Lybrate.com has an excellent community of Neurosurgeons in India. You will find Neurosurgeons with more than 33 years of experience on Lybrate.com. You can find Neurosurgeons online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Spinal Fusion Surgery
Accident Injuries Treatment
Head And Neck Cancer Surgeries
Anterior Segment Surgery
Endoscopic Skull Base Surgery
Brain Suite Treatment
Brain Tumor Surgery
Cancer Pain Management
Column Traumatology Procedure
Csf Rhinorrhoea Repair Procedure
Decompression Microvascular Surgery
Deep Brain Stimulation Procedure
Treatment of Disc Prolapse
Treatment Of Disk Slip
Submit a review for Dr. MohireYour feedback matters!
I am 30years old, last 10years taking Veniz xr 75 for my depression n migraine pain. I was trying t stop the medicine but the withdrawal symptoms are too much. Can you please suggest me how to get rid off from it.
Sir i am taking glimpride 2 m sr tab daily resently my legs become cold for some time and came to know some problem in nerves. advice me.
I have migraine problem for the last one year or so. I am taking allopathy medicine for the last one month but it doesn't help me at all. please suggest some homely remedies for migraine. Thank you.
I have migraine problem and I can't handle the situation that the moment. So how to do relive the pain?
Hi doctor I am not able to lift my hand and I am feeling numbness on my left hand one of my friend when playing caught left of my neck by mistake so suddenly numbness started. I consulted a local doctor he told it will go in 2 hours but it dint go this happened at yesterday 3 pm and still dint go what should I do doctor?
One of my friend is a 4 times brain surgery patient. And doctor told that he might get the seizures breakthrough. So suggest diet to follow to prevent from seizures (mirgi) attack. And list all diet to avoid for the same.
If you are being treated for Parkinson's disease. How can you maximize the effect of Levodopa? The effect of levodopa can be maximized by increasing its absorption from the digestive system. In particular, taking levodopa on an empty stomach is very important.
- Take on an empty stomach: Do not eat anything 1 hour before taking levodopa. Do not eat anything for at least 30 minutes and if possible 1 hour after taking it. Take the pill with 2 glasses of water so that it can dissolve. If taking the levodopa on an empty stomach makes you nauseous, confirm that your medication has the right amount of carbidopa in relation to the levodopa (25%). If you continue to feel nauseous, you can eat a piece of white bread around the time that you take levodopa. Do not apply any butter, yogurt, cheese or similar high protein spreads. Protein can drastically decrease the absorption of levodopa.
- Get your constipation treated: This is critically important too. Being constipated can slow down the passage of levodopa through the digestive system. In most patients, drinking adequate water and taking stool softeners is helpful.
- Get your ulcer treated: It can be difficult to recognize that you have a gastric ulcer. However, if you have a burning sensation in your stomach at any time, or belch frequently, you may have a gastric ulcer. If you think you have an ulcer you should get tested (there is a simple breath test now) and treated with antibiotics (not antacids!)
- Do not take levodopa with iron tablets: The iron binds to levodopa and prevents its absorption. Keep a gap of at least two hours between these two medications.
- Try taking levodopa with orange juice and carbonated water (soda): Mix equal quantities of orange juice and carbonated water (soda). Take your regular levodopa with a glass of this preparation instead of water. The carbonated water hastens disintegration of the tablet, and the acidity of both things helps in levodopa absorption. There are special tablets of levodopa (dispersible levodopa, Madopar) which can be dissolved in this preparation. To know more click here.
Hi, I am 45 years old female have leg pain under Left feet mostly at night while getting up in the morning numbness in hands feeling heavy below the head. My mother is suffering fr Rheumatoid Arthritis from 44 yrs now 67 yrs old. Is there any test to identify the disease at the early stage for me. My mom took Siddha treatment in the beginning for 6 years but no improvement then changed to allopathy. My height is 145 weight is 36kg was anemic now improved having fissure in ano taking ayurvedic treatment.
Are you aware of behavioral and emotional disorders in children? During the developmental years of a child, constant growth and change are signified. This fact should be strictly kept in mind while dealing with behavioral and emotional disorders in children. Brain disorders like bipolar disorder, depression and anxiety disorders may affect any child during early childhood. The assistance of a mental health professional should be taken while dealing with these problems. On a global scale, almost 15% of children suffer from behavioral disorders. Among the different forms of behavioral disorders, Attention Deficit Hyperactivity Disorder (ADHD) accounts for being one of the most common ones.
Here is a list of the different forms of behavioral and emotional disorders, which are observed in children:
ADHD- This common mental disorder in children is more common in boys than in girls. Commonly, children affected with this disorder are unable to finish familiar tasks, plan or sit still. They may even lose awareness about what goes around them. ADHD-affected children may seem fine on some days, but on other days, they may experience disorganized and frenzied activities. This disorder may continue into adolescence and adulthood as well. There are several treatment options for ADHD, which may include medications, therapy and educational options.
Autism- Children affected with autism seem to become indifferent, remote and isolated in a world of their own. They are unable to form emotional ties with other people or their peers. Autism is more likely to occur in boys than in girls. The condition may result in language delays, mental retardation, and in some cases, a child may suffer high functioning and usual speech and intelligence. This is because the brain of such children functions differently than others. Consistency is very important for managing autism in children.
Bipolar Disorder- This disorder is most likely to begin in early childhood and it continues into adulthood. It is featured by extreme mood swings in the patient. A child may have extremely high or euphoric feelings, but his mood may turn into depression and sadness all of a sudden. This condition is a genetic illness, and it is often mistaken or misdiagnosed as ADHD.
Anxiety- Anxiety disorders make children feel uneasy, distressed and unusually scared for no appropriate reason. Panic disorders, featured, by intense episodes of fear, which occur without any kind of provocation or signal are a common type of anxiety disorder. OCD or obsessive compulsive disorder, which is repetitive and compulsive in nature, is another type of anxiety disorder.
It is very important to treat and deal with children’s behavioral and emotional disorders at an early stage. Early diagnosis enables an early start of treatment, which prevents further degradation of the condition.
I m 36 years old. I m suffering from migraine problem since last 3 yrs. Which medicine should I take. Confirm whether it should be taken regularly. What precautions should I take in order to avoid such migraine attacks.
Headaches and migraines can vary drastically depending on their duration, specific symptoms and the person they are affecting. The more you know about your specific type of headache or migraine, the better prepared you will be to treat them—and possibly even prevent them. The two types of migraine are-
- Migraine without aura: The majority of migraine sufferers have Migraine without Aura.
- Migraine with aura: Migraine with Aura refers to a range of neurological disturbances that occur before the headache begins, usually lasting about 20-60 minutes.
Symptoms of migraine vary and also depend on the type of migraine. A migraine has four stages: prodrome, aura, headache and postdrome. But it is not necessary that all the migraine sufferers experience all the four stages.
Prodrome: The signs of this begin to appear a day or two days before the headache starts. The signs include depression, constipation, food cravings, irritability, uncontrollable yawning, neck stiffness and hyperactivity.
Migraine Aura: Auras are a range of symptoms of the central nervous system. These might occur much before or during the migraine, but most people get a migraine without an aura. Auras usually begin gradually and increase in intensity. They last for an hour or even longer and are
- Visual: Seeing bright spots, various shapes, experiencing vision loss, and flashes of light
- Sensory: Present in the form of touch sensations like feeling of pins and needles in the arms and legs
- Motor: Usually related with the movement problems like the limb weakness
- Verbal: It is related with the speech problems
Headache: In case of a migraine attack one might experience:
- Pain on both sides or one side of the head
- Pain is throbbing in nature
- Vomiting and nausea
- Sensitivity to smells, sound and light
- Vision is blurred
- Fainting and lightheadedness
Postdrome: This is the final phase of the migraine. During this phase one might feel fatigued, though some people feel euphoric.
Red flags that the patient may be having underlying serious disorder not migraine
- Onset of headaches >50 years
- Thunderclap headache - subarachnoid haemorrhage
- Neurological symptoms or signs
- Immunosuppression or malignancy
- Red eye and haloes around lights - acute angle closure glaucoma
- Worsening symptoms
- Symptoms of temporal arteritis
These patients require CT scan / MRI or CSF examination. Most Migraine patients do not need these tests.
Diagnosis of Migraine: Usually migraines go undiagnosed and thus are untreated. In case you experience the symptoms regularly then talk to the doctor, who evaluates the symptoms and can start a treatment. You can also be referred to a neurologist who is trained to treat the migraines and other conditions. During the appointment the neurologist usually asks about the family history of headaches and migraines along with your symptoms and medical history.
The doctor might advise for some tests like:
- Blood Tests: These reveal problems with the blood vessel like an infection in the spinal cord and brain.
- CT scan: Used to diagnose the infections, tumors, brain damage, and bleeding that cause the migraines.
- MRI: This helps to diagnose the tumors bleeding infections, neurological conditions, and strokes.
- Lumbar Puncture: For analyzing infections and neurological damages. In lumbar puncture a thin needle is inserted between the two vertebrae to remove a sample of the cerebrospinal fluid for analysis.
Migraine treatments can help stop symptoms and prevent future attacks.
Many medications have been designed to treat migraines. Some drugs often used to treat other conditions also may help relieve or prevent migraines. Medications used to combat migraines fall into two broad categories:
- Pain-relieving medications. Also known as acute or abortive treatment, these types of drugs are taken during migraine attacks and are designed to stop symptoms.
- Preventive medications. These types of drugs are taken regularly, often on a daily basis, to reduce the severity or frequency of migraines.
Your treatment strategy depends on the frequency and severity of your headaches, the degree of disability your headaches cause, and your other medical conditions.
Some medications aren't recommended if you're pregnant or breast-feeding. Some medications aren't given to children. Consult a doctor find the right medication for you.
I am suffering from migraine. It occurs very frequently. I have tried every thing. Nothing works. Please help!
I am suffering from paralyses it since 1st dec 2013. My left side is paralysed n I wish to take treatment from you. So please guide me through. Also I would like to know if there are any physiotherapist exercises which I can do at my place regularly.
Insomnia is a disorder where a person has difficulty sleeping. One can have problem falling asleep or staying asleep for long. Some people also have disturbed sleep. This can be a major problem as due to lack of sleep one feels tired and fatigued all day.
Recurring cases of insomnia hamper your daily activities and interfere with the smooth functioning of your life. Therefore, this condition should not be ignored and treated immediately.
Here are the various ways to treat insomnia:
Non-Medical (Cognitive and Behavioral treatment)
Several psychological and behavioral techniques can be used for the treatment of insomnia. Many of these methods can be easily self-taught and others require a therapist to be carried out properly.
- Relaxation training, which is also called progressive muscle relaxation involves the patient to tense and relax his muscles systematically in various parts or regions of the body. Relaxation techniques, such as breathing exercises, various forms of meditation, mindfulness and guided imagery are used for treating insomnia people. The use of audio recordings for guidance in these techniques is quite popular.
- Stimulus control enables building an association between the bedroom and sleep. This is done by limiting several kinds of activities done in a bedroom. This may include going to bed only when very sleepy and leaving bed if you cannot sleep within twenty minutes. A strict bedtime and wake up time schedule has to be maintained.
- Cognitive behavioral therapy or CBT involves changes in behavior like maintaining a strict sleep time schedule, elimination of afternoon naps and other habits related to sleep. A cognitive component is also added to this method. Unhealthy beliefs and fear regarding sleep are challenged and positive, rational thinking is encouraged. CBT is a very effective procedure for treating insomnia and the track record regarding success is high.
- Changes in lifestyle are required to treat insomnia and prevent recurrence of insomnia, you should change certain habits and start some new practices. You should limit your intake of caffeine, alcohol and nicotine. Do not consume coffee or tea before going to sleep and avoid smoking. The habits may be stimulating and will keep you awake. Your diet should be balanced. You should avoid having rich and spicy food before going to bed. Avoid late meals and maintain a proper schedule for meals. Regular exercise can improve the symptoms of insomnia and you should try to work out every day.
Medical Treatment: There are many forms of medicines, which can treat insomnia. This includes over-the-counter medicines, as well as prescribed medicines. The type of medicine required completely depends on the severity and symptoms of your insomnia and other factors related to health. Therefore, you must consult a doctor before having any kind of medicine for treating insomnia.
The most common medicines for insomnia, which are usually prescribed by doctors are benzodiazepine hypnotics, non-benzodiazepine hypnotics and melatonin receptor agonists. However, medicines should only be taken after consulting with a specialist. Insomnia not only affects your health but also interferes with all your daily activities. Proper treatment should be taken to treat the same. If you wish to discuss about any specific problem, you can consult a psychiatrist.
The most powerful and amazing organ in our body is the brain. It differs from many other organs of our body not only by its shape, but also by its special type of cell called neurons. When these cells gets affected or dead it can never be reverted or regenerated which is the most exclusive nature found only in brain cells. The cells in other parts of our body has the capacity to regenerate (can be replaced or new one can be grown or produced), but brain cells are exception. Hence any damage to the brain, injury or trauma is really a crucial thing to be considered with utmost care.
Brain surgeries really need skill, proper training, confidence and intelligence to perform this highly complicated and risky surgery.
Brain surgeries are performed to:
- Remove the brain tissues that are grown abnormally
- Aneurysm is clipped to prevent flow of blood cliff off an aneurysm
- Biopsy purpose or to remove the tumour
- Make a nerve free
- Drain the abnormal blood or clot collection or to drain any excessive fluid collection caused by infection.
- To implant artificial electronic device as a treatment for conditions like Parkinson’s disease
- Biopsy: A part of brain tissue is removed for the brain or whole tumour is removed.
- Craniotomy: The skull bone is opened to remove tumour, an aneurysm and drain fluid or blood from infection.
- Minimally invasive endonasal endoscopic surgery: Endoscopic devices are inserted through the nose to remove the lesions or tumour.
- Minimally invasive neuroendoscopy: Similar to endonasal surgery but small incision is made.
- Anaesthesia risks like breathing difficulty, allergic reaction to medications, excessive bleeding or clots and infection.
- Risk related to the brain surgeries are seizures, coma, swelling of brain, infection to brain or meanings, surgical wound infection that intrudes to the brain structures, abnormal clot formation and bleeding.
- General risks include muscle weakness, disturbances in memory, speech, vision, coordination, balance and other functions that are controlled by the brain. If you wish to discuss about any specific problem, you can consult a neurosurgeon.