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Treatment of Neurological Problems
Treatment of Nerve And Muscle Disorders
Treatment of Paralysis
Joint Dislocation Treatment
Treatment of Spondylosis
Treatment Of Disk Slip
Treatment Of Herniated Disc
Treatment of Spine Injuries
Brain Tumor Surgery
Treatment of Disc Prolapse
Spinal Cord Injury Medicine
Accident Injuries Treatment
Spine Surgery Treatment
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I am suffering for migraine . During the headache which medicine I take to stop headache? What are the causes of migraine?
Age 75. He got paralytic attack 3 days before in left side. Because of immediate treatment he survived. Can not stand but has movement in all organs. He has high b. P. Sugar is on little higher side but controlled. Please advise how to care also suggest diet according to his condition. He is very week. thanks all.
? Eating meals and snacks on a regular schedule.
? Sleeping on a regular schedule - avoid napping and sleeping in on weekends.
? Staying well hydrated ? that means 2-3 liters of water a day.
? Exercising regularly.
? Include ginger, sesame seeds, celery, sweet potato, quinoa, spinach in meals ? as it helps in preventing migraine headaches.
Headache is one of the most frequently encountered problem at a clinic. Even questions at lybrate are mostly studded with this symptom.
More often than not, headaches are self limiting and without a serious medical problem. But any chronic headache needs proper evaluation for definitive therapy.
Grossly, headaches can be divided into primary (no definite structural lesion in brain) or secondary (associated with changes).
Any headache, if associated with vomiting without nausea, visual disturbance or nerve deficit (new onset squint, double vision, loss of sensation anywhere, facial deviation amongst many) may indicate secondary headache, but exceptions are there. These require immediate attention to rule out life threatening disease.
Commonest primary headache is tension type headache all of us have felt at certain times. Often it is like a band pressing around forehead. Common analgesics manage them well but for recurrent problem, we might prescribe prophylactic drug.
Migraine is something very common presenting as pain in one half of head with vomiting, nausea, visual or auditory aura. They require immediate analgesic like acetaminophen and prophylaxis with propranolol or amitriptyline.
Cluster headache, as the name suggests, comes in cluster for few days and more common in male. Oxygen has been proven as effective treatment.
Trigeminal neuralgia is more sharp, lanceolating pain, but responds satisfactorily to carbamazepine.
Sinusitis, in frontal bone presents as headache more around 10am in the morning that requires therapy with antihistamines and antibiotics occasionally.
Therefore' headache' carries little value unless it is described in detail to ensure proper therapy.
Short course radiation therapy is the one of the most talked about subject in recent years and also a fascinating research zone. Hypofractionated radiation therapy is an old concept, but only in recent years with tremendous improvement in radiation therapy delivery technologies there is a significant visible surge in it’s applicability in clinical practice. Modern radiation therapy technology is capable of delivering high dose to the target while sparing majority of the adjacent critical structures. Hence, it is possible to deliver short course of treatment regimen with higher dose per fraction without increasing in toxicity. In brain tumours, radiosurgery with gamma-knife is considered standard of care in many of the clinical indications such as small meningiomas, acaustic schwannomas, residual low grade gliomas, AVMs and solitary/ oligo brain metastasis. Gamma-knife radiosurgery is in clinical practice for more than five decades.
There are several prospective and randomized studies (level I evidence) with long-term follow up data supporting the use of radiosurgery in these clinical indications. Other indications of radiosurgery are pituitary tumour, craniopharyngiomas, glomus tumours, chordomas and others. Robotic radiosurgery (CyberKnife®) is precision radiosurgery delivery system and an extension of gamma-knife system. CyberKnife uses the principle of gamma-knife, but with linear accelerator source instead of multiple cobalt sources. CyberKnife is capable to treating all tumours indicated for gamma-knife with similar accuracy.
This modern tool has some additional advantages from gamma-knife, such as
1) CyberKnife can use fractionated treatment, hence relatively larger tumours can be treated.
2) Require only thermoplastic mask, no need for invasive frame.
3) Has inverse planning system, can spare critical structure.
4) There is a ‘intra-fraction’ correction technology with imaging.
5) There is no need to change the source, hence may be more cost effective.
6) Can be used to treat extra-cranial tumours also. CyberKnife has a linear accelerator attached with a robot and is capable of treatment from various coplanar and non-coplanar field arrangements. CyberKnife has sub-millimeter accuracy and unmatched dose distribution.
The advanced technology behind CyberKnife uses image guidance technology and computer-controlled robotics to deliver and extremely precise dose of radiation to targets, avoiding the surrounding healthy tissue, and adjusting for patient and tumor movement during treatment. In conclusion, CyberKnife is an extension of gammaknife radiosurgery delivery system. This machine has immense promise to treat with short course regimens with high dose and improve local control without increasing toxicities. If you wish to discuss about any specific problem, you can consult an Oncologist.