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Treatment of Neurological Problems
Treatment of Nerve And Muscle Disorders
Treatment of Paralysis
Cerebral Palsy Treatment
Brain Tumor Surgery
Electroconvulsive Therapy (Ect) Treatment
Surgery Of The Facial Nerve
Radiofrequency Neurotomy Procedure
Spine Surgery Treatment
Traumatic Brain Injury (Tbi) Treatment
Treatment of Traumatic Brain Injury (Tbi)
Assistive Walking Device Training
Vagus Nerve Stimulation ( Epilepsy )
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Sleep is known to most as a period of rest and relaxation, but there are multiple disorders which are associated with sleep too. Hypersomnolence or hypersomnia is one of the most common sleep disorders. This is characterised by excessive daytime sleepiness and prolonged periods of sleep at night. They wake up fresh in the morning, but can easily go back to sleep any time of the day without feeling strained or tired. There is again no freshness associated upon waking up. Funny as it may sound, they can doze off even during a meal or in the middle of a conversation.
Causes: This condition is most common in men and in the early adolescent days.
- There is no underlying cause that has been identified, though there is a genetic predisposition.
- People with history of head trauma are more affected
- People with anxiety, depression, bipolar disorders, epilepsy, and other mental disorders are also more likely to be affected
- People with sleep apnea often are hypersomnolence
- Restless legs syndrome, narcolepsy
- Neurodegenerative disorders like Parkinson’s and Alzheimer’s tend to sleep more.
- Sleeping for longer hours at night time
- Excessively sleepy during daytime
- Able to doze off anytime during the day
- Inappropriate and involuntary sleeping pattern
- Having difficulty getting out of bed after waking up, even after prolonged sleep
- Feeling of disorientation
- Feeling agitated, anxious, lethargic, and irritated
- Impaired cognition and memory
- All these lead to extreme state of drowsiness
- Increased tendency for hallucinations
- Reduced appetite and even weight loss in some people
- There is restlessness, reduced pace of thinking and speaking
- Overall reduced energy levels
- Social interactions are affected including work life, social functions, etc.
- If a person happens to sleep more at night or falls asleep during the day easily for more than 3 times a week, it is usually concerning.
- The added feature of no tiring physical activity can also lead to suspicion
- In acute cases, these symptoms are present for at least a month and in chronic cases, it could be seen for up to 3 months
- It cannot be explained by lack of sleep on a regular basis
- One or more of the above conditions could be present, which can help in making the diagnosis
Most cases of hypersomnia would need treatment only to improve their energy levels and improve the quality of life. Very often, treating the underlying condition can lead to improvement of hypersomnia. The tired, lethargic, restless feeling affects the overall performance of a person, leaving them with a lowered self-esteem. Brain stimulating drugs like amphetamines are used to improve daytime alertness and also reduce sleepy feeling during the day. If you wish to discuss about any specific problem, you can consult a Psychiatrist.
'Tension type headache' is the most common type of headache experienced by most of us in our life.
How to differentiate between a Migraine and Tension-type Headache?
When you feel pain or pressure in your head, it may become difficult for you to assess whether you are experiencing a tension-type headache or a migraine. Let's understand how different they are from each other.
A typical tension-type headache usually affects both sides of your head and varies from a mild to moderate pain. It can last from 30 minutes to up to a period of one week.
Some specific areas which get affected by a tension-type headache are:
- Back of your neck
Factors that trigger this headache type are a muscle strain, stress or anxiety.
A migraine, on the other hand, is also a type of a tension-type headache which results in an acute throbbing sensation in one part of your head. Usually, migraine headaches are highly painful. Migraine pain makes it difficult for a person to carry out his/her daily tasks. Symptoms or signs associated with migraine attacks are:
- Sensitivity to sound or light
- Pain in the temples
- Temporary loss of vision
- Pain behind your ear or eye
What are the common causes of a migraine?
- Hormonal imbalances in women - fluctuations in oestrogen, especially during menopause or pregnancy seem to trigger a migraine
- Drinks like wine and extremely caffeinated beverages
- Foods such as salty foods, aged cheese as well as processed foods can trigger the migraine attack.
- Medications - vasodilators such as nitroglycerine and oral contraceptives can intensify migraine pain.
How to treat a tension-type headache?
Fortunately, you can get rid of stress-induced headaches through over-the-counter treatments, which include:
How to treat a migraine?
If you experience migraine attacks less frequently, these medicines may give you quick relief:
- Triptans, such as rizatriptan (Maxalt) or almotriptan (Axert)
- Antinausea medicines, such as chlorpromazine (Thorazine), promethazine (Phenergan) or prochlorperazine (Compazine)
- Non-steroidal anti-inflammatory drugs (NSAIDs), such as acetaminophen, naproxen sodium, aspirin or ibuprofen
Some preventive tips:
Sleep is the normal physiological process of our body which is as important as respiration and digestion. Sleep is vital for maintaining our physical and mental health. Normal adults require 8 hours of sleep every day, whereas it 14 to 15 hours of sleep is recommended for for infants and toddlers.
What are the different stages of Sleep
Every human has a natural circadian clock in their body, which is responsible for maintaining our sleep - wake homeostasis. The different stages of sleep include REM and NREM that is rapid eye movement sleep and non rapid eye movement sleep respectively. REM is the deep sleep stage in which it is very difficult to wake up the person as this stage includes the sensory inhibition and all voluntary muscles along with almost all interactions with the surroundings are inhibited. Therefore, a person’s physical stress and tiredness also gets relieved during this stage of sleep. NREM sleep is the stage between REM and awakening and here the person may have sensory connection with his or her surroundings, but may not respond.
Sleep and its benefits
Sleep and stress have a very strong connection with each other. The best way to relieve stress and any other mental disturbance is sleep. It is essential to have knowledge about sleep psychiatry for almost all physicians as they face many sleep deprived patients in their day to day practice.
- Sleep is not only responsible for relieving mental stress and depression, but has other benefits as well
- Sleep is also essential for the normal physiological growth in early infancy and it is vital for development of normal alertness, attention and knowledge
- It also relaxes our voluntary muscles and thereby, relieves us from physical stress
- Sleep disturbance may also aggravate diseases in our body. Sleep is also the state of recovery and healing.
Sleep psychiatry also insist on meditation and ensures that people have normal pattern of sleep, in order to maintain the mental health of the person in a normal state.