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Dr. Prem

Neurosurgeon, Hyderabad

400 at clinic
Dr. Prem Neurosurgeon, Hyderabad
400 at clinic
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Prem
Dr. Prem is an experienced Neurosurgeon in Adibatla, Hyderabad. Doctor is currently practising at Bristlecone Multi Specialty Hospital in Adibatla, Hyderabad. Save your time and book an appointment online with Dr. Prem on Lybrate.com.

Lybrate.com has top trusted Neurosurgeons from across India. You will find Neurosurgeons with more than 26 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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Bristlecone Multi Specialty Hospital

Door No 3-4-136/A,Street No 6, Barkatpura, Landmark: Opposite ICICI Bank & Near State Bank Of India, HyderabadHyderabad Get Directions
400 at clinic
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I safring from migraine problem since from 4 month and thyroid problem also what should I do.

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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Sir/Madam, There is a continuous numbness in my left hand and also sometimes I get pain in foot. And also I started loosing body weight what are the causes for this problem? Some say these are the symptoms of diabetes. Is that true?

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Sir/Madam, There is a continuous numbness in my left hand and also sometimes I get pain in foot. And also I started l...
It may be due to hight blood pressure and high cholesterol. Donot worry at all. Discuss with neuro-physician. Get your sugar also tested.
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What are the symptoms of hysteria and migraine? What is treatment of both? How I can prevent myself from attacks of migraine?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Hysteria is layman term. Its difficult to explain hysteria but in simple words it would be a state of extreme anxiety which causes various unrelated symptoms like tremors, altered consciousness, possession spells, body pains etc. These complaints may or may not occur in combination. Migraine is a type of relapsing headache. Predominantly common in females, onesided, accompanied usually with nausea or vomiting or both, pulsatile, relieved by rest and medications and aggravated by stressors, overexposure to sun, decreased sleep and increased noise. Treatment of hysteria is medicines and counseling migraine needs treatment of acute attacks and treatment to prevent future attacks, this decided upon a detailed history of migraine and associated symptoms in the patient.
1 person found this helpful
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How to tackle Migraine

DM - Neurology, MD - General Medicine, MBBS
Neurologist, Hyderabad
Migraine can be tackled by a combination of medical and lifestyle measures.
Medical measures: if you have frequent episodes, you will need 2 types of medicines- one to be taken daily for a period of at least 6 months as prophylaxis and 2nd to be taken during attacks of headache for quick relief of pain. These medication should be started only after consultation with a neurologist and ruling out other rare but serious causes of headache.

Lifestyle measures:
Lifestyle measures play an equal, if not greater role in management of migraine. They include:
1) regular intake of meals. Avoid fasting, eat breakfast, lumnch and dinner at fixed timings.
2) good 7 hours of uninterrupted sleep daily
3) avoiding foods that precipitate migraine like cheese, chocolate, excess coffee/tea and sour foods

In addition, you may have to temporarily avoid excessive travel and exposure to sunlight which can precipitate headache. Yoga/ meditation and relaxation techniques will help immensely.

I am 50 yrs old man, I observe that my hand/fingers is little bit shaking when writting and making signatures, since last 5 yrs. What shall I do.

MCh Ortho, ATLS (AIIMS), Diploma In Orthopaedics (D. Ortho), MBBS, MS - Orthopaedics
Orthopedist, Kolkata
Shaking of fingers can be early sign of Parkinson' s disease. Please consult your nearby neuro physician or neorumedicine doctor.
2 people found this helpful
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Brain Tumor Surgery - Know The Common Types!

MCh Neurosurgery, MS - General Surgery, MBBS
Neurosurgeon, Guwahati
Brain Tumor Surgery - Know The Common Types!

Although surgery is considered to be the first step of treatment in any form of tumor but its feasibility depends upon the type, size and location of the tumor. It is not necessary that every kind of brain tumor might require surgery.

Indications of Brain Tumor Surgery

  • Diagnosis of the type of tumor by taking a sample of the tumor for laboratory examination
  • Complete resection of tumor
  • Removal of the tumor as much as possible to slow down its growth and improve the symptoms.
  • Remove the tumor in order to help other treatment
  • Provide direct access for other forms of treatment like chemotherapy, radiotherapy etc.
  • To relieve pressure caused by tumor on surrounding structures

Types of Brain Tumor Surgery

The different types of surgery that are performed in cases of brain tumor include the following:

1. Craniotomy: Craniotomy is the most commonly performed procedure to remove brain tumor along with a piece of bone. The removed bone is replaced and the tumor is sent for histopathology (biopsy). The surgery is performed using a high end microscope by any of the following techniques:

  • Extended bifrontal craniotomy
  • "Eyebrow" craniotomy (supra-orbital craniotomy)
  • "Keyhole" craniotomy (retro-sigmoid craniotomy)
  • Orbitozygomatic craniotomy
  • Translabyrinthine craniotomy

2. Shunt: A narrow piece of flexible tube with a pressure regulated valve in between is called a shunt. This is used to relieve the intracranial pressure caused by obstruction of the natural brain fluid (CSF) pathway by tumor mass. The procedure involves insertion of a drainage system into the brain to remove or drain excess of blocked fluid into the peritoneal cavity.

3. Stereotactic surgery: This surgery is done by creating a three-dimensional image called stereotaxy using computers. It aims to find out the location and position of the tumor. In fact it can also be done to aid tumor removal, implant radiation pellets or for other treatments.

4. Embolization: It is a procedure used to reduce the amount of blood supply to a tumor by blocking the blood flow in the selected arteries. It is generally performed before the main surgery.

Endoscopy and endoscope assisted surgery: Endoscope is the tool which helps to closely visualize the tissue through small openings in difficult to reach areas. This tool can be used in various brain surgeries to precisely reach the target location without damaging the adjacent structures.

Adjuvant modalities to improve outcome: In addition to above mentioned surgeries, following surgeries may also be performed in relation to brain tumor treatment:

  • Laser surgery
  • Photodynamic laser surgery
  • Ultrasonic aspiration
  • Fluorescent-guided surgery
  • Electrophysiological monitoring. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.
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Hello doctor recently my sister attacked by GB SYNDROME she has been hospitalized they gave treatment for ten days now patient is suffering with burning sensation for two hands and two legs what is the reason.

BHMS
Homeopath, Chennai
Hello doctor recently my sister attacked by GB SYNDROME she has been hospitalized they gave treatment for ten days no...
Guillain-Barré syndrome is an acute illness which is caused by inflammation of peripheral nerves leading to loss of sensation, muscle weakness and, in more serious cases, complete paralysis and breathing difficulty. In almost eighty per cent of children these symptoms follow a recent illness (usually viral). This infection is thought to trigger a faulty response in the immune system. It has been clinically observed that homeopathy helps cases of GB Syndrome. It seems to help by correcting the altered immune system. The medicines are very effective in treating the residual symptoms of Guillain-Barré syndrome. Muscle weakness and power in the limbs can be corrected. In the acute stage, in cases of danger of respiratory paralysis, allopathic medicines have an advantage, but for the residual neuro-muscular symptoms, Homeopathic medicines are highly effective and strongly recommended. You can easily take an online consultation for further treatment guidance
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FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
About neuro - linguistic programme (nlp)
Neuro linguistic programme (nlp) can bring about long lasting changes in behaviour. It is believed to recognise the connection between the neurological process (neuro) language (linguistic) and behavioural patterns learned through experience (programming) that can be changed to achieve specific goals in life.
3 people found this helpful

I am 20 and I am suffering backache and high migraine problem. This problem has caused many problems to me. I had cured alot but it was not helpful. I jst want some good and healthy cure.

M.D. (Ayurveda )
Ayurveda, Patiala
I am 20 and I am suffering backache and high migraine problem.
This problem has caused many problems to me. I had cur...
kindly take pathyakshdhatraydi kshayam and and adreesahacharadi kshayam, 2 tsf each in half a glass of warm water twice a day before meals. Take panchamruta loha guggal, 2 tabs (chew the tabs for best results) with dashmoolajeerakadyarishta, 2 tsf in half a glass of warm water after meals, twice a day. Avoid cold water or cold eatables in your routine. Take liquid diet like daliya, khichdi, moong daal and veggie soup in your diet regularly. Avoid AC and direct exposure to cooler air. Do massage with prabhanjanavimardan oil over the whole body. Continue the regime for 1 month. stay in touch. Good luck.
1 person found this helpful

Hi Migraine headaches frequency once or twice a month - cause change of weather, delay in food intake, oily head bath, stress, lack of sleep no other complications.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
A sleep disorder can affect your overall health, safety and quality of life. With accurate diagnosis, I can treat most sleep disorders effectively. I am a doctor and registered dietitian who will prescribe a customized diet plan and medications to help in sleep disorders. Do reply back for private consultation for a detailed treatment plan including dietary therapy.
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Sir, my cousin's child having a mute and deaf problem by birth. When I saw the doctor at my native (Brahmapur, odissa) he says the left hear have a hearing sensitivity of 70dbm and right 90dbm. Sir, is it treatable to talk& hear like normal persons.

Master of Hospital Administration, Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist, Gurgaon
Sir, my cousin's child having a mute and deaf problem by birth. When I saw the doctor at my native (Brahmapur, odissa...
if its sensorineural hearing loss then one and only management is hearing aid along with speech therapy as early as possible. u can opt for cochlear implant also ..for further details consult with me .
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I am losing my hair rapidly and I have stomach problem and I have migraine problem.

MBBS
General Physician, Mumbai
I am losing my hair rapidly and I have stomach problem and I have migraine problem.
Migrane- it is characterised by one sided headache which is pulsatile in nature and with a throbbing pain usually with an aura and for stomach pain take tablet meftalspas-ds and apply selsun shampoo twice a week and avoid spicy food in your diet and also avoid peanuts and potatoes in your diet.
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I have been diabetic since 1997. For the last year n a half I have numbness in my toes although my diabetic control is fair.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
It is because of diabetic neuropathy. Any way take caldikind plus (mankind) 1tab odx10days epineuron sr 150mg 1 tab odx 10 days. Contact me again for follow up.
1 person found this helpful
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His body is shivering a lot even he raised his hand and he is a the to teller what is the reason of it.

MBBS, cc USG
General Physician, Gurgaon
This may be due to 1. Severe anxiety 2. Medical problem like Thyroid disorder get your following test done and review with reports 1. CBC 2. Thyroid function test(fasting)
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Obstructive Sleep Apnea

MBBS, MD -Pulmonary Medicine-Tuberculosis ,Respiratory Disease Medicine , Diploma in Tuberculosis and Chest Diseases (DTCD), European Diploma in Respiratory Medicine
Pulmonologist, Delhi

Questionnaire for obstructive sleep apnea

1- do you snore loudly
2- tiredness or fatigue even after
 Good night's sleep
3- has anyone observed you stop
 Breathing / gasping during sleep
4- do you have blood pressure
5- are you older than 50 years
6-do you weigh more for your height
7- neck size more than 40 cm around
8- male gender

If your answer is yes to three or more of the above questions, then you may be at risk of obstructive sleep apnea.

At about age of 55 years her left arm suffers shivering, tingling etc. Her two of the nerves c6 and one another are blocked. Please suggest any treatment, exercise etc.

MPT - Orthopedic Physiotherapy, BPTh/BPT
Physiotherapist, Noida
At about age of 55 years her left arm suffers shivering, tingling etc. Her two of the nerves c6 and one another are b...
physiotherapy laser treatment. stretching exercises . posture correction must. avoid toward bending
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I am suffering from peripheral neuropathy in my both the legs(more in the right leg) for the last 30 months. Doctors are not able to treat properly as i am not a diabetic and they are giving vitamins.Can some doctor(ayurvedic or allopathic) suggest how I can get rid of this problem and be a normal person. I have no other problem. My bp is normal. Iam 69 years old, very healthy. No vices(had in the yester years). I want some positive treatment please. Can some doctor help me please with some remedy. There should be some I feel in todays advanced technology.

MD-Ayurveda, Basic Life Support (B.L.S), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Ahmednagar
Cause of your neuropathy is yet to be ruled out. Go for mri spine with nerve conduction study. We have ayurvedic medicine that can reverse your neuropathy if it is due to old age. Consult for medicine. Also send your previous reports in details.
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I have epilepsy and had been taking oxetol 450 mg from past 2 yrs. But only seizure has vanished but I still speak in sleep. How to avoid that. Talking in sleep.

MBBS, MD - NEUROPSYCHIATRY
Psychiatrist, Bangalore
Follow sleep hygiene. Get a EEG done. Exercise daily and you should feel tired at the time of going to sleep. That will improve your sleep qualities and talking will reduce.
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My husband is 32 year. Now facing mood swing problem in working time like dream, old memories, flash back. And we have done mri. Some minor thickness on rt. Brain side but dr, said that its not a big issue it is a migrane aura and give medicine. But what is the treatment of mood swing? I have already consult with neurologist and he give the medicine topaz-50mg and divaa 500 mg. Neurologist said its not a psychological problem.

Hypnotherapist, DCS, BSIC, Advanced Trainee of Transactional Analysis, Advanced Skills in Counselling
Psychologist,
Mood swings can be of genetical or psychological origin. You need to determine this. Has he gone through any stress that he couldn' t deal with? you can also try counselling for mood swings which is" talk therapy" where the counsellor will try to understand what' s happening in his life and what are his worries and stress. Ayurveda is another alternative that you can try out. What cannot be found in scans, can be diagnosed by pulse diagnosis. For counselling please click on private chat.
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