Wednesday, 25 July 2018

Strokes - Diagnosis and treatments

We've all heard about the term stroke. We also know that, in India, we come across a million stroke cases. A stroke can happen to anyone and it's very much necessary to be aware of the various aspects of stroke.  Here's a brief study about the treatments and diagnosis of stroke.

stroke treatment chennai

Diagnosis of stroke

The doctor will check for various symptoms and signs according to which he will prescribe the treatments. He will also check the patient's blood pressure and also check for little cholesterol crystals and clots in blood vessels. Certain tests are done for precise information about the status of the stroke. They are the following:

  • Blood tests: These blood tests are taken to know the time taken for the blood to clot, to check the status of the blood's sugar level and the balance of the chemicals. These factors will be managed according to the data received from the tests.
  • Magnetic resonance imaging (MRI): The MRI is used to obtain a detailed view of your brain. Any brain tissue damage caused by an ischemic stroke and brain hemorrhages can be detected by such a method. A dye is injected into the blood vessels to get a detailed view of the arteries, veins and also the blood flow.
  • Computerized tomography (CT) scan: A sequence of Xrays are used to create detailed views of the image. The CT scan detects tumor, stroke and various other conditions. A dye is injected into the bloodstream to get a clear view of the blood vessels in the neck and the brain.

Treatments

The treatment depends on what kind of stroke the patient has I.e whether it is an ischemic stroke or hemorrhagic stroke. Ischemic stroke is the common one where the artery is blocked and hemorrhagic is the kind of stroke that involves bleeding into the brain. Here are some treatments according to the type of stroke.

stroke treatment chennai

Ischemic stroke - Quick treatments ought to be provided in order to reduce risks.

* Intravenous injection of tissue plasminogen activator (tPA): This emergency treatment involves medications.  Tpa also called the alteplase is considered as one of the best treatments for ischemic stroke. This injection is given via a vein in patient's arm. The drug dissolves the blood clot that causes the stroke and the blood flow is restored.

* Direct delivering of medications into the brain: This is an endovascular emergency procedure. A catheter is inserted via the artery into that area of the brain which suffered stroke to deliver tpa. This procedure is known as the intra-arterial thrombolysis.

Hemorrhagic stroke - The main focus of the treatment is to control bleeding and reducing the pressure in the brain.

Warfarin and anti-platelet drugs can be used to stop blood clots. But when these drugs are used, another set of drugs are given to curb the blood thinners effect. Drugs are given to reduce the pressure in the brain as well.

The doctor can also recommend surgery to treat the abnormal conditions of the blood vessels as a result of the stroke. The surgeries usually recommended are endovascular embolization, surgical clipping, surgical AVM removal etc.

For first rated and reliable treatment for strokes, do visit Dr. Shyam Sundar K for  effective stroke treatment in Chennai.
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Monday, 14 May 2018

Stay Painless with Spinal Fusion Surgery

Spinal fusion is a surgical procedure in which one or more vertebrae of the spine are fused together to stop them from movement. Spinal fusion surgery is performed by placing bone graft material between the affected vertebrae. The bone graft material works as a binding medium and also aids in maintaining normal disc height. Once the body starts to heal, the vertebral bone and graft grow together to join the vertebrae, stabilize the spine.

Why is Spinal Fusion performed?


Spinal fusion treatment connects vertebrae in the spine. It improves stability, reduces pain, and corrects deformity. A Neurosurgeon may recommend spinal fusion for certain spinal problems:

Spondylolisthesis: In this case, one vertebra slips forward and falls on the vertebra below it. When this condition causes severe back pain, leg pain, and numbness, then Spondylolisthesis is performed.

Spine deformities: Scoliosis, a sideways curvature of the spine, and, Kyphosis, an abnormal rounding of the upper spine are corrected with spinal fusion.

Spinal weakness or instability: When there is an excessive motion occurs between two vertebrae, then the spine may turn unstable. This condition is a common side effect of severe spinal arthritis. In such cases, spinal fusion helps to restore the spinal stability.

Broken vertebrae: It is not necessary that all broken vertebrae need spinal fusion whereas some heal without any surgical intervention. But, when a broken vertebra makes the spine unstable, then spinal fusion surgery is quite necessary to restore the stability of the spine

Herniated disc: After removing a herniated disk, spine fusion may be performed for the spine stabilization.

Injuries, tumors, and infections might need a spinal fusion intervention.

How is Spinal Fusion performed?


The Neurosurgeon performs spinal fusion under general anesthesia. The bone graft will be prepared to fuse the two vertebrae. Autograft/allograft/synthetic bone is used for bone grafting. An incision is made in the targeted area. The bone graft is placed between the affected vertebrae to join them. Sometimes, the graft material is inserted with the help of special cages between the vertebrae. After placing the bone graft, plates, screws, and rods are used to keep the spine away from the movement. The added stability helps the spine to heal faster with a higher rate of success. The spinal fusion surgery takes up to 4 hours.

Perfect destination for Spinal Fusion Surgery India


Dr. Shyam Sundar K is a leading Neurosurgeon in Chennai who has been treating all kinds of neurological problems successfully. He is an expert in Spinal fusion surgery Chennai.
Visit @ www.chennaibrainandspine.com
Mail us @ chennaibrainandspine@gmail.com

Monday, 2 April 2018

Don’t Stay With Herniated Disc Pain

A ruptured (or) herniated disc is caused when any one of the spinal discs develops a crack within its tough outer wall and the material present in the inner disc is pushed out into the spinal canal. If any displaced disc material put pressure on the spinal the pain will result in other associated symptoms.

Causes of herniated disc

  • Regular lifting of heavy items
  • Prolonged exposure to vibration
  • Malnutrition
  • Excess weight
  • Sudden trauma, injury or accidents such as hard fall, blow at the back
  • Congenital abnormalities in the spine
  • Lack of physical activity and exercise

Common symptoms of Ruptured disc


Some people may experience a few or no symptoms. However, if the person has any nerve compression/irritation, the following symptoms would occur:
  • Numbness/Tingling
  • Loss of movement
  • Calf muscle pain
  • Neck/Back pain
  • Burning/shooting pain in the injured area
  • Pain radiates to the legs
  • Pain worsens at the night time/while standing/sitting/walking for prolonged hours

Diagnosis of Ruptured disc


Besides, regular clinical and physical examination, the patient is advised to undergo X-Ray, CT and MRI scan to confirm the presence of the ruptured disc, and its present condition etc. After ascertaining the severity and location of the ruptured disc, an accurate treatment is planned to save the patient from the deteriorating condition and excruciating pain.

Treatment for ruptured disc

Generally, herniated disc patients are treated based on their pain condition. Conservative treatments like medicines, physiotherapy, exercises, muscle-relaxants, NSAIDs, hot and cold fomentation are prescribed. If the patient still suffers from pain, then surgery such as microdiscectomy or laminectomy is performed to relieve the pain and other symptoms.

1. Laminectomy:

It is a type of back surgery performed to relieve the spinal cord compression. The surgeon performs the surgery under anesthesia. The Neurosurgeon will remove the lamina which is a part of the bone and it forms vertebral arches in the spine. Along with lamina, bone spurs are also removed. Since these structures cause pressure on the nerve root/spinal cord, they are completely removed.

2. Microdiscectomy

In this surgical procedure, herniated portion of the disc is removed under general anesthesia. This procedure is typically used when the herniated disc is needed to be treated but not necessarily to be removed from the spine. Artificial disc/wire fusions are used to replace the herniated disc. Microdiscectomy completely negates pain.

Dr. Shyam Sundar is a leading neurosurgeon in Chennai, who specialized in dealing with different conditions related to brain and spine. He provides treatmentand diagnosis for Ruptured Disc in Chennai.
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Tuesday, 30 January 2018

BRAIN TUMOR DIAGNOSIS AND TREATMENT

A tumor is the swelling of a part of the body; they may occur without an inflammation and can be benign or malignant. A tumor is caused by an abnormal growth of tissue– solid or liquid- filled– in the affected area. All tumors are not cancerous.

Brain Tumor:


A tumor in the brain can be benign (non-cancerous) or malignant (cancerous). They can occur at any age.
The exact causes of brain tumors are unknown to researchers and doctors. However, risk factors include:
Family history of tumors
Exposure to ionizing radiations from X-rays for example
They can be caused by cancer that begins elsewhere.

SYMPTOMS


The onset of headaches which become more and more frequent and severe.
Unexplained nausea and vomiting
Difficulty in balance
Vision and hearing gets affected
Confusions 
Personality and behavioral changes
Seizures.

DIAGNOSIS


On the onset of the above-mentioned symptoms, a Neurologist will do the diagnosis using a neurologic exam, CT scan, MRI, angiogram, spinal tap or biopsy.

TREATMENT


Depending on the age of the patient, the location and size of the tumor and the grade of the tumor, the neurosurgeon may suggest the following treatments:
  • Radiation therapy
  • Chemotherapy


Dr. Shyam Sundar. K is one of the renowned neurosurgeon experts of diagnosis and treatment of brain tumors; he has an experience of 8 years and is sure to give the best advice and treatment. Dr. Shyam Sundar has several successful surgeries to his credit.

Mail us: chennaibrainandspine@gmail.com

Wednesday, 13 December 2017

Stop living with Traumatic Brain Injury !

What is Traumatic Brain Injury?


Traumatic Brain Injury is an intracranial injury in the brain that is caused by bad falls, accidents, and violence. Traumatic Brain Injury is appeared when brain gets severe shock or blow. Generally, brain injuries are classified into three stages: Mild, Moderate, and Severe

Brain injuries can harm people in many ways, such as people can experience memory loss, sleep deprivation, internal haemorrhaging, and possibility of death. An early treatment is highly required in traumatic and severe brain injuries.

What are the treatment options for traumatic Brain Injury?


Traumatic Brain Injury normally required immediate, ongoing and long term treatment whether it is minor or severe. The initial stages of treatment for Traumatic Brain Injury include sustaining life and avoiding any further injury. The later stages require participation in rehabilitation programs and assisitive technologies. Rehabilitation programs are directed to overcome, minimise, or work to lower disabilities in the patients so that they can live and work independently. 




What are immediate treatment options for Traumatic Brain Injury?


The immediate treatment options for traumatic Brain Injury are as follows:
  • Checking and removing of life threatening blood clots
  • Medicate patients
  • Monitor and operate to relieve high levels of intracranial pressure
  • Put effected person on life support systems, if required
  • When patient is stable, shifted to sub-acute treatment centers


What are the sub-acute treatments for traumatic Brain Injury?


Sub-acute treatment centers are the specialised care facilities in which medical staff is well trained to understand and evaluate the patient’s disabilities, impairments, and possibility of recovery.  Doctors in these centers can develop a treatment plan to help patients and their families. These treatment plans can include rehabilitation programs and chronic traumatic Brain Injury treatments. These centers help patients to live independently, with the care of family, or move into long term care centers.

What are the long term treatment options for traumatic Brain Injury?


Traumatic Brain Injury treatment centers provides treatment in the form of
  • Assistive technologies such as use of wheel chair, specialized device for mobility or speech
  • Counseling
  • Physical therapy
  • Speech therapy
  • Medication

What is the aim of providing long term treatment to traumatic Brain Injury (TBI)?


The aim of providing treatment on every step of problem is
  • To make patient social again
  • To overcome patient depression, emotional problems and increase self esteem
  • To learn again proper speaking and communication
  • To learn again walking


The ultimate goal of Center forBrain and Spine Chennai is to provide chronic care and rehabilitation programs to patients for fast recovery and make able to live independently.The centre provides excellent treatment options for traumatic brain injuries. Dr.Shyam Sundar Krishnan is a qualified and experienced Neurosurgeon in Tamil Nadu to treat traumatic brain injuries.

For more details,
Drop a mail at chennaibrainandspine@gmail.com

Wednesday, 29 November 2017

Brain Aneurysm – You Can’t See it Coming

A brainaneurysm is a bulging, weak area in the wall of arteries that supplies blood to the brain. Sometimes, it ruptures, releasing blood into the skull and causing a stroke. It may also lead to brain damage or death may result.
Risk Factors


  • Family history 
  • High blood pressure
  • Smoking

What are the symptoms?

An aneurysm will cause problems before rupture, by pressing on areas in the brain. When this happens, the person will suffer from:
  • Severe headaches 
  • Nausea and vomiting 
  • Blurred vision 
  • Sensitivity to light. 
  • Changes in speech 
  • Neck pain 
  • Fainting or loss of consciousness. 
  • Seizures. 


How is it treated?

The type of treatment suitable for you will be based on your age, size of the aneurysm, any additional risk factors, and your overall health.

The following are the procedures used to manage brain aneurysms:


  • Endovascular embolization – A small tube is inserted into the affected artery and a soft metal coil or mesh is used to fill the aneurysm, reducing blood flow and making it less likely to rupture. These procedures are less invasive than surgery. 
  • Surgical clipping - Placing a small metal clip around the base of the aneurysm to isolate it from normal blood circulation, thus decreasing the pressure on the aneurysm.

Dr.Shyam Sundar K is an eminent name in the field of neurology and is one of the expert Neurosurgeon in Chennai, Tamil Nadu, India. With 8 years of experience, he is an expert in various branches of neurosurgery and presently serves as Consultant Neurosurgeon at various hospitals. 
for more details,
Drop a mail at chennaibrainandspine@gmail.com
visit us : www.chennaibrainandspine.com

Friday, 20 October 2017

WHEN DOES YOUR SPINE NEED SURGERY?

If you Are suffering from some spinal condition, you are not alone. Many people have been experiencing this at some point in their lifetime, often without realizing it until the appearance of persistent and palpable symptoms. Becoming well informed about the spinal condition is the first step toward finding a potential treatment and resuming back to a  pain-free life. We are here to help!

Backbone or spine is considered to be the most important part of the body.  It has five regions namely cervical, thoracic, lumbar, sacrum and coccyx.  Dislocation or defects of the spine cause back pain. The remedies suggested for back pain includes an application of medicine and oral medications. 


In some cases of back pain, the problems persist even after medications. The remedy for this is a surgery.  It is safe to rely on experienced doctors for surgeries so that surgeries become problem less. You can depend on Dr. Shyam Sundar K for spine surgery in Chennai.  He is the best consultant neurosurgeon in Chennai.  

In certain cases where nerves are in a compressed stage, osteoarthritis with bone spurs and herniated spines surgeries will be required to sort out the issue.  



Due to herniation, the disk becomes deformed, and the removal of this deformity is called Diskectomy.  The minimally Invasive back surgery is very advantageous as only small incisions are made for surgery resulting no damage in the muscles around the spines. 
In Spinal Disc Replacement, artificial spines are placed instead of damages spines.  Foraminotomy is a surgical procedure that relieves pressure on nerves. Kyphoplasty is used for those with a spinal fracture in order to relieve the pain.

Laminectomy relieves pressure on the spinal cord by enlarging the spinal canal.  In laminotomy, posterior part of the vertebra is removed and hence it relieves pressure on the spinal cord.  In Spinal fusion, two or more bones are fused together to correct the problems 


  • One can live without pain.
  • No nerves inflammation present. 
  • Can move easily without pain


More details visit : chennaibrainandspine.com
Mail us:  chennaibrainandspine@gmail.com