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Dr. Prashant Khandelwal

Neurosurgeon, Pune

100 - 300 at clinic
Dr. Prashant Khandelwal Neurosurgeon, Pune
100 - 300 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Prashant Khandelwal
Dr. Prashant Khandelwal is an experienced Neurosurgeon in Rasta peth, Pune. You can consult Dr. Prashant Khandelwal at KEM Hospital - Pune in Rasta peth, Pune. Book an appointment online with Dr. Prashant Khandelwal and consult privately on Lybrate.com.

Lybrate.com has top trusted Neurosurgeons from across India. You will find Neurosurgeons with more than 43 years of experience on Lybrate.com. You can find Neurosurgeons 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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Tirupati Complex, Pune- Alandi Road, Vishrantwadi. Landmark: Opp. to Mahalaxmi Vihar, PunePune Get Directions
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#40, Sangamvadi, Sasoon Road, Pune Railway Station. Landmark: Near pune railway Station, PunePune Get Directions
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#489, Rasta Peth, Sardar Moodliar Road, PunePune Get Directions
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Hi i am Sex Female. I am 36 years old. 3 years ago, I am suffering from Brain thrombosis which called Lakwa (One Side weakness) Paralysis. Now is OK. But Monthly Report PT INR continuous 1.79 to 2.30. I have consult by a doctor at Thane. But Problem is PT INR fluctuation Rate. So I request you So what is the prevention of PT INR fluctuation Ratio. This Time Precaution Tab 4 mg Five times & 5 Mg Two times.

DNB (Neurosurgery) , DNB (General Surgery)
Neurosurgeon,
Reply: the fluctuation of the pt inr is common. This is due to the variation in the body metabolism and food habits. In order to maintain a pt inr of 2.5 times the normal which in your case seems to be in range, a fluctuation of the tablets is necessary. If your symptoms have improved and you have continued this medication for almost 3 years, you may do a mri with Mr. Venogram and re-assess whether the thrombus is completely resolved. In case, the thrombus is resolved and you are not prone for repeated thrombotic attacks, the tablets can be tapered and stopped. In order to give complete details and treatment schedule, you need to provide all the previous details of the problems, the symptoms, the case records, the imaging and the management strategy till date. Regards
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I am 24 years old and I'm having an issue that I am not feeling hungry from 4 days and I have a migraine attack that never seem to end this is becoming problematic and no medicine is working on it. What should I do!

MD - Homeopathy, BHMS
Homeopath, Palakkad
Homoeopathic medicine take bell 200 4 pills each hour. Iris. V 200 4 pills 3 times. Weekly pulsatilla 200 / 1 dose for 4 months. Sure you will get better. I treated many migraine cases better with these homoeopathic medicines combination.
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Can the Immune System Trigger Alzheimer's Disease

DM - Neurology
Neurologist, Rajkot
Can the Immune System Trigger Alzheimer's Disease

Alzheimer's Disease is a neurological problem that is characterised by a cognitive decline and memory loss. It is a type of neurodegenerative dementia. The symptoms of Alzheimer's Disease include not being able to absorb and retain new information, lack of reasoning and judging, not being able to take on complex tasks, impaired visuospatial abilities, problems in reading, writing and speech, among many others. If a person has at least two of these symptoms in a debilitating manner, then the diagnosis can be made in favour of Alzheimer's Disease. The main causes of Alzheimer's are shrinkage of the brain size and death of the brain cells. The immune system is also said to trigger this neurodegenerative disease.

Let us find out what medical science has found so far:

  1. Connections: Many a times, in Alzheimer's disease, the memory and behaviour of the person changes because the brain is unable to make proper neural connections which can lead to memory loss of how a person behaved and the elements that formed the basis of the patient's cognition. Apparently, the immune system behaves in the same way within the brain and blocks the connection. This happens because there is constant communication between the brain and immune system along neurological lines, which is where the disease first emanates.
  2. Inflammation: The brain is prone to inflammation or swelling that is not the normal kind. This inflammation happens as a result of the activation of the infection fighting neurotransmitters and the chemical changes that happen in the brain when an infection strikes. The inflammation usually happens in the plaques or clumps which the brain tries to protect. These clumps are made up of a protein called Amyloid. The immune system is responsible for creating this inflammation in the brain of the patient.
  3. Pattern Recognition Receptors: Many of these receptors work in different manners and cooperate with each other to create a response in the brain. These PRRs can be found in the brain plaques, and they develop the signs of danger which further fuels the inflammation in the brain as a matter of protection.
  4. Activation of Cells Linked with the Immune System: When the PRRs begin to respond, it basically activates the immune system and the cells of the same. This is the basic reaction that causes the changes in brain which then leads to the attachment of the protein to the tissue that is diseased, in which case Alzheimer's Disease starts. The inflammation that we had spoken about earlier basically happens in the nervous tissue.

It is important to recognise and act on the initial signs of Alzheimer's Disease before it progresses beyond one's control.

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I have red eyes for 2 days what should I do? I think I am having migraine pain. Because from last year this was the same thing which I faced.

MBBS
General Physician, Mumbai
I have red eyes for 2 days what should I do? I think I am having migraine pain. Because from last year this was the s...
Migrane- It is characterised by one sided headache which is pulsatile in nature and with a throbbing pain usually with an aura and For red eyes we need to put antiallergic and anti inflammatory eye drops and For pain take tablet paracetamol 650 mg
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Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Mumbai
Ayurveda helps in cerebral palsy

Cerebral palsy refers to a group of neurological disorders that appear in infancy or childhood and permanently affect body movement and muscle co-ordination. 

Symptoms:
Lack of muscle co-ordination when performing voluntary movements (ataxia)
Stiff or tight muscles and exaggerated reflexes (spasticity)
Walking with one foot or leg dragging
Walking on the toes, a crouched gait, or a'scissored' gait
Muscle tone that is either too stiff or too floppy

Causes:
Cerebral palsy is usually due to brain damage in the first few months or years of life, brain infections such as bacterial meningitis or viral encephalitis, or head injury.

Ayurveda treatment for cerebral palsy:

Ayurveda has shown very good results in patients of cerebral palsy. Though cerebral palsy may not be fully cured, ayurvedic treatment can definitely help to reduce disability and improve the functioning of the affected individual to a great extent. The ayurvedic treatment of cerebral palsy focuses on treating the presenting symptoms and attempting to reverse the brain damage.

Medicines which help in improving the functional capacity of the brain and may also help in regeneration of damaged brain cells are:

Brahmi (bacopa monnieri)
Mandukaparni (centella asiatica)
Shankhpushpi (convolvulus pluricaulis)
Jyotishmati (celastrus paniculatus)
Kushmand (benincasa hispida)
Ustukhuddus (lavandula stoechas)
Yashtimadhu (glycyrrhiza glabra)
Ashwagandha (withania somnifera)
Shatavari (asparagus racemosus)
Guduchi (tinospora cordifolia)
Vacha (acorus calamus)
Haritaki (terminalia chebula)
Abhrak bhasma
Suvarna bhasma
Suvarna prashan

Some of these medicines are also useful in preventing or reducing convulsions.

Medicines which helps in the formation of the muscles and tissues are:

Guduchi (tinospora cordifolia)
Amalaki (emblica officinalis)
Musta (cyperus rotundus)
Panch tikta ghrita
Panch tikta ghrita guggul
Brahmi ghrita
Pancha gavya ghrita

Medicines are used to improve nerve conduction and muscular co-ordination are:

Kaishor guggul
Yograj guggul
Vata gajankush ras
Mahavatvidhwans ras
Tapyadi loh ras
Vishtinduk vati

Panchkarma therapy:

Panchakarma therapies which are useful in this condition are:

Abhyangam: massage of the entire body with medicated oils like mahanarayan oil, maha-mash-oil and maha-saindhav-oil are very useful.
Pinda sweda
Shirobasti
Shirodhara
Basti

Yoga:

Yogic postures useful in cerebral palsy are as follows:

Dandasana
Trikonasana
Bharadvajasana
Tadasana
Uttanasana
Balasana
Supta padangusthasana
Adho mukha svanasana

All these therapies and medicines show miraculous effect on the patients suffering from cerebral palsy.

(p. S: as every human being is different according to ayurveda, all have different cures. So, kindly consult us or an ayurveda doctor before taking any herbal treatments.)
4 people found this helpful

I am a 42 year old male and cannot sleep properly due to obstructive sleep apnea also I am overweight. Please tell me what to do?

Post Graduate Diploma In Dietetics
Dietitian/Nutritionist, Mumbai
For obstructive sleep apnea to be cured you will have to lose weight. And for weight loss you definitely need to streamline your lifestyle by any modification that it may require like altering eating pattern, exercise and stress relief. The real need for weight loss is purely motivation from your end. Incase you are interested in getting professional help on your diet pls feel free to consult me privately online.
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My father (45 years) is having fits. He has dat problem since childhood but its vry sad n depressing to see my father when he gets it. He had one yesterday n even today which lasted for 2-3 minutes. His medical report is all clear. Is it a serious problem? I want to know abt this issue. please help me.

Neurologist,
Hello lybrate-user, Fits or seizures is due to several reasons. If he has it since childhood and the MRI brain is normal, it is likely generalized epilepsy. Epilepsy means disease where a person has tendency to have seizures or fits. Usually it is fairly controlled with medications. Sometimes when it does not respond to medications, patient has to be on 2-3 seizure medications to decrease the frequency of the seizures. Few of the seizure medications need some monitoring of blood electrolytes but there are many safe seizure medications available in market. I will also get a brain wave test called EEG. I hope this answers some of your questions. Feel free to send me further questions if you have any. I hope your father does well
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I am suffering from migraine from last 6 month. Sometime it happens very badly.

MBBS
General Physician,
You can take tablet beta cap plus once daily night time for 3 months after consulting a nearby physician.
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I am 40 yrs and suffering from sciatica ans lower back pain severely as I am unable to walk till my washroom too. I feel numbness too in hands n legs.Please help.

MBBS, MS - Orthopaedics
Orthopedist, Delhi
Kindly show me digital x rays of ls. Spine sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful use no pillow under the head. Ibuprofen 200mg od & sos x 5days bio d3 max 1tab od do neck, back & shoulder exercises it may have to be further investigated you will need other supportive medicines also. Make sure you are not allergic to any of the medicines you are going to take. Do reply back for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.
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My friend has Migraine problem. He is taking medicines for the same, but last two weeks he's feeling very sleepy. He has drop the medicine dose for 4 days since it was not available in the stores. But when he started using it again this problem arises. Is this normal or should I take him to consult a doctor.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
Hi Take ½ glass of carrot juice + Add ½ glass of spinach juice + Mix well + Drink this juice to cure headache 1-1 drop of cow ghee in both nostrils at night time before sleep.
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I am trying to quit smoking, but its very hard to quit smoking, I am getting head ache and my fingers are shivering, can you please advise me to get rid of smoking.

MD- PSYCHIATRIST
Psychiatrist, Jamshedpur
I am trying to quit smoking, but its very hard to quit smoking, I am getting head ache and my fingers are shivering, ...
Use nicotine replacement in form of either lozenges or nicotine patch for few weeks, gradually taper it off, you can use anti craving drugs like bupropion or champix later on to reduce your desire to smoke. You should consult a psychiatrist for guidance and counselling.
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I am 61 years old and retired from Govt. Deptt. And my question is that my both hands are shivering and I have consult two hospital/doctors and they are saying that my nervous systems problem. One doctors had told me that it is heridited problem. What I can do please advice me?

Bachelor of Ayurveda, Medicine and Surgery (BAMS), modern diagnostics
Ayurveda,
I am 61 years old and retired from Govt. Deptt. And my question is that my both hands are shivering and I have consul...
Kampa vata or kind of parkinsons disease at old age is seen in many. Ayurveda therapies like abhyamga shirovasti pizhichil etc may be of good help for reducing the shivering.
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I Am 27 years old female, I have migraine from my childhood, now it increased, it is like all the time being with headache, I ve tried all the medicines, nothing worked. What should I do now.

MBBS, cc USG
General Physician, Noida
I am giving some health tips for Migraine headache •1.You can turn off light for some time •2.Apply hot or cold compresses to your head or neck. •Ice packs have a numbing effect, which may dull the sensation of pain. •Hot packs and heating pads can relax tense muscles. •3.Warm showers or baths may have a similar effect. •4.You can take Tea or coffee( but not excess) 5.Sleep well Here are some tips to encourage sound sleep. Establish regular sleep hours. •Minimize distractions. •Your eating habits can influence your migraines. •Be consistent. Eat at about the same time every day. Don't skip meals. Fasting increases the risk of migraines Avoid foods that trigger migraines Meditation This problem can be solved by Meditation, i can give you address of rajyoga meditation center near your house Consult Physician/me for further management
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When I eat food, I feel too drowsy and act like a zombie. This happens even with low glycemic food such as vegetable salad (no oil) or vegetable juices. It is not psychological and I do not have sleep apnea. I have this problem since childhood. What is my problem?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
When I eat food, I feel too drowsy and act like a zombie. This happens even with low glycemic food such as vegetable ...
Do Take balanced diet and hyderated Avoid stress anxiety and anticipating the things Do regular physical activity and breathing exercises for about 15 minutes duration each time regularly Best Wishes.
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My husband is suffering from cold and flu. Since 3 days. He is taking paracetamol but he is still not feeling well. Today he is shivering too. Doctor please suggest what should I do. Any home remedy for today. Tomorrow will go to near by clinic. Is this common flu or any thing else.

BAMS
Ayurveda, Bangalore
My husband is suffering from cold and flu. Since 3 days. He is taking paracetamol but he is still not feeling well. T...
Hi, The following are some of the natural remedies for cold and cough: - Add a pinch of turmeric and 1/4 tsf of black pepper powder to hot milk and drink it twice a day. - Mix 1 tsf of honey to 1 tsf of basil leaf juice; take it twice a day. - Prepare a decoction by boiling one glass of water containing 1 tsf of coriander powder, 1 tsf of pepper powder and 1/2 tsf of ginger powder; reduce it to quarter glass and take it three times a day. - Apply turmeric paste on the forehead. - Do steam inhalation twice a day by adding 1-2 drops of eucalyptus oil to hot water. - Keep 1 grain of crystal salt and 2-3 black pepper in a beetle leaf, roll it and chew it. This relieves cough.
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I have migraine from last 6 yrs. I am regularly getting a headache now and then. Now a days it has become a daily headache, from afternoon till night. This problem is from last 4 days. Please help me out. And prescribe me some medicines to take at the time of headache. Thanks.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
I have migraine from last 6 yrs. I am regularly getting a headache now and then. Now a days it has become a daily hea...
Have balanced diet and avoid stress anxiety and anticipating the things do regular physical activity and breathing exercises for about 30 minutes regularly best wishes.
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I am suffering from migraine problem since past 5 years. Please give me the permanent remedy for it. I am thoroughly fed up of it.

BAMS
Ayurveda, Bangalore
Hi, Take tab. Cephagraine 1-1-1 with ginger juice. Apply ginger paste on the forehead. Instill cephagraine nasal drops 2 drops to each nostril 3 time a day. You can undergo panchakarma treatment like nasya or shirodhara after checking with an ayurvedic doctor.
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I am 23 years old male I'm having a severe constipation problem a doctor prescribed me cremaffin for one day it cleared my stomach but after that its not working and my entire body is shivering when I get excited or nervous what to do? both side of my head also swelled up.

BHMS
Homeopath, Sindhudurg
I am 23 years old male
I'm having a severe constipation problem
a doctor prescribed me cremaffin for one day it clear...
Hello, take lexaton 1 tab daily at bed time, and for permanent cure message me. For further assistance and treatment for complete cure you can concern me privately.
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I am epilepsy patient. this problem is always sleep disk please help me for diet tell me about my diet and all.

MBBS, DPM
Psychiatrist, Agartala
No specific practical way of diet management. Confirm regular sleep and timely medication once drugs dosing is fixed.
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My father has undergone the operation of brain tumor due to the hormonal disorder now what the precautions he has to take?

MCH - Neuro Surgery, MBBS
Neurosurgeon, Secunderabad
Assuming that your father has a tumor of the pituitary gland, and has been operated for the same, he needs to get regular blood hormone levels checked, along with mri scans of brain. The result also depends on whether the tumor was removed totally or not.
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