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Brain Spine Neur & Genral Hospital

Neurologist Clinic

Opp Saibaba Mandir Near Railway Stn Akurli Road No 1Mangalam Dairy Lane Kandivali East Mumbai
1 Doctor
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Brain Spine Neur & Genral Hospital Neurologist Clinic Opp Saibaba Mandir Near Railway Stn Akurli Road No 1Mangalam Dairy Lane Kandivali East Mumbai
1 Doctor
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By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have place......more
By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have placed in us.
More about Brain Spine Neur & Genral Hospital
Brain Spine Neur & Genral Hospital is known for housing experienced Neurologists. Dr. Shankar Athawale, a well-reputed Neurologist, practices in Mumbai. Visit this medical health centre for Neurologists recommended by 53 patients.

Timings

MON-SAT
11:00 AM - 02:00 PM 08:00 PM - 10:00 PM

Location

Opp Saibaba Mandir Near Railway Stn Akurli Road No 1Mangalam Dairy Lane Kandivali East
Kandivali East Mumbai, Maharashtra - 400101
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HI, I have tendency of having severe migraines every month. Grateful if you could kindly suggest how to get rid of it?

MBBS
General Physician, Udaipur
It can not be cured fully with guarantee that it it will not come back. But it can be avoided to a great extent and even if it comes it can be fought with no pain. For its treatment, consult me online on Lybrate directly.
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Bell s Palsy - Myths And Facts!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Bell s Palsy - Myths And Facts!

Bell’s Palsy-
Bell’s Palsy is a disease, which causes a sudden, temporary weakness in the facial muscles. It is facial paralysis that makes patients unable to control his facial muscles on either side of his face. This disease can occur at any age.

There is no known reason for its cause. However, the disease is believed to be caused because of swelling and inflammation of the nerve that controls the muscles on the affected side. The risk factors include diabetes and upper respiratory tract infection. This is caused due to the malfunction of the cranial nerve.

Bell’s Palsy affects millions of people worldwide. For most of them, the disease is temporary. The symptoms usually start to improve within a few weeks from the first appearance. The complete recovery takes close to six months. There are a few people who continue to have the Bell’s Palsy for their complete life. The disease rarely affects someone twice. People who recurrently face the disease are often found to be a victim of diabetes or viral infections.

People, often, unknowingly interpret the disease as a stroke. It, however, is not a stroke. A stroke affecting the facial muscles would also affect the body muscles and cause weakness in other parts of the body too.

Bell’s Palsy Causes-
The causes that trigger Bell's Palsy in the human body are still unknown. Often researchers associate it with an exposure to a viral infection. The facial nerve passes through a narrow bony area in the skull and when it swells, it pushes against the hard surface of the skull when there is a viral infection. Apart from the facial muscles, the disease also affects tears, saliva, taste and a small bone positioned in the middle of the ear. At other times, researchers also associate it with physical damage to the facial nerve that causes a similar swelling of the face.

Mostly the disease occurs due to viral infections. The infections play an important role in the development of the disease. The viruses that are linked to the development of the disease are:

1. Cold sores and genital herpes, also known as herpes simplex

2. Chickenpox and shingles, which are also known as herpes zoster

3. Infectious mononucleosis, which is also known as herpes zoster

4. Cytomegalovirus infections

5. Respiratory illnesses or adenovirus

6. German measles or rubella virus

7. Mumps or the mumps virus

8. Flu or the influenza B virus

9. Hand-foot-and-mouth disease or the coxsackievirus

Some Risk Factors of Bell’s Palsy-
It has often been noticed that Bell ’s palsy follows a pattern when affecting people. These include:


1. The disease often occurs in females who are pregnant and are in the third trimester of the gestation period. It can also affect the mother after the first week of the birth.

2. People having an upper respiratory infection, such as the flu and the cold, are commonly affected.

3. People having diabetes are also frequently affected.

As mentioned before, the disease rarely affects the same person recurrently. If there is a family history of the disease recurring repeatedly, it suggests a genetic trait or predisposition of the disease.

Bell’s Palsy Symptoms-
There are a few symptoms which constantly recur when Bell’s Palsy strikes a person. These symptoms include:

1. Inability to move the eyelid or blinking.

2. The eye on the affected side of the face waters more or less than it occurs usually.

3. Drooling even in a conscious state.

4. A reduced sense of taste in the mouth.

5. Twitching of the facial muscles.

6. Pain or numbness behind the ear.

Of all the symptoms drooling and facial weakness, reach their peak in a day or two. These symptoms then begin to reduce, which helps people to recover within a couple of weeks. Complete recovery happens within 3 months. Some of the patients may show neurological symptoms, which are defined as mononeuritis. This is what causes the tingling, headache, memory and balance problems. Other symptoms, which are unexplained by the facial nerve dysfunction, are ipsilateral limb weakness, ipsilateral limb paresthesias, and clumsiness.

Bell’s Palsy Diagnosis-
Bell’s Palsy is a disease which requires the diagnosis of exclusion. As there is no specific test for the disease, the doctor observes the diseased person’s face and asks him to move various parts of his face, including the facial muscles, for instance, closing the eyes, lifting the brow, showing the teeth and various other movements. Observing these parts, the doctor eliminates various other possibilities and tries to determine a reasonable cause for the disease.

As the disease is treated on the basis of exclusion, there is no routine testing or imaging test that can help in the diagnosis process. However, the degree of the nerve damage can be assessed using the House-Brackmann score. There are many studies, which have revealed that 45% of patients are not referred to a specialist. This simply suggests that the disease requires a straightforward diagnosis and is easy to manage.

Differential Diagnosis of Bell’s Palsy-
As there is no particular diagnosis in the treatment of the disease, doctors make use of the differential diagnosis technique in the treatment of Bell’s Palsy. In differential diagnosis, doctors distinguish a particular disease from other diseases that present similar clinical features. The technique finds its usage while diagnosing a particular disease to eliminate imminently life-threatening conditions.

During the differential diagnosis of Bell’s Palsy, there are various diseases which are easily eliminated such as a stroke. However, it is very difficult to eliminate the involvement of the facial nerve with the herpes zoster virus. In order to understand the major difference between the two, one must look for the small blisters on the external ear.

The Lyme’s disease also produces facial palsy, which occurs at the same time as the classic erythema migraine rash. Other times, it occurs at a later stage. In cases where the Lyme disease is common to the Bell’s Palsy disease, it may lead to facial palsy.

Bell’s Palsy Treatment-
As mentioned before, a vast majority of people have shown improvement in health and recovered completely from the disease with and at certain times, without treatment. There is no designated treatment for the disease. Doctors may suggest various medications or physical therapies that help to speed up the recovery of the patient. The medicines may vary from doctor to doctor. However, these medications may differ in accordance with the doctor. Surgery is rarely a solution or option in case of Bell’s Palsy.

Having said that, there are various procedures for the treatment of Bell’s Palsy. They include usage of the following:

1. Steroids

2. Antivirals

3. Physiotherapy

4. Surgery

5. Alternative Medicinal Therapies

 

1. Steroids – Various steroids such as corticosteroids, improve recovery of the patient within 6 months. Due to this, early administration of corticosteroids such as prednisone is recommended. The early treatment is necessary as it provides the patient with around 14% higher chances of recovery.

2. Antivirals –Various tests and reviews have shown that antivirals are not as effective in treating the disease as steroids. In fact, they are only beneficial in cases that display some form of mild diseases. There is another review, which stated that antivirals combined with corticosteroids were advantageous for the duration of the treatment. There is a huge amount of speculation when it comes to using antivirals for the treatment. However, antivirals still result in a benefit, which is slightly less than 7%, and therefore this course of treatment is not ruled out.

3. Physiotherapy – Physiotherapy helps in maintaining the tone of the impacted facial muscles and stimulating the facial nerve. Because of this, physiotherapy can be beneficial to some individuals.

4. Surgery – Surgery may help patients recover from facial nerve palsy. There are various techniques that exist to assist with the process of surgery. A form of surgery is a procedure that is beneficial in restoring the smile of patients suffering from facial nerve paralysis. However, this is a surgery that can be as harmful as it is beneficial. There are various side effects associated with the surgical technique. One may experience total hearing disability. In fact, around 3-15% patients experience hearing loss after the surgery.

5. Alternative Medicinal Therapies – Alternative Medicinal Therapies include various techniques such as acupuncture on the affected region. Paralyzed muscles often tend to shrink and shorten causing permanent contractures and pain. Physical therapies can guide the patient to prevent such an incident from occurring.

However, the efficiency of such techniques still remains unknown to the doctors. This is due to the fact that the studies conducted are available in a low quality. Another therapy is the hyperbaric oxygen therapy. However, the evidence available for the therapy is quite tentative.

Myths related to Bell’s Palsy
Bell’s Palsy disease often confuses people leading them to believe various myths. The most prominent myths include:

Myth #1: Bell’s Palsy Causes Permanent Facial Paralysis

Bell’s Palsy is a form of temporary facial paralysis. The facial nerve that is on one side of the face is disrupted. Due to this, the message, which is received from the brain, is interfered. However, in a majority of cases, the disease is temporary. The paralyzed area of the face starts to cure within a few weeks and within three to six months; the paralysis completely disappears on its own. In a few percentages of cases, the nerve function does not return to normal. The nerve function may return but the full function does not return.

Myth #2: There is No Treatment Which Ensures the Treatment of Bell’s Palsy

There are various techniques which are available for the treatment of Bell’s Palsy. As mentioned above, the disease can be defeated using steroids, antivirals, physiotherapy, surgery and alternative medicinal therapies. These are the most effective treatments for the disease. Apart from this, selective neurolysis and botox can be used to treat the disease.

Selective neurolysis involves releasing a platysma muscle downward and reducing the activity. The selective neurolysis is very useful for a patient to regain his ability to smile. The botox treatment is a non-surgical treatment. When injected by a nerve expert, it helps patients to regain some symmetry into their faces and improve their facial appearance.

Myth #3: Prognosis of the Disease is not Very Good

There are many people who are under the impression that prognosis for Bell’s Palsy is not very good and hence they hesitate in using it for the treatment. However, doctors state that prognosis is generally very good for the patients.

After making use of the prognosis method, a person starts to improve on his symptoms within the first two weeks. The duration for complete recovery remains the same, i.e. three to six months.

Autism Spectrum - How Homeopathy Can Help Your Child?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Pune
Autism Spectrum - How Homeopathy Can Help Your Child?

One of the best pleasures of life is to watch a child grow up and begin to learn and explore new things in the surroundings. However, children affected by autism spectrum disorder (ASD) or autism may not be able to do this at the same pace as other kids. They are a little slow to respond and may not socialise very easily.

ASD is a collective term used for a range of symptoms, including poor verbal and nonverbal communication, poor social skills, repetitive behaviour, and impaired learning abilities. The onset and severity of symptoms also vary across children. While some show symptoms in preschool, others would be completely normal and start showing symptoms after a couple of years of schooling. The following are some symptoms that indicate the child could have autism.

  1. Lack of babbling by 9 months of age
  2. No response when called by their name even after 12 months of age
  3. Not uttering single words by the age of 16 months, two words by 24 months
  4. Lack of social skills including resistance to cuddling, not mingling with other kids
  5. Self-injurious behaviour like banging head on the wall, hurting a toy, etc.

Homeopathy offers safe, effective remedy for children with autism. Treatment regime is highly customised based on underlying and accompanying symptoms of each patient. The following are commonly used ingredients; however, self-medication is best avoided.

  1. Agaricus: The child talks and sings but does not respond. There is indifference, fearlessness, shouting, constant jerking of the head, difficulty reading, possible double vision and feels awkward physically and mentally.
  2. Carcinosin: The child is obstinate and has compulsive obsessive tendencies. It is hyperactive, does not sleep, has addictive tendencies, and likes to drink milk which worsens the symptoms.
  3. Androctonus: The child is destructive, suspicious, mischievous, but very quick to respond. The child behaves very well at times and can be very naughty at other times.
  4. Helleborus: The child is generally weak, slow to respond, appears thoughtless, often stares into air, and looks depressed with involuntary sighing and habit of lip biting. Sight, hearing, and taste could be affected.
  5. Cuprum Metallicum: The child is extremely tense, irritable, rigid, malicious, and very difficult to handle. Does not like to be touched or spoken to or played with. Can be aggressive with the parents, driving them to despair.

May have tics infestation on the scalp.
Another recent approach is the CEASE (Complete Elimination Autism Spectrum Expression) Therapy. This combines homoeopathy with orthomolecular medicines that provide the required nutrition for brain development (vitamins, minerals, Omega 3 fatty acids, etc.) This helps in overall brain development and restoring function in affected children. As noted, the right potency of these products will determine the response to treatment.

Myelopathy - Know Signs Of It!

MBBS, MS - Orthopaedics
Orthopedist, Raipur
Myelopathy - Know Signs Of It!

Myelopathy refers to any neurological deficit in the spinal cord. The three most common types of myelopathy are cervical myelopathy, lumbar myelopathy and thoracic myelopathy.

Here are the causes and symptoms of myelopathy.

Causes

1.        Injury
This is a very common cause of myelopathy. Any type of accident or even a traumatic event can cause myelopathy and perhaps even paralysis.

2.        Spinal stenosis
This is a condition in which the spinal cord narrows. It is one of the leading causes of myelopathy.

3.        Degenerative disc disorders
As you get older, these get more likely as well as other conditions which affect the spinal column such as osteoporosis.

4.        Tumor
It is a little known fact that tumors very often do cause myelopathy.

5.        Multiple sclerosis
There are many other diseases which may cause myelopathy and multiple sclerosis is one of them.

Symptoms

There are many indications that you are having a form of myelopathy and should consult a medical expert. Here are some of them.

1.        Changes in coordination
What this means is that all of a sudden you may find it harder to move certain limbs the way you want to. Sometimes, this can affect the whole body.

2.        Sudden muscle weakness
It is highly likely that if you have myelopathy then you will have sudden weakness in your muscles.

3.        Decreased hand-eye coordination
This is perhaps the biggest indicator of myelopathy since hand eye coordination is directly linked to your spinal cord and brain and if they are not functioning properly then hand-eye coordination will be worse.

These are just some of the symptoms of myelopathy, however the doctor cannot diagnose myelopathy until he does certain tests. These tests include MRI scans and other tests as well as a regular physical check-up in addition to a look at your medical history.

 

I have numbness in my right hand when get up early in morning ,it feels difficult to hold bottle in morning and numbness while brushing my teeth from last 15 days.

MD - Homeopathy, BHMS
Homeopath, Vadodara
I have numbness in my right hand when get up early in morning ,it feels difficult to hold bottle in morning and numbn...
Hello User. You should take some tests like CBC ESR, RA test, Serum Uric Acid and Vitamin B12 levels. Then consult with reports for proper homoeopathic treatment.
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Multiple Sclerosis - Understanding Its Effects!

DM - Neurology, MD - General Medicine
Neurologist, Pune
Multiple Sclerosis - Understanding Its Effects!

Multiple Sclerosis or MS is an ailment that is mainly caused due to the degeneration of nerves in the body. The central nervous system is the main area affected by multiple sclerosis and it has been diagnosed that it occurs more in women than men. The main areas that are affected include optic nerves, brain, and spinal cord. Multiple sclerosis in other words also means scar tissues in multiple areas. There are 4 types of multiple sclerosis which include clinically isolated syndrome, relapse remitting, primary progressive, and secondary progressive.

Causes of Multiple Sclerosis

  1. Multiple sclerosis is regarded as an autoimmune disorder and its exact cause is not known by the doctors. The disease causes demyelination of the brain cells and spinal cord.
  2. People in the age group of 15-60 are the ones affected by this disease. According to scientists, the four main factors that cause this disease are virus, genetic, environmental and immunological.
  3. It is a long-lasting disease that causes disturbances in the body functions.
  4. The condition is examined by the doctors by checking the patient’s medical history, conducting neurological exams, and imaging scans.
  5. The spinal fluid analysis is also a procedure that can rule out the possibility of multiple sclerosis.

Symptoms Caused by Multiple Sclerosis

  • Some of the symptoms that are caused due to this disease include impaired coordination, pain, vision loss, and fatigue.
  • The nerves in our body are coated with myelin sheath that protects the nerves.
  • The myelin sheath also aids in the conduction of impulses all through the body.
  • Inflammation is caused due to multiple sclerosis which eventually results in thinning and destroying of the sheath.
  • The nerve without a coating is left with a scratch and this results in the nerve not functioning properly.
  • Severe chronic symptoms are faced by patients so at times pain occurs in the eyes and back. In some patients the symptoms are mild thus the disease is not noticed in the early stages.
  • The main symptoms include problems with thinking, memory, muscle weaknessnumbness, and tingling. Many people even find trouble in walking due to multiple sclerosis.

Effects of Multiple Sclerosis

Causes And symptoms Of Dementia

MBBS, MD - Psychiatry
Psychiatrist, Bangalore
Causes And symptoms Of Dementia

Dementia cannot be singularly regarded as a specific disease, but rather indicates a group of symptoms associated with your memory, cognitive thinking and social abilities, up to the point where daily functioning gets affected. In most cases, Dementia steadily worsens over time (progressive dementias). Dementia is not to be confused with memory loss alone; because it is natural with old people to experience memory loss, but that does not necessarily mean they have Dementia. If the reason is Dementia, then you may require medical treatment.

Causes

Dementias are generally caused either by damage to or changes in the nerve cells operating in the brain. The causes can be grouped differently based on the type of dementia experienced and the part of the brain affected. While some causes can be reversed with effective treatment, others, unfortunately, cannot.

The most common causes of Dementia which cannot be reversed include :

1. Alzheimer's disease
2. Vascular dementia
3. Parkinson's disease
4. Frontotemporal dementia
5. Dementia with Lewy (Dementia which is neurodegenerative and progressive in nature) bodies
6. Severe head injuries

Other irreversible causes which are relatively rarer than usual include :

1. Huntington's disease (breakage of the brain's nerve cells)
2. Creutzfeldt-Jakob disease (irreversible and fatal brain disease)
3. Multiple sclerosis or Amyotrophic lateral sclerosis
4. Infections like syphilis
5. Leukoencephalopathies (diseases affecting the brain's 'white' areas)
6. Brain injuries
7. Multiple system atrophy

Causes of Dementia which can be treated include :

1. Hypothyroidism
2. Heavy metal poisoning
3. Certain brain tumors
4. Chronic alcoholism
5. HIV/AIDS
6. Vitamin B12 deficiency
7. Medicinal side effects or abnormal drug reactions
8. Normal pressure hydrocephalus
9. Certain cases of encephalitis

Symptoms of Dementia include

1. Memory loss
2. Difficulty finding the right words
3. Difficulty exercising judgments, especially during emergencies
4. Inability to recall particular events or to recognize people and places
5. Depression or other mood disorders, in addition to symptoms like uncontrolled aggression or constant agitation

Shirodhara For Insomnia!

Diploma In Traditional Siddha, B.H.M.S
Sexologist, Bilaspur
Shirodhara For Insomnia!

Insomnia is one of the most common complaints faced by primary care practitioners after pain. Non-pharmacological management of Insomnia that is noninvasive is gaining interest among patients with insomnia.

Purpose:

To determine the feasibility of recruiting and retaining participants in a clinical trial on shirodhara, Ayurvedic oil dripping therapy, for insomnia in the United States and also to investigate the therapeutic usefulness of Shirodhara for insomnia using standardized outcome measures.

Study Intervention and Data Collection:

Shirodhara with Brahmi oil was done for 45 minutes on each participant for 5 consecutive days. Insomnia Severity Index (ISI) was used to evaluate the severity of insomnia as well as to determine the response to Shirodhara therapy. Data were collected at baseline, end of the treatment (day 5) and 1 week after the treatment ended (follow-up).

Two males and eight females with a mean age of 40 years (range 23 to 72), SD ± 14.2, were enrolled in the study. One dropped out of the study, but all remaining nine participants experienced improvement at the end of treatment. The percentage of improvement range varied from 3.85% to 69.57%. At follow-up, most participants continued to improve. Comparison of means between baseline and day 5 indicated an overall signi´Čücant improvement (P < .005), but in a comparison of baseline vs 1 week posttreatment the improvement was not significant (P < .089). No adverse events were reported during the study.

Conclusion:

Shirodhara with Brahmi oil may be beneficial for moderate to severe insomnia. It is feasible to recruit and retain participants for such therapies in the United States. It is important to validate these findings and investigate the mechanism of action using a larger sample and rigorous research design.

2 people found this helpful

HI, My grandfather age is 74. He was vomiting and had headache, so we concerned doctor. Doctors told the he is in advance stage of brain tumor. As lungs cancer is spread to brain. Doctors suggested to take retromastoid. Please suggest how can it be cured.

MD, Fellowship in Intergrative Medicine, MBBS
Integrated Medicine Specialist, Kochi
HI, My grandfather age is 74. He was vomiting and had headache, so we concerned doctor. Doctors told the he is in adv...
Change diet and lifestyle go on plant based therapy o animal based foods start vegetable juicing go the alternative way of treatment only chemo wil kill the patient and not the cancer take a urgent consult on how to mange the disease through alternative medicine.
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Hi, Yesterday my wife met minor accident and fallen down from her bike and got minor inflammation without bleeding in her forehead. Whenever she touch the inflamatted area she got pain. Compare from yesterday the inflammation is reduced today. Should she undergo for CT scan screaming. Kindly advice CT scan test need or not.

MD - Homeopathy, BHMS
Homeopath, Vadodara
If she didn't have unconscious or vomiting after that. No bleeding from nose or ears then it may not be needed. Give homoeopathic medicine Arnica Montana 200
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