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Dr. Nootankumar Sharma

Neurosurgeon, Mumbai

Dr. Nootankumar Sharma Neurosurgeon, Mumbai
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My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Nootankumar Sharma
Dr. Nootankumar Sharma is an experienced Neurosurgeon in Mumbai, Mumbai. You can meet Dr. Nootankumar Sharma personally at Bombay Hospital & Medical Research Centre in Mumbai, Mumbai. Save your time and book an appointment online with Dr. Nootankumar Sharma on Lybrate.com.

Find numerous Neurosurgeons in India from the comfort of your home on Lybrate.com. You will find Neurosurgeons with more than 40 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.

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Brain Stroke: Things You Must Know

BHMS
Homeopath, Ajmer
Brain Stroke: Things You Must Know

Brain Stroke - Things You Must Know!

A brain stroke can affect anyone at any point of time when the supply of blood to the brain is interrupted. It can threaten major physical functions and can prove to be fatally dangerous at times. The brain stem which is placed right above the spinal cord controls the breathing, heartbeat and levels of blood pressure. It is also in charge of controlling some elementary functions such as swallowing, hearing, speech and eye movements

What are the different types of strokes?
There are three main kinds of stroke: ischemic strokes, hemorrhagic strokes and transient ischemic attacks. The The most common type of brain stroke is the ischemic stroke is caused by narrowing or blocking of arteries to the brain, which prevents the proper supplyof of blood to the brain. Sometimes it so happens that the blood clot that has formed elsewhere in the body have travelled via the blood vessels and has been trapped in the blood vessel which provides blood to the brain. When the supply of blood to a part of the brain is hindered, the tissue in that area dies off owing to lack of oxygen. The other variant of brain stroke is termed as hemorrhagic stroke is caused when the blood vessels in and around the brain burstor or leak. Strokes need to be diagnosed and treated as quickly as possible in order to minimize brain damage.

What are the common symptoms of a brain stroke?
The symptoms of the brain stroke are largely dependent on the area of the brain that has been affected. It can interfere with normal functioning, such as breathing and talking and other functions which human beings can perform without thinking such as eye movements or swallowing. Since all the signals from the brain as well as other parts of the body traverse through the brain stem, the interruption of blood flow often leads to numbness or paralysis in different parts of the body.

Who is likely to have a stroke?
Anyone is at a risk of developing brain stroke although ageing is directly proportional to the risk of having a stroke. Not only that an individual with a family history of brain stroke or transient ischemic attack is at a higher risk of developing stroke. People who have aged over 65 accounts for about 33 percent of all brain strokes. It is important to point here that individuals with high blood pressure, high blood sugar, cholesterol, cancer, autoimmune diseases and some blood disorders are at a higher risk of developing brain stroke.

There are a few factors which can increase the risk of developing stroke beyond any control. But there are certain lifestyle choices as well which aids in controlling the chances of being affected by stroke. It is crucial to refrain from long-term hormone replacement therapies as well as birth control pills, smoking, lack of physical activity, excessive use of alcohol and drug addiction. A brain stroke is a life-threatening medical condition, and when an individual has symptoms that resemble that of stroke, it is crucial to seek immediate medical help.

Treatment for stroke:

  • Treatment depends on the type of stroke.
  • Ischemic strokes can be treated with 'clot-busting' drugs.
  • Hemorrhagic strokes can be treated with surgery to repair or block blood vessel weaknesses.
  • The most effective way to prevent strokes is through maintaining a healthy lifestyle.

What is TPA?
TPA is a thrombolytic or a “Clot Buster” drug. This clot buster is used to break-up the clot that is causing a blockage or disruption in the flow of blood to the brain and helps restore the blood flow to the area of the brain. It is given by intravenous (IV). This can be given only within 45.5 hrs of the onset of symptoms

Time is brain

Remember Every second Loss means brain cells die.

Rush to the nearest Stroke Centre whenever you experience such symptoms.

You can save the brain cells dying if you reach within 4.5 hrs by the CLOT BUSTER. 

Endovascular procedures:
Another treatment option is an endovascular procedure called mechanical thrombectomy, strongly recommended, in whichtrained  trained doctors try  removing a large blood clot bysending sending a wired-caged device called a stent retriever, to the site of the blocked blood vessel in the brain

Stroke prevention:
The good news is that 80 percent of all strokes are preventable. It startswith with managing keyrisk risk factors, including 

  • High blood pressure,
  • Cigarette smoking,
  • Diabetes Atrial fibrillation and
  • Physical inactivity.

More than half of all strokes are caused by uncontrolled hypertension or high blood pressure, making it the most important risk factor to control. 

Rehabilitation:
The best way to get better after a stroke is to start stroke rehabilitation ("rehab"). In stroke rehab, a team of health professionals works with you to regain skills you lost as the result of a stroke. If you wish to discuss about any specific problem, you can consult a neurologist. Homoeopathic Remedies which may be helpful during stroke or after stroke: Creategus, Terminalia Arjuna, Arnica, Glonoine, Glycyrrhiza Glabra, Lachesis, Opium, Staphysagria, Gelsemium, Phosphorous etc. 

Note : Do not take any Homoeopathic medicine without consulting any Homoeopath.

You found this helpful

I have pain in my legs and when I am in office I get it in my back. Pain starts increasing when I stand for more than half an hour. I feel numbness very quickly. I think my blood circulation is poor in lower parts.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I have pain in my legs and when I am in office I get it in my back. Pain starts increasing when I stand for more than...
Hi apply pranacharya restopain oil or prasarini oil on your affected part then give hot fomentation. Take maha rasnadi kwath 2-2 tsf twice a day. And agni tundi vati and maha yograj guggul 1-1 tab twice a day.
1 person found this helpful
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I am suffering from migraine for last 12 years, Is there any permanent treatment for it. Please reply.

DM - Neurology
Neurologist, Rajkot
Many patients of epilepsy undergo complete remission if seizures are controlled with medicines. It depends on how well your seizures are managed.
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I recently read that researchers believe certain foods might cure alzheimer disease. Ls this true? If so which food do this and how much would you have to consume to get benefits?

DPM, MBBS
Psychiatrist, Mumbai
There is no cure for alzheimer's but certain food items are showing promising results in preventing the disorder. Whether they can reverse the damage is yet to be seen. The most researched ingredient is turmeric, or'haldi' research is on to find out a way to administer this substance as a medicine. Till we have an answer, the regular use of this spice in indian cooking in the regular dosage seems more than enough. Taking more of it orally may not really be beneficial.
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Dear Doctor, I am a 40 years old male. Suffers from frequent one sided headaches (predominantly left side of the head) combined with nausea and vomiting. Every morning I do neck exercise twice to ease the pain around the neck area or spasm. Could you please recommend me whether to check the blood pressure also during the migraine attacks?

MBBS
General Physician, Cuttack
Check your Bp.It could be due to inadequate sleep or some kind of stress.If it is a chronic problem You may have to take CT scan of brain after consulting neurologist
1 person found this helpful
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I am facing nystagmus problem, I know it is not treated but it can be less to less, that is why, I need medicines, please give name of medicines, which helps me to less nystagmus.

MBBS
General Physician, Jalgaon
Please consult near by neurologist in person meanwhile take sarswatarishta 15 ml twice a day with water do meditation daily do pranayam and yoga daily.
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Will sibelium 10 mg will end migraine after 3 months course and if not what to take? Please help me and answer as soon as possible.

M.Ch - Neuro Surgery
Neurosurgeon, Gandhidham
There is no definite curative medicine for migraine. Migraine may subside After treatment but can reappear again. Migraine affects young adults. With age it disappears on it self.
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I am a 32 years male. I have a pain in my left leg for last more than one year. Further there is frequent burning sensation in outer thigh and it feels that skin has strongly stuck in outer thigh and feels it is numb. Further there is sound in knee while standing up from sitting position. All above problems are in my left leg. What should I do. If I have to see doctor to whom I should go neuor, ortho, general or skin?

MBBS, MS - Orthopaedics
Orthopedist, Delhi
X rays of left knee & leg (digital) rule out high blood pressure or any other kidney problem do hot fomentation keep a pillow under the legs at night &/when resting. Any way take ibuprofen 200mg od & sos x 5days caldikind plus (mankind) 1 tab odx10days do knee exercises it may have to be further investigated make sure you are not allergic to any of the medicines you are going to take. You will need other supportive medicines also. Do ask for detailed treatment plan. Don? t ignore. It could be beginning of a serious problem.
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Dr. my mother is bed ridden since 07 years onwards due to alzamier nw from 15 days onwards she is having swelling on her feet and hands and fatakd in her body if she start rubbing then blood keeps comngg pls tell us why its happening.

MBBS, DPM
Psychiatrist, Bangalore
Dr. my mother is bed ridden since 07 years onwards due to alzamier nw from 15 days onwards she is having swelling on ...
Dear lybrate-user, What your mother has got since 15 days has nothing to do with Alzheimers. Please take her to a physician or call your family doctor home to diagnose and treat the swelling and oozing.
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I have temporary migraine. Whats its natural cure. And do heavy exercises effects it.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Do Take balanced diet and hyderated Avoid stress anxiety and anticipating the things Do regular physical activity and breathing and stretching exercises from physiotherapist for about 30 minutes regularly Best Wishes.
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I have been suffering from Bell's Palsy since september 2015 (approx 8 months). After prolonged treatment I feel like the left portion of my face is still little unconscious. I want my face just like it was before. Please help me!

Master in Physiotherapy (MPT), Bachelor of Physiotherapy (BPT), CMT-Diploma in Osteopathy
Physiotherapist, Gurgaon
I have been suffering from Bell's Palsy since september 2015 (approx 8 months). After prolonged treatment I feel like...
You need to do facial exs as much as you can. You can do blowing, whistling, facial massage, froning, smiling movement.
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Hi i have migraine with aura. Take many treatments but not satisfy. Now I use lybotrip tabs. What can I do. And I cannot wake up early in morning morning why.

Diploma - Diploma - OLO - Rhino-Laryngology
Acupuncturist, Indore
Its better you learn acupressure for pain you can apply lemon peel paste on head try to avoid the cause of pain also.
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My brother aged about 25 years met an accident while he was riding on a bicycle. Moped bike hit him, on the spot he fell down, lost his consciousness and vomited, fresh blood continuously bleeding from the right ear for past 3 days, immediately he was admitted in reputed SVIMS hospital in India and the doctors did CT scan and they haven't come to the conclusion what to do, i.e either operation to be done or not, and the doctors were giving steroids and NS frequently, whenever he comes out form drouzy he shouting with pain, and MRI also done today and waiting for reports hence, I request you that, pls let us know that what might be his head condition? And what is the best prevention.

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist, Pune
Your brother must have suffered from fracture of skull bones with brain injury/ haematoma or haemorrhage. You haven't mentioned whether he is in ICU/ ventilator or on support systems. Mostly such situations are life threatening. You can't do much in such situation except let doctors do their best. Make sure he is under care of Neurosurgeons and Intensivist (doctors specialised in ICU care). CT scan reports are important for diagnosis and treatment. All the best. Hope he recovers well.
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Hello. Dr. Please help me. Meri mom ke brain ki filament me bhot dard ho raha hai kya aap meri koi help kar skte hain. Please jaldi reply then.. Thanks you. Very much.

MBBS
General Physician, Chandigarh
She can take tab combiflam for pain then must consult a physician and get her clinically checked investigated and treated.
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Cervical Lordosis Straightening Treatment

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Cervical Lordosis Straightening Treatment

Most commonly known as a military neck a straight or forward curve of the neck is abnormal and may cause an unkind progression of symptoms leading ultimately to cervical disk degeneration.

Reversal of cervical lordosis explained

The anatomy of the neck features a lordotic curvature in its typical and healthy state. This means that the cervical region has a gentle curvature with the open end of that curve facing the rear of the body. The base and top of the curve will be further posterior than the mid point, which will be further anterior.

When the lordosis is straightened, the neck becomes more upright and linear. This is more common than the next progression of atypical curvature, which is the subject of this article.

Actual reversal of curvature means that part or all of the cervical spine develops a kyphotic profile, with the open end of the curve facing anteriorly. Usually, this reversal is extremely mild, but is still very abnormal. What we now see is the middle of the curve being positioned posterior to the top and bottom.

In essence, picture the letter c and now turn it backwards: This is the shape of a reversed cervical lordosis.

Reversal of cervical lordosis causes

The spinal curvature in the neck is constantly in flux to some degree.

Congenital conditions and developmental conditions can have lasting effects on the natural degree of curvature typically demonstrated from patient to patient. These circumstances may be explainable due to injury or degeneration, or may be idiopathic:

Scoliosis can affect the normal lordotic curvature in the neck.

Cervical spondylolisthesis is a major source of reversed lordotic curvature.

Severe disc pathologies can facilitate a gradual loss or reversal of cervical lordosis.

Vertebral irregularities, such as wedging, can definitely contribute to lordotic alteration.

Traumatic injury, including vertebral fracture, can create the ideal circumstances for a reversal of lordosis to take place.

Severe neck muscle spasms can actually reshape the spinal curves, although these are usually temporary expressions and not actual structural conditions.

Effects of reversal of cervical lordosis
The neck is designed to curve in order to balance the spine, absorb stress, distribute force and provide proper movement of the head. When this curvature is diminished or reversed, symptoms may result, although this is not an inherent part of any altered lordotic condition.

Patients may experience stiffness and tension in the neck. Pain may be present and may even be severe in rare cases. Neurological dysfunction is possible in extreme cases, since the neuroforamen might not align properly, thereby causing a cervical pinched nerve.

In the worst circumstances, central spinal stenosis in the neck might affect the viability of the spinal cord, possible enacting the most dire of symptoms throughout the body.

Patients will also be more prone to injury, since the normal shock absorption qualities of the typical curvature have been lost.

While all these effects are certainly possible, they are not usual. In fact, a great majority of patients have minor symptoms or even no symptoms at all from mild reversed lordotic curvatures.

The pathology leading to a neck curve reversal (cervical kyphosis shown below right) may be inspired by a multitude of conditions as follows:
Post whiplash
Post head injury
Stomach sleeping
Poor sitting/working postures
Congenital spinal curvatures
Osteoporosis
Degenerative cervical discs (a form of osteoarthritis that can either be the cause of or the result of a cervical kyphosis)
Compression fracture of vertebral body
Infection of the cervical spine

Anatomy: straight vs. Curved

I've always heard that it was good to stand up straight.

stand upright, stick your chest out and hold your shoulders back! otherwise you're going get widows hump.

Are these expressions as familiar to you as they are to me? one might think that having a curved neck goes against what we heard from parents and teachers as we were growing up, but the reality is that there is a little bit a truth in both. Maintaining good posture throughout our lives is crucial to both the health of our spine and vital organs. On the contrary, a special type of curve called a lordosis is a good thing, both in the neck and lower back.

When we look at a person from the back their spine should be truly straight, so that the left and right sides of one's body is symmetrical. However, when we view a person from the side, the front and back of their body is different and this is reflected in a coinciding curvature of the spine. Both the lower back and neck are hollowed out (concave) and the mid or thoracic spine is protrudes (convex). Thus there is an alternation of curves functioning to provide stability, shock absorption and aid in propulsion. A straight spine would be very stiff and not flexible. Imagine the plight of a pole vaulter with an inflexible pole.

Nature's design of our spine and rib cage facilitates breathing and offers protective and supportive framework for vital organs. Spinal disks are shock absorbers and because they are in the front of the spine, lordotic curvatures keep them from having to bear weight. Kyphosis or loss of such curvatures bears weight upon the disks, leading to their ultimate degeneration. This process of deterioration is a form of osteoarthritis and in the spine is known as degenerative spondylosis.

Diagnosis
Although most physiotherapists or conservative orthopedists can recognize a cervical curve reversal upon viewing the patient's posture, a definitive diagnosis may be obtained via a standing lateral (side view) x-ray of the neck. Cause can often be determined by corroborating a comprehensive history, a thorough examination, x-rays and questions about sleep, work and lifestyle.

In my professional career I found that the majority of young adults presenting with cervical kyphosis either had a whiplash or were stomach sleepers from an early age. For desk jockeys 40-60 years of age, many hours of sitting with their head flexed forward almost dictates the fate of developing kyphosis. In prior years I considered cervical kyphosis a job hazard for the careers of accountants, attorneys and often teachers because of years spent with their head in a book or paperwork. However, the digital age offers some relief in that respect. A well-planned, ergonomically-friendly office can do wonders for protecting the spine in the sedentary worker.

Treatment for cervical curve reversal (kyphosis)
During my chiropractic practice I had the opportunity to note a good percentage of correction toward a more normal lordosis (noted on x-ray) for 70% of patients under my care. This was almost always consistent with those patients that followed all recommendations and were model participants in their own care. Here is the recommended treat plan:

Spinal manipulation of stiff and fixated spinal segments by a qualified physio
Flexibility exercises for flexion and extension of cervical spine
Resistance exercises for flexors and extensors of the neck
Learn the Alexander technique for maintaining good posture (hint: the basic philosophy is to sit and stand like you were hanging by a string from the vertex of your skull. Liken it to a puppet on a string).
Elimination of stomach sleeping
Avoid standing on your head, although some yoga postures may be beneficial
Use of orthopedic neck pillow while sleeping.

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I am 30 years old female, married and have one boy. Last one months I have lot shivering, body pain, headache everything. I get tensed without any reason. Always my body get shivered. What is the problem I have?

MBBS, MD - Psychiatry
Psychiatrist, Guwahati
I am 30 years old female, married and have one boy. Last one months I have lot shivering, body pain, headache everyth...
Seems you have suffered from depression and depression. Consult a psychiatrist. Within 15 days of starting treatment you get improvement.
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I am 65 yrs old.My both feet have numbness with burning sensation at their bottom. I am not diabatic but taking bp & cholostral tablets which are under control, as er doctor advice, I am taking duloxetine-20mg& oxcarbazepine-300mg daily but there is no improvement. Please suggest further treatment.

Mch Orthopaedic, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Ghaziabad
Hi, I am Dr. Saurabh gupta from max hospital and I would like to answer your query. Numbness with burning sensation in feet suggests neuropathy. The reason may be due to defeciency od nutrients or due to vascular compromise or due to any pressure effect. 1. So you can take multi vitamin supplements consisting of pyridoxine, methyl cobalamine with pregabalin. This supplements will help you in the prevention of symptoms. 2. Along with these you need to have nutritious diet consisting of fruits and green leafy vegetables and more fluids 3. Daily out door exercises (150 min per week). Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation.
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