Doctor in Vivekananda Hospital
Treatment of Neurological Problems
Treatment of Nerve And Muscle Disorders
Treatment of Paralysis
Joint Dislocation Treatment
Hepatitis B Treatment
Treatment of Spondylosis
Treatment Of Disk Slip
Treatment Of Herniated Disc
Treatment of Spine Injuries
Brain Tumor Surgery
Treatment of Disc Prolapse
Spinal Cord Injury Medicine
Accident Injuries Treatment
Hepatitis C Treatment
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Patient Review Highlights
Brain cancer is a disease of the brain in which cancer cells (malignant cells) arise in the brain tissue. Cancer cells grow to form a mass of cancer tissue (tumor) that interferes with brain functions such as muscle control, sensation, memory, and other normal body functions. Tumors composed of cancer cells are called malignant tumors, and those composed of mainly non-cancerous cells are called benign tumors. Cancer cells that develop from brain tissue are called primary brain tumors while tumors that spread from other body sites to the brain are termed metastatic or secondary brain tumors.
- Brain cancer is actually the abnormal growth and uncontrolled growth of the cancer cells in the brain,that forms a tumor in the brain.Tumours can be either benign or malignant.
- Benign brain tumours are abnormal collections of cells that reproduce slowly and usually remain separate from the surrounding normal brain.
- Malignant tumours reproduce and grow quickly. Their borders are hard to distinguish from the normal brain around them.
There are few early symptoms of brain cancer, but as the tumour grows within the confines of the skull, it causes increased intracranial pressure and exerts pressure on the brain, causing signs to develop.
Brain cancer symptoms and signs are varied and depend on the area of the brain involved, but can include:
- Nausea and Vomiting, which, CANSA reports, may be worse in the morning or after a sudden position change.
- Difficulty walking or clumsiness.
- Vision changes.
- Changes in alertness.
- Behavioural impairment.
Brain cancer occurs when there is an uncontrolled growth of cancer cells in the brain that form a malignant brain tumor. The underlying cause of primary brain cancer, cancer that begins in the brain, is not known. Secondary brain cancer is caused by a cancer of another organ in the body, such as the breast, prostate, kidney, skin, or bone, that has spread to the brain.
What are the risk factors for brain cancer?
- Certain inherited conditions, including neurofibromatosis, Von Hippel-Lindau syndrome, Li-Fraumeni syndrome, and Turcot syndrome
- Personal history of cancer or family history of brain cancer
- Impaired immune system
- Radiation therapy of the head
Surgery is the main form of treatment for brain tumors that lie within the membranes covering the brain or in parts of the brain that can be removed without damaging critical neurological functions. The goal is to remove the entire tumor, whenever possible, as a tumor may recur if any tumor cells are left behind. Radiation therapy and chemotherapy are generally used as secondary treatment for tumors that cannot be cured through surgery alone.
Stereotactic radiosurgery is a treatment option that delivers a high concentration of radiation directly to the tumor in order to stop its growth, while delivering only a minimal dose of radiation to the surrounding tissue. Unlike conventional surgery, stereotactic radiosurgery does not require making an incision to remove the tumor. It can be especially effective in patients with many small metastatic brain tumors. In case you have a concern or query you can always consult an expert & get answers to your questions!
A stroke may be called a brain attack. It may happen to any person at any time. A stroke occurs when blood supply to the brain is cut off. The brain cells become oxygen deprived due to the stroke and eventually die. Dead brain cells result in brain dysfunction due to which patients lose control over muscle and memory.
Strokes can be mild to life threatening and requires immediate medical attention. Stroke requires advanced care and should be treated by extensively qualified and experienced medical experts.
Neurosurgery satisfies all the required clauses for treatment of stroke and accounts for being one of the best ways for management of stroke. Renowned hospitals have a dedicated neurosurgical wing and a team of neurological specialists who know how to deal with stroke the best.
This form of neurology focuses on patients who have undergone a stroke or have experienced symptoms of stroke. A multidisciplinary approach is taken for the prevention of recurrent cerebrovascular conditions.
Types of stroke
- Ischemic stroke: This kind of stroke occurs when there is a blockage in a blood vessel, which supplies blood to the brain. This form of stroke is the more common. The underlying cause of this stroke is known as atherosclerosis, which is a condition where fatty deposits occur in the walls of the blood vessels and cause blockage in them.
- Hemorrhagic stroke: This type of stroke occurs when a blood vessel gets weak and ruptures into the brain. This is caused by two types of weak blood vessels known as aneurysm and arteriovenous malformation.
- Transient ischemic attack: This type of stroke is also known as a mini stroke. These attacks occur because of blood clots. The blockage caused is temporary or transient in nature.
Treatment of Ischemic stroke
- Tissue Plasminogen Activator: This is one of the best ways to treat ischemic strokes. This medicine is given to the patient intravenously. It dissolves the blood clot and improves blood flow to the area of the brain which is affected. The medicine should be given within three to four hours after stroke symptoms appear.
- Endovascular procedure: This is a process by which the blood clot is removed using a catheter, which gets inserted into the area of the blocked blood vessel. It helps in restoring blood flow to that area.
Treatment of Hemorrhagic stroke
- Endovascular procedure: Several endovascular techniques and methods are used so that the weakening of blood vessels is reduced and less bleeding is caused.
- Surgical treatment: Different modes of neurosurgery may be undertaken to stop bleeding and for relieving pressure within the skull. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.
The symptoms caused due to herniated disc can be very severe and can also cause a bit of disability. The disc of the spine is like a cushion and separates the set of bones on the backside. The discs are shock absorbers of the spine and are mainly composed of 2 parts, a soft jelly centre called the nucleus and a tough outer covering called the annulus.
Effects of Herniated Disk
A herniated or cracked disc is a severe condition and it seems to happen most commonly in the lower back. It happens when a fraction of the soft centre gets pushed through the destabilized area due to degeneration, trauma or by putting pressure on the spinal cord.
Nerves are located precisely at the back of every disc and are responsible for controlling everything in our body. While a disc gets herniated, the external covering of the disc tears and creates a bulge. The soft jelly gets shifted from the centre of the disk to the region where the damage has occurred on the disc. Most commonly, the bulge occurs in areas where the nerve is located and it causes strain on the affected nerve. It has been observed that individuals do not feel any painful sensations even if their disc gets damaged.
When is Surgery Recommended for Herniated Disc?
Surgery for herniated disc is recommended only after options like steroid injections, pain relievers, exercise and non-steroid anti-inflammatory drugs do not work. If the pain persists even after these options, then it becomes important to go for surgery. There are certain risks involved in this surgery like infection, bleeding or nerve damage.
There are chances that the disc may get ruptured again if it is not removed. If you are a patient suffering from degenerative disc disease, then there are chances that problem occurs in other discs. It is very important that a patient maintains healthy weight to prevent any further complications.
The main factor that increases the risk of herniated disc is excess body weight, which causes a lot of stress on the lower back. A few people become heir to a tendency of developing this condition. Even individuals with physically demanding jobs are prone to this condition.
Activities like bending sideways, pushing, twisting, repetitive lifting can increase the risk of a herniated disk. At times, emergency surgery is also required to avoid paralysis in a patient. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.
Hi I've got chemical imbalance in brain I've started doing pranayama I do 10 min bhastika 10 min kapalbhati 20 min anulom Vipin 5 min brahmi I hope I can continue the above format without ne doubt N it will not harm me but help me.
He has brain hemorrhage. He is being given a syrup glycerol I. P. Since it was till yesterday he was able to understand a bit now he is now able to speak or get up. He does not even understand toilet sensation he does it anywhere. Is is OK to continue that medicine.
Hello Doctor, My father had suffered from bells palsy in the month of feb 2016. He was admitted then and had been treated for the same. He had his right side of the face affected which made his mouth slag down and eyes not able to close and open. After the treatment he has recovered and has his face in correct posture but he is still facing problem in closing his right eye which is very irritating for him. It has already been 10 months but it has not been recovered completely. Recently he has been diagnosed with diabetes. Please help as he is getting old and is having these issues which makes him demoralize. Please suggest cure and remedies for the same. Thank you.
4-5 days back I suffered from mild facial paralysis attack on right side. My left cheek was slightly swelled, left lips went slightly up and tongue was also slightly tilted. It's slowly getting normal. Very eager to know the causes of facial paralysis. My BP is generally normal.
my age is 33 yrs. I am suffering from neurofibroma for last 10 years. I have multiple such lipomas in my hands and some on my back. Since last 2 years the no. And size have increased abruptly. Doctors say it is benign and not to worry and there is no cure for it. But it looks ugly on my forehand. Why does ot occur and what precautions should I take to cure or reduce it at least stop new ones to generate. Please suggest.
Over the years, I have observed many difficulties patients face during the consultation with us. The patient and the family are already stressed, and usually no I idea what their neuro doctor is expecting from them, this usually results in the much-prolonged consultation and/or dissatisfied patients.
What is different about neuro diseases?
Unlike other systems in the body, the nervous system disease manifestations are quite different. Each component of the nervous system carries out specific functions so the involvement of different components gives rise to a different set of symptoms which are unique to that area of involvement.
But how is this fact relevant to patients?
One may think so that the above-mentioned fact doesn't carry much importance for patients. Up to certain extent that's true.
But this fact is of utmost important for the neurosurgeon or neurologist. We localise the problem only based on your symptoms. We advise the scans just to confirm our clinical localisation and to get the anatomical details in the surgical cases.
So the point to be stressed is, your way presentation of your symptoms is important for us.
Well, so how to go about it? I will discuss it in simplest possible way.
1. Make a list of your symptoms.
Start with the earliest symptom you had.
Usually, for cranial cases, the earliest symptom is either a headache or seizure and for spinal cases the low back pain.
Add on the symptom from earliest to latest.
2. Describe each symptom.
Each symptom should be described in three aspects: pattern of onset, duration of it and changes over a period of time.
3. Negative history.
It's also important to tell us what you don't have.
Usually, we look for 5 set of symptoms in cranial cases:
A. Higher mental dysfunction like change in personality, aggressive behaviour, lack of motivation, loss of executive function, memory disturbance, etc
B. Cranial nerve involvement like problem with smell, vision, sensation on face, weakness of face, hearing difficulty, speech/swallowing difficulty etc
C. Motor symptoms: exact description of weakness, if you have any.
D. Sensory symptoms: anatomical distribution of the loss of sensation or abnormal sensations should be given
E. Cerebellar symptoms: imbalance if any. Incoordination in any form.
F. Automatic symptoms, bowel / bladder symptoms
We expect you to give us relevant summary of symptoms in above sets, please don't miss to mention if you have them. If you don't have any of them, mention briefly about their absence.
For spinal and peripheral nerve cases mainly we expect description about three set of symptoms:
A. Motor symptoms: exact distribution of the weakness, associated stiffness of the muscles if any
B. Sensory symptoms: exact distribution of the positive sensory symptoms (tingling/pin and needle like sensations/shock like sensations) or negative sensory symptoms (numbness/reduced sense of hot and cold)
C. Bowel and bladder symptoms are very important to mention in the spinal diseases.
Please note, that I am not trying to confuse you by narrating so many details, these are not the must have details. But if you have an idea of what is expected, you can present your symptom profile very elegantly, your doctor can put the diagnosis quickly.
I hope this article helps.
Dr Hardik rajyaguru