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  • Robotic Urological Surgery: 15 years journey 
    Dr. Rahul Yadav, Dr. Anant Kumar
  • Robotic surgery is the latest in advanced onco surgical procedures 
    Dr. Harit Chaturvedi
  • Percutaneous balloon aortic valvuloplasty & balloon dilatation of aortic coarctation in a 10 year old child 
    Dr. Neeraj Awasthy, Dr. Sushil Shukla
  • Role of CT/MR imaging and echocardiography in evaluation of valsalva sinus aneurysm 
    Dr. Reena Anand, Dr. Raj Kumar, Dr. Divya Malhotra, Dr. Bharat Aggarwal
  • Risk factors for patients undergoing treatment for Breast Cancer
    Ms. Kanika Arora, Ms. Ritika Samaddar
  • Radiology Case of The Month 
    Dr. Nafisa Shakir Batta, Dr. Dhruv Jain
Date: 
October, 2015 :15
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Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
Jan-18                     0 0.00
Feb-18                     0 0.00
Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

Neurosciences

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Neurosciences

Frequent Headaches? Is It an Indication for Brain Tumor?

February 22, 2018 0 220 3 minutes, 58 seconds read

When headaches become frequent and worse over the time, it is only natural to think of it as something serious, such as a brain tumor. It is true that a recurring headache can be an indication towards a brain tumor; however, it is important to know that tumour-related headaches have distinct characteristics. In addition, one must also know brain tumors have become increasingly common and should be of a concern when the severity of headaches changes with time and they become too frequent.

Facts About Brain Tumor

  • Brain tumor commonly affects those who fall in the age bracket of 40 to 60 years
  • Brain tumor only causes a headache when the tumor is large enough to press the vessels and nerves that lead to pain.
  • Tumors (primary brain tumors) that start in the brain are less common when compared to those that travel to the brain from distant sites (metastatic brain tumors)
  • Increased intracranial pressure (ICP) is another factor associated with headache in people suffering from brain tumor. It occurs due to excess fluid, brain swelling, or abnormal growth in the brain.

What Does Brain Tumor Pain Feel Like?

Dr. Arun Saroha, Director – Neurosurgery, Max Hospital, Gurgaon describe the pain as dull, throbbing or aching and similar to a tension-type headache or a migraine. With time, the headache becomes frequent and severe. Furthermore, the severity increases with changes in position. For example, a brain tumor headache may increase when sleeping. In addition, the pain intensifies when sneezing or coughing. As brain tumor is a complex disease, it is important to know that the intensity of a headache may be different in each person. This difference is primarily because of the location, size of the tumor and the rate at which it is growing. 

When Should You Be Concerned?

Though headaches are likely to be because of other less-serious conditions like allergies, migraines or tension, they become a reason to worry about when accompanied by other symptoms, such as:

  • Vomiting and nausea
  • Problems in vision
  • Feeling of numbness in the legs and arms
  • Speech difficulties

Any headache followed by these symptoms should be a matter of worry, and that is when we at Max Healthcare recommended you get examined by a neurologist in Gurgaon. The doctor will conduct imaging tests including a CT scan or an MRI and would recommend the brain tumour treatment if the tests are positive.

Things to Do Before Meeting a Doctor

The doctor may ask several questions related to a headache and the symptoms followed by it. We advise you to note down all the symptoms as they can be easily forgotten over a period of time. Also, make a note of things that trigger a headache and make it worse. When explaining the doctor about your condition, be as accurate as possible.

Questions the Doctor May Ask

Here are a few questions that the doctor may ask to diagnose the condition well and to take it further with the right treatment.

Are these headaches recent or do you usually get them?

If you do not get headaches normally and this is a rather new condition, the doctor may suspect something serious. On the other hand, if you previously also had headaches, but the severity and location have changed and are followed by other symptoms as well, it may also be of a concern.

Overall, any change in pattern or sudden new development of a severe headache can be because of a brain tumour.

What medications do you take?

Be honest when the doctor asks about the medicines that help calm down the pain. Whether you are taking OTC medication or those prescribed by your general physician, be open to the doctor. Basis the medicines you are taking, the doctor will be able to judge better about how your headaches react to the medications. Characteristically, any headache that is because of brain tumor will show no signs of relief by medications. When both prescribed and OTC medicines are not relieving the pain, something more serious than a migraine or a tension-type headache is present.

What makes a headache worse or better?

Your notes will help you here. If a headache gets triggered or worsens when you cough, sneeze or bend over, be sure of letting the doctor know about these situations. These movements, when trigger a headache are majorly brain-tumour related and require special imaging tests like MRI or CT. These tests further identify if brain tumor is the cause of these headaches.

A Word from Max Healthcare

Not all headaches are because of brain tumor; however, there is no harm in getting yourself tested for a proper diagnosis of the root cause behind those severe headaches. Once the right diagnosis is done, your doctor will move forward with the right treatment plan. 

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What is a Mini Stroke?

February 22, 2018 0 28 3 minutes, 20 seconds read

Stroke is one of the primary causes of death and disability around the world. It is termed as a silent killer because it can happen suddenly without any warning signs. During a stroke, there is a sudden stop of blood supply to the brain causing cell death. There are two types of strokes viz. Ischemic and Hemorrhagic. Ischemic stroke occurs due to the lack of blood flow while hemorrhagic stroke occurs due to bleeding.

A mini-stroke is also known as a ‘Transient Ischemic Attack’ or TIA. It occurs when there is a temporary blockage of a blood vessel(s) in the brain which disrupts the blood flow.

What Are the Symptoms of a Mini-Stroke?

A mini-stroke is often difficult to identify; however, the following signs and symptoms may indicate a mini-stroke, which is sudden in onset.

  • Weakness or incoordination of one side of the body
  • Vision changes (temporary blindness in one eye or double vision)
  • One-sided facial droop
  • Trouble in speaking (dysphasia)
  • Tingling
  • Problems with balance
  • Passing out
  • Dizziness
  • Abnormal sense of taste and smell
  • Confusion

In case of a mini-stroke, the symptoms may last for one or two hours. Mini-strokes act as a warning sign before a major full-blown stroke and must be dealt with treatment immediately to avoid permanent disability or death.

How is a Mini-Stroke Diagnosed?

A mini-stroke is diagnosed after checking for symptoms and prompt evaluation of the patient. To diagnose a mini-stroke, a doctor will conduct the following tests:

Physical Examination

The doctor will look for physical symptoms in a patient and assess their lifestyle. Tests like blood sugar, amino acid homocysteine, high cholesterol levels, and high blood pressure will be conducted to evaluate the present situation.

CT Scan

Once the physical examination is done and necessary blood tests are conducted, the doctor will then refer for a CT scan to look for blood clots in the brain.

MRI Scan

If the results from CT scan are not evident, then an MRI scan will be done to get a 3D overview of the brain to look for blood clots.

Echocardiography

Echocardiography abbreviated as ECH is a sonogram (medical ultrasound) of the heart. It is of two types viz. TEE (transesophageal echocardiogram) and TTE (transthoracic echocardiogram) and is further used to assess the blood clots in case of a mini-stroke.

Arteriography

In arteriography, a surgeon inserts a catheter into the body and injects a dye to get an X-ray image of the arteries. This test is only done if the results mentioned above fail in locating a blood clot.

What are the treatment options for a Mini Stroke?

Anyone who has experienced a mini-stroke must get stroke treatment without any delay. There are many treatment options available for mini-stroke that aid in correcting any abnormalities in the blood vessels. The preferred treatment option depends on the cause of stroke.

Medications

In case of a mini-stroke, medications are highly critical in controlling the damage. According to the diagnosis and after a proper evaluation of the mini-stroke, the doctor may prescribe various medicines such as:

  • Thrombolytic agents
  • Anti-platelet drugs
  • Anticoagulants 

Minimally Invasive Carotid Intervention

It is a minimally invasive surgery where the doctor accesses the carotid arteries with a catheter. In this process, the doctor inserts a catheter through one of the major arteries like a femoral artery in the groin. With a balloon-like device, the blocked arteries are opened up and then secured with a wire or a stent to improve blood flow to the brain.

Surgery

In case a patient has exceptionally narrow carotid arteries and is not a good fit for a carotid angioplasty or stenting, the doctor may conduct a carotid endarterectomy. Surgery is also performed to prevent future strokes.

Mini-strokes are of critical concern and must never be ignored. They can be life-threatening and lead to death in case of a full-blown stroke. These strokes are mostly silent, and people can have them without ever knowing. We at Max Healthcare provide stroke treatment with intensive care for better and faster recovery. 

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Transient Ischemic Stroke – Causes, Diagnosis, Treatment

February 14, 2018 0 60 3 minutes, 44 seconds read

Stroke is known as the silent killer due to its sudden nature and it remains one of the leading causes of death and disability around the world. During an instance of stroke, a blood vessel gets blocked or ruptures which leads to sudden and immediate stop of blood supply to the brain. Stroke can cause permanent damage to the brain.

Transient Ischemic Attacks

Transient Ischemic Attacks, also known as TIAs, are mini-strokes that occur just before a major stroke. They are also called as ‘warning strokes’ and carry a significant risk for the patient. Most people who have a TIA will eventually get a major stroke. Both TIAs and stroke call for a medical emergency. All kinds of stroke must be dealt immediately to prevent long-term damage. It is essential to get a stroke treatment in case of a Transient Ischemic Attack as it can lead to death and even death. In a TIA an artery is temporarily blocked which affects the blood supply to the brain.

What causes a Transient Ischemic Stroke/Attack?

Most strokes including ischemic and transient ischemic have similar origins. All strokes are caused due to a blockage in the blood vessel(s) which cuts the blood supply to the brain. However, in TIA the block in the blood vessel(s) is brief which gradually increases over time.

The most common reason for a transient ischemic attack is the buildup of plaque – fatty deposits containing cholesterol in an artery that supplies the blood and oxygen to the brain. These plaques can build up inside the artery causing a clot and disrupting the blood flow.

Diagnosis of Transient Ischemic Attack

TIA can be diagnosed after prompt evaluation of symptoms in a patient. To diagnose a TIA, the doctor will assess the risk of a stroke by analysing the following:

Physical Examination and Tests

High cholesterol levels, high blood pressure, diabetes, elevated levels of amino acid homocysteine are some of the physical tests that help determine the risk of a TIA or a full-blown stroke in the future. The doctor will also check for any indication of atherosclerosis.

MRI Scan

Can Diagnose acute stroke but there will be no change on MRI in TIAsuture.

Echocardiography

Every patient of stroke/TIA will undergo echocardiography to rule out clots in the heart which can block brain arteries. If suspicion is high and TTE is normal TEE has to be done for the patient, they may further consider performing a TTE (transthoracic echocardiogram) or a TEE (transesophageal echocardiogram). In case of a TEE, the transducer is placed in the esophagus that helps to get a more unobstructed view of blood clots which may be missed by a TTE.

Angiography

An angiography is conducted to determine clots and brain vessels. It can be CT Angiography/DSA. In an angiography, the surgeon will insert a catheter inside the body and inject a dye to get X-ray image of the arteries.

Treatment of Transient Ischemic Stroke/Attack

After the doctor has diagnosed the cause of Transient Ischemic Attack, there are various treatment options to prevent a stroke and correct any abnormality. Depending on the cause, the doctor may prescribe the following treatment options:

Medications

Regular Medications are very important in case of a stroke, notably a transient ischemic attack. The doctor will determine the location, cause, type and severity of a TIA to prescribe medicines such as:

  • Anti-platelet drugs such as aspirin
  • Anticoagulants
  • Thrombolytic agents

Surgery

The doctor may suggest a carotid endarterectomy for people with a narrow carotid artery in the neck. This is a preventive measure and helps clear the carotid artery of any fatty deposits before another stroke. The carotid artery carries the blood to the brain.

Angioplasty

A carotid angioplasty or stenting is a good treatment option which prevents a major stroke. In this procedure of angioplasty, a balloon-like device is inserted into a blood vessel which opens the clogged artery, and a stent is placed inside the artery which keeps it open.

Transient Ischemic Stroke must never be ignored as they carry a substantial risk of major stroke which can be life-threatening. If you or a loved one has had an episode of a TIA; it is best to consult a neurologist/ Neurosurgeon. If you are based out of Delhi, then consult the best neurologist/ neurosurgeon in Delhi at Max Healthcare and take preventive steps towards a healthier tomorrow. Stroke treatment is necessary, and the sooner a patient gets treatment; the better it is for their future health. 

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Do You Know What Causes Epilepsy?

February 14, 2018 0 50 2 minutes, 31 seconds read

Epilepsy is a chronic neurological disorder that is characterised by recurrent seizures.These seizures happen due to the alterations in the brain function or its structure. A seizure is nothing but a sudden rush of electrical impulses activating to or within the brain which can cause vigorous shaking for either brief or a prolonged period. Dr. Vinod Puri, Senior Director - Department of Neurology & Head - Comprehensive Epilepsy Services, Max Super Speciality Hospital, Saket explains the causes of Epilepsy. Read below: 

What Causes Epilepsy?

The underlying cause of Epilepsy is unidentifiable in half of the people. However, in the other half affected by epilepsy the causes can be the following:

Genetic Causes

The seizures one experiences characterise the type of epilepsy. Neurologist analyses the medical history, in particular, the family history associated with epilepsy. The underlying genetic abnormality may be the cause of epilepsy in a variety of epilepsies like Juvenile myochronic epilepsy (JME), childhood absences etc.

Brain Condition

An injury or trauma to the brain can cause epilepsy. Stroke is also a primary reason for this condition especially in people over 45 years.

Developmental Disorders

Epilepsy is closely linked with developmental disorders like autism and neurofibromatosis, neural migration disorders etc.

Infectious Diseases

AIDS, viral encephalitis, meningitis, tuberculosis, cysticercosis are some infectious diseases that can cause epilepsy.

Prenatal Injury

Babies before being born are sensitive to brain damage which can be caused by numerous factors like poor nutrition, oxygen deficiency, and infection to the mother. This brain damage can cause epilepsy and even cerebral palsy.

What are the symptoms of Epilepsy?

Repeated seizures are the primary symptoms of epilepsy. However, the seizures can be accompanied by the following symptoms as well:

  • Being unable to follow or respond to instructions
  • Brief moments of blackout
  • Falling for no given reason
  • Panicking for no reason
  • Rapid and hasty instances of chewing, with no any apparent reason
  • Inappropriate and repetitive movements

What are the Risk Factors for Epilepsy?

Many factors can increase the risk of epilepsy, including:

Age

Epilepsy can occur at any age; however, children and older adults are at an increased risk of developing epilepsy.

Head Injuries

Any kind of head injury raises the risk of epilepsy, especially motor accidents.

Family History and Genetics

People who have a family history of epilepsy are at an increased risk of developing epilepsy.

Dementia

Epilepsy can also occur in people with dementia.

History of Seizures in Childhood

In some cases, children with high fever and seizures during childhood can develop epilepsy later in their lives.

Epilepsy can be controlled with active treatment by a neurologist. It is essential to remain positive and calm during an episode of seizures. With a controlled epilepsy treatment,a patient can indeed live a healthy life. If you are based out of Delhi, make sure to consult the best neurologist in Delhi at Max Healthcare to improve yours or your loved one’s condition. Consulting our neurologist for advice and medication will help you to control the symptoms of epilepsy to a farther extent. 

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7 Wonderful Exercises for Those Suffering From Epilepsy

February 12, 2018 0 44 2 minutes, 48 seconds read

Epilepsy is a chronic disorder that leads to unprovoked and recurrent seizures. A seizure refers to a sudden surge of electrical activity in the brain. The feelings, actions, and thoughts of an individual are controlled by brain cells that message each other through consistent electrical impulses.

There exist two main types of seizures – generalised and partial seizures. In generalised seizures, the whole brain is affected, whereas, in focal, or partial seizures, just one part of the brain is affected. If the seizure is mild, it is often difficult to recognise. It is known to last for only a few seconds during which the patient lacks awareness. On the other hand, stronger seizures can lead to uncontrollable muscle twitches and spasms and are known to last a few seconds to more than a few minutes. At the time of a strong seizure, some patients tend to lose consciousness and get confused. Afterwards, they may have no memory of its occurrence.

Patients suffering from epilepsy are advised to exercise to achieve better health. Dr. Vinod Puri, Senior Director and Head, Comprehensive Epilepsy Services, Max Super Specialty Saket, list below a list of some brilliant exercises that work wonders for an epilepsy patient.

Walking

Walking is one physical activity which is easy and does not require any specialised equipment other than a good pair of shoes. Yet it helps a great deal in achieving good health. Taking brisk walks regularly helps protect a patient’s lungs and heart and also controls the patient’s weight. People suffering from epilepsy have a higher risk of being obese and developing cardiovascular disease as well as emphysema. Patients are advised to choose safe locations for walking such as a park.

Basketball

Active contact sports like basketball is a good workout for the heart and lungs. Patients suffering from well-controlled epilepsy should play this sport. However, it is advised that the patients seek permission of their doctor before indulging in this activity. Also, it is crucial for patients to always wear protective headgear because head injuries tend to make seizures worse.

Volleyball and Tennis

Both these sports are great for the overall fitness and bone health of an epilepsy patient. Moreover, the risk of sustaining a concussion with such games is less. This is especially significant if a patient has had a history of head injuries caused by violent seizures.

Yoga

Yoga is a relaxing combination of physical poses and meditation. Doing yoga not only increases a person’s strength and flexibility but also brings down stress. Stress is a frequently informed trigger for seizures. Furthermore, yoga is also useful in maintaining a balanced metabolism of the body.

Strengthening Exercises

Strengthening exercises increase muscle mass, which not only makes a person stronger but also helps them maintain healthy body weight. Epilepsy patients can use weight machines, hand-held weights, and resistance bands to exercise. They can also practice strengthening exercises such as crunches, push-ups, and pull-ups. However, at the time of lifting heavy weights, it is essential for them to have someone around who can help in case of a seizure.

There are many neurologists in Delhi who offer excellent epilepsy treatment. These neurologists guide patients towards the correct exercises which can be practised to improve their overall health. For an epileptic patient, the key to a healthy life is to find the exercises that feel right for them.

 

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Does Brain Tumor Mean That I Am Suffering from Cancer?

February 12, 2018 0 52 2 minutes, 57 seconds read

Without any doubt, this is one of the most commonly asked questions that bothers people suffering from brain tumor. And realizing the criticality of its answer, one cannot ignore such queries. The brief on brain tumor will give you clarity whether it is cancer or not.

Read carefully and give a solid base to your concerns.

First, let us present a brief explanation of brain tumor.

A brain tumor is a tissue mass formed due to the accumulation of abnormal cells. The exact cause behind the formation of brain tumor is still unknown. However, doctors do associate it with certain risk factors like exposure to radiation or any family history.

There are also several signs and symptoms of brain tumor which indicate its presence. The common ones include:

  • Severe headaches
  • Seizures
  • Vision deterioration
  • Weakness on specific region of body
  • Loss of memory and changes in normal behaviour
  • Numbness in limbs
  • Trouble in maintaining balance

Upon witnessing such symptoms, a person should consult a doctor to get the diagnosis done. During diagnosis, brain tumors are graded on a scale of 1 to 4 depending on various factors like growth pattern. The grade of the brain tumor is determined through a biopsy.

Grade I: The tumor cells look like normal cells under the microscope and are benign in nature. The growth is quite slow which indicates that you can easily get rid of it through an effective brain tumor surgery.
Grade II: The tumor cells do not look normal if the tumor is of grade II and can come back even after the treatment after a long time. However, the growth of such tumor cells is still relatively slow.
Grade III: There are malignant cells in the tumor tissues whose appearance is very different from the normal cells. These cells are actively growing and can regrow in few months. They would need support of Radiotherapy along with surgery.
Grade IV: A tumor classified as a Grade IV tumor is most malignant. It grows fast with the cancer cells spreading locally in rapid manner. The tumor also forms new blood vessels to maintain its rapid growth.

As per the classification of the brain tumor in the above-discussed grades, doctors determine whether the brain tumor is cancerous or non-cancerous in nature. While a malignant brain tumour is mostly grade 3 or 4, a grade 1 or 2 tumor is usually classed as benign or non-cancerous. Read below to know more about the cancerous and non-cancerous tumors:

Non-cancerous or Benign Brain Tumor: This type of tumor is least aggressive and does not contain cancer cells. Originating within the brain, it grows slowly and rarely regrows. Also, it does not come back after it has been successfully removed during brain tumor treatment.

Cancerous or Malignant Brain Tumor: As the name suggests, this type of brain tumor contains cancer cells that grow rapidly. It is essential that the patient must get immediate brain tumor treatment in the form of Radiotherapy or Chemotherapy once they are diagnosed with a malignant brain tumor after surgery.

As stated above, one can determine the nature of brain tumor only through a diagnosis involving a removal; hence, it is necessary that the patient should opt for a trusted and state-of-the-art hospital.

Patients looking for the best Neuro hospital in Delhi or Neurosurgeon in Gurgaon can seek medical guidance at Max Healthcare. We, at Max Healthcare, offer dedicated services to our patients to help them attain a healthy and disease-free life. As per the grade of your brain tumor, our team of professional doctors determines the best treatment plan ensuring successful results.

 

 

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What to Avoid When Someone is Having a Stroke?

February 2, 2018 0 32 2 minutes, 39 seconds read

Stroke is often known as a silent killer because it can happen without any warning and remains as one of the leading causes of death and disability around the world. When someone experiences a stroke, there is an immediate stop of the blood supply to the brain. The blood flow stops because a blood vessel ruptures or there is a blockage in a blood vessel. It is a deadly instance because people can have a stroke and not know about it, leading to a permanent damage in the brain. Stroke is a severe medical condition that requires immediate medical intervention. We at Max Healthcare have a dedicated centre of neurosciences and the best neurologist in Delhi for stroke treatment.

Stroke can be life-threatening and can even lead to permanent disability. There are certain essential things that a person suffering from stroke or the ones near them must follow in case of such an instance.

Here are things to avoid when someone is having a stroke:

Do not Let the patient Go to Sleep

It is important not to let the person who’s experiencing a stroke to go to sleep. People who have a stroke usually feel sleepy, and all that happens suddenly without any warning signs. Stroke treatment is time sensitive and letting a person sleep can be life-threatening. Even if the person is refusing to visit a hospital, it is important to call an ambulance and take them before any considerable damage.

Do not Drive them to the hospital

It is never advisable to drive a stroke patient to the hospital and never let the person drive themselves as stroke can impair the ability to drive safely. Always call an ambulance whenever someone is a having a stroke. Ambulances are equipped with necessary life-saving equipment, drugs and healthcare professionals who can immediately save the life of the patient. Emergency responders can start life-saving treatment as soon as they reach the patient which can help minimise damage.

Refrain from giving the patient anything to Eat or Drink

It is better to avoid eating or drinking when the person is experiencing a stroke. Since a stroke can cause muscle weakness throughout the body and can even lead to paralysis, a person suffering from a stroke can choke on food, water and have difficulty in swallowing.

Do not Give Them Any Medication

Do not self-medicate the person having a stroke. Usually, people believe that giving aspirin will help, but it does not because it is not always a blood clot that causes a stroke. It can be caused by a ruptured blood vessel and giving aspirin in such a situation will make the bleeding worse. To maximise chances of survival, it is essential to call an ambulance right away.

The points mentioned above are critical and must be followed without fail. A stroke can be deadly and life-threatening, so it is crucial never to delay in seeking medical attention. Most people will wait and observe if the symptoms will improve; however, it is one of worst things to do as it increases the chances of death or disability significantly. Remember, every second count when someone is experiencing a stroke. So, act wisely and fast!

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FAQs on Carotid Artery Disease/ Carotid Stenosis

February 1, 2018 0 214 1 minute, 13 seconds read

1. What are carotid arteries?

These are two large tubes which take blood from the heart to the brain through the neck. You can feel them pulsating in the neck if you press lightly (only one side) just away from the midline.

 

2. What is carotid stenosis?

Over time cholesterol may get deposited in the arteries and form a plaque which tends to block the flow of blood. As this plaque keeps getting bigger the artery may get completely blocked or occluded.

3. What are the risk factors for carotid stenosis?

High blood pressure, Cholesterol, Diabetes, Obesity and smoking are some of the risk factors.

4. Do I need to get my carotids fixed?

Dr. Chandril Chugh, Senior Consultant & Head – Interventional Neurology, Max Super Speciality Hospital, Saket, says not all carotid stenosis need procedural treatment, in fact, most don’t.  Treatment depends on a lot of factors like age, sex, risk factors and symptoms.

5. Does carotid stenosis increase my risk of stroke?

Yes, it does.

6. Can it be controlled by medicines only?

Yes, of course.

7. If I need a procedure for carotid stenosis what options do I have?

Carotid Stenting and Carotid endarterectomy (open surgery) are two options available.

8. I am scared of open surgery, what do I do?

Endovascular minimally invasive surgical options can be used to do carotid stenting.

9. How long do I have to stay in the hospital?

Stay usually lasts for about 2 days. It may change depending on the clinical condition of the patient.

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8 Silent Signs of Brain Tumor You Should Know

January 16, 2018 0 380 2 minutes, 49 seconds read

Primary brain tumours arise from the numerous cells that form the brain and central nervous system. The most common types of adult brain tumours are gliomas which are a type of an astrocytic tumour. This tumour forms from astrocytes along with other types of glial cells, which are cells that help in keeping nerves healthy. Another most common type of adult brain tumour is a meningeal tumour. These tumours form in the meninges, which is the thin layer of tissue that covers the spinal cord and brain.

Here are 8 silent signs of a brain tumor one should know:

Seizures

The occurrence of seizures or fits, particularly in those patients who do not have a medical history of fits, seizures or epilepsy is another sign of brain tumour. Approximately one-third of patients diagnosed with brain tumour report a seizure before being diagnosed with a tumour. Seizures can cause intense abnormal movements in the body of the patient, with or without the loss of consciousness. Other than that, seizures can also cause unrestrained and prolonged staring along with visual disturbance such as flashes of light.

Cognitive Decline

A brain tumour may also affect the brain’s processing speed.  If it takes longer than usual for a person to complete basic tasks, consulting a doctor is recommended. Disruption in concentration power and memory loss can be significant signs of a brain tumour.

Hearing Problems

Brain tumours can also disturb a person’s hearing ability. Some of the unusual disturbances experienced by an individual include hearing loss and a ringing sensation in the ears.

Headaches

Not all types of headaches are a sign of a brain tumour. Persistent headaches which do not react to any treatments, such as over-the-counter medication are the best indicator of a brain tumour. Also, headaches which are usually severe in the morning than in the afternoon and are accompanied by vomiting or nausea, double vision, numbness or weakness alone also indicate a brain tumour.

Weakness

If an individual has a brain tumour, their right or left leg or arm may not respond the way they are used to--or at all. One may also experience clumsiness in walking along with weakened muscles and frequent loss of balance.

Speech Problems

An apparent lag in speech is seen in individuals with brain tumours. For instance difficulty in naming objects, stuttering, or difficulty in grasping what others are saying are some of the key symptoms of a brain tumour.

Vision Loss

Individuals experiencing this symptom may not be aware of it at all--let alone relate it to a brain tumour. They may not even realise a difference in their visual quality until they continually meet up with accidents because of poor eyesight. This symptom is known as bitemporal hemianopsia.

Personality Changes

Individuals may also experience changes in personality. One may become more agitated or angry, acting overtly uninhibited or showing loss of shyness. A brain tumour can even alter nature as well as judgment.

Other brain tumour symptoms include extreme sensitivity towards heat or cold, altered taste perception, obesity, and hand tremors. Some types of brain tumours proliferate while other tumours grow gradually. Considering all these factors, a doctor can determine how soon the brain tumour treatment should start after the diagnosis. Timely detection, as well as a proper brain tumour treatment, can work in favour of the patient and can quicken the progress towards a tumour-free life.

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