Doctor in Dr Satyajit Das
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
Satyajit Das has a very positive attitude towards all the patients. In the very first sitting, Satyajit Das clearly told us the problem and the what the treatment procedure will be in future. Due to my muscle disorder i was feeling very depressed and had no hope. The overall atmosphere in the Dr Satyajit Das is very soothing. The overall outlook of the Dr Satyajit Das was very nice. Overall nerve and muscle disorders was very effective. It's been more than a year that I was experiencing muscle disorder. Thanks to him I am totally satisfied with the results.
I was in so much pain due to my neurological problems. The Dr Satyajit Das is designed in such a way that every patient feels at ease. I was suffering from neurological problems for such a long time. I am almost my normal self post the treatment and for that my Satyajit Das is the reason. The nurses at the Dr Satyajit Das were really helpful. Even though Satyajit Das is not from our city, he is still very famous, so we consulted him. He ensures that she listens to his patients. The guidance Satyajit Das gave me has helped me immensely with my situation.
I was quite depressed due to muscle disorder , but Dr Satyajit guided me to change my attitude. I have consulted so many doctors , but no one was able to solve my muscle disorder. It was getting very difficult for me to cope us with my muscle disorder. By chance, I approached Dr Satyajit for second opinion and thank god, i did because, he treated me without any surgery and all. I am almost my normal self post the treatment.
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.
The spinal cord is like a cable consisting of millions of nerves that transmit messages in the form of electrochemical signals from the brain to the rest of the body, and also sensations from the body back to the brain. We are able to perceive pain and move our limbs because of messages sent through the spinal cord.
The spinal cord is soft and vulnerable to injury. It is protected by the bony structure of the vertebral column. A spinal cord injury can happen if there is a fracture of the spine. Sometimes, even if the vertebral column is intact, violent shaking can cause cord contusions. It’s an extremely serious type of injury that is likely to have a lasting and significant impact on most aspects of daily life.
If the spinal cord sustains an injury, some or all of these impulses may get blocked. The result is a loss of sensation and mobility below the level of injury. A spinal cord injury closer to the neck will typically cause paralysis throughout the body, while one in the lower back may affect the legs but spare the hands.
A spinal cord injury is often the result of violent trauma. Events like spontaneous hemorrhage, infection, tumors or autoimmune diseases can also cause spinal cord damage. Some causes of traumatic injury to the spinal cord are :
- trauma during a car accident (specifically, trauma to the face, head and neck region, back, or chest area)
- falling from a significant height
- head or spinal injuries during sporting events
- electrical accidents
- a violent attack such as a stabbing or a gunshot
- Diving head first into water that’s too shallow and hitting the bottom
Some symptoms of a spinal cord injury include:
- Neck or back pain
- Pain radiating along limbs, or numbness/ pins and needles sensation along the arms or legs.
- Weakness of particular muscle groups in focal injury, to complete paralysis in severe injury.
- Clumsiness during finer actions using the hands.
- Unsteadiness or loss of balance while walking.
- Loss of control of the bladder or bowels You must take immediate precautions
If there is the slightest suspicion that someone has a back or neck injury:
- Call 911 or your local emergency medical assistance number
- Do not move the injured person – permanent paralysis and other serious complications may result.
- Place heavy towels on both sides of the neck or hold the head and neck to prevent them from moving until emergency care arrives • Provide basic first aid, such as stopping any bleeding and making the person comfortable, without moving the head or neck
- If movement is absolutely necessary, arrange a cervical collar, then log-roll onto a stiff spine board or flat surface, taking care that all parts of the body move together and that any relative movement between one part of the spine to the next is avoided.
Because spinal cord injuries are often due to unpredictable events, the best you can do is reduce your risk. Some risk-reducing measures include:
- always wearing a seatbelt while in a car
- wearing proper protective gear while playing sports
- never diving into water unless you’ve examined it first to make sure it’s deep enough and free of rocks
- increase protective measures to avoid falls from height
Seek the opinion of a Neurosurgeon or an Orthopedic spine surgeon as soon as possible. X-rays, CT scan or MRI scans may be advised for assessing bony or soft tissue injuries of spine. Minor injuries require only immobilization and rest. Severe injuries, however, may require steroid injections and surgical intervention. Time is of essence, and an early surgery in certain situations may save a limb that would otherwise be paralyzed for life.
Traumatic brain injury (brain injury triggered by an external event such as a fall or a road accident) can be quite a harrowing experience for the patient and their loved ones. While most people recover from the injury, the duration and extent of recovery may vary from individual to individual.
Some patients may simply suffer from a temporary amnesia, while others may remain comatose for months. The recovery time and extent of neurological deficits in traumatic brain injury is determined by the severity and location of the brain injury. The traumatic brain injury can be
Open or closed
- Open injury: There is an opening up of the skin and other layers leading to direct contamination of the brain from external debris and the risk of brain infection is high in such a case.
- Closed injury: here, the brain is not contaminated, but the impact may cause various degrees of injury to parts of the brain.
Primary or secondary injury:
Primary injury: it is damage caused to the brain at the time of the injury. The damage can be
- A crack or fracture in the skull.
- Bleeding into the layers between skull and brain, like a EDH (Extra Dural Hematoma), SDH (Subdural Hematoma) or SAH (Sub-Arachnoid hemorrhage). These are potential emergencies, especially an EDH, where timely Neurosurgical intervention can decide between life and death.
- Due to violent shaking of the brain inside the skull cavity, there can be a damages to the entire brain including the axons and neurons without any visible hemorrhage on CT scans (Diffuse Axonal Injury). The outcome can be quiet unpredictable. It is dangerous if the brain starts swelling up excessively after a DAI.
- A person can also suffer from brain hemorrhages and contusions within the brain matter. Large contusions may need surgical evacuation to control brain pressure. Smaller ones are treated without surgery. Deep seated contusions towards the centre of the brain cause more morbidity even if small in size.
The secondary brain injury may develop gradually (within few hours or days from the primary brain injury), further aggravating the brain tissues. This is brought about by inflammation, altered blood supply, high brain pressure, brain edema or swelling, and programmed cell death. Sometimes, even though the primary insult is small, patients may succumb due to secondary injuries which are highly unpredictable and difficult to treat.
Estimating the extent of the brain damage
The damage inflicted to the brain is assessed by the combined assessment of the following:
1. The mode of injury, especially velocity of impact.
2. How long the person has been unconscious.
3. How bad are the visible external injuries. Is it an open or closed injury?
4. Whether there was any convulsions, vomiting, ear or nose bleeding?
5. Assessment of eye opening, verbal response and movement. This is assessed and recorded by the GCS (Glasgow coma scale).A score of 15 implies the person is fully conscious, a score of 9 indicates the person is in a semi-alert state, while a score of 3 indicates a deep state of coma.
6. Brain imaging through CT or MRI. This gives a more direct information about the physical damages to the brain, and guides the decision about Neurosurgical intervention.
Treatment of traumatic brain injury:
- Medical : medicines are administered to control brain pressure and limit the secondary injuries. It also attempts to control events like convulsions and infections.
- Surgical: surgery becomes necessary when there are depressed fractures impinging into the brain, or large hematoma or brain swelling causing rise of brain pressure or a shift of the brain to one side. Other indications are uncontrolled CSF (cerebrospinal fluid) leakage from nose. Sometimes shunts need to be put to drain out CSF in hydrocephalus (accumulation of excess water in the brain ventricles). During surgery, parts of the skull may need to be removed (Craniectomy) temporarily to allow brain expansion and control brain pressure.
- Accessory surgeries: smaller procedures like a tracheostomy (bypass of the windpipe) or PEG (stomach tube) may need to be done for long term care in comatose patients.
- Rehabilitation: tireless care by nursing and physiotherapy are necessary to help patients recover faster and avoid complications like bed sore, deep vein thrombosis, spasticity and weakness of limbs.
- Recovery: Recovery from traumatic brain injury may be time taking (weeks, months to even years). In addition to the initial treatment and medications, patients may need Brain Injury Rehabilitation. The rehabilitation aims at enabling the person to lead a normal life as early as possible. There are medications, activities, and exercises to improve one's cognitive power.
In case you have a concern or query you can always consult an expert & get answers to your questions!
A tumor is formed due to the uncontrolled proliferation of living cells. Generally, the cells in the human body continuously die and are replaced by new cells. Some cells are replaced frequently, like intestinal lining and skin, while some like nerve cells live longer and may not be replaced once they die. Natural cell death is mediated by genetic information and the body’s bio-chemical signals. In the case of a tumor, some cells develop genetic mutations, and stop responding to the ‘cell-death’ signals. They do not die and continue to grow to form a mass, stealing nutrients and oxygen from surrounding tissue. Brain tumor can arise from any of the many types of cells in the brain or its covering. These can be benign (less harmful), or malignant (rapidly growing). These tumours cause harm by following methods:
- A rapidly growing tumor mass can press on normal brain tissue and damage them in the enclosed space of skull.
- Stealing food and oxygen from surrounding normal tissue thereby harming them.
- Increase the brain pressure and reducing its blood supply.
- Secrete harmful substances causing cerebral oedema.
- Some tumours like certain Pituitary tumours can secrete hormones abnormally and cause hormonal imbalance.
Symptoms of Brain Tumour:
- Headache: New onset regular headaches, without any history of having such frequent headaches in past, which becomes worse because of other pressure related activities, such as sneezing, coughing, exercising might be a possible symptom of brain tumour and issues related to such sudden and frequent headaches should be taken up with the doctor without any further delay. If headache is associated with nausea or drowsiness, it is to be taken seriously.
- Seizures: Seizures or convulsions (fits) are amongst the most common symptoms of brain tumour, which might be limited to a particular body part or the whole body. It may manifest as frank convulsive movements of the limbs, twitching of one side of face, or may cause subtle and transient behavioral changes. New onset seizures in young people must be evaluated to rule out brain tumours.
- Numbness in arms/legs: Numbness in parts of the body may be caused by a tumour affecting the sensory tracts.
- Balancing problems: Poor coordination and balancing problems may arise as a prominent symptom for brain tumour affecting the hindbrain.
- Memory problems: Lack of concentration and memory loss may be the only symptoms for the presence of tumour in the frontal or temporal lobes.
- Nausea or vomiting: Nausea or vomiting might be the symptoms of many other possible health issues, but a headache associated with nausea and/or vomiting is a characteristic symptom of raised brain pressure. Such symptoms should be evaluated to rule out a brain tumor and should not be ignored.
- Facial paralysis: weakness of one half of face, like deviation of mouth, drooling of saliva from one corner of mouth, inability to close eyelids etc. may be due to facial paresis caused by a brain tumor in the opercular area or in the CP angle. Such symptoms need to be investigated for a tumor.
- Change in vision: A person suffering from brain tumor might also experience changes in the vision, dizziness, blurry vision, among other sight related issues.
- Change in speech: Sudden inability to speak or understand speech may be due to tumors of the dominant hemisphere of the brain.
- Hearing problems: hearing problems and other hearing related disorders might have the brain tumor of posterior fossa or temporal lobe as a possible reason.
Diagnosing a brain tumour may include one or more of many tests, including CT scan, Magnetic Resonance Imaging (MRI), PET scan and biopsy. One should never ignore the symptoms discussed above and should visit a doctor, preferably a Neurosurgeon as early as possible. Brain tumors are easier to treat if diagnosed early. Certain small tumors can be treated with radiation alone. If surgery is required, smaller tumors diagnosed early have greater chance of cure. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.
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.