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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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Hello sir, My father is 80 year old. 4 months ago he gets stroke. Any treatment is there for this? It ll definitely cure? Tablets response in this age?
This is regarding fainting (Syncope). My brother has this problem from last year and around a month back he became unconscious for around 5 to 7 minutes. It happens when he woke up in the morning and went for urination. After urination he stood and suddenly went to unconscious state. Can some please help on what could be the cause and what should be precautions and what should be the next steps (in terms of check up to be done)?
Sir mere relatives ke brain me benign tumer tha aur aiims ke doctars ne 2014 me surgery ke dwara use hata diya tha but 2016 me vo tumer usi jagah phir ho gaya hai sir batay ye kya hai jabki 2014 me biopsy report negative aayi thi abhi 2 month baad operation hoga sir ye batay ki ye tumer recurrent kyo hua kya benign brain tumer recurrent hote hai.
I am 30 years old I am suffering from Eye dryness and migraine, so what is the home treatment of this problem.
Good morning, I am Dr Dhruv Chaturvedi I am a neurosurgeon, I get my training from the esteemed All India Institute of Medical Sciences and the following which I have done training in brain and spine surgeries at many years Centre which include UK, Germany, Singapore and Bangkok. I have been practicing neurosurgery in the city of Delhi for more than 15 years now rather that I was working at All India Institute of Medical Sciences. I deal with various ailments involving the brain and spine but today I am going to talk about a much dreaded ailment in the brain, which is brain tumor. As you all know brain tumors are increasing rather all the cancers in the human body are increasing, this has partly to do with the type of exposure that we get from various environmental agents and partly to do with the lifestyle. As soon as the brain tumors are concerned, we have an incidence of almost 1-million in India itself in a year. The brain tumor can affect any age group but most commonly they affect people who are beyond 60’s. This is so because tumors or the cancers arising from any other part of body make in access to look brain structures and hence form secondary tumor there also. So if we have to categorise the brain tumors, they can be categorised into benign or non cancerous and cancerous. This is the primary division of brain tumors, then we talk about the cancerous tumors, the cancerous tumors may arise from within the brain or from the cells within the brain or they can arise as a metastasis from some other tumor in other portions of the body. Brain tumors are fairly common and they are fit all the age groups, the most common tumor that we see in adults as I say are seen beyond 60 years of age and the metastasis or secondary tumors. In which the tumor has come or the cancer has come from the other portion in the body. Where is the benign tumors if we see they are more commonly merinduimu. In the children however the most common tumors are neuroblastoma . The what we should know about brain tumor is what are the signs or what are the problems that a person will have they have a brain tumor. Well, the most common problems then that person will have is a headache, which is generally a morning headache and may be associated with vomiting, which can be frodectile. In addition to that a person may have seizures which commonly known as fits or various neurological deficits like weakness of one of the Limbs in the body, the person can have problems in the vision, the person can have memory deficits or behavioral changes these are the most commonly seen symptoms which are associated with brain tumor. These days with the aquant of new techniques in Radiology, it is very easy for us to diagnose the brain tumor and these are the generally diagnosed with the help of contrast-enhanced imaging. Which may be a contrast-enhanced CT Scan or a contrast-enhanced MRI, MRI obviously scores above the CT Scan. As well as the treatment is concerned most of the brain tumors have to be removed surgically, now why it is essential firstly because it gives us a tissue for diagnosis as to what type of the brain tumor it is. Secondly to relieve a patient of its symptoms it is very essential. Now depending upon whether the Biopsy what we get is cancerous or non cancerous, further treatment is going to be decided on that. If it's cancerous tumor a patient may require in addition to surgery radiotherapy or chemotherapy or both. We also have immunotherapy coming up and research is directed towards that. Where is in benign tumors generally the surgery is sufficient. Here I would like to emphasize that not all brain tumors are cancerous rather many of them are benign and a person can have a normal life expectancy following the surgery for these brain tumors. Whereas in cancers the outcome is generally not so good, the tumors are graded as per the gradings, they can be from grade 1 to grade 4, grade 4 have a poor outcome, whereas great 1 has an outcome where a person can have the survival of around 10 years. If it present to us on time. So if you have any further queries regarding brain tumors, you can contact me either on Lybrate or at Vimhans PrimaMed Super Speciality Hospital, which is based in Nehru Nagar, or as you can visit my clinic which is there in Tagore Garden. Wishing you all the best. Thank you.
My wife is 56 years old, I am suffering from Migraine pain since long. After taking too much medicine of Allopathic (vasograin, ultracet, etc) and homeopathic Sanguinaria, spigelia, Nat mur, Nux Vom, gelsemium belladonna) but no improvement has shown. She is also suffering with diabetes, High blood pressure etc, she is too much sensitive of any change of weather and most of the ailments takes place in late night.
The primary aim of the treatment in patients suffering from seizure is leasing a seizure-free life without giving way to any adverse effects. This goal can be accomplished in over 60 percent people with the help of anticonvulsants. Some patients also experience adverse effects since they suffer from a seizure which is refractory to medical therapy. Here are some of the common treatment options for seizures:
- Monotherapy: Sometimes, monotherapy is given as it reduces the chance of all sorts of adverse effects and even avoids drug interactions. Moreover, this type of treatment approach is much less expensive than polytherapy since many older generation of the anticonvulsant agent comprises of hepatic enzyme which is responsible for reducing the serum level of the concomitant drug which leads to an increase in the dosage level of such medicines.
- Social And vocational rehabilitation: People suffering from problems in psychosocial adjustments after the diagnosis may also need social and vocational rehabilitation. Many physicians do not pay enough attention to the consequences that an epilepsy diagnosis may leave on the patient. For instance, people with epilepsy may have a fear of experiencing next attack of seizure and they may be unable to work at heights or drive.
- Consulting an expert: It is important to refer patients with intractable spells to epileptologist or neurologist for subsequent workup. A neurosurgical consultation may also be needed when the patient has to be treated surgically.
Importance of anticonvulsant therapy
Patients who have had already suffered from recurrent attacks of unprovoked seizure may need treatment with an anticonvulsant. This treatment is not recommended until the person has risk factors for suffering from the problem yet again. The primary means of treating seizure is anticonvulsant therapy where the most suitable drug is chosen based on accurate diagnosis of the syndrome as a response to specific anticonvulsants may vary from one patient to another. The difference in response may reflect the various pathophysiologic mechanisms in different types of seizures.
Types of anticonvulsant therapy
Some of the anticonvulsant therapy medication may have multiple action mechanism while some have an only single mechanism of action. Some of the most common variants of the therapy include:
- Neuronal potassium channel referred to as KCNQ opener
- Blockers of unique binding sites such as perampanel, gabapentin, and levetiracetam
- H-current modulators such as lamotrigine and gabapentin
- Carbonic anhydrase inhibitors such as zonisamide and topiramate
- Alpha-amino 3-hydroxy 5-methyl 4-isoxazole propionic acid receptor blockers like topiramate and perampanel.
- N and L-calcium channel blockers like zonisamide, valproate, topiramate, and lamotrigine
Even though there are so many types of drugs available, all of them cannot be used for the treatment of seizures. Doctors would evaluate the condition thoroughly before prescribing a medication that can be helpful in reducing the severity of the condition.
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The ketogenic diet is a special high-fat, low-carbohydrate diet that helps to control seizures in some people with epilepsy.
Doctors usually recommend the ketogenic diet for children whose seizures have not responded to several different seizure medicines.
The typical ketogenic diet, called the "long-chain triglyceride diet," provides 3 to 4 grams of fat for every 1 gram of carbohydrate and protein.
Several studies have shown that the ketogenic diet does reduce or prevent seizures in many children whose seizures could not be controlled by medications.