Hello everyone, I am Dr Sankalp Mohan Neurologist at Artemis Hospital, Gurgaon, Saket, New Delhi and visit Neurologist in Panipat. Today I would be speaking on Migraine, Migraine is a very common disorder it affects about 14% of the general population. It is more common in females, 25% of females are affected and 9% of males are affected. Typically there are two types of a migraine, migraine without aura, which is known as a common migraine and migraine with aura which is known as a classic migraine. Now some people experience certain symptoms like visual symptoms, blurring of vision, seeing flashes of light or certain zigzag lines, some of them experience sensory symptoms like paresthesia abnormal sensation, some have autonomic symptoms, like palpitations or sweating etc., prior to the onset of a headache. This is typically followed by a headache which is one-sided although it can be both sided, it was accompanied by nausea or vomiting, some people have an intolerance to bright light or loud sound this headache attack is typically relieved by sleeping or rest. Now the duration of the attack typically lasts for 4 to 72, hours the frequency of the attack is variable. It may last once in 15 days or once in a week or sometime it may be almost daily. Now those people who experience almost daily attacks or more than 15 days a month are classified as a chronic migraine, now migraine is classified as a primary headache disorder that is it does not have any cause, most of the times we do not require any imaging CT Scan or MRI but however if your Neurologist feels that it might be due to a secondary headache that is due to some cause or there are certain red flag sign in that case and MRI may be needed. As far as the treatment of a migraine is concerned, if you are having very infrequent attacks like less than once a month or less than once in 15 days, in that case, all you need is a simple painkiller like paracetamol, brufen etc. during the attack and to avoid the trigger in factors. Now that triggers for a Migraine may be variable some people have an intolerance to light, sound etc. some people have chocolate, caffeine has a trigger, some people have bright smells as triggers so avoidance of the triggers is important. Those who have frequent attacks or very disabling or severe attacks they may require a long-term treatment which is known as prophylaxis, these include various kind of drugs like a beta blocker, amitriptyline, valproate, topiramate etc., special precautions need to be taken in pregnancy because some of these drugs cannot be given during pregnancy. Now those who have a chronic migraine may be more resistant to treatment, apart from taking regular profile access some other treatment modalities may also be given like botox injections or occipital nerve block. Now the effect of these injections typically last for 3 months and the injections may be repeated later. So the taken message is a migraine is a very common disorder if you are having infrequent attacks all you need is to avoid the triggers, have a good sleep, take less stress and to take painkillers during the attack but if you are having frequent or severe attacks then you need to consult a Neurologist. Thank you.read more
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Treatment of Headaches
Treatment of Forgetfulness
Treatment of Epilepsy
Treatment of Tremors
Treatment of Neurological Problems
Treatment of Schizophrenia
Treatment of Brain Injury
Treatment of Nerve And Muscle Disorders
Treatment of Charcot-Marie-Tooth Disease
Treatment of Hyperactivity Disorder
Treatment of Paralysis
Treatment of Hyperactivity
Treatment of Multiple Sclerosis
Treatment of Meningitis
Treatment of Stroke
Treatment of Seizures
Treatment of Parkinson's Disease
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I'm falling short of words to thank him for all his priceless and dedicated handlings and advices. I have been interacting with doctors from quit long but can't find one like him as approachable, sencere and dedicated as him.He is very prompt, knowledgeable and well reasoned. He not only focuses on subject matter but also provide guide on related aspects as well. He is a good human being above all.He give priority to patient and don't first look for the consultation fee at first instance like other doctors do.I really like his approach. It's wonderful experience connecting with him for my father( brain injury).
Even though it's been more than a year, still if I sometimes feel pain and call him, and Sankalp Mohan still takes my call in case of any emergency. I was shocked to experience the symptoms of neurological problemsThe friendliness of staff is the best in the Sawan Neelu Angel hospital. He is not just friendly, but also is very motivating. Even though Sankalp Mohan is not from our city, he is still very famous, so we consulted him. Sankalp Mohan has in depth knowledge and ensures that he explains the problem in detail. I'am almost on the path to recovery, Thanks to my Sankalp Mohan perfect advice.
I was shocked to experience the symptoms of poor eye sight Finally with his treatment, I am completely cured from the disease. They took very nice care of me, i never felt that I am in a Sawan Neelu Angel hospital. The lab in the Sawan Neelu Angel hospital was very clean and well managed. He is very courteous and behaves very aptly with elder patients. It's been more than a year that I was experiencing poor eye sight. Sankalp Mohan with great ease handled my wife's serious case with ease.
Never thought I will suffer from something epilepsy like this. Thanks to Dr Sankalp Mohan as I am much better now. All the staff members were very helpful. Our family physician personally recommended Dr Sankalp Mohan. He is very talented and seasoned doctor. He is not just highly qualified, but has years of experience in handling high risk cases. Over the period of time the epilepsy treatment has helped me a lot.
I was depressed as I was suffering from mood disorder. My boss referred me Dr Sankalp , I consulted him, I found him very courteous and behaves very aptly with elder patients. Even after my treatment. with my old doctor, I never felt so much relief, but he has treated my completely. My problem was such that it required a number of sessions, and I must say after all the sessions, I am feeling much better now.
I was shocked to experience the symptoms of paralysis. He ensures that he gives enough time to each patient. It's been more than a year now, and I have noticed considerable change in myself. The overall atmosphere in the Sawan Neelu hospital is very soothing. By chance, I approached Dr Sankalp Mohan for second opinion and thank god, i did because, he treated me without any surgery and all.
. I was shocked to experience the symptoms of migraine. A friend of mine referred to Dr Sankalp. My case was extremely serious, but he really handled it very nicely. I consulted a number of specialists but the way he treated me was the best. He has a very positive attitude towards all the patients. It was amazing, the Sawan Neelu hospitall was so nicely made.
He is very patient with all his patients. Dr Sankalp Mohan has so much knowledge that for everything my family takes his reference. Due to my numbness my daily activities were suffering. The overall atmosphere in the Sawan Neelu Angel hospital is very soothing. Even though the problem was not so big, but still the other doctors were not able to treat it.
My mother was performing unsual activities from quite long, and the problem was increasing day by day. I took her to Dr SAnkalp , he is a well knwon neurologist. He is not just friendly, but also is very motivating. Sankalp Mohan has in depth knowledge and ensures that he explains the problem in detail. THe treatment he provided was quite beneficial.
It was a bad case of thyroid disorders. I chose to consult Dr Sankalp he is a well known Neurlogist in Delhi. He is very courteous and behaves very aptly with elder patients. Whatever tests he prescribed gave us an exact idea about my condition. The treatment he gave was very effective. And I have improved to great extent after the treatment.
Dr. Sankalp is very patient and understanding...doesn't rush into giving a diagnosis but takes time to listen to your issues and concerns, asks very specific questions and then gives his diagnosis...he is very calm which in turn makes the patient feel better and relaxed. Thank you Dr. Sankalp.
P Vinod Menon
I found the answers provided by the Dr. Sankalp Mohan to be knowledgeable, thorough, inspiring, very helpful and sensible. Will keep answer in mind Will read more and keep mind engaged.My father had Alzheimer's, Hope I don't get it.
I found the answers provided by the Dr. Sankalp Mohan to be very helpful. Thanks for the help. It us exactly the same,i suppose it ys due to wrong posture.
Dr Sankalp Mohan is a very Intelligent Dr. .. guided me right for the migraine pain,and prescribed the least but effective medicines.. He's great..
I found the answers provided by the Dr. Sankalp Mohan to be knowledgeable, very helpful and caring. Thank-you so much sir
He has a fine grip of the subject and his diagnosis is excellent. Very polite and caring doctor.
Very precise and specific in response. I got some timely advice from him today.
I had a wonderful experience.
A group of diseases which affect the brain are called neurological diseases. Any disorder which affects your brain, spine and other nerves that help in connecting both, is a neurological disorder. Neurological disorders can turn your life upside down. According to a medical survey, there are close to 600 neurological disorders which have been discovered till date. The most common neurological disorders which affect a majority of people all over the world have been listed below:
One of the most common neurological diseases is Alzheimer. Alzheimer usually affects a large number of senior citizens on an average. However, this does not mean that individuals who are in their thirties and forties cannot be affected by this disorder. Alzheimer’s disease, also known as AD is a neurodegenerative disease which means that the disease progresses slowly and worsens over time. The life expectancy of an Alzheimer’s patient is from 3 years to 9 years after the diagnosis. Some of the commonly observed symptoms of Alzheimer’s are short-term memory loss, sudden mood swings and difficulty in speaking among others.
2. Parkinson’s disease
Another very common neurological disorder which affects a vast number of people all over the world daily is Parkinson’s disease. People affected by Parkinson’s disease or PD show symptoms much later and this is why it is difficult to detect the disorder in its early stages. Some people can get affected by Parkinson’s disease due to genetic reasons while others can be affected by certain environmental causes. People whose family members are suffering from PD are at a much higher risk of getting the disease. Some of the most common symptoms of PD are Anxiety, depression, dementia, and forgetfulness etc.
A very common neurological disease which is very often taken lightly by people of all ages is a migraine. This neurological disease affects women more than men. A constant throbbing for a particular period of time on one side of your head is identified as a migraine. Some of the common symptoms of this disorder are nausea, difficulty in vision, throbbing pain in the temples or a particular side of the head, vision going black etc. Individuals who are extremely sensitive to loud noises and harsh lights, which result in severe headaches, should get themselves immediately checked.
Epilepsy is yet another neurological disorder which is very common today. Epileptic seizures are caused by epilepsy. These seizures may last for a long while or may stop after a short period of time. The actual cause of the problem is still unknown, but you can observe symptoms like fainting, getting tremors in hands and legs or staring at a fixed spot without realization as an indication towards the disease.
One of the most common and troubling sensations that we may experience is a migraine. However, common it may, it is a serious disorder and needs immediate attention. Medically, a migraine is defined as a severe and a constant throbbing pain which culminates to a pulsing sensation on one side of the head. Migraine is mainly accompanied by nausea, occasional or constant vomiting and an extreme sense of displeasure to light and sound. A migraine attack can last for hours or even days. The pain can be so severe that many times it leads to temporary disabling of the patient.
There is no specific age for migraine to set in; however, it is most common among the age group of 30 to 40, but patients can also experience migraine pains in their teens or early 20s. If you keep track of your physical changes and some uncommon bodily actions then you may be able to understand the early signs of a migraine attack. Some of the most common signs to watch out for are:
Sensitive to Light and Sound
All of a sudden, if your mobile screen seems too bright or the TV sounds too loud, even in normal settings, then you are showing early symptoms of a migraine attack and perhaps the most common one.
You are having a normal day, suddenly your eyes start to water up, and soon it’s uncontrollable. You wipe your eyes and the water keeps on forming, making it impossible for you to go on with it. This is certainly an early symptom of a migraine attack.
It may start with just an itch in or around the periphery of your ear. This will change to a throbbing ache; and when it does, it is generally a harbinger of a migraine that is about to set in.
Enjoying an ice-cream? Well, it is good as long as you enjoy it without any pain. But if your teeth suddenly become extra sensitive to the freezing temperature of the ice-cream, it may transpire to give you a migraine attack and is also considered one of the early signs of a migraine.
Lose Concentration, Train of Thoughts and Words
If you completely lose track of what you were thinking or can’t remember a word to put on your sentence or you’re unable to concentrate on the work at your hand, it may be a sign of a migraine attack.
In case you have a concern or query you can always consult an expert & get answers to your questions!
My father levipil 500 taken 3 tab per day. Actually what I know of you .it highest taken per day. One Dr. Tell me highest 2 tab taken limited.
Bell’s palsy is a neurological condition that results in a temporary paralysis of the facial muscles. This paralysis or muscle weakness occurs when the cranial nerve responsible for controlling the facial muscles become compressed, swollen or inflamed. When this happens one side of the face may become stiff or can droop. You may experience trouble laughing, smiling or closing the eye located on the side of the face that has become affected.
Most often the condition of Bell’s palsy is temporary that will go away in a few days to a few weeks time. People between the age group of 16 and 60 years are at a risk of developing Bell’s palsy. The exact reasons why the cranial nerve becomes inflamed is not known but medical experts widely believe that it is because of viral infections.
Viruses that are sometimes instrumental behind causing Bell’s palsy are:
Symptoms of Bell’s palsy can start to show up in a week or two’s time after you have developed an ear, eye or cold infection. The symptoms can occur all of a sudden and you will see them occurring usually in the morning. Generally, Bell’s palsy affects only one side of the face but it can also affect both sides. Aside from the stiffness of the facial muscles other symptoms of Bell’s palsy are:
- Trouble with either drinking or eating.
- Trouble with facial expressions
- Sudden twitching movements.
- Extreme sensitive to sound
- Eye irritation on the side(s) involved.
- Dryness of the eyes and mouth.
A Bell’s palsy condition can become risky if the person suffering from it is pregnant, has diabetes, has a pre-existing lung infection and also has a family medical history of this condition.
Most often a Bell’s palsy condition will improve on its own without requiring any treatment in a few days to few weeks time. But it can take many weeks for the facial muscles to recover their previous strength for muscle functioning.
The kinds of medications that can aid in speeding up the recovery process are:
- Corticosteroids that help to lower the swelling and or the inflammation.
- Antibacterials or antivirals to tackle the virus or the bacteria that may have been the reason behind your Bell’s palsy case.
- Certain over-the-counter drugs that can help in providing temporary relief.
- Some eye drops to deal with the eye dryness.
Some home remedies that can also be duly adopted are:
- Using a towel soaked in warm water to put on your face and get temporary relief from the pain.
- A facial massage.
- An eye patch.
- Therapy for stimulating the facial muscles.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Sleep disorder is a serious problem which a large number of people are facing due to multiple reasons. Almost every other person complains of having some sort of sleep disorder, irrespective of his/her age. Sleep disorders may come across as something which can be overlooked, but this shouldn’t be the case, as when the problem aggravates it can take quite a scary turn. You need to be aware of the different kinds of sleep disorders which affect a vast number of people, on a daily basis. Given below are some of the most common ones which affect the majority of the crowd.
Insomnia, a worldwide epidemic, is the most common type of sleep disorder today. A number of factors can cause insomnia and affect even the healthiest being. From stress, anxiety or depression, substance and alcohol abuse to certain types of medication, a lot of factors can cause this issue. People who have insomnia have difficulty in sleeping and then maintaining that sleep. A cognitive behavioral therapy can help people suffering from this disorder. Often medications are also prescribed.
2. Sleep Apnea
If you have a partial or complete blockage of the throat then, you might be suffering from sleep apnea. This disorder is the second most prevailing sleep disorder in the world today. People who suffer from this disorder hardly realize it until someone informs them about having the trouble. Some of the common symptoms of Sleep apnea are morning headaches, daytime sleepiness, and excessively loud snoring as well. People suffering from apnea may also face trouble breathing multiple times per night. Continuous Positive Airway Pressure machine is a common treatment for this disorder.
3. RLS or Restless Leg Syndrome
The real reason behind RLS is still not known by experts, however, most believe the real cause of the disorder is hereditary. Some medications can also be a cause of restless leg syndrome. In this disorder, an urge to move your legs and hands precedes the need to sleep. RLS usually occurs when the patient is resting. In order to treat the restless leg syndrome, one must reduce the consumption of alcohol and caffeine along with doing regular exercises. For more severe cases, often medications are prescribed. RLS is observed more in women than in men.
People with narcolepsy often complain about falling asleep during odd times and feeling weak quite often. An abnormality in the brain is usually the reason behind this sleep disorder. Patients of narcolepsy often develop cataplexy which is a condition where patients feel faintish as an emotional reaction to any situation. People suffering from narcolepsy are given medications as a treatment.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Huntington’s disease is a neurological condition that can be inherited. When it is inherited the Huntington’s disease causes a slow degeneration of the nerve cells located in the brain. The effect of the Huntington’s disease is widespread and hampers a person’s cognitive skills and psychiatry. Generally, the age group most vulnerable to developing this disorder is between 30 years and 40 years. However, the symptoms of this disease can show up even earlier and also later in a person’s life.
When a person who has not reached the threshold of the twenties develops this condition it is referred to as juvenile Huntington’s disease. If the disease emerges earlier than the age group mentioned above then it will trigger off a completely different set of signs and symptoms. The rate of disease progression will also be considerably greater.
Huntington’ disease occurs when there is an inherent flaw in the gene. This condition is an autosomal disorder. This means that only a copy of the gene that is defective is enough to aid in the development of this disorder. This transfer of the defective gene can occur from any one of the parents.
Medications can temporarily keep the symptoms in check but treatments won’t be able to prevent the degeneration that comes with this condition. Symptoms of this disease include movement disorders, cognitive disorders, and psychiatric disorders.
Symptoms of a juvenile Huntington’s disease will be different.
The treatment for Huntington’s disease involves taking medications such as antidepressants, mood-stabilizers, antipsychotic drugs. Other forms of treatment include:
- Psychotherapy- A psychotherapist in the form of a psychologist, psychiatrist or a social worker can offer certain therapeutic discussions that will help the patient to tackle with this behavioural issues, offer coping strategies and also what to expect as the disease progresses. Last and finally, the discussion will also help to enable proper communication between near and dear ones.
- Speech Therapy- Huntington’s disease has the capability of impairing the facial muscles and throat muscle that is required for functions such as eating, swallowing and speech. A speech therapist in this regard will better the speaking ability and will also offer you other ways to communicate by using devices such as board with various pictures.
- Physical Therapy- A physical therapist will offer exercise tips that will help enhance strength, balance, flexibility and also coordination.
- Occupational Therapy- Certain occupational therapy strategies include using handrails when at home, using assistive devices and also using utensils that will require limited motor skills.
Hello everyone, I am Dr Sankalp Mohan Neurologist at Artemis Hospital, Gurgaon, Saket, New Delhi and visit Neurologist in Panipat. Today I would be speaking on Migraine, Migraine is a very common disorder it affects about 14% of the general population. It is more common in females, 25% of females are affected and 9% of males are affected. Typically there are two types of a migraine, migraine without aura, which is known as a common migraine and migraine with aura which is known as a classic migraine. Now some people experience certain symptoms like visual symptoms, blurring of vision, seeing flashes of light or certain zigzag lines, some of them experience sensory symptoms like paresthesia abnormal sensation, some have autonomic symptoms, like palpitations or sweating etc., prior to the onset of a headache. This is typically followed by a headache which is one-sided although it can be both sided, it was accompanied by nausea or vomiting, some people have an intolerance to bright light or loud sound this headache attack is typically relieved by sleeping or rest. Now the duration of the attack typically lasts for 4 to 72, hours the frequency of the attack is variable. It may last once in 15 days or once in a week or sometime it may be almost daily. Now those people who experience almost daily attacks or more than 15 days a month are classified as a chronic migraine, now migraine is classified as a primary headache disorder that is it does not have any cause, most of the times we do not require any imaging CT Scan or MRI but however if your Neurologist feels that it might be due to a secondary headache that is due to some cause or there are certain red flag sign in that case and MRI may be needed. As far as the treatment of a migraine is concerned, if you are having very infrequent attacks like less than once a month or less than once in 15 days, in that case, all you need is a simple painkiller like paracetamol, brufen etc. during the attack and to avoid the trigger in factors. Now that triggers for a Migraine may be variable some people have an intolerance to light, sound etc. some people have chocolate, caffeine has a trigger, some people have bright smells as triggers so avoidance of the triggers is important. Those who have frequent attacks or very disabling or severe attacks they may require a long-term treatment which is known as prophylaxis, these include various kind of drugs like a beta blocker, amitriptyline, valproate, topiramate etc., special precautions need to be taken in pregnancy because some of these drugs cannot be given during pregnancy. Now those who have a chronic migraine may be more resistant to treatment, apart from taking regular profile access some other treatment modalities may also be given like botox injections or occipital nerve block. Now the effect of these injections typically last for 3 months and the injections may be repeated later. So the taken message is a migraine is a very common disorder if you are having infrequent attacks all you need is to avoid the triggers, have a good sleep, take less stress and to take painkillers during the attack but if you are having frequent or severe attacks then you need to consult a Neurologist. Thank you.
When it comes to the brain and IQ, is bigger better? Does size really matter? Is there really a connection between the size of your brain and intelligence? With the help of findings by neurologists and scientists, we seek to find out!
- Ailments and the brain: Scientists have found that children with autism have a brain that has grown in a disproportionate manner in the very first year of their life. This prevents the child from making connection in a normal manner. On the other hand, children and adolescents who suffer from Attention Deficit Hyperactivity Disorder or ADHD show sign of having a much smaller brain size. Many scientists have shown that the size of the brain shrinks as we age and this does not have any visible effect on our cognitive abilities.
- It’s all relative: The size of the brain does not really have a bearing on the way a person’s cognition gets shaped. Even large mammals like elephants and whales are finally hunted and tamed by humans who have smaller brains in comparison. The brain is made up of billions of neurons, which need to function properly. It may be seen that scientists consider the brain mass in relation with the rest of the body so as to speculate about the cognitive abilities of the person. Why is this required? Large animals need a well functioning and proportionate brain size to control and run their organs with proper cognition for satisfactory results, which is what we humans seem to have done.
- Neanderthal brain: Historically, the earliest man or the Neanderthals are said to have had larger brains than we do. These people are believed to have brains that are at least 10% larger than the brains that we have in our modern times. The shape of their brain was different too. They were also heavily muscled people which had a bearing on the size and shape of the brain and bodies as well as the lean tissue within the brain. They also survived very successfully for a period of over 200,000 years, which obviously points to some form of elevated cognition, as per many scientists.
- Animals: While animals with small brains like lizards and reptiles do not perform too well on IQ tests, the animals with bigger brains like elephants and dolphins perform much better. But the medium sized brain of monkeys, lemurs and other animals are said to perform in the best manner. The correlation between the body size and the brain does not seem to hold good here, as per various researches.
So the verdict as per medical science and research stands divided!
Alzheimer's Disease is a neurological problem that is characterised by a cognitive decline and memory loss. It is a type of neurodegenerative dementia. The symptoms of Alzheimer's Disease include not being able to absorb and retain new information, lack of reasoning and judging, not being able to take on complex tasks, impaired visuospatial abilities, problems in reading, writing and speech, among many others. If a person has at least two of these symptoms in a debilitating manner, then the diagnosis can be made in favour of Alzheimer's Disease. The main causes of Alzheimer's are shrinkage of the brain size and death of the brain cells. The immune system is also said to trigger this neurodegenerative disease.
Let us find out what medical science has found so far:
- Connections: Many a times, in Alzheimer's disease, the memory and behaviour of the person changes because the brain is unable to make proper neural connections which can lead to memory loss of how a person behaved and the elements that formed the basis of the patient's cognition. Apparently, the immune system behaves in the same way within the brain and blocks the connection. This happens because there is constant communication between the brain and immune system along neurological lines, which is where the disease first emanates.
- Inflammation: The brain is prone to inflammation or swelling that is not the normal kind. This inflammation happens as a result of the activation of the infection fighting neurotransmitters and the chemical changes that happen in the brain when an infection strikes. The inflammation usually happens in the plaques or clumps which the brain tries to protect. These clumps are made up of a protein called Amyloid. The immune system is responsible for creating this inflammation in the brain of the patient.
- Pattern Recognition Receptors: Many of these receptors work in different manners and cooperate with each other to create a response in the brain. These PRRs can be found in the brain plaques, and they develop the signs of danger which further fuels the inflammation in the brain as a matter of protection.
- Activation of Cells Linked with the Immune System: When the PRRs begin to respond, it basically activates the immune system and the cells of the same. This is the basic reaction that causes the changes in brain which then leads to the attachment of the protein to the tissue that is diseased, in which case Alzheimer's Disease starts. The inflammation that we had spoken about earlier basically happens in the nervous tissue.
It is important to recognise and act on the initial signs of Alzheimer's Disease before it progresses beyond one's control. If you wish to discuss about any specific problem, you can consult a Neurologist.