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
Doctor in Sir H N Reliance Foundation Hospital
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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Md Adil Hoda
Dr. Sankalp Mohan provides answers that are very helpful. beautifully diagnosed and resolved .just awesome ,long live MOHAN sir.
Dyslexia is a neurological condition which makes learning a difficult process in children. Children suffering from dyslexia find themselves incapable of reading and learning as compared to their peers. Dyslexia occurs when the brain cannot process graphic symbols. This causes difficulty in recognizing, spelling and also decoding words. The effect of this condition varies from one person to another and is most often a lifelong condition. It can also vary as a result of different ages in people. However, a slower reading level is one common characteristic that is present in all dyslexic children.
Dyslexia is a strictly neurological condition that has little to do with a person’s intelligence. It can also occur as a result of genetic conditions. Early detection of the condition can help in improvement before he or she reaches adolescence. A thorough evaluation process of the child will include the following aspects IQ level, language skills, ability of word recognition, phonological processing, automaticity skills, fluency skills, family history and also knowledge of vocabulary.
The most common symptoms of dyslexia include:
- Trouble reading
- Very slow progression to milestones such as walking, talking, crawling and learning to ride a bicycle.
- Slow development of speech
- Trouble with hand-eye coordination
- A slow rate of learning when it comes to data
- Problem with speech
- Very poor concentration span
- Children suffering from dyslexia are more prone to developing certain autoimmune diseases such as eczema and asthma.
Dyslexia is sometimes subdivided into a number of categories such as Surface Dyslexia, Rapid Deficit Dyslexia, Visual Dyslexia and Phonological Dyslexia.
There is no medical treatment for dyslexia and help generally includes assigning reading specialists, child psychologist, speech-language pathologists and child neuropsychologists.
Certain practices that you yourself follow when dealing with your dyslexic child are:
- Praise your child from time to time
- Remind your child that being dyslexic has nothing to do with intelligence levels
- Mix with other parents who have dyslexic children and interact with them about ways and strategies to heighten the child’s confidence level.
- Deal with your child patiently.
I am hemiplegic migraine and it happens everyday I don't know how to recover from this can someone suggest what should be done.
My mother is suffering from neuropathy. And she is hypertensive and pre diabetic now a days she is taking medicines hapibar 20 mg B.D, gepent 300 mg B.D,advent16 mg O.D, centre silver O.D, inosita plus 50/500 O.D, ascard 75 mg O.D.thiolax 4 mg B.D and know her blood pressure and diabetes are under control but serum creatinine level is at border line and she is having swelling at her feet I am unable to understand the reason although I myself I am a pharmacist so that I am taking this online help.
Dear Sir, I would like to know Is there anything called Psychogenic Vertigo? What are the symptoms and How it can be solved? Please need your advise on this.
Hello, I'm facing two health problems 1) I'm migraine patient. My head pains more than 3 to 5 times in a week. Nowadays its frequency and intensity had been increased. And when it pains I can barely concentrate on my studies and other things also. Please tell what I should do! 2) My body has too much heat. My palms and sole of feet always stay hot, like heat is escaping out of it. Also when I urine, it pains. Please tell me some solution.
My mother suffered a seizure. After she has been given levipil. In MRI there is written that microvascular ischemic changes (FAZEKA SCORE 1) involving juxta cortical white matter of bilateral frontal-parietal regions with periventricular leokoaraiosis. Please tell me is it normal?
A spinal cord is a narrow, tubular bundle of nerves which starts from the medulla oblongata and runs down the middle of your back. It protrudes from the brain and helps support the entire body. Any injury to the spinal cord should be treated with a lot of care and patience. Spinal cord injuries often change the person’s metabolism significantly. You need to be very careful of the calories you take in after a spinal injury, in order to make sure that your eating habits don’t give way to more serious medical conditions. Maintaining a healthy weight is crucial for individuals who have a spinal cord injury.
High Sodium containing Foods
A person who is suffering from paraplegia or quadriplegia should restrict their sodium intake to 500 to 1,000 mg daily, as suggested by experts. Intake of excess sodium can raise your blood pressure level which may eventually result in a heart disease or a stroke. Keeping a check on your daily sodium intake, therefore, becomes a must for patients who suffer from the aforementioned spinal cord injuries.
Foods and Beverages with Sugar
Any food item which contains a large amount of sugar in it is an absolute no for patients who have a spinal cord injury. Any individual with SCI should avoid food items which have a large amount of sugar in it. Sugary beverages are also to be avoided. Sodas, candies, cookies among other sugary food items should be consumed only once in a while as they do not have any benefits and nutritional value.
Alcohol is that one vice which should be strictly avoided. This empty calorie beverage has a number of side effects which can be a setback for recovering patients. The consumption of alcohol should be limited, as the intake for women should stick to one beverage and for men, it can be two drinks a day, as suggested by doctors.
A person who is a patient of a spinal cord injury has to be extra careful about his/her calorie intake. This is why patients cannot afford to eat fast foods as these food items usually have around 1200 calories in a single meal, according to the Spinal Cord Injury Network. An SCI patient needs to consume at least 10% lesser calories than an average healthy person. Patients need to avoid food with excess fat, cholesterol, and sodium in order to recover faster.
I have acute migraine problem since one year. Then you are requested to suggest me proper remedy to cure from problem.
Getting a good night’s sleep is essential for a healthy lifestyle. When a person is asleep, the body rejuvenates itself. Some people can fall asleep as soon as their head touches the pillow but others can find it hard to sleep. Conditions that affect a person’s ability to sleep properly over a long period of time are known as sleep disorders. There are many different types of sleep disorders.
Obstructive Sleep Apnea
Sleep apnea is a very common sleep disorder. This is marked by frequent interruptions in the person’s breathing. It may cause the person’s breath to become shallow or even stop briefly. In many cases, the person may not be aware of this happening while they sleep. Obstructive sleep apnea is caused by a partial or complete obstruction of the upper airway. This makes the chest muscles and diaphragm work harder to pull air into the lungs.
Insomnia can be described as an inability to fall asleep. Waking up frequently in the middle of the night and finding it difficult to go back to sleep or waking up earlier than planned in the morning are also characteristic signs of insomnia. There are two types of insomnia; primary and secondary insomnia. Primary insomnia refers to the inability to sleep that is not connected to any other disease. If the person’s inability to sleep stems from another disease, it is known as secondary insomnia. There are a number of factors that could cause insomnia. This includes life changes such as shifting to a new home, death of a loved one or change of jobs, emotional discomfort, environmental factors such as light or noise, jet lag, stress, etc.
Restless Leg Syndrome
This sleep disorder is also classified as a neurological disorder. It is characterized by an overwhelming urge to move one’s legs while sleeping. This may be felt as a scratchy itchy, burning, pulling or throbbing sensation. Massaging the legs or moving it only provides temporary relief. The exact cause of this condition is not known but suffering from an iron deficiency, kidney failure, diabetes, Parkinson’s disease or peripheral neuropathy can increase the risk of this sleep disorder.
This can be described as the brain’s inability to control its sleep cycle. This can make a person fall asleep unexpectedly during the day while falling asleep at night becomes more difficult. In most cases, this sleep disorder is caused by reduced levels of a neurotransmitter known as hypocretin.
So, if you are experiencing any of the above symptoms or have difficulty sleeping, it is advised not to self-medicate and delay the treatment. Seek help from a professional right away and enjoy peaceful sleep. In case you have a concern or query you can always consult an expert & get answers to your questions!
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. In case you have a concern or query you can always consult an expert & get answers to your questions!