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Dr. Jaypal Reddy Sangala

M.Ch - Neuro Surgery

Neurosurgeon, Hyderabad

12 Years Experience  ·  500 at clinic
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Dr. Jaypal Reddy Sangala M.Ch - Neuro Surgery Neurosurgeon, Hyderabad
12 Years Experience  ·  500 at clinic
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Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Jaypal Reddy Sangala
Dr. Jaypal Reddy Sangala is one of the best Neurosurgeons in Sai Krishna Hospital, Hyderabad. He has had many happy patients in his 12 years of journey as a Neurosurgeon. He is a M.Ch - Neuro Surgery . You can meet Dr. Jaypal Reddy Sangala personally at Brain, Nerve and Spine in Sai Krishna Hospital, Hyderabad. You can book an instant appointment online with Dr. Jaypal Reddy Sangala on Lybrate.com.

Lybrate.com has a nexus of the most experienced Neurosurgeons in India. You will find Neurosurgeons with more than 31 years of experience on Lybrate.com. You can find Neurosurgeons online in Hyderabad 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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Education
M.Ch - Neuro Surgery - SGPGIMS - 2005
Languages spoken
English

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Brain, Nerve and Spine

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500 at clinic
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Understanding The Traumatic Brain Injury Better!

DNB NEUROSURGERY, M.B.B.S.
Neurosurgeon, Durgapur
Understanding The Traumatic Brain Injury Better!

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.
1 person found this helpful

Hi Brain haemorrhage happen with 70 years old mother. Already operated 20 days before. How much time more took for recovery.

MPTh/MPT
Physiotherapist,
It take some time. Because its haemorrhage in brain. Kindly consult neuro physiotherapist to gain motor function, locomotor function, balance and coordination.
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I am having headache when I am traveling in sunlight. What is the disease? Is it migraine?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Udupi
Dear Lybrate User, Migraine *A common neurological syndrome, Migraine is characterized by altered bodily perceptions, severe pounding headaches, nausea and irritability. This pounding or pain usually begins in the forehead, the side of the head or around the eyes and gradually gets worse. Bright lights or loud noises can worsen the condition. The headache can last for two hours or even up to two or three days. *Causes Change in weather conditions, missing a meal, stress, alcohol and certain types of food items are considered to be common causative factors of Migraine. About 50% of women claim that their menstrual periods happen to be a significant trigger. Additionally, allergic reactions, exposure to loud noises or certain odors, smoking, or long exposures to computer screens/televisions could lead to Migraine attacks. Symptoms *Nausea and vomiting *Headache *Irritability *Depression or euphoria *Fatigue *Excessive sleepiness *Craving for certain food items *Altered mood *Constipation or diarrhoea *Increased urination *Stiff muscles (especially in the neck)
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I am suffering from migraine so I used to take crocin twice or thrice in a week since last 5-6 years. And now I am suffering from stomach pains as well as other problems. Whenever I eat something the pain starts, the doctor has prescribed me rabic dsr and florawell but no improvement is there. Also he has recommended me sibelium 10 mg for migraine but it is making me depressed and tired. Need help. What medicines should I take?

MD, MBBS
General Physician, Delhi
Might be because of painkillers. You have gastritis or a gastric ulcer. Continue rabic dsr once daily on empty stomach for 2 weeks. Avoid any over the counter pain killers. Crocin is safe. Start naprox 500mg twice daily for 3 to 4 days during migraine attack. Coffee works wonders in migraine but again can lead to gastritis.
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I am 52 years old I always get pain on the right side of the head and sometimes swelling is it migraine or something else.

MBBS
General Physician, Delhi
I am 52 years old I always get pain on the right side of the head and
sometimes swelling is it migraine or something ...
It may be migraine take ibuprofen for pain. Get ib p checked, blood test for sugar, lipid profile. Do exercise regularly. Take fresh fruits. Ask again with reports. Take care.
1 person found this helpful

Suffering from Myoclonic seizure with mental retardation since from her birth. Can I treatment of her as stem cell therapy (autologous bone marrow transplantation (

MD - General Medicine, DM - Neurology
Neurologist, Kochi
There is no evidence that this treatment is effective for the epilepsy of any type. May future studies will reveal.
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I have a migraine headache from may years. I know that it can't be over, but suggest me something that how can I lower the pain.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad
Get BP and eye sight checked, x ray PNS, thyroid hormones T3 T4 Tsh 1.Sleep.Go to bed and get up about the same times every day, 3. Eat regular meals. 4. Drink plenty of water to avoid dehydration 5. Relax – listen soothing music. Walk for 5 mts 6.avoid .stress, 7. .avoid strong stimuli like loud noises, and smell of food 8. Keep your routine fixed and regular For medicine contact on private consultation.
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Having white discharge, is it possible to have it because of ovarian cyst because I have one ovarian cyst in right ovary of 4 cm and pcod in other ovary, I also have generalized epilepsy.

DRCH, BHMS
Homeopath, Bareilly
Pcod does not has symptoms of white discharge, it is usually due to infection of genital tract. Maintain proper hygiene. Visit to gynaecologist if it is troublesome.
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Dr. Said that my baby during pregnancy caused nerve stretch called brachial plexus. so he was not lifting right hand. Dr. giving regular physiotherapy and recovering it is. My question is this will completely recover by this only or any other alternative is there. If such is there how much time is required to recover completely by its own. Please suggest us wat shud I do.

BAMS
Ayurveda, Ambala
Dear if the baby is recovering then it is a very good sign. You should continue the physiotherapy and maintain the protien & calcium rich diet. The baby will recover completely within 18-24 months probably. Be healthy.
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I have Acute Pain like migraine in head, Occipital area, Neck radiating to Shoulders since 4 months.

MBBS
General Physician, Cuttack
It could be cervical spondylitis,take x ray cervical spine.If x ray is normal then consult neurologist for headache
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I am 22 year old student. I am suffering from headache since 6 months. It is always be at left side of my head. During headache I feel vomiting, does not like light, does not like talking. Am I suffering from migraine? I.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I am 22 year old student. I am suffering from headache since 6 months. It is always be at left side of my head. Durin...
It might be the early symptoms of migraine do take balanced diet and avoid stress anxiety and anticipating the things do regular physical activity and breathing exercises for about 30 minutes regularly best wishes.
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I am 25 years old my problem is migraine so please tell us what can I do and what type of medicine take mi please tell me.

MD (U), Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Delhi
Mostly patients have been successfully treated over the years with cupping therapy for headaches and migraines. The treatment has proven to significantly reduce both the severity of pain and the frequency of the headaches. The types of headaches have ranged from unexplained chronic daily headaches to migraines, cluster headaches, tension headaches, sinus type headaches and headaches caused by muscular-skeletal or neck tension.
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When I am walking I can't be in balance due to injury on my nervous system (head). Please help me.

MBBS
General Physician, Mumbai
As of now take tablet vertin 8 mg 1-1 for five days and also consult a neurologist for further guidance
1 person found this helpful
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I am 52 year male had operated for spine l3, l4 & l5 in year 2004 for steonsis. Have been stabilized with 2 plates 6 screws and cages between vertebrates (all are made of titanium) as now I have problem in c5, c6 & c7 is it advisable for operating. I am not int. In operation as it is in sensitive area. Kindly advise.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hello, thanks for your query and welcome to lybrate. I am dr akshay from fortis hospital, new delhi. You will have to elaborate your problem as to a detailed discussion of your neck pain which means duration of pain and mode of onset. I would also like to ask you if it is associated with any radiating upper limb pain or any other neurological symptoms like numbness, paraesthesias ( electrical shock like abnormal sensations) or any weakness in limbs. Please also tell me about any associated symptoms like fever, weight loss etc. What medications you generally take and what has been your treatment history till now for existing problem. Kindly send me x rays and mri scans of neck so that I can see and advise accordingly. Do not hesitate to contact me if you need any further assistance. Thanks & regards Dr Akshay Kumar Saxena
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Why nerve in any part of body vibrate Is this symptom of any disease I am 40 year old male.

MD - Homeopathy, BHMS
Homeopath, Vadodara
Why nerve in any part of body vibrate
Is this symptom of any disease
I am 40 year old male.
Hi lybrate-user. It can be a disease or some nerve irritation, or just a vague symptom. If it is increasing in intensity and continues for long time then you should get proper examined and investigated.
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My ringfinger's nerve is blocked and it is out of control from my nervous system. It bends down immediately When I leave it.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
My ringfinger's nerve is blocked and it is out of control from my nervous system. It bends down immediately
When I le...
Dear Alok. Nerve related problems will be cleared once you meet a neurologist. I suggest you to dip your hand every day thrice one hour each in semi hot water. Take care.
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I am 23 years old. I am felling nerves pain like I am felling I am not fit. I want to build my body muscle as well.

BHMS
Homeopath, Faridabad
I am 23 years old. I am felling nerves pain like I am felling I am not fit. I want to build my body muscle as well.
Hello, Want to help you, but tell me more symptoms and details of yourproblem for proper diagnosis and thus, proper treatment for nerve pain. For building body muscle: The food what and how you eat, makes the difference! For increasing your weight, concentrate on these points which helps in right way without harming your body if you don’t have any medical condition. - Consume more healthy fats. Foods containing healthy fats are full of nutrients and also high in calories, making them a great option for weight gain. Foods containing plant fats should be your first option - this includes items such as nuts, seeds, peanut butter, avocados and olive oil. Foods containing healthy animals fats include lean meats and full fat dairy products - although if you have high cholesterol, you should probably stick to low-fat options. -Eat more protein. Good sources of protein include lean meat, fish and poultry, in addition to eggs, whole grains, dairy products and legumes. -Drink more calories. Try drinking a large glass of orange juice in the mornings (along with your normal breakfast). Drink a glass or two of full-cream milk throughout the day.Protein shakes will help you to gain muscle mass, particularly if you're working out. -Have 6 small and frequent meals in a day. -Gain muscle mass. It's a good idea to continue to exercise while you attempt to gain weight the healthy way. Strength training includes working with weights and performing exercises such as squats, deadlifts, bench presses, bicep curls, crunches, chin-ups and leg curls. Just keep in mind that the more you exercise, the more calories you will need to consume to replace those you lost while working out. This is where protein shakes and bars really come in handy. -Quit smoking. As it suppresses the appetite. -Stay healthy. The most important thing through the entire weight gain process is to stay healthy - eating a balanced diet and continuing to exercise throughout. -Take enough of rest and sleep for rejuvenation of the cells and tissues. -Think Positive which will help you in achieving your target of gaining weight. -Avoid taking unnecessary stress/ tension. Medication: Take Schwabe’s Alfaalfa Tonic and Five Phos., both thrice daily ½ an hour before meals for 1month.
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I am 29 years old suffering from Migraine since 6 years. I have not recognised that the headache, vomiting and blurred vision are due to migraine. I have takenhomeopathy medication for 4 months. Since then it was less frequent. Now a days headache and vomiting was very less but sudden vision disturbances persist i.e, blurred vision and not able to view the side vision. As of now no medication is been taken. Kindly suggest the cause and cure for the same.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Pune
migrane etc occures due to following reasons forceful stoppages of mal urine sneezing etc 13 vegas of body day time sleeping late night jagaran cold drinks freeze stored food freeze water basi food virrudha food like milkshakes fruitsalads khichadi with milk etc overeating of salt salty spicy non veg garam masala etc udada dal paneer lassi curd in regular diet may cause migrane etc raktmokshan leech application will be benificial avoiding of above causes is neccessary follow periods paricharya strictly during period days avoid heavy food heavy food bathing travelling exercise during period days for more details and medication consult privetly
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I am 71 yrs 5ft 8 in weight 90 kg am suffering from diabetic for last 5 yrs lately I find that sole of both my feet become numb when I get up in the morning and also my right heel is very painful please advice what I should do ?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Your symptoms of numbness could be due to long standing diabetes in your case although other causes cannot be ruled out especially issues in lower back region. I would advise you for a very strict sugar control, you can take medications like pregabalin or gabapentin in low doses initially, take vitamin b12 and adequate calcium and vitamin d supplementation. Also heel pain could be due to inflammation in your heel fascia. Treatment modalities are aimed at relieving inflammation of the fascia, like ice packs, physical therapy, footwear modification and anti-inflammatory therapy. I will observe you with this management for around 2 weeks and then we will see if we require any investigations in your case. Do not hesitate to contact me if you need any further assistance.
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