HEADACHE

Headache is one of the most common neurological disorders—and there are different kinds of headaches, such as migraine, cluster headache, and tension type headache. When headache occurs repeatedly, it’s a sign that you may consult a neurologist, as it could be a symptom of an underlying brain disorder.

We typically discuss your symptoms to determine what’s causing your headache. If we find that you’re just experiencing a migraine, we can prescribe you medication to alleviate your symptoms.

If you developed sudden severe worst headache of your life, you should consult to rule out thunderclap headache. The causes of thunderclap headache are sub arachnoid haemorrhage, venous sinus thrombosis, arterial dissection, intra parenchymal haemorrhage. Any change in pattern and severity of previous headache is a red flag. Which should be investigated to rule out serious condition.

STROKE

Stroke affects more than 1.8 million Indians each year.A stroke occurs when the blood supply to part of your brain is interrupted or reduced, preventing brain tissue from getting oxygen and nutrients. Brain cells begin to die in minutes.

It’s usually difficult to anticipate a stroke, but signs that you may be having a stroke include sudden: Numbness or weakness on the face, arm, or leg—especially on one side of the body, blurring of vision, confusion, difficulty in speaking or understanding, dizzinessor loss of balance.

If you experience such kind of symptoms, you need to consult a doctor as early as possible. We can give blood thinner injections which can dilute the blockade of arteries in early hours after developing stroke.

After some duration our priority is to help them to prevent a second stroke. We often do this through medication, which can include blood thinners or drugs to treat any underlying heart problems, but it depends on your particular situation. You can lower your stroke risk by exercising 30 minutes daily and by following a healthy diet that prioritizes fruits and vegetables and limits processed food.

These lifestyle modifications can help you to control key stroke risk factors, such as:
-Diabetes
-Heart Disease
-Excessive Alcohol Use
-High Blood Pressure
-High Cholesterol
-Obesity and Lack of Exercise
-Smoking.

SEIZURES/ EPILEPSY

Seizures are changes in the brain’s electrical activity and affect about >10 million Indian populations. Signs and symptoms of a seizure can vary depending on the severity of your seizure, but the most common include:
-Cognitive or emotional symptoms, such as fear, anxiety, or deja vu
-Loss of consciousness or awareness
-Temporary confusion
-Uncontrollable jerking movements of the arms and legs

After having a seizure, it's important to consult a Neuro Physician.
Early treatment and medication can control your seizures, and you will avoid long-term complications such as memory loss and brain damage.

A seizure often is the result of epilepsy, but can also happen due to:
-Alcohol abuse or withdrawal
-Head trauma that causes an area of bleeding in the brain
-High fever
-Lack of sleep
-Low blood sodium.

PARKINSON'S DISEASE

Parkinson’s disease is a progressive nervous system disorder that affects your movement. Generally, it begins affecting people around age 60, and symptoms gradually get worse over time.

Common Motor symptoms include:
-Muscle stiffness: This can occur throughout your body; in some cases, it can be difficult to swing your arms while you walk
-Tremor: Usually starts in your hands or fingers
-Speech changes: Your speech can become soft or slurred
Common Non- Motor symptoms include:
-Reduced smell: Most people with Parkinson’s disease have some loss of their sense of smell
-Stiff face: Especially in the early stages of Parkinson’s disease, your face may begin showing little or no expression
-Constipation: This can occur at any time during Parkinson’s disease, sometimes even decades before you experience motor symptoms.

Your doctor will diagnose Parkinson’s disease during a visit in which you discuss your symptoms and undergo a physical examination. In many cases, you can alleviate symptoms and manage Parkinson’s disease effectively through medication.

Parkinson’s disease occurs due to deficiency of dopamine in our body. We can manage symptoms by supplementing dopamine.

DEMENTIA

Dementia is an umbrella diagnosis that describes a group of diseases, including Alzheimer’s disease, frontotemporal dementia, prion disease, dementia with Lewybodies, vascular dementia that may cause your brain to fail.

Dementia, which becomes increasingly more likely as your age, leads to continuous loss of brain tissue, which can affect:
Behaviour,
Emotions,
Memory,
Perceptions,
Thinking,
Visuospatial Difficulty,
Attention.

If you feel that you may be experiencing symptoms of dementia, consultneurologist. Some medications and therapies can help you to manage symptoms of dementia. Moreover, your doctor can connect you with support groups to help you to manage life with dementia.
If you have such types of symptoms developed over days’ consult immediately to neurologists as there is a treatable cause like SDH or chronic infections.

VERTIGO/ DIZZINESS

Vertigo or dizziness is the feeling of spinning or falling. Many things can cause vertigo including an inner-ear dysfunction, brain stem dysfunction, sudden change in blood pressure or sinus infection. It is important that you seek medical help immediately if you have any other symptoms that could pertain to your brain or heart eg numbness, weakness especially down one side of your body, facial drooping, racing heart rate, photosensitivity, or pain down your arm.

Vertigo symptoms caused by the inner-ear come on suddenly without warning. A small head movement can bring on feelings such as dizziness, nausea, vomiting, faintness, instability, spinning. You may find it difficult to turn your head, especially sudden turns, travel in vehicles, sitting up from lying in the bed in mornings. You may find closing your eyes more comfortable and definitely lying or sitting very still with your head supported.

Sometimes vertigo can be treated with only some neck exercise or manoeuvre.

ALZHEIMER'S DISEASE

Alzheimer’s disease is a progressive condition, meaning that the symptoms get worse over time. Memory loss is a key feature, and this tends to be one of the first symptoms to develop. The symptoms appear gradually, over months or years. If they develop over hours or days, a person may require medical attention, as this could indicate a stroke.
Symptoms of Alzheimer’s disease include:
Memory loss: A person may have difficulty taking in new information and remembering information. This can lead to:
repeating questions or conversations
losing objects
forgetting about events or appointments
wandering or getting lost
Cognitive deficits: A person may experience difficulty with reasoning, complex tasks, and judgment. This can lead to:
a reduced understanding of safety and risks
difficulty with money or paying bills
difficulty making decisions
difficulty completing tasks that have several stages, such as getting dressed
Problems with recognition: A person may become less able to recognize faces or objects or less able to use basic tools. These issues are not due to problems with eyesight.
Problems with spatial awareness: A person may have difficulty with their balance, trip over, or spill things more often, or they may have difficulty orienting clothing to their body when getting dressed.
Problems with speaking, reading, or writing: A person may develop difficulties with thinking of common words, or they may make more speech, spelling, or writing errors.
Personality or behavior changes: A person may experience changes in personality and behavior that include:
becoming upset, angry, or worried more often than before
a loss of interest in or motivation for activities they usually enjoy
a loss of empathy
compulsive, obsessive, or socially inappropriate behavior.

MENINGITIS

Meningitis is an infection of the protective membranes that surround the brain and spinal cord (meninges).
It can affect anyone, but is most common in babies, young children, teenagers and young adults. Meningitis can be very serious if not treated quickly. It can cause life-threatening blood poisoning (septicaemia) and result in permanent damage to the brain or nerves. A number of vaccinations are available that offer some protection against meningitis.
Symptoms of meningitis develop suddenly and can include:
a high temperature (fever)
being sick
a headache
a rash that does not fade when a glass is rolled over it (but a rash will not always develop)
a stiff neck
a dislike of bright lights
drowsiness or unresponsiveness
seizures (fits)
These symptoms can appear in any order. You do not always get all the symptoms.

COMA

Coma is a state of prolonged unconsciousness that can be caused by a variety of problems — traumatic head injury, stroke, brain tumor, drug or alcohol intoxication, or even an underlying illness, such as diabetes or an infection.
Coma is a medical emergency. Swift action is needed to preserve life and brain function. Doctors normally order a series of blood tests and a brain scan to try to determine what's causing the coma so that proper treatment can begin.
A coma seldom lasts longer than several weeks. People who are unconscious for a longer time might transition to a persistent vegetative state or brain death.

The signs and symptoms of a coma commonly include:
Closed eyes
Depressed brainstem reflexes, such as pupils not responding to light
No responses of limbs, except for reflex movements
No response to painful stimuli, except for reflex movements

Extractions

A dental extraction (also referred to as tooth extraction, exodontia, exodontics, or informally, tooth pulling) is the removal of teeth from the dental alveolus (socket) in the alveolar bone. Extractions are performed for a wide variety of reasons, but most commonly to remove teeth which have become unrestorable through tooth decay, periodontal disease or dental trauma, especially when they are associated with toothache. Sometimes wisdom teeth are impacted (stuck and unable to grow normally into the mouth) and may cause recurrent infections of the gum (pericoronitis). In orthodontics if the teeth are crowded, sound teeth may be extracted (often bicuspids) to create space so the rest of the teeth can be straightened.

Orthodontic treatment/braces

Dental braces (also known as braces, orthodontic cases, or cases) are devices used in orthodontics that align and straighten teeth and help to position them with regard to a person's bite, while also working to improve dental health. They are often used to correct underbites, as well as malocclusions, overbites, open bites, deep bites, cross bites, crooked teeth, and various other flaws of the teeth and jaw. Braces can be either cosmetic or structural. Dental braces are often used in conjunction with other orthodontic appliances to help widen the palate or jaws and to otherwise assist in shaping the teeth and jaws.

Superspecialized consultations

• Endodontist
• Periodontist
• Orthodontist

• Prosthodontist
• Pedodontist
• Oral and maxillofacial surgeon