Dr.Ramesh Bhattacharyya
  M.B.B..S (CAL) M.D. (MED) D.T.M & H. (CAL) D.M. (NEURO)
  Senior Neurophysician
 
Services & Cases:

Epilepsy :

Epilepsy is a brain disorder in which a person has repeated seizures (convulsions) over time. Seizures are episodes of disturbed brain activity that cause changes in attention or behavior. 

Symptoms : vary from person to person. Some people may have simple staring spells, while others have violent shaking and loss of alertness. The type of seizure depends on the part of the brain affected and cause of epilepsy.

Most of the time, the seizure is similar to the previous one. Some people with epilepsy have a strange sensation (such as tingling, smelling an odor that isn't actually there, or emotional changes) before each seizure. This is called an aura.

 
Stroke :
stroke happens when blood flow to a part of the brain stops. A stroke is sometimes called a "brain attack." Symptoms: The symptoms of stroke depend on what part of the brain is damaged.
Symptoms : Stroke symptoms typically start suddenly, over seconds to minutes, and in most cases do not progress further. The symptoms depend on the area of the brain affected. The more extensive the area of brain affected, the more functions that are likely to be lost. Some forms of stroke can cause additional symptoms. For example, in intracranial hemorrhage, the affected area may compress other structures. Most forms of stroke are not associated with headache, apart from subarachnoid hemorrhage and cerebral venous thrombosis and occasionally intracerebral hemorrhage.
 
Dementia :
Dementia is a loss of brain function that occurs with certain diseases. It affects memory, thinking, language, judgment, and behavior.
Symptoms : Dementia symptoms include difficulty with many areas of mental function, including: Language Memory Perception Emotional behavior or personality Cognitive skills (such as calculation, abstract thinking, or judgment) Dementia usually first appears as forgetfulness. Mild cognitive impairment is the stage between normal forgetfulness due to aging and the development of dementia. People with MCI have mild problems with thinking and memory that do not interfere with everyday activities. They are often aware of the forgetfulness. Not everyone with MCI develops dementia.
 
Parkinson's :
Parkinson's disease is a disorder of the brain that leads to shaking (tremors) and difficulty with walking, movement, and coordination.
Symptoms : It is often difficult to pinpoint when a person with Parkinson's first began showing signs and symptoms of the disease. Many people vividly recall when they first noticed their tremor, but through close questioning, the physician often finds that subtle signs of the disease were present even before the tremor became noticeable. The following table lists some of the early signs and symptoms of Parkinson's disease:
 
  • Change in facial expression (staring, lack of blinking)

  • Failure to swing one arm when walking

  • Flexion (stooped) posture

  • Frozen" painful shoulder

  • Limping or dragging of one leg

  • Numbness, tingling, achiness or discomfort of the neck or limbs

  • Softness of the voice

  • Subjective sensation of internal trembling

  • Resting tremor
  •  
    Dystonia :
    Dystonia is a neurological movement disorder, in which sustained muscle contractions cause twisting and repetitive movements or abnormal postures.
    Symptoms :

    Symptoms vary according to the kind of dystonia involved. In most cases, dystonia tends to lead to abnormal posturing, particularly on movement. Many sufferers have continuous pain, cramping and relentless muscle spasms due to involuntary muscle movements. Other motor symptoms are possible including lip smacking. Early symptoms may include loss of precision muscle coordination (sometimes first manifested in declining penmanship, frequent small injuries to the hands, and dropped items), cramping pain with sustained use and trembling. Significant muscle pain and cramping may result from very minor exertions like holding a book and turning pages. It may become difficult to find a comfortable position for arms and legs with even the minor exertions associated with holding arms crossed causing significant pain similar to . Affected persons may notice trembling in the diaphragm while breathing, or the need to place hands in pockets, under legs while sitting or under pillows while sleeping to keep them still and to reduce pain. Trembling in the jaw may be felt and heard while lying down, and the constant movement to avoid pain may result in the grinding and wearing down of teeth, or symptoms similar to TMD. The voice may crack frequently or become harsh, triggering frequent throat clearing. Swallowing can become difficult and accompanied by painful cramping.

    Headache :
    A Headache is defined as a pain in the head or upper neck. It is one of the most common locations of pain in the body and has many causes.
    Symptoms :

    The pain symptoms of a tension headache are:

    • The pain begins in the back of the head and upper neck and is described as a band-like tightness or pressure.
    • Often is described as pressure encircling the head with the most intense pressure over the eyebrows.
    • The pain usually is mild (not disabling) and bilateral (affecting both sides of the head).
    • The pain is not associated with an aura nausea, vomiting, or sensitivity to light and soun

    Cluster headaches are headaches that come in groups (clusters) lasting weeks or months, separated by pain-free periods of months or years.

    • During the period in which the cluster headaches occur, pain typically occurs once or twice daily, but some patients may experience pain more than twice daily.
    • Each episode of pain lasts from 30 to 90 minutes.
    • Attacks tend to occur at about the same time every day and often awaken the patient at night from a sound sleep.
    • The pain typically is excruciating and located around or behind one eye.
    • Some patients describe the pain as feeling like a hot poker in the eye. The affected eye may become red, inflamed, and watery.
    • The nose on the affected side may become congested and runny.
    Nerve Pain:
    Nerve Pain  is a sharp, shocking pain that follows the path of a nerve and is due to irritation or damage to the nerve. Symptoms: Increased sensitivity of the skin along the path of the damaged nerve.

    Symptoms :

    Autonomic nerve damage may produce the following symptoms:

    • Inability to sense 
    • Chest pain, such as 
    • Angina or heart attack
    • Too much sweating (known as hyperhidrosis) or too little sweating (known as anhidrosis)
    • Lightheadedness
    • Dry eyesand mouth
    • Constipation
    • Bladder dysfunction
    • Sexual dysfunction

    Damage to motor nerves may produce the following symptoms:

    • Weakness
    • Muscle atrophy
    • Twitching, also known as fasciculation
    • Paralysis

    Sensory nerve damage may produce the following symptoms:

    • Pain
    • Sensitivity
    • Numbness
    • Tingling or prickling
    • Burning
    • Problems with positional awareness
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