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
After my accident with a fast moving car I had started suffering from loss of feeling & sensation which is caused by Damage to the spinal cord which connects and pass signals from body to brain, for which I received Accident Injuries Treatment, I am so overwhelmed that I met with dr SatyajIt Das at his clinic located in Durgapur. He provides me with his valuable advice and prescription so that I can heal swiftly.
I had fixed up an appointment with dr SatyajIt Das at Durgapur, The damage to the spinal cord which is because of my bike accident injuries which displaced my bone fragments, but thanks for advice, therapies and medications provided by Doctor which helped me a lot.
A stroke may be called a brain attack. It may happen to any person at any time. A stroke occurs when there is a vascular event in the brain causing a blockage of blood vessels or a rupture of vessels causing hemorrhage. The brain cells are starved of food and oxygen or are assaulted by a barrage of harmful agents released as a result of hemorrhage, suffering reversible or irreversible damage. Dead or disabled brain cells result in brain dysfunction due to which patients may lose control over parts of the body or lose the capacity to speak, think or remember.
Strokes can be mild to severe and require immediate medical attention. Stroke requires advanced care and a stroke patient is ideally treated by a multidisciplinary team of experts. At various stages of treatment, the attention of doctors specializing in Neurology, Neurosurgery, Critical Care, Medicine, Radiology and Physical Medicine may be required. Besides, good nursing care and physiotherapy are essential for better recovery from stroke.
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. The commonly seen underlying causes are atherosclerosis (which is a condition where fatty deposits occur in the walls of the blood vessels) or embolism (blood clot formed elsewhere reaches the brain circulation and blocks a smaller blood vessel). Other rarer causes of ischemic stroke are trauma, hypotension, vasospasm, etc..
- Hemorrhagic Stroke: This type of stroke occurs when a blood vessel ruptures into the brain. This can be caused by high blood pressure, weakened vessel wall due to atherosclerosis, or vascular malformations like aneurysms, AVM, or cavernomas.
- Transient Ischemic Attack: This type of stroke is also known as a mini-stroke. The blockage caused is temporary or transient in nature, and may happen repeatedly.
Treatment of Stroke:
A. General Treatment: Most cases require supportive management to prevent the secondary complications of stroke, so that the patient gets adequate time for the brain tissue to recover functions. Medicines are administered to control brain pressure, prevent convulsions and aid brain tissue recovery. Paralysis of muscles, difficulty in eating, drinking, breathing, controlling urine etc. make the patient highly dependent. Physiotherapy is essential for good recovery of impaired functions. It is essential for family and friends to encourage the patient and involve themselves in supportive care to prevent depression from setting in and for robust rehabilitation.
B. Specific Treatment of Ischemic Stroke
- Tissue Plasminogen Activator: This is one of the best ways to treat ischemic strokes presenting early. 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 again useful only if the patient reaches early. 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.
- Decompressive craniectomy: Large ischemic strokes cause a rise of brain pressure which may cause death. To reduce brain pressure, decompressive craniectomy surgery may be required if medicines alone are not effective.
In this, a large part of the skull on one side or in the front may be removed to allow space for a swelling brain and relieve intracranial pressure.
C. Specific Treatment of Hemorrhagic stroke
- Surgical treatment: Different modes of neurosurgery may be undertaken to remove blood clots, repair vascular malformations and for relieving pressure within the skull. The need for surgery depends on the cause, location and volume of hemorrhage besides other factors. It is an important decision, and the family needs to consult with the neurosurgeon and understand the implications thoroughly before agreeing or disagreeing for treatment.
- Endovascular coiling or embolisation: Act as standalone treatment or as an additional aid to surgery especially in vascular malformations like aneurysms or AVMs.
As the famous quote says, 'prevention is better than cure', let us take you through some preventive measures to keep you and your loved ones away from the dreadful consequences of brain stroke. Brain stroke occurs due to an interruption in the regular blood flow to the brain or rupture of a blood vessel causing brain cells in the affected area to die or become disabled. Stroke is a vascular disease, so anything that keeps the blood vessels healthy can reduce the risk of stroke. Top 8 things that will reduce the likelihood of having a brain stroke:
- Eat well: Having good eating habits are not just good for a healthy outlook of the body, but also benefits the body in many other ways. Eating plenty of fresh fruits and vegetables, lots of fibre, reducing salt and saturated fat intake can keep blood vessels healthy and reduce the risk of stroke.
- Stay Active: Regular exercising not just makes you feel and look good, but also reduces the odds of developing a brain stroke. Exercising regularly keeps the heart and brain vessels healthy.
- Say no to Smoking and drugs: Yes! The more you smoke, the more are the chances of suffering a deadly brain stroke.
- Control your blood pressure: The ideal blood pressure for a healthy person is 120/80 mm of mercury. Regular check-up of blood pressure is advisable to control the chances of suffering a stroke as high blood pressure can directly cause a brain hemorrhage.
- Drink in limits: Limit the amount of alcohol you consume. Chronic alcoholics suffer from malnutrition and liver problems which compound the chances of stroke and its severity. Alcoholic liver disease causes blood clotting to be impaired, increasing the chances of stroke.Consulting a de-addiction specialist is the best option in case you are not able to control your alcohol intake.
- Cholesterol: People suffering from high cholesterol are at higher risk of strokes as the cholesterol can deposit in the wall of arteries in the body making the arteries narrow and the body more prone to suffer a stroke. Reducing saturated fat like red meat, dairy fat etc., and increasing MUFA like mustard or olive oil can help reduce cholesterol.
- Diabetes: uncontrolled high blood sugar over long periods is one of the most prominent reasons behind stroke. One should get his sugar level checked regularly, especially if there is diabetes in the family.
- Stress: Prolonged stress generally leads to high blood pressure and reduced body immunity, and hence becomes a reason for stroke.
Consultation with a doctor and/or psychiatrist is advisable in case a person if suffering from stress or depression. Ultimately, improving your health and taking charge of your life should be the top most priority and should never be ignored at any cost. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.
I have haemoglobin 19.52 and RBC count disturb due to this, got one stroke also. But did not get any defect in MRI or CT scan please advice how can I get into normal blood count.
Spine surgeries are complicated and have serious repercussions if the procedure is not planned well. A thorough communication with your doctor is therefore very critical to ensure a safe operation and early post-op recovery. Questions can range from the type of treatment chosen for a speedy recovery to side effects. Here is a list of questions that you need to ask your spine surgeon:
1. Why is the surgery recommended?
Typically, there is more than one treatment option for a particular problem. Your doctor should be able to tell you very precisely as to why the surgery is recommended and how it is going to address the problem. He should also discuss the alternative treatments available with their respective advantages and pitfalls.
2. Is there any non-surgical option?
Many spine related issues can be treated with rest, medicines and physiotherapy. Ask your doctor if such conservative options exist.
3. Explain the surgical procedure in detail.
Your doctor should explain the whole surgical procedure, in as much detail as you think is required for you to understand what is going to be done to your body. This helps you to have a practical idea and realistic expectations regarding your treatment.
4. What is the duration of the surgery?
Duration of a spine surgery depends on the procedure that is being performed and individual complexities. A lumbar microdiscectomy may take barely an hour, while a complex spinal fusion may take half a day! Do inquire about the duration expected by your spine surgeon.
5. How will the surgery address the pain or other symptoms?
It is important to know the source of the pain or other symptoms in a spinal pathology. Not all back pain benefit from surgery. Ask your doctor how he intends to address the pain, weakness etc. through the surgery.
6. What are the risks involved?
Risks and side effects vary from patient to patient. For instance, a person with obesity, diabetes and smoking has greater chances of complications associated with any surgery.
7. Do you need to change your regular medications?
Medicines like blood thinners can increase chance of hemorrhagic complications. These need to be stopped before surgery. Do discuss ALL your medical issues no matter how irrelevant they may seem to you.
8. Whether a back brace is necessary after surgery?
Limiting the spine movement is necessary for the process of healing. Most Doctors suggest braces or collars after a spine surgery.
9. What is the time required for recovery?
The recovery greatly varies with patients and conditions. What you should ask your Doctor is the expected time required for you to join your job/school.
10. Will there be any physical limitation after the operations?
Many spine surgeries require you to refrain from strenuous jobs for a while. For instance, certain surgeries require you to stay away from driving for a while. Address all these apprehensions from your doctor. 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-like 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 or neck. 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 column.
Nerves located at the back of every disc are responsible for transmitting pain, motor impulse, bladder control etc. 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 and irritation of the affected nerve. It has been observed that individuals may or may not feel any painful sensations even if their disc gets damaged. Other symptoms may be weakness of muscle groups or difficulty in controlling the bladder.
When is surgery recommended for herniated disc?
Surgery for herniated disc is recommended only after options like rest and pain relievers do not work. If the pain persists even after these options, then it becomes important to go for surgery. Surgery is also considered early if there is weakness of muscle groups or acute problem in bladder control. At times, emergency surgery is also required to avoid paralysis in a patient.
However, there are certain risks involved in this surgery like infection, bleeding or nerve damage. There are chances that the leftover disc may bulge out again. 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. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.
Regardless of whether the cause is a tumor, trauma, stroke or any other illness, any injury which inflicts damage on your brain cells is considered to be a brain damage.
There are two types of brain damage, both of which interfere with the standard functioning of the brain.
- Acquired brain injury (ABI): Either resulting from a tumor or a neurological illness, for instance a stroke, this type of brain injury originates from the cellular level and is commonly linked with brain pressure.
- Traumatic brain injury (TBI): It results from any damage imparted to the skull usually from an external and physical force like a blow to the head or a head accident, which in turn damages the brain.
How severe the brain damage is depends largely on the type of brain injury. Mild brain injuries are temporary, causing headaches, memory lapses, nausea and confusion. On the other hand, severe brain injuries cause cognitive, physical and behavioral impairments which are often life-changing and permanent.
Acquired brain injuries may be caused by:
- Being exposed to toxic substances
- Choking, strangulation or drowning
- Heart attacks
- Neurological illnesses
- Illegal drug abuse
Traumatic brain injuries are usually caused by:
- Car accidents
- Sports injuries
- Physical violence
- Head blows
- Falls and other mishaps
Whether acquired or traumatic, symptoms of brain damage can be classified under four major groups:
1. Cognitive symptoms generally include
- Having a hard time processing information or expressing thoughts
- Difficulty in understanding others or abstract concepts
- Memory loss
- Short attention spans
2. Physical symptoms generally include
- Excessive physical fatigue
- Extreme mental fatigue
- Persistent and frequent migraines or headaches
- Sleep disorders
- Light sensitivity
- Loss of consciousness
- Slurred speech
3. Perceptual symptoms generally include
- Spatial disorientation
- Smell and taste disorders
- Heightened pain sensitivity
- Changes in hearing, seeing, or touch sensations
- Unable to perceive time
- Balance problems
4. Emotional or behavioral symptoms generally include
- Decreased stress tolerance
- Heightened or flattened reactions or emotions
- Impatience and irritability
If you wish to discuss about any specific problem, you can consult a neurosurgeon.