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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 )
Deep Brain Stimulation Procedure
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Ya good, He is quite simple and verygood experience man.
Ive had insomnia since 8 days ago. I have small amounts of sleeping and when im falling asleep my heart shake got impulse or something. Im scary of that. I read about sporadic fatal insomnia and now im thinking of I have it all because of sleeping. Its my common problem right now. Thank you Mr. Doctor for answer. David.
I am suffering from cerebral palsy by birth now my age is 29 years ,any treatment available in india & What are exercises or gym required for this.
Headaches are generally classified into two main types: primary headaches and secondary headaches. A migraine, which is a disabling, recurring headache that frequently occurs only on one side of the head and often results in other symptoms, is one type of primary headache. Other primary headaches include cluster and tension headaches. Tension-type headaches are the most common headache, and are often experienced as mild, dull pressure without other accompanying symptoms. Cluster headaches, which are less common than migraines or tension headaches, usually bring severe pain (sometimes described as ?stabbing? pain) behind one eye, and may be accompanied by redness and nasal congestion.
It all started in Mar?92 in Chittaranjan, India(It is a small railway town). I got high fever with chills in the evening and overnight my right leg got swollen. Then doctors at local railway hospital gave some antibiotics to subsidize the fever. Pus was formed after couple of days at the bottom of the ankle. They operated and removed all the pus and infected blood. Then they did dressing for two weeks and the leg become normal. They have advised me to take tablet Hetrazan(diethylcarbamazine) 100 mg thrice daily for two months. In Nov'93 I again got the same type of fever, the local doctor thought it as malaria and gave medicines for the same for one week. When the fever has not come down due to above medicines, after initial blood tests and other examinations he diagnosed it as Filariasis. He started the course for Filariasis like Banocide forte, Florocid injection(Sodium fluoride),weekly once, Hetrazan(diethylcarbamazine) 100 mg thrice daily etc.I used the medicines for one year. The swelling subsidized little bit. In Jun'95 I went to Bangalore and consulted doctors at St. Johns Medical College, they did various tests like growth hormone, Eye Perimetry, CT Scan etc(all normal) and diagnosed that there might be minute tumor in brain. Afterwards they ruled out that also. In Nov'95 some of my friends suggested to take homeopathy medicines as there are medicines for this type of diseases in Homeopathy. I took Medicines from renowned Homeopathy doctor. I took those medicines for 2 years. While using these medicines I got swelling on my hands also. In Nov'97 I consulted a renowned internal medicine physician he did all the tests and advised to consult Endocrinologist who is a professor in a teaching institute. In Mar'98 I got high fever with the swelling in Left leg. I was admitted at local railway hospital in Chittaranjan, India and they gave some antibiotics to reduce my fever. For swelling they said they cannot do anything. In Jun'98 I consulted a doctor, who was head of Department of Endocrinologist Osmania University, Hyderabad, India . He has ruled out clearly my disease relating to his department. He has advised to consult General Physician. Then I consulted the general physician, who was a teaching professor at Nizam's Institute of Medical Sciences, Hyderabad, India. Through examining my case history and symptoms he diagnosed it as Filariasis I consulted various doctors at Apollo hospital (Hyderabad, India), there also they ruled out anything related to Endocrinology, There they did Lymphography test in which they diagnosed (pure drainage of lymphatic system) it as congenital lymphedema(Enclosed the report). Then in Jul'98 I went to Command Hospital (Armed Forces Medical College) Pune, India there also doctors done all the tests like MRI of brain and Growth hormone for Acromegaly or Gigantism but the test results were normal. One of our relative told to check in Unani (traditional medicine) that if there is any medicine as they are doing research in these kind of diseases; I went to Bhadrak, Orissa, India (Research Centre for Filariasis) and took Unani medicine for 6 years i.e till May'04. By using this medicine the frequent fever I used to get regularly has stopped and the swelling also subsided to some extent. In May'05 I again got the same type of fever with chills and I was admitted to command hospital Pune. My left leg got infected and the doctors operated and removed the entire puss and infected blood. Referred the case to plastic surgeon; the plastic surgeon ruled out plastic surgery as the swelling will again recur after two three years. He told to take Lymphapress therapy. He has told to do compress treatment (Putting the legs upwards with support of pillows while sleeping and crepe bandaging the legs in day time.). And also told to use Penicillin injection once in 21 days, so that it will minimize the chances of fever. After this I relocated to Hyderabad due to change in job. During these nine years I found that swelling is increasing gradually. In May'12 I went to Madurai, India and consulted a doctor of Gurumithren Hospital, he also done all type of investigations and advised me for surgery. He has advised for the bypass of the lymph nodes. Also the hospital was not that renowned and not well medically equipped. I felt the surgery little bit complicating. Also my family members were afraid that at present I able to walk and do my work and job, if suppose after such complicated surgery any secondary complication happens then I will be bedridden for life long. Even I took second opinion of the surgeons/Plastic Surgeons here in Hyderabad but they also ruled out any surgery for it. At present I am using compressive bandages and taking penicillin once in three weeks. Also I am using Ayurvedic (traditional Indian medicine) since last two years. As the swelling is increasing gradually I am finding difficulty in walking for long distance(around 1-2 miles) etc. so I consulted a Plastic Surgeon doctor at Krishna Institute of Medical Sciences, Hyderabad, India for any recent medical advancements. He has examined my case and advised to use Lymphapress Pump and told to contact you. please do help as i have went to many institutes for the same. it would be helpful if i get any advice from here.
Hi my self Prashant kumar verma and I want ask some medical related question I hope you will give me better and satisfying answer I will told this because I went to many hospitals but I can, t get good result so my question is related to my grandfather he was suffering from migraine and he use many medical treatment and also use many medicines after that he is not satisfied because the problem start again and again when he take medicine doses then he get relaxed but after some times the problem again arises so you can give some thought or give us a good suggestion which helps my grandfather to recover in a short time I hope you give us a great suggestions which will work and make my grandfather healthy and wealthy and he enjoy with us again. Thank you.
Sir My fingers starting shaking when i write and the writing becomes scrambled and i fear while signing too and i feel lot of difficulty in writing and now i have do everything in my computer. kindly suggest the remedy ,this has been happenig for the last 10years
I am suffering from parkinson' s disease for the last 4-5 years. My age is 72 years I am daily taking synodopa plus
I was diagnosed with hydrocephalus. Post operation and having a shunt added, I recovered. I drank alcohol, about a pint. And have been suffering with the uneasiness and lack of awareness, alertness, as it was before I got operated. Although the CT scan shows no damage, I want to get rid of this constant feeling of a hangover. Please help.
Traumatic brain injury (brain injury triggered by an external event such as a fall or a road accident) can be quite a harrowing experience for the patient and their loved ones. While most people recover from the injury, the duration and extent of recovery may vary from individual to individual.
Some patients may simply suffer from a temporary amnesia, while others may remain comatose for months. The recovery time and extent of neurological deficits in traumatic brain injury is determined by the severity and location of the brain injury. The traumatic brain injury can be
Open or closed
- Open injury: There is an opening up of the skin and other layers leading to direct contamination of the brain from external debris and the risk of brain infection is high in such a case.
- Closed injury: here, the brain is not contaminated, but the impact may cause various degrees of injury to parts of the brain.
Primary or secondary injury:
Primary injury: it is damage caused to the brain at the time of the injury. The damage can be
- A crack or fracture in the skull.
- Bleeding into the layers between skull and brain, like a EDH (Extra Dural Hematoma), SDH (Subdural Hematoma) or SAH (Sub-Arachnoid hemorrhage). These are potential emergencies, especially an EDH, where timely Neurosurgical intervention can decide between life and death.
- Due to violent shaking of the brain inside the skull cavity, there can be a damages to the entire brain including the axons and neurons without any visible hemorrhage on CT scans (Diffuse Axonal Injury). The outcome can be quiet unpredictable. It is dangerous if the brain starts swelling up excessively after a DAI.
- A person can also suffer from brain hemorrhages and contusions within the brain matter. Large contusions may need surgical evacuation to control brain pressure. Smaller ones are treated without surgery. Deep seated contusions towards the centre of the brain cause more morbidity even if small in size.
The secondary brain injury may develop gradually (within few hours or days from the primary brain injury), further aggravating the brain tissues. This is brought about by inflammation, altered blood supply, high brain pressure, brain edema or swelling, and programmed cell death. Sometimes, even though the primary insult is small, patients may succumb due to secondary injuries which are highly unpredictable and difficult to treat.
Estimating the extent of the brain damage
The damage inflicted to the brain is assessed by the combined assessment of the following:
1. The mode of injury, especially velocity of impact.
2. How long the person has been unconscious.
3. How bad are the visible external injuries. Is it an open or closed injury?
4. Whether there was any convulsions, vomiting, ear or nose bleeding?
5. Assessment of eye opening, verbal response and movement. This is assessed and recorded by the GCS (Glasgow coma scale).A score of 15 implies the person is fully conscious, a score of 9 indicates the person is in a semi-alert state, while a score of 3 indicates a deep state of coma.
6. Brain imaging through CT or MRI. This gives a more direct information about the physical damages to the brain, and guides the decision about Neurosurgical intervention.
Treatment of traumatic brain injury:
- Medical : medicines are administered to control brain pressure and limit the secondary injuries. It also attempts to control events like convulsions and infections.
- Surgical: surgery becomes necessary when there are depressed fractures impinging into the brain, or large hematoma or brain swelling causing rise of brain pressure or a shift of the brain to one side. Other indications are uncontrolled CSF (cerebrospinal fluid) leakage from nose. Sometimes shunts need to be put to drain out CSF in hydrocephalus (accumulation of excess water in the brain ventricles). During surgery, parts of the skull may need to be removed (Craniectomy) temporarily to allow brain expansion and control brain pressure.
- Accessory surgeries: smaller procedures like a tracheostomy (bypass of the windpipe) or PEG (stomach tube) may need to be done for long term care in comatose patients.
- Rehabilitation: tireless care by nursing and physiotherapy are necessary to help patients recover faster and avoid complications like bed sore, deep vein thrombosis, spasticity and weakness of limbs.
- Recovery: Recovery from traumatic brain injury may be time taking (weeks, months to even years). In addition to the initial treatment and medications, patients may need Brain Injury Rehabilitation. The rehabilitation aims at enabling the person to lead a normal life as early as possible. There are medications, activities, and exercises to improve one's cognitive power.