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Dr. Pratap

MBBS

Neurologist, Hyderabad

100 at clinic
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Dr. Pratap MBBS Neurologist, Hyderabad
100 at clinic
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To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Pratap
Dr. Pratap is a trusted Neurologist in Gandhi Nagar, Hyderabad. Doctor is a MBBS . You can consult Dr. Pratap at Sri Narmada Hospital in Gandhi Nagar, Hyderabad. Save your time and book an appointment online with Dr. Pratap on Lybrate.com.

Lybrate.com has top trusted Neurologists from across India. You will find Neurologists with more than 32 years of experience on Lybrate.com. You can find Neurologists 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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Elbit Polyclinics Tarnaka

Door No. 1-1-770/A/1/1, New Bakaram, Gandhi Nagar, Landmark: Near Canara Bank.Hyderabad Get Directions
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I am 22 years old. I have been suffering from migraine. Whenever I get attack I take vasograin tablet. But is there any complete treatment for migraine.

BAMS
Ayurveda, Bangalore
Hi, take tab. Shirashooladi vajra ras 1-1-1 with ginger juice. Apply ginger paste on the forehead. Instill cephagraine nasal drops 2 drops to each nostril 3 time a day. You can undergo panchakarma treatment like nasya or shirodhara after checking with an ayurvedic doctor.
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One of my friend She had taken I pill before 21 from now so she wanted to know than can she take her usual medicine which she routine wise take for her migraine problem. So after having I pill can she it her migraine medicine?

BHMS
Homeopath, Secunderabad
Yes , she can take the other medicine. Let her also think of stopping the migraine tablets in the long term. One should strive to keep the mind / body fit and healthy by adhering to a healthy lifestyle. Exercise ( and yoga ) if done everyday can reduce the dependency of medications. She can also use Homeopathy for her migraine. Homeopathy tries to remove the tendency from its root and heal it naturally.
1 person found this helpful
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Brain Tumor - Causes, Symptoms and Treatment

IFAANS, DNB (Neurosurgery), MBBS
Neurosurgeon, Ghaziabad
Brain Tumor - Causes, Symptoms and Treatment

There is no trustworthy evidence regarding what causes brain tumors, but there are a few risk factors that have been substantiated through research. Children and young people who receive radiation around the head are susceptible to developing tumors in the brain once they grow up. Also, people with a certain kind of rare genetic condition like neurofibromatosis may develop a brain tumor though such cases are very few in number. Age is also an important factor as people aged over 65 years are diagnosed with brain tumors at quadruple times higher than children and younger people.

Types of Brain Tumours:

A primary brain tumor originates in the brain, and they may or may not be cancerous. Some tumors can be benign, which do not spread in the surrounding tissues and are not very malicious. However, that does not signify that they will not cause any harm over time. Sometimes these tumors can be severe and cause a threat to the life of the sufferer. The National Cancer Institute reports that approximately there were 23, 380 fresh cases of brain tumors in 2014.

Identifying the Symptoms of Brain Tumors:

The symptoms of the brain tumor are dependent on various factors such as the size, type as well as the exact location of the tumor. These symptoms are triggered when any tumor is pressed or clashed against a nerve or disturbs a part of the brain. Symptoms are also felt when any tumor particle blocks the fluid flowing around the brain or when there is a swelling in the brain owing to the build-up of fluid.

Common symptoms include: headaches that get worse in the morning, nausea along with vomiting, an alteration in the speech, hearing and imbalances in walking and movement, mood swings, change in personality and ability to concentrate or remember things and seizures or convulsions.

Treatment for Brain Tumor:

Surgery is normally the most usual treatment for brain tumors, and the patient is given anesthesia, and the scalp is shaved before the surgery. Then, craniotomy is performed to open the skull, and the surgeon removes a bone piece out of the skull. Then the tumor is removed as much as possible. The bone is then restored back, and the incision on the scalp is closed. Sometimes surgery is not viable in case the tumor has developed in the brain stem or some other complex parts.

Neurosurgeons can surgically remove some tumors completely (called resection or complete removal). If the tumor is near sensitive areas of the brain, neurosurgeons will only be able to remove part of it (called partial removal). Even partial removals can relieve symptoms and facilitate or increase the effectiveness of other treatments.

The role of surgery in treating brain tumors:

Surgery can provide:

  • The complete removal of some brain tumors
  • A sample to enable doctors to diagnosis the tumor and recommend the most appropriate treatment
  • Better quality of life:
    • Reduced symptoms and improved ability to function (e.g., to think, speak or see better)
    • Less pressure within the skull from the tumor
    • A longer life

In case you or any of your near ones is affected with brain tumor, you should visit the doctor to know the possible treatments other than surgery and other important questions related to brain tumor.

4887 people found this helpful

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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3540 people found this helpful

I am a 30 year old male, I experienced a partial seizure 6 years ago and I'm under medication for the same. I was taking Levipil 500 mg tablets twice a day, my doctor has gradually reduced my dosage to Levipil 250 mg once a day. Now my doctor has stopped medicine. What are the possible side effects I may experience after stopping the medicine? I feel dizzy, loss of control and shivering sometimes are they related to the condition of stopping medicine?

MBBS, MD - General Medicine, DM - Neurology, Fellowship in Stroke
Neurologist, Kolkata
If your doctor has decided to stop the drug, it must be after considering your risk is low for recurrence. Normally we don't see any problem after levipil is withdrawn. But report to your doctor once you are facing them.
2 people found this helpful
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My age is 26 I am suffering from cervical lordosis. Elongation of transverse process in C7. Please suggest medication and who is better a ortho or ortho surgeon or neurologist or neural surgeon.

LCPS, BAM&S
General Physician, Pune
This is very rare case and certainly only orthopedic surgeon specialized in neck and shoulder should operate it. But try Yogasans. I know yogasans can relieve you of symptoms and may postpone or avoid surgery if followed meticulously.
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Sir I am suffering from regular headache and sir I am getting faint at most of time, is this is a symptoms of migraine ao I have the last stage of migraine, what to do?

BHMS
Homeopath, Faridabad
Sir I am suffering from regular headache and sir I am getting faint at most of time, is this is a symptoms of migrain...
Hello, migraine - some symptoms may include: feeling dizzy or faint. Increased sensitivity to light and sound. Nausea. Pain on one side of the head. Pulsing and/or throbbing pain. Vomiting. Migraine is a form of headache. The pain is usually throbbing, pulsating and bursting in character. At times, the pain is one sided or may involve the whole head. Such pain may last for hours or even days. It is often accompanied by other symptoms like nausea or vomiting. At the same time, there is increased sensitivity to light and sound. The causes of the problem may vary from one patient to another and so will the final choice of the homoeopathic remedy. In the mean time take bc no. 12, 5 tabs twice daily and kali phos 6x, 5 tabs at bed time. Alpha ha, 15 drops with warm water twice daily. Revert me after 15 days.
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My aunt has insomnia and anxiety. She doesn't feel good at home, She is 42 years old house wife. Can you please suggest me some remedy,

BHMS, MD - Alternate Medicine
Homeopath, Nagpur
My aunt has insomnia and anxiety.
She doesn't feel good at home,
She is 42 years old house wife.
Can you please sugge...
Sleepless is a serious disorder, it is also called as insomnia. It affects physically, mentally and emotionally. Stress can result from health concerns, depression and anxiety among other things results in sleeplessness. In homoeopathy there are wonderful remedies which arrest both sleeplessness and anxiety.
1 person found this helpful
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I am 25 yr old male, now I am suffering from migraine, kindly suggest what should I do?

D ( Diabetology), AFIH, DNB (F.MEDICINE), MBBS
General Physician, Pune
Take tab sibelium 10 mg tab tryptomer 10mg at night, and tab domcet whenever headache for 15 days, if acidity take omez 20mg before breakfast, avoid sleep deprivation, light, loud sound, coffee.
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I need to know the permanent cure for migraine. Is it possible?? Which is the safest drug to be used yo relieve a atta of migraine?

BAMS
Ayurveda, Bangalore
Hi, take tab. Migrakot 1-1-1 with ginger juice. Apply ginger paste on the forehead. Instill cephagraine nasal drops 2 drops to each nostril 3 time a day. You can undergo panchakarma treatment like nasya or shirodhara after checking with an ayurvedic doctor.
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