Neurology is the diagnosis and management of diseases affecting the nervous system, typically the brain, spinal cord, peripheral nerves and muscles. Neurological illness can take the form of strokes, migraines, epilepsy, Parkinson’s disease, dementia and multiple sclerosis. Diseases affecting the spinal cord include spinal cord tumours and spinal cord compression. Peripheral nervous system problems include the neuropathies and myopathies as well as disorders of the neuromuscular junction (myasthenia). Symptoms of neurological illness include poor memory, blackouts, dizziness, headache, speech problems, back pain, sciatica, limb weakness and numbness, tremor and bladder problems.
(Doctor Speaks in English, हिंदी, తెలుగు)
I have been a consultant neurologist at the Apollo Hospital Health City for Neurology Department. I specialise in the assessment and treatment of common neurological conditions e.g. headaches, migraine, trigeminal neuralgia, blackouts, epilepsy, vertigo, dizzy spells, parkinson's disease, tremor, numbness, neuropathy and memory problems.
I have a special interest and expertise in looking after patients with brain and spinal tumours particularly low-grade gliomas e.g. astrocytomas and oligodendrogliomas. I also see patients with cancer who have neurological problems such as neuropathy due to chemotherapy, radiotherapy side effects and paraneoplastic syndromes.
Specialities: Stroke Management & Thrombolysis.
Neck Pain & Back Pain
Neuropathies (Esp. Numbness, Burning Feet)
Movement Disorders (e.g Tremor, Parkinson's)
Brain tumours affect people of all ages and usually cause a combination of symptoms including headaches, vomiting, blackouts, funny turns, paralysis, speech or memory problems. A brain scan is required in all cases of suspected brain tumour followed by surgery to diagnose the exact type of tumour. The care of patients with brain tumours requires the input of a multidisciplinary team and this would be carried out in the Apollo Hospital for Neurology and Neurosurgery.
Epilepsy is a condition that affects the brain. When someone has epilepsy, it means they have a tendency to have epileptic seizures.
Anyone can have a one-off seizure, but this doesn’t always mean they have epilepsy. Epilepsy is usually only diagnosed if someone has had more than one seizure, and doctors think it is likely they could have more.
Epilepsy can start at any age and there are many different types. Some types of epilepsy last for a limited time and the person eventually stops having seizures. But for many people epilepsy is a life-long condition.
What are epileptic seizures?
Electrical activity is happening in our brain all the time, as the cells in the brain send messages to each other. A seizure happens when there is a sudden burst of intense electrical activity in the brain. This causes a temporary disruption to the way the brain normally works. The result is an epileptic seizure.
There are many different types of seizure. What happens to someone during a seizure depends on which part of their brain is affected. During some types of seizure the person may remain alert and aware of what’s going on around them, and with other types they may lose awareness. They may have unusual sensations, feelings or movements. Or they may go stiff, fall to the floor and jerk.
Sometimes, doctors can find a clear cause for a person’s epilepsy. Possible causes of epilepsy include:
- A brain infection, such as meningitis
- Severe head injury
- Problems during birth which caused the baby to get less oxygen
But in over half of all people with epilepsy, doctors don’t know what caused it. Some may have a family history of epilepsy, suggesting that they may have inherited it. Scientists are trying to find out more about how epilepsy might be inherited.
How is epilepsy diagnosed?
The main way doctors diagnose epilepsy is by taking a detailed description of the seizures. They may also arrange for some tests to help give them more information about the possible type and cause of the epilepsy. This can also help rule out any other conditions that could be causing seizures. These tests can include blood tests, an EEG (recording of the brainwaves) and brain scans. But there isn’t a single test that can prove if someone does or does not have epilepsy.
How is epilepsy treated?
The main treatment for epilepsy is epilepsy medicines. These are sometimes called anti-epileptic drugs or AEDs. The medicine doesn’t cure epilepsy, but helps to stop or reduce the number of seizures.
If epilepsy medicine doesn’t work well for someone, their doctor might suggest other types of treatment. Other types of treatment include brain surgery, another type of surgery called vagus nerve stimulation, and a special diet called the ketogenic diet which is sometimes used for children.