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Dr. P. K. Sharma

Neurologist, Pune

700 at clinic
Dr. P. K. Sharma Neurologist, Pune
700 at clinic
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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. P. K. Sharma
Dr. P. K. Sharma is an experienced Neurologist in Sadashiv peth, Pune. He is currently associated with Poona Hospital & Research Centre in Sadashiv peth, Pune. You can book an instant appointment online with Dr. P. K. Sharma on Lybrate.com.

Lybrate.com has top trusted Neurologists from across India. You will find Neurologists with more than 28 years of experience on Lybrate.com. You can find Neurologists online in Pune 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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Hindi

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Plot No 27, Sadashiv Peth. Landmark: Near Alka Talkies, PunePune Get Directions
700 at clinic
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My wife is 45 years old, she is suffering from dis cognitive seiziers and 4 episodes are seen from 22 octomber to till date. Ct scane, eeg are normal. Oxetol 300 mg is sugested. Please tell me the resion and remidy ?

DM - Neurology, MD - General Medicine, MBBS
Neurologist, Noida
Discognitive seizure must have been diagnosed by a neurologist. Mri brain is the ideal investigation tool in case of seizures. If patient is having seizures despite being on one anti epilepsy treatment, the dose of medicaiton needs to be modified. You should consult a neurologist or the doctor who has already prescribed oxetol.
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What is upper and lower motor nureon and what is it's importance in body and disease related to it.

C.S.C, D.C.H, M.B.B.S
General Physician,
What is upper and lower motor nureon and what is it's importance in body and disease related to it.
Upper Motor Neurons (UMN) motoneurons that originate in the cerebral cortex (motor strip), terminating in the brainstem or spinal cord UMNs in the pyramidal tract directly synapse with LMNs UMNs in the extrapyramidal tract synapse with neurons in the red nucleus or the reticular formation UMNs that provide contralateral innervation to LMNs are on the opposite side of the brain as the muscle, UMNs that provide bilateral innervation to LMNs "talk" to muscles on both sides of the body UMNs course through the corona radiata, internal capsule, cerebral peduncle, and finally synapse in the midbrain/pons/medulla/spinal cord Lower Motor Neurons (LMN) motoneurons that originate in the brainstem (cranial nerves) or spinal cord (spinal nerves), terminating at the neuromuscular junction (muscles) all LMNs innervate ipsilateral muscles (the muscle and the LMN that innervates it are always on the same side) LMNs receive input from upper motor neurons from the opposite side of the brain (contralateral UMN innervation) or from both sides of the brain (bilateral UMN innervation) Cranial Nerves with bilateral UMN innervation: V, VII (upper face), IX, X, XI Cranial Nerves with primarily contralateral UMN innervation: VII (lower face), XII LMN Symptoms include pharyngeal muscle weakness (involved with swallowing), weak jaw and facial muscles, progressive loss of speech, and tongue muscle atrophy. Limb weakness with both lower and upper motor neuron signs is almost always evident but less prominent. UMN- Primary lateral sclerosis is a disease of the upper motor neurons, while progressive muscular atrophy affects only lower motor neurons in the spinal cord. In progressive bulbar palsy, the lowest motor neurons of the brain stem are most affected, causing slurred speech and difficulty chewing and swallowing.
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Im suffering from migraine from over a year. I hav consulted many doctor but nothing cured. Help me please.

BHMS
Homeopath, Faridabad
Hello, Self-care measures can help ease the pain of a migraine headache. Try muscle relaxation exercises. Relaxation techniques may include progressive muscle relaxation, meditation or yoga. Get enough sleep, but don't oversleep. Get an adequate amount of sleep each night. It's best to go to bed and wake up at regular times, as well. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp. Medication: Take Bakson's Mig Aid tablet/ 1 tablet 3 times a day.
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I am experiencing numbness in my legs after I sit for too long, but I am overweight too.What should i do?

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
I am experiencing numbness in my legs after I sit for too long, but I am overweight too.What should i do?
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Numbness is usually a symptom of nerve involvement and nerves can get involved in a number of ways, so it can be involvement at the level of lower back region, entrapment of a nerve along its course, in a systemic disease like diabetes or other metabolic pathology etc. So management will depend upon treatment of primary cause, physical therapy like tens, medications for neuropathic symptoms like pregabalin or gabapentin, vitamin b12 supplementation etc. 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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I have a migraine problem so please let me know what is the solution. I will get half headache once in week.

MBBS, MD - Anaesthesiology, FIPM
Pain Management Specialist, Pune
Migraine headache is characterised by unilateral pulsating headache associated with nause/vomiting and photophobia / phonophobia. There are triggers for migraine like sun exposure, certain foods or smell, lack of sleep, excess caffeine etc. The triggers are variable for different patients. Migraine attacks can be managed by simple painkillers like paracetamol but in resistant cases drugs like Sumatriptan may be needed. For frequent episodes of migraine preventive medications are to be taken by prescription. There are various medicines available for this and if control is not achieved with one medicine another drug is to be added. You may not need preventive medicines as you have headache only once a week. Follow these lifestyle changes to avoid migraine headache 1. Maintain regular sleep wake cycle, even on holiday's. 2. Don't skip meals. Take regular healthy diet with adequate fluids 3. Do not consume excess caffeine / carbohydrates / alcohol or smoke. 4. Exercise daily (aerobics and cardiovascular) 5. Identify your headache trigger and try to avoid it. 6. Do pranayam daily. 7. Acupuncture treatment has shown some benefits in migraine. You can consult a pain specialist for therapies like dry needling or botulinum injections for your problem. Consult again for further queries.
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Brain Tumor Surgery

IFAANS, DNB (Neurosurgery), MBBS
Neurosurgeon, Noida
Brain Tumor Surgery

Although surgery is considered to be the first step of treatment in any form of tumor, but its feasibility depends upon the type, size and location of the tumor. It is not necessary that every kind of brain tumor might require surgery.

Indications of Brain Tumor Surgery

  • Diagnosis of the type of tumor by taking a sample of the tumor for laboratory examination
  • Complete resection of tumor
  • Removal of the tumor as much as possible to slow down its growth and improve the symptoms
  • Remove the tumor in order to help other treatment
  • Provide direct access for other forms of treatment like chemotherapy, radiotherapy etc.
  • To relieve pressure caused by tumor on surrounding structures

Types of Brain Tumor Surgery: The different types of surgery that are performed in cases of brain tumor include the following:

Craniotomy: Craniotomy is the most commonly performed procedure to remove brain tumor along with a piece of bone. The removed bone is replaced and the tumor is sent for histopathology (biopsy). The surgery is performed using a high end microscope by any of the following techniques:

  • Extended bifrontal craniotomy
  • "Eyebrow" craniotomy (supraorbital craniotomy)
  • "Keyhole" craniotomy (retro-sigmoid craniotomy)
  • Orbitozygomatic craniotomy
  • Translabyrinthine craniotomy

Shunt: A narrow piece of flexible tube with a pressure regulated valve in between is called a shunt. This is used to relieve the intracranial pressure caused by obstruction of the natural brain fluid, Cerebrospinal fluid (CSF) pathway by tumor mass. The procedure involves insertion of a drainage system into the brain to remove or drain excess of blocked fluid into the peritoneal cavity.

Stereotactic surgery: This surgery is done by creating a three dimensional image called stereotaxy using computers. It aims to find out the location and position of the tumor. In fact it can also be done to aid tumor removal, implant radiation pellets or for other treatments.

Embolization: It is a procedure used to reduce the amount of blood supply to a tumor by blocking the blood flow in the selected arteries. It is generally performed before the main surgery.

Endoscopy and endoscope assisted surgery: Endoscope is a tool, which helps to closely visualize the tissue through small openings in difficult to reach areas. This tool can be used in various brain surgeries to precisely reach the target location without damaging the adjacent structures.

Adjuvant modalities to improve outcome: In addition to above mentioned surgeries, following surgeries may also be performed in relation to brain tumor treatment:

  • Laser surgery
  • Photodynamic laser surgery
  • Ultrasonic aspiration
  • Fluorescence guided surgery (FGS)
  • Electrophysiological monitoring
4260 people found this helpful

L am 19, and suffering from severe migraine from 3 years should I use MEFTAL 500mg as my doctor prescribed it after regular use of NAXDOM 250mg.

BPTh/BPT, BPT
Physiotherapist, Hyderabad
Do one thing 1 sleep at least 7 to 8 hrs 2 do some regularly exercise at least 35 minutes 3 drink more water and fruit salad 4 eat more snake's of sprouts and dry fruits do at least 1 1/2 month then may you have please consultation with neurology doctor for more information n guidance.
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I want to know the name of sleeping pills .which is easily available and work fine in the case of insomnia.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bundi
I want to know the name of sleeping pills .which is easily available and work fine in the case of insomnia.
It's not the right way to get the prescription. However Henbane herb and indian snakeroot herbs induce natural sleep, though work slow. It's safe. Pl do not take chemical hypnotics.
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I am having migraine.

MBBS
General Physician,
Take paracetamol for headache. If you have regular migraine you have to take migraine prophylaxis after consulting neurologist
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Please tell me systems of migraine and precautions to prevent from migraine and headache. Thankyou.

MBBS
General Physician, Cuttack
Unilateral Headache, eye pain Throbbing and pulsating pain Nausea and Vomiting Increased sensitivity to light and sound Feeling of Dizzy or Faint Take Paracetamol 500mg one Tablet sos after food, drink plenty of water and take rest.. Check your BP, avoid stressand anxiety since it precipitates migraine attack If You have chronic migraine, you have to take migraine prophylaxis after consulting doctor. Check your BP, avoid anxiety and stress since it precipitates attack
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How Effective Is Homeopathy in Treating Autism?

BHMS
Homeopath, Agra
How Effective Is Homeopathy in Treating Autism?

Autism is identified by characteristics like difficulty in communication, the use of language, understanding abstract concepts and building bonds with other people. This brain development disorder is also characterized by the performance of repetitive behaviors in the affected individual.

Treatment of this condition requires an understanding of every vital factor associated with the condition. The hardcore approach is vital for understanding the stimulus/response connection of symptoms. This is because whenever an autistic child undergoes stressful situations, the reaction is a sign that a homeopath cannot ignore. By completely understanding the cycle of stress and reaction, a homeopath can only be able to suggest the right treatment program.

What about the remedies prescribed for treating the condition? Being a holistic branch of medicine, homeopathy takes into account the complete physical as well as the mental makeup of the individual. Additionally, in this alternative medicine, the homeopath also takes into consideration the details of the disease while recommending remedies. Remedies like Carcinocin, Secretin and Thuja are favored the most for treating the condition. At the same time, the appropriate remedies are recommended after having a thorough understanding as to whether the individual falls within the constitutional makeup of the remedies considered.Another essential aspect of this branch of medicine in the treatment of this brain development disorder is the practice of using LM potencies (homeopathic medicines on the last scale of potencies). These remedies are not only acted faster but are also gentler compared to others.

3481 people found this helpful

I have suffered from migraine. Due to this I have lot of. Pain in my head. So please solve my. Problem.

MBBS
General Physician, Mumbai
I have suffered from migraine. Due to this I have lot of. Pain in my head. So please solve my. Problem.
Migrane- it is characterised by one sided headache which is pulsatile in nature and with a throbbing pain usually with an aura and we can start with tablet propranolol after personal examination.
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I am a 36 year old man and I am suffering from migraine from last 1 year.so, please suggest.?

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist, Mumbai
migrane can be managed with lifestyle changes and medications, try muscle relaxation exercises. Relaxation may help ease the pain of a migraine headache. Get enough sleep, but don't oversleep. Get an adequate amount of sleep each night. It's best to go to bed and wake up at regular times, as well. Rest and relax. If possible, rest in a dark, quiet room when you feel a headache coming on. Place an ice pack wrapped in a cloth on the back of your neck and apply gentle pressure to painful areas on your scalp. It is very important keep a headache diary. Continue keeping your headache diary even after you see doctor. It will help you learn more about what triggers your migraines and what treatment is most effective. A dose of riboflavin in appropriate dose as prescribed by me, also may prevent migraines or reduce the frequency of headaches. Coenzyme q10 supplements may decrease the frequency of migraines, magnesium supplements may also be used to treat migraines do reply back for medication prescriptions. Being also a general physician and registered dietitian, I prescribe both evidence based herbal as well as allopathic medicines complementing with dietary guidelines and home remedies carefully personalized for each individual patient.
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When I sit for study or do too much biking my left brain starts paining for few minutes.

MBBS, cc USG
General Physician, Noida
You may be having headache because of stress/ refractory problems/ any ent problem or may be migraine headache follow advises given below: 1. Adequate sleep 6-8 hr in a day 2. Get check eyes for refractive error 3. Ent evaluation to rule out sinusitis 4. Get bp checked 5. Avoid mental stress, regular physical exercise like morning walking and meditation and yoga 6. Avoid triggers for headache like direct sunlight.
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I am 60 yrs old and am facing sleep apnea and snoring is my problem.

Certified Diabetes Educator, Registered Dietitian (RD), PGDD, Bachelor of Unani Medicine and Surgery (B.U.M.S), General Physician
Dietitian/Nutritionist,
A sleep disorder can affect your overall health, safety and quality of life. With accurate diagnosis, I can treat most sleep disorders effectively. I am a doctor and registered dietitian who will prescribe a customized diet plan and medications to help in sleep disorders. Do reply back for private consultation for a detailed treatment plan including dietary therapy.
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I'm a 24years old men, 1year back I suffering head injury, 5 days in coma, injured in left occipital bone - temporal bone side, doctors says nervous & mussels crashed, surgery Done now I'm well but some times Sevier pain, My injury period accident before day to discharge day nearly 20 day's I forgot my Memory. Future day's suffering any complications.

M.Ch - Neuro Surgery, MBBS
Neurosurgeon, Mumbai
After effects of head injury are not uncommon. The memory loss during your head injury was due to post traumatic amnesia. You do not have to worry about that.
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She was in paralysis condition since seven month. Improve very slowly what I give her to eat for her fast recovery?

MBBS, MD - General Medicine, DM - Neurology
Neurologist, Hyderabad
You can give her high protein diet, such as fish, chicken, eggs. Also milk and dry fruits. Continue physiotherapy.
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What is transsphenoidal surgery and its process. Are there any post surgical complications in it and how much follow up does it requires?

BHMS, MD - Homeopathy
Homeopath, Vijayawada
Hi, It is a surgical procedure where surgeons with endoscopy instruments to brain.. Via nose. Every surgery is having a risk, and this procedure will be having too. You should discuss with your performing doctor for further clarity of situation.
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I am having tingling sensation in my both feet since more than one year. I underwent treatment for l4-l5 problem. I am a diabetic. Is it due to spine problem or diabetes. I had taken treatment from neurologist also for a month. No response. Kindly advise medication.

Dip. SICOT (Belgium), MNAMS, DNB (Orthopedics), MBBS
Orthopedist, Delhi
I am having tingling sensation in my both feet since more than one year. I underwent treatment for l4-l5 problem. I a...
Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. Actually your issues can be either due to diabetes or spine, it is difficult to actually say without examining you in detail. But if there is no back pain issues, then it may be unlikely due to a spinal pathology. Anyway a proper examination and investigations can actually tell us whether the issues are due to spine or due to diabetes. We can initiate with medications for neuropathic symptoms like pregabalin or gabapentin in small doses with or without vitamin b12 supplementation for 2-3 weeks and see from there how it goes. 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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