull Base Surgery Soceity of India (SBSSI)

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INSTITUE OF BRAIN & SPINE (IBS HOSPITAL)

73, Ring Road, Lajpat Nagar IIIDelhi Get Directions
  4.3  (46 ratings)
1000 at clinic
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1) Does excess masturbation lead to cancer? 2) does it lead to any other disease such as myasthenia gravis OR parkinson disease?

MBBS, MD - Psychiatry, MBA (Healthcare)
Psychiatrist, Davanagere
1) Does excess masturbation lead to cancer?
2) does it lead to any other disease such as myasthenia gravis OR parkins...
Hi there masturbation (excess needs more elaboration) does not cause or lead to cancer or any other disease that you have quoted.
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जाने क्या होता है मिर्गी, दौरे (EPILEPSY) रोग, के बारे में भारत के ग्रामीण अंचल में हैं काफी भ्रांतियां।

DM - Neurology, MD - General Medicine, MBBS
Neurologist, Jaipur

मिर्गी, दौरे (एपिलेप्सी ) के बारे में भारत के ग्रामीण अंचल में हैं काफी भ्रांतियां। उन्हें दूर करने का उठाया है बीड़ा डॉ सुरेंद्र खोस्या न्यूरोलॉजिस्ट ने आओ उनका साथ दे ।

मिर्गी कारण, लक्षण और उपचार

मिर्गी (एपिलेप्सी) Epilepsy / दिमाग यानि मस्तिष्क तंत्र से जुड़ी बीमारी है। जिसमें मस्तिष्क विघुत तरंग विघटन होने पर मस्तिष्क कोशिकओं का शरीर अंगों से अचानक तालमेल बिगड़ जाता है। जिसे र्मिगी दौरा माना जाता है। मिर्गी स्थिति में व्यक्ति अचेत, मूर्छित, शरीर झटपटाना, मुंह से झाग आना, बेहोशी में चला जाता है। और मिर्गी दौरा पड़ने पर व्यक्ति की मांसपेशियों शरीर अकड़ ऐठ जाता है। बार-बार इस तरह के संकेत होने पर उसे मिर्गी दौरा कहा जाता है। मिर्गी दौरे की कोई समय सीमा नहीं होती। मिर्गी दौरा कभी भी रोगी को पड़ सकता है। अकसर मिर्गी दो तरह से होती है। पहला आंशिक रूप, आंशिक रूप दौरा कुछ समय तक रहता है। शुरूआती तौर पर सामान्य लक्षण मौजूद होते हैं। आंशिक र्मिगी दौरे को नजरअंजाद ना करें, समय पर इलाज करवायें। और दूसरा तीब्र व्यापक रूप जिसमें व्यक्ति अचेतना के साथ शरीर हाथ पांव मारना, शरीर अंग अंग पर रगड़, गिरने से सिर, हाथ, पैर चोट लगना, मुंह झाग आदि शामिल है। Mirgi का इलाज मुख्यतय मिरगी रोधी दवाईयों और मस्तिक आॅपरेशन द्धारा किया जाता है। र्मिगी रोग का वक्त पर सही इलाज ना होने से व्यक्ति पागल हो सकता है। 

मिर्गी को लेकर तमाम भ्रांतियां है। अंधविश्वास के कायल ग्रामीण मिर्गी को शरीर का विष मान नीम के पत्ती का जूस या फिर ऐसी गाय जिसने बच्चा न जना हो उसका मूत्र पिलाते है। कहते हैं कि यदि नाक से उल्टी हो जाए तो बीमारी का ठीक होना तय है। लोगों को यह पता ही नही कि इलाज से मिर्गी की बीमारी ठीक हो सकती है।

न्यूरोलॉजिस्ट का कहना है कि मिर्गी (एपिलेप्सी) दिमाग से जुड़ा एक सामान्य रोग है जिसका इलाज पूरी तरह संभव है। दवाओं के प्रयोग से 80फीसदी रोगी ठीक हो जाते हैं और बाकी 20फीसदी रोगियों को ऑपरेशन की जरूरत पड़ती है। इस रोग के पीछे कोई अभिशाप या भूत-प्रेत नहीं होता। डॉ खोस्या ने बताया कि पूरे देश के आंकड़ों पर गौर करें तो व्‍यस्‍कों में हर सौ पर एक व्‍यक्ति तो बच्‍चों में एक हजार पर एक मिर्गी रोग से पीडि़त है। डॉ खोस्या बताते  हैं कि समय पर इलाज हो जाने से दर्जनों युवक और युवतियों की शादी टूटने से बच गई।

 

मिर्गी आने के कारण / Epilepsy Causes

  • सिर में पुरानी चोट दर्द रहने से
  • रक्त से ग्लूकोज मात्रा कम होना
  • मस्तिष्क में आॅक्सीजन की कमी
  • मस्तिष्क न्यूराॅन्स असंतुलन
  • पूरी नींद नहीं लेना
  • दवाईयों के दुष्परिणाम से
  • ब्रेन ट्यूमर से
  • शरीर में विषाक्त पदार्थों को ज्यादा बनना
  • जेनेटिक स्क्रीनिंग
  • मिर्गी जांच / Epilepsy Check up
  • गिर्गी संकेत होने पर जांच E.E.G. Electroencephalogram तकनीक द्वारा
  • Brain C.T. Scan द्वारा
  • C.T. Scan, Brain MRI द्वारा
  • मिर्गी दौरा पीड़िता/ पीड़ित पर ध्यान देने वाली जरूरी बातें / Epilepsy Awareness टिप्स

 

  • मिर्गी पीड़िता को कभी अकेला ना छोड़ें। हमेशा आसपास नजदीकी बना कर रखें।
  • मिर्गी दौरा पड़े व्यक्ति को जमीन पर ना लिटायें।
  • मिर्गी पीड़ित व्यक्ति को पानी, गीली जगह, लाल रंग से दूर रखें।
  • मिर्गी ग्रसित व्यक्ति को दौरा पड़ने पर चोट लगने से बचायें।
  • मिर्गी के दौरान व्यक्ति की जीभ दांतों में मध्य आने से बचायें।
  • दांतों जकड़ने से बचायें, अकसर दांतों के बीच होंठ, जीभ जकड़ जाती है।
  • मिर्गी दौरा पड़ने पर पीडिता को होश में लाने के लिए चेहरे पर ठंड़े पानी के छींटे मारे। 
  • बेहाशी अचेत अवस्था में पीड़ित को तुलसी पत्तें, लहसुन मसलकर सुंघायें तुलसी और लहसुन बेहोशी तोड़ने में सहायक है।
  • मिर्गी दौरा पड़ने पर पीड़िता को पेट के बल पर लिटायें, जिससे झाग, लार नांक में जाने से बचायें। और गर्दन ऊपर की ओर रखें।
  • दौरा पीड़िता के गले, मुंह पर तंग, टाईट कपड़े से बचायें। 
  • मिर्गी दौरा पड़ने पर व्यक्ति के आस पास भीड़ ना करें। ताजी हवा खुला वातावरण बनायें।
  • मिर्गी पीड़िता को जूता अन्य तेज गंध ना सुघांयें।
  • व्यक्ति को प्राथमिक इलाज के लिए तुरन्त हस्पताल ले जायें।
2 people found this helpful

Any part of brain can be transplant to other person or not. Under what circumstances the craniotomy should be performed. After 10 hours of nefrectomy the craniotomy may be required or not. Pls reply.

BPTh/BPT, PG Dip in Obesity and weight management
Physiotherapist, Ernakulam
Hi. No part of brain we can transplant. Craniotomy are doing to access central nerve system (brain and brain related parts located in skull ). It may performed when Head injury. Blood clot or heamarhage in brain. Or if brain tumor is there. Mostly for brain related illness which if required surgery. Nephrectomy is removal of kidney and it has no relationship between craniotomy.
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I am a 27 years old female. I have back pain (sit area) since last 2 years. Pain increase even sit on chair for half an hour. It is not tolerable. Yes. I suffering by neurological symptoms like numbness, paresthesia, weakness in limbs.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
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. Any way take bio d3 max 1tab odx10days ibuprofen 200mg od & sos x 5days do back (spine) exercises contact me again if need be. Make sure you are not allergic to any of the medicines you are going to take.
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Seizures - How To Get Rid of It?

MS - General Surgery, MCh - Neuro Surgery, MBBS
Neurosurgeon, Greater Noida
Seizures - How To Get Rid of It?

The primary aim of the treatment in patients suffering from seizure is leasing a seizure-free life without giving way to any adverse effects. This goal can be accomplished in over 60 percent people with the help of anticonvulsants. Some patients also experience adverse effects since they suffer from a seizure which is refractory to medical therapy. Here are some of the common treatment options for seizures:

  1. Monotherapy: Sometimes, monotherapy is given as it reduces the chance of all sorts of adverse effects and even avoids drug interactions. Moreover, this type of treatment approach is much less expensive than polytherapy since many older generation of the anticonvulsant agent comprises of hepatic enzyme which is responsible for reducing the serum level of the concomitant drug which leads to an increase in the dosage level of such medicines.
  2. Social And vocational rehabilitation: People suffering from problems in psychosocial adjustments after the diagnosis may also need social and vocational rehabilitation. Many physicians do not pay enough attention to the consequences that an epilepsy diagnosis may leave on the patient. For instance, people with epilepsy may have a fear of experiencing next attack of seizure and they may be unable to work at heights or drive.
  3. Consulting an expert: It is important to refer patients with intractable spells to epileptologist or neurologist for subsequent workup. A neurosurgical consultation may also be needed when the patient has to be treated surgically.

Importance of anticonvulsant therapy
Patients who have had already suffered from recurrent attacks of unprovoked seizure may need treatment with an anticonvulsant. This treatment is not recommended until the person has risk factors for suffering from the problem yet again. The primary means of treating seizure is anticonvulsant therapy where the most suitable drug is chosen based on accurate diagnosis of the syndrome as a response to specific anticonvulsants may vary from one patient to another. The difference in response may reflect the various pathophysiologic mechanisms in different types of seizures.

Types of anticonvulsant therapy
Some of the anticonvulsant therapy medication may have multiple action mechanism while some have an only single mechanism of action. Some of the most common variants of the therapy include:

  1. Neuronal potassium channel referred to as KCNQ opener
  2. Blockers of unique binding sites such as perampanel, gabapentin, and levetiracetam
  3. H-current modulators such as lamotrigine and gabapentin
  4. Carbonic anhydrase inhibitors such as zonisamide and topiramate
  5. Alpha-amino 3-hydroxy 5-methyl 4-isoxazole propionic acid receptor blockers like topiramate and perampanel.
  6. N and L-calcium channel blockers like zonisamide, valproate, topiramate, and lamotrigine

Even though there are so many types of drugs available, all of them cannot be used for the treatment of seizures. Doctors would evaluate the condition thoroughly before prescribing a medication that can be helpful in reducing the severity of the condition. In case you have a concern or query you can always consult an expert & get answers to your questions!

2540 people found this helpful

Good morning sir. I was suffering from migraine , consultant many doctors no one cure my problem please if you solved this type of problems. subject me which treatment is better.

Bachelor of Ayurvedic Medicines and Surgery(BAMS), Post Graduation Diploma in Emergency Medicines And Services(PGDEMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi 1-1 drop of cow ghee in both nostrils at night time before sleep....take shirshooladi vajra ras 1-1 tab twice a day....take pranacharya no tens capsule 1-1 twice a day...
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My daughter is recently complaint of less hearing . On being consulting with ENTDoctor he advise for audiologist test. In test it os said 50% hearing loss and advice to put hearing aids. I want any other treatment to recover this loss. They are saying nerve related issue. Pls guide.

DNB (Pediatrics), MBBS, Fellowship in Pediatric Neurology, Fellowship in Electrophysiology,Cleveland,U.S.A.
Pediatrician, Gurgaon
My daughter is recently complaint of less hearing . On being consulting with ENTDoctor he advise for audiologist test...
There is no treatment apart from hearing aid for hearing loss. You should also evaluate the cause of her hearing loss.
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Migraine Pain - Facts About It!

MBBS, MD - Anaesthesiology, FIPM, Fellowship in palliative medicine, certificate in interventional pain management, Multidisciplinary pain management course
Pain Management Specialist, Pune
Migraine Pain - Facts About It!

Migraine headache is characterized by a severe headache usually affecting one side of the head. There are other symptoms along with headache like nausea/vomiting, sensitivity to light and sound. Some patients experience neurological phenomena like changes in vision, temporary loss of sensation and altered sensation, a phenomenon known as an aura (flashes of light, zigzag patterns, bright spots, tingling in the arms and the legs). Migraine headache can last for 2 to 3 days. 

Symptoms: The symptoms depend on the stage of a migraine attack. The stages of a migraine attack can be: 

  1. Prodrome, Aura, Headache or attack, and Postdrome. 
  2. Prodorme: One to two days prior to the migraine attack, patient may experience; 
    • Mood swings. 
    • Cravings for food. 
    • Increased yawning. 
    • Stiff neck. 
    • Constipation and frequent thirst and urination. 

In case of an aura (during or before a migraine), there may be visual, motor, speech, and sensory illusions and disturbances such as, 

  • Loss of vision. 
  • A strange sensation of needles pricking an arm or a leg. 
  • One side of the body becomes weak and numb. 
  • There are visual illusions such as the appearance of flashes of light, zigzag patterns, bright spots. 
  • There is a problem in hearing and speaking. 
  • In some cases, there may be a hemiplegic migraine (the limb becomes weak). 

During a Migraine Attack (lasts for 4 to 72 hours), there may be 

  1. A throbbing pain on either one or both sides of the head 
  2. Blurred vision, light-headedness. 
  3. Nausea and vomiting 
  4. Sensitivity to light and sound 
  5. Sensitivity to touch and smell (though rare) 

In Postdrome (after a migraine), there can be 

  1. Mood swings. 
  2. A person may be sensitive to light and sound. 
  3. Dizziness and weakness 
  4. Confusion 
  5. Extreme fatigue 

An amalgamation of environmental and genetic factors may be responsible for a migraine. Trigger varies for each patient: 

  1. Stress and extreme physical exertion 
  2. Obesity 
  3. Alcohol and caffeinated drinks and beverages 
  4. Salty and processed foods 
  5. Altered sleeping habits 
  6. Hormonal alterations in women (Constant fluctuation in the level of oestrogen) 
  7. Oral contraceptives and certain vasodilators (nitroglycerin) 
  8. Preservatives like MSG (monosodium glutamate) and Aspartame (sweetener) 
  9. Sunshine, certain odours, travel, etc can trigger migraine. 

Treatment and Prevention: 

  1. Medicines under supervision to abort an attack of migraine and special drugs to stop attacks. 
  2. Lifestyle changes are helpful to decrease attacks: 
    • Avoid your trigger for migraine. 
    • Follow regular sleep -wake cycle. 
    • Regular exercise, meditation. 
    • Avoidance of alcohol, caffeine containing beverages. 
  3. Other treatment options that can be availed from pain specialist: 
    • Transcutaneous supraorbital nerve stimulation 
    • Intramuscular stimulation. 
    • Botulinum toxin injection. 
    • Occipital nerve block.

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

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Hi i am Sex Female. I am 36 years old. 3 years ago, I am suffering from Brain thrombosis which called Lakwa (One Side weakness) Paralysis. Now is OK. But Monthly Report PT INR continuous 1.79 to 2.30. I have consult by a doctor at Thane. But Problem is PT INR fluctuation Rate. So I request you So what is the prevention of PT INR fluctuation Ratio. This Time Precaution Tab 4 mg Five times & 5 Mg Two times.

DNB (Neurosurgery) , DNB (General Surgery)
Neurosurgeon,
Reply: the fluctuation of the pt inr is common. This is due to the variation in the body metabolism and food habits. In order to maintain a pt inr of 2.5 times the normal which in your case seems to be in range, a fluctuation of the tablets is necessary. If your symptoms have improved and you have continued this medication for almost 3 years, you may do a mri with Mr. Venogram and re-assess whether the thrombus is completely resolved. In case, the thrombus is resolved and you are not prone for repeated thrombotic attacks, the tablets can be tapered and stopped. In order to give complete details and treatment schedule, you need to provide all the previous details of the problems, the symptoms, the case records, the imaging and the management strategy till date. Regards
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