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Dr. Vimal Kumar Agarwal

Neurosurgeon, Delhi

750 at clinic
Dr. Vimal Kumar Agarwal Neurosurgeon, Delhi
750 at clinic  ·  ₹ online
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Vimal Kumar Agarwal
Dr. Vimal Kumar Agarwal is a popular Neurosurgeon in Rajender Nagar, Delhi. You can meet Dr. Vimal Kumar Agarwal personally at BLK Super Speciality Hospital in Rajender Nagar, Delhi. Book an appointment online with Dr. Vimal Kumar Agarwal on Lybrate.com.

Lybrate.com has top trusted Neurosurgeons from across India. You will find Neurosurgeons with more than 30 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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#5, Pusa Road. Landmark: Near Rajendra Palace Metro Station, DelhiDelhi Get Directions
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Autism in Children

CCT, FRCPCH , MRCPCH, Diploma in Child Health (DCH), MBBS
Pediatrician
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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.

I am a patient of "seizure for the last 15 years and am taking Mazetol 200 daily twice. Still some times I feel very depressed, disturbed sleep. What should I do.

MBBS, MD (AIIMS, Gold Medalist), Diploma in CBT (Glasgow)
Psychiatrist
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I am a patient of "seizure for the last 15 years and am taking Mazetol 200 daily twice. Still some times I feel very ...
The relationship between seizure disorder and psychological problems is well known. It is not uncommon to encounter a situation where seizure is well controlled but psychological problems persist. If the depression that you feel is occasional and minor, it can be ignored. If it is troublesome, we can treat it with appropriate medicines. If you do not want to take medicines, psychotherapy can be done. Assuming that you do not have any other medical or psychological problems including bipolar disorder, a medicine such as mirtaz 7.5 at bedtime can be suggested in good faith. It will improve depression, is not addictive and also normalizes sleep. But please bear in mind that as these are medicines and considering your age, a consultation would be warranted at some point of time. Take care sir!

My father is 52 years old on 24/4/15 he is paralysed by half body now he was little bit ok. But still he lost little memory and forget few thing in daily life routine please advice what can I do ?

MBBS, MD - Internal Medicine
General Physician
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Dear which side is he paralysed? was it a clot or a bleed? is he diabetic? or hypertensive? however unfortunately there is nothing much we can do about the memory, time will take its own course and he should recover. If possible please upload his ct scan or mri and ecg. More important is that we have to prevent any further strokes. So we have to find out why did he have it in the first place.

I am 22y old female I am suffering migraine please tell some tips to avoid headache.

BHMS
Homeopath
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Migrain is a form of headache. The pain is usually throbbing, pulsating and bursting in character. At times, the pain is one sided or may involve the whole head. Such pain may last for hours or even days. It is often accompanied by other symptoms like nausea or vomiting. At the same time, there is increased sensitivity to light and sound. The causes of the problem may vary from one patient to another and so will the final choice of the homeopathic remedy will also vary. Prevention tips :- 1. Keep a headache diary: This may help you in identifying the trigger factors such as foods, activities and weather 2. Exercise regularly: Regular exercise, yoga and relaxation techniques such as meditation can also be of great help. 3. Keep regular sleep patterns: Sleep adequately. Sleeping too much or too less can trigger migraine. 4. Watch out what you eat:Foods such as caffeine and Chinese foods that contain monosodium glucamate and chocolates cheese are well-known trigger factors. 5. Eat regularly: Fasting is a very common trigger in many people. If it is such a factor for you too, make sure that you eat at regular intervals. ***Selection of Homoeopathic remedy depends upon the totality of your symptoms. So please share your symptoms.

My wife 35 years old and suffering from migraine.

MBBS
General Physician
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See exact cause of migraine is still not known. I suggest you to take tab brufen sos. For other symptoms such as vomiting you can take emset sos for acute attack. If your symptoms are not relieved you can use another medication like tab bcap plus which contains flunnarizine and propranolol. This drug is generally continued for 3 months daily. Once daily night time. Bit before taking this medicine I advice you to consult your family physician first.

If migraine pain starts then pain killer at that should be taken immediately or should wait it to be slow down automatically.

MBBS, cc USG
General Physician
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Some health tips for Migraine headache 1. You can avoid light for some time •2.You can Apply hot or cold compresses to your head or neck for reducing pain, (Ice packs and Hot packs and heating pads both decreases pain) •3.Warm showers or baths may also decrease pain 4.Proper sleep, some tips to encourage sound sleep. Establish regular sleep hours. Minimize distractions. •Your eating habits can also triggers migraines Headache •Be consistent. Eat at about the same time every day. Don't skip meals. Fasting increases the risk of migraines Avoid foods that trigger migraines Meditation is very effective in Migraine You can take painkiller if above measures are not effective.

I have sensation feeling like vibration on lateral part of left thigh only while standing not walking or running. My thigh got sleep if I keep on standing for long duration. In starting I felt itching at that part but now I feel sensation. I am having this from last two months. It is on a part of thigh not whole thigh or leg. Please suggest what can be the issue and what should I do.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist
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I have sensation feeling like vibration on lateral part of left thigh only while standing not walking or running. My ...
Do have balanced diet and avoid stress anxiety and anticipating the things do regular physical activities along with breathing and strengthening exercises from neuro physiotherapist best wishes.

My mother has been suffering from glioma grade 3 since july 2015. Could you please let us know the symptoms for deterioration.

C.S.C, D.C.H, M.B.B.S
General Physician
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Even if some tumour is left behind after surgery, slow growing tumours may take many years to cause symptoms again. Nearly half of all patients with partially removed low grade astrocytomas live for at least 10 years after treatment with surgery and radiotherapy. Loss Of consciousness and worsening of presenting complain can happen

Dear sir, I am 34+ yrs. I had used finpecia & finax tablet earlier to arrest hair falling. Does this pill have any bad side effect like prostate cancer or impotency. For few days after waking up in morning I am feeling back pain in spine, numbness in my right leg, pain in belly left side near waist, urine has become deep yellowish even sometime feel pain. So please suggest.

BHMS
Homeopath
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Dear sir,
I am 34+ yrs. I had used finpecia & finax tablet earlier to arrest hair falling. Does this pill have any ba...
Hello sir, hairfall can be treated by homoeopathy without side effects. There are many homoeopathic remedies for headache sepia, acid phos, nat mur, phos, kali carb, kali sulph, bry, silicea, canth, etc. To select perfect remedy for you

Is there any sure remedy for Parkinson's neuropathy?there is no diabetes

BHARAT JYOTI, MRACGP, INCEPTOR, MD-PhD, FIPS, Fellow of Academy of General Education (FAGE), DPM, MBBS
Psychiatrist
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People suffering from Parkinsons disease has to live with it lifelong, as it has no cure. The treatment options for this disease include oral medications (Levodopa, dopamine agonist, Mono Amine Oxidase Type (MAO-B) Inhibitors, etc), surgical interventions (Deep Brain Stimulation, Neuro-stimulator and Extension) and adjunct therapies like physiotherapy, occupational therapy and speech and language therapy).

What is the brain hemorrhage?

DM - Neurology
Neurologist
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'hemorrhage' is the scientific term for bleeding; brain hemorrhage is bleeding into the brain. There are 3 kinds: bleeding into the brain itself, or bleeding into two spaces around the brain - the sub-arachnoid space or the sub-dural space. The last one, sub-dural hemorrhage occurs most often following an injury, very occasionally after a long gap and can be very confusing. For example, trivial injury to a very elderly person can lead to bleeding into the sub-dural space months later, lead him into coma gradually and be only diagnosed only on a ct scan. Sub-arachnoid hemorrhage is usually catastrophic, starting with a headache like a bolt from the blue and striking the person down and many times leads to death. There are many treatments to be done, but it is a very complex and difficult disorder. Bleeding into the brain can be'minor' but in 25 % of the cases it is instantly fatal; another 25 % die within 30 days; and another 25% die within 1 year. That means 75% patients with brain hemorrhage die within 1 year - that's how serious it is! the most common causes of brain hemorrhage are age and high blood pressure.

Skin is becoming very dry. Arm, legs are very dry. It seems upper layer of skin is peeling off. I am taking syndopa110 for parkinson. Is it due to any sideeffect of any medicine? What should I do to cure this dryness?

MD - Dermatology , Venereology & Leprosy, MBBS
Dermatologist
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Skin is becoming very dry. Arm, legs are very dry. It seems upper layer of skin is peeling off. I am taking syndopa11...
Apply physiogel cream as moisturiser over skin three to four times daily. Bioderma atoderm pain soap or oilatum bar for body wash.

I am 47 years old. I have diabetes from last 10 years. From last 1. 5 years I face problem in sensing me feet. What should I do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist
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Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. It could be due to your long term diabetic status or due to other causes like lower back etc. I would like you to consult an endocrinologist or a neurophysician, probably you will require nerve conduction studies to be done to be sure that it is due to diabetes and then appropriate management can be instituted. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr. Akshay kumar saxena Consultant orthopaedics fortis hospital, new delhi.

How to get cure from migraine headache? I am suffering from last 5 years.

General Physician
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Take crocin pain relief one sos, get your BP checked. get your eye sight checked. consult again if not ok.

I Am 27 years old female, I have migraine from my childhood, now it increased, it is like all the time being with headache, I ve tried all the medicines, nothing worked. What should I do now.

cc USG, MBBS
General Physician
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I am giving some health tips for Migraine headache •1.You can turn off light for some time •2.Apply hot or cold compresses to your head or neck. •Ice packs have a numbing effect, which may dull the sensation of pain. •Hot packs and heating pads can relax tense muscles. •3.Warm showers or baths may have a similar effect. •4.You can take Tea or coffee( but not excess) 5.Sleep well Here are some tips to encourage sound sleep. Establish regular sleep hours. •Minimize distractions. •Your eating habits can influence your migraines. •Be consistent. Eat at about the same time every day. Don't skip meals. Fasting increases the risk of migraines Avoid foods that trigger migraines Meditation This problem can be solved by Meditation, i can give you address of rajyoga meditation center near your house Consult Physician/me for further management

My age is 23. Height 6 ft. Weight 76 kg. My serum cortisol morning is 234ng/ml. I am having numbness and tingling all over body. Chest and belly fat enlargement. Hair growth excessively. Does excessive cortisol or cushing syndrome also causes numbness and tingling all over body?

BHMS
Homeopath
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My age is 23. Height 6 ft. Weight 76 kg. My serum cortisol morning is 234ng/ml. I am having numbness and tingling all...
My dear give family history first. Offcourse sometimes its happens. Reduce years weight little bit. Do morning walk 3to4 km a day. Add up fibre in food. Tk plenty of water. Consultant years physician. God bless you.

She has numbness in palms and feet at night while sleeping? What is the reason for it? Is there any solution for it?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath
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She has numbness in palms and feet at night while sleeping?
What is the reason for it?
Is there any solution for it?
The most probable reason for numbness can be vitamin-b 12 deficiency ---------------i will advie you to start meco-nerve forte capsules dailt night for 30 days and if still numbness persist then consult again-----------------

I'm suffering from migraine pain. Medicines give relief only temporarily. Please help by giving some permanent remedy.

Diploma in Hospital Administration, MD - Obstetrtics & Gynaecology, MBBS
General Physician
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Migraine is pain on one side of head. First get the diagnosis confirmed by Doctor. Headache can be due to multiple reasons. High blood pressure/ Problems of near or distant vision. Not using spectacles/ change required in glasses power. Nose/ ear / Throat infection/ Sinus infection/Tooth infection.Some time there can be brain tumour. For Treatment of specific cause of disease, consult your doctor. However Rest/ Steam inhalation/ applying Balm on fore head/ Tea /Coffee may help.

My friend she is 24, her weight is 40, she has a cuff, while cuffing she use to get blood little bit. Along with this she use to get headache, it is migraine and she use to take tablets for it. U please suggest me. What was reason for it.

MD(EH)/AM/Accupressure
Acupressurist
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My friend she is 24, her weight is 40, she has a cuff, while cuffing she use to get blood little bit. Along with this...
Do not take risk. You must go to doctor for check up. It may be chest problem. Consult your doctor immediately.
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