Lybrate.com has an excellent community of Neurologists in India. You will find Neurologists with more than 36 years of experience on Lybrate.com. You can find Neurologists 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
Electroconvulsive Therapy (Ect) Treatment
Assistive Walking Device Training
Radiofrequency Neurotomy Procedure
Surgery Of The Facial Nerve
Brain Suite Treatment
Brain Tumor Surgery
Cerebral Palsy Treatment
Cerebral Vascular Surgery
Csf Rhinorrhoea Repair Procedure
Decompression Microvascular Surgery
Deep Brain Stimulation Procedure
Treatment of Nerve And Muscle Disorders
Treatment of Neurological Problems
Treatment of Paralysis
Submit a review for Dr. Nirmal SuryaYour feedback matters!
Parkinsonism or parkinsonian syndrome group is of disorders which manifests as tremor, disturbances in voluntary movement (rigidity, bradykinesia or akinesia) and impairement in the balance and automatic reactions.
This syndrome do occur in various conditions, of which Parkinson's disease is quite common.
Parkinson's disease was observed by james Parkinson in the year 1817. It took about 100 years to be well verse with the pathology of this disease condition and the treatment was partially achieved by the introduction of Levo-dopa in the year 1960.
A. Idiopathic: The etiology is not understood. Example of this type of parkinson's diease, where there is degeneration of neurons in the substantia nigra and corpus striatum. It occurs usually in late adult life, progress slowly, and kills the patient by 10-15 years after the onset.
B. Vascular: Multi-infarct disease(arthreosclerotic parkinsonism).
C. Infection: Infection by various viruses, most commonly influenza virus may be causing parkinsonism like features. It is termed as encephalitis lethargica that causes focal insult to the brain matter.
D. Due to toxicity: Certain toxic chemicals like manganese, carbon disulfide, carbon monoxide, cyanide exposed in various occupation can cause diffuse damage to the brain exhibiting parkinsonian syndromes.
E. Various drugs: Phenothiazines, butyrophenones, tetrabenazine can cause Parkinsonism.
F. Multiple system degeneration that occurs in condition like Alzheimer disease shy-Drager syndrome, supranuclear opthalmoplegia, Wilson's disease, etc. can cause parkinsonism.
G. Metabolic: Abnormal calcium metabolism can cause disposition of calcium in the basal ganglia causing parkinsonism.
H. Traumatic: Multiple brain damage commonly encountered in boxers usually causes parkinsonism. This types of parkinsonism. This types of parkinsonism are called as punch boxers syndrome.
REDUCTION OF RIGIDITY IN PARKINSONISM
Rigidity has been found to reduce, to some extent, by generalized relaxation technique. Generalized relaxation can be obtained by vestibular stimulation that can be achieved by various rocking techniques. Rocking can be achieved by the use of adult vestibular ball, rocking or rotating chair, and cradle. Rhythmic initiation, which is a technique of PNF, can be used to reduce rigidity. This technique, which involves progression of exercise from passive to active assisted to active without any increase in tone, has been found to be very effective in reducing rigidity of the trunk.
Generalized relaxation techniques like Jacobson’s technique of progressive relaxation, yogasana, transdental meditation, biofeedback, savasana, etc. can also be used.
My husband is 61 years, he is suffering right side neck nerve pain for two days, due to this he could not chew hard food items, and couldn't lift heavy vehicles like scooter, please advise him for his early recovery.
Two years back she was having pain in knees. After sitting she the pain was worst. After seeing a physician we went to a neurologist. He said that certain nerves were pinched after an x ray. She was prescribed pregabalin and some other medicines. After two months she got a fit lasting for a minute only. We stopped that medicine and went to another neurologist. He said that there is no problem with nervous system and that knee pain is due to weight. He advised for a CT scan which was normal. However he prescribed Oxetol 300 mg and 450 mg for 3 years. After one month she was tired with the medicine and stopped. Everything was normal for two years. Then again she was having severe pain in leg. We went to another physician and he gave medicines for neuropathic pain of which pregabalin was a medicine. After using for one month she got a fit during night. This time the duration was even shorter. Both times it happened when she awoke in night and fainted. She told a feeling of anxiety that night before sleeping and told her head went numb or cold. We went to physician. He checked history stopped all medicines only giving oxetol 300mg in the morning and 450mg in the evening. Two months passed and she is fine. Very slight pain in knees also. But the doctor says she had to take this medicine for 5 years. Please advice us. We do not know whether she is having epilepsy or it was side effect of the medicines given for neuropathic pain.
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.
I am 62 year, male, 5' 8'ht, 75 kg wt, had a brain tumour (parasagital meningioma) operated in 2004. I am leading perfectly healthy life with daily exercise, yoga n pranayam for 30-40 mnts. But my hands, fingers have started shivering. Kindly advise.
Hi I am suffering from Insomnia from more than a year. I consulted a neurologist in Hyderabad. He has prescribed me STILNOCT 12.5 mg earlier and after one month changed the same tablet to 6.25 mg. Now my situation is like without tablet I will not get sleep no matter how hard exercise I do or take hot shower before bed. Even after taking tablet I am not getting deep sleep and wakeup fully tired and remember everything that goes in mind while sleep. The big problem is now I am suffering from memory loss. I am forgetting a lot of things. Kindly help. Highly appreciate any help and advice.
Autism spectrum disorder (asd) and autism are both general terms for a group of complex disorders of brain development. It may range from mild to severe conditions. Initial period of life upto 2 years it is difficult to diagnose. Parents start noticing changes such as social interactions, non-responsive behaviour along with losing that little amount of speech. Autism appears to have its roots in very early brain development.
Asd can be associated with intellectual disability, difficulties in motor coordination, attention and physical health issues such as sleep and gastrointestinal disturbances. Some persons with asd excel in visual skills, music, math and art.
Most cases of autism appear to be caused by a combination of autism risk genes and environmental factors influencing early brain development.
Intake of some drugs, medicines during pregnancy
Modern living styles
Urban stress syndromes
35 plus aged mothers and sibling with asd are the risk factors
Exposure to environmental chemicals
Repeating certain behaviors or having unusual behaviors
Having overly focused interests, such as with moving objects or parts of objects
Having a lasting, intense interest in certain topics, such as numbers, details, or facts.
Getting upset by a slight change in a routine or being placed in a new or overly stimulating setting
Making little or inconsistent eye contact
Having a tendency to look at and listen to other people less often
Responding in an unusual way when others show anger, distress, or affection
Failing to, or being slow to, respond to someone calling their name or other verbal attempts to gain attention
Having difficulties with the back and forth of conversations
Often talking at length about a favorite subject without noticing that others are not interested or without giving others a chance to respond
Repeating words or phrases that they hear, a behavior called echolalia
Using words that seem odd, out of place, or have a special meaning known only to those familiar with that person’s way of communicating
Having facial expressions, movements, and gestures that do not match what is being said
Having an unusual tone of voice that may sound sing-song or flat and robot-like
Having trouble understanding another person’s point of view or being unable to predict or understand other people’s actions.
Extraordinary sensitiveness to light, noise, clothing, or temperature. They may also experience sleep problems, digestion problems, and irritability.
How to differentiate ADHD hyperactive kid:
1. Any difficulty in processing information.
2. Any difficulty in regulating emotions.
3. Does the kid struggle with issues like organizing, planning, prioritizing, paying attention and remembering details.
4. Any difficulty in taking judgments.
5. Any difficulty in concentration.
6. Age appropriate immaturity
How parents can help?
Constantly engage with the child.
Never leave your kid alone as this prevents the kids from learning new things.
Constantly stimulate the child ; talk, play, dance etc
Avoid all gadgets like phone, tabs etc.
For working mums only option would be prioritising the kids health. So the choice is yours how to go about this. Most of the mums do a mistake of work from home, which is not a supportive solution again, this also encourages kid to slip to his own world of tabs or phones etc.
Invite more people to home, this again gives them chance to interact, play, learn new things etc.
Do not focus just on specch at the same time overall stimulation is very important.
Take your kid out to parks or any social gathering, so that the kid learns how to socialise and socialising behaviours and mannerisms. So the meaning of whole exercise aims at training the mind to be constantly connected with outer world so that he can passively learn things.
Scope of homoeopathy
The scope of homoeopathy in autism is very high. It as a matter of fact poses a challenge to homeopaths themselves. It needs a hardcore-hahnemannian approach to get into the mind or the mental development of the individual and arrive at a remedy. Homeopathy is a holistic system of medicine and it takes into consideration the constitutional picture (complete physical and mental make up of the child) along with the necessary details of the disease when prescribing. This particular method is followed, as no autistic child is similar to another, in terms of symptoms or behavior. This helps us to approximate the individual to a state of normalcy. Everyone has their own individual characteristic symptoms and the homeopathy treatment also targets the individual characteristic symptoms in every case.
The immune system and nervous system are closely interrelated to one another. The abnormal immune system disturbs the growth of the neural formation too. Homeopathic medicines do not merely act on any one particular organ of an individual, but has much more deeper and central action on the psycho-neuro-endocrinological (mind-nerve-hormone) and psycho-immunological (mind-immune system) axis. It works well to correct the accentuated state of sensitivity. It also helps improve fine motor skills as well as perceptual difficulties.
During the course of the case taking, i.e, when the history of the individual is being studied, the mother’s history of reaction to vaccines during pregnancy, family medical history, behavior of the kid, thermal sensitivities, gestures and sleep postures form a part of the very detailed information. As the autistic child experiences stress, he responds with a reaction. This reaction becomes a symptom or a sign of characteristic importance. By fully perceiving the patient, one may learn to understand his/her reaction to a particular stress and triggers. It is only through such a deep understanding that a homeopath would be able to prescribe effectively.
From my personal experience, I have seen kids responding to the treatment on an average in around 6 months from the time medication was started, at the same time few show good improvement in generals like sleep, appetite etc only after an year. It took me 2-3 years to show effective results like eye-to-eye contact, toilet training (the first best sign), connecting sentences and expressing themselves, connecting to the external world. However, this would happen provided the patients take medicines continuously and religiously. During the course of the treatment, I always take a step-by-step approach, as follows:
- Analyzing the case
- Detoxifying the stronger medications taken before
- Detoxifying the vaccines, that may have harmful effects
Beyond any treatment the support from parents, neurodevelopmental therapies and behavioral therapies are a must.
- Rounds of speech, neuro-developmental and behavior therapies are most important
How follow up scoring is important:
Through every follow up with the homoeopath, the symptoms should be analysed by the parents and ratings given on a scale of 1-10 to each symptom, as compared to the condition previously. This again helps the physician and parents to further analyse and arrive at the best suitable remedy, meanwhile helps in better understanding for physician and parents about the follow up progress. The extent to which the cure can occur, has a great degree of variability associated with it. Homoeopathy not just helps in adhd, add or any psychiatric disorderes, it also helps the altered mind set like an internal counsellor - agiatated mind - restless sleep due to thoughts -learning difficulties -poor concentration - normalisng the disturbed mind due to recent depressions - for mind disorders which doesnt have any reason for existance -indifference from grief or disappointments - unrefreshed sleep - loss of sleep etc all medicines perfectly help in symptom basis thus no question of side effects for same.
Along with treatment, neuro-developmental and behaviour therapies is also necessary. Certain supplements are also to be used: vitamin c, magnesium, zinc and fish oil.
The unfortunate part is that none of the parents share a testimony of their child’s recovery from autism, due to societal reasons. This if done, would help other parents too, as it would help them gain confidence in helping their children fight autism and develop into strong individuals.
So, the bottom line is, yes, it is possible!
Traditional chinese medicine approaches autism, like all other disorders, as an energy imbalance that can be addressed by stimulating specific energy points and pathways. Through reflexology, body can be brought to a state of healing and balance body by itself with the holistic powers of reflexology. -helps in stabilising nerve disorders and bring alertness and confidence in the patient. -helps in control of emotional imbalance -reduce stress factors
In some cases there may be some original symptom worsen for few days of treatment. That too is an indication of that the acupressure is started working. It is quite common with the first one or two acupressure treatments to have a sensation of deep relaxation or even mild disorientation.
Hello Doctor, I have numbness skin under my hand middle finger, if i wet my finger for long time it abosrbs water and turn into white in colour, why it so
Hello, I am 19 years male, I am suffering from epilepsy, and facing sever headaches and black outs. Doctor has told me not to drive and play video games. Advice me something instant as I am very fond of play station and gaming boxes.
Doctor, My dad is 89 years old. He is taking levipil 500, mg, preva 70, mg, asthemin forte multi vit cap recommend by doctor. He is bedridden. No other ailment. I want him to recover, stand on his own feet. He should be able to walk on his own. He does not sleep during night. He gets irritated if i try to co op. What best medicines can you advice me for him pls?
In 2009 I suffered from bells palsy n it took 1 month to get cure. Since 2 days my left eyebrow is twitching and today mild pain started in my left ear is it normal or again major prblm. M worried !
I am having migraine problem since 13 years but still I get attack of it suddenly. What should I do to recover it?
I have migraine. Are there any home remedies to cure it completely? Or should I stick to the medicines prescribed by my doctor?
Hello My weight is low according to my height. I eat 3-4 times in a day. And take banana shake and some other fruit juice on daily basis. But there is no improvement on my weight. Will you suggest me what to eat so that I can maintain good health and perfect body.
Do not ignore transient brain dysfunction
TIA or transient ischemic attack or mini paralysis is "a brief episode of neurologic dysfunction caused by lack of blood supply to a specific area of the brain or eye, with clinical symptoms typically lasting less than one hour, and without evidence of acute infarction or brain attack,
It is a neurological emergency and early recognition can identify patients who may benefit from preventive therapy or from surgery of large vessels such as the carotid artery.
The initial evaluation of suspected TIA and minor non disabling ischemic paralysis includes brain imaging, neurovascular imaging and a cardiac evaluation. Laboratory tests may help to rule out metabolic and hematologic causes of neurologic symptoms.
TIA or minor non disabling ischemic paralysis is associated with a high early risk of recurrent paralysis. The risk of paralysis in the first two days after TIA is approximately 4 to 10 percent. Immediate evaluation and intervention after a TIA or minor ischemic reduces the risk of recurrent stroke.
Risk factor management is appropriate for all patients. Currently viable strategies include blood pressure reduction, statins, antiplatelet therapy and lifestyle modification, including smoking cessation.
For patients with TIA or ischemic stroke of atherothrombotic, lacunar (small vessel occlusive), or cryptogenic type, antiplatelet agents should be given. For patients with atrial fibrillation and a recent ischemic stroke or TIA, the treatment is blood thinners. For patients with carotid blockages surgery is needed.