Parkinson’s Disease and its cure

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Stroke Management

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World MS Day-2024

MS : Diagnosis Delayed is Diagnosis Denied

Multiple Sclerosis (MS) is an immune mediated disorder where the immune system mistakenly attacks the myelin sheath, the protective covering of nerve fibres in the central nervous system. This damage disrupts communication between the brain and the rest of the body, leading to a wide range of symptoms, including visual disturbances, muscle weakness, sensory abnormalities, coordination problems, and cognitive issues.

The exact cause of MS remains unknown, but it is believed to result from a combination of genetic predisposition and environmental factors. Diagnosis typically involves a combination of neurological examinations, magnetic resonance imaging (MRI), multimodal evoked potentials, and analysis of cerebrospinal fluid (CSF).

Early diagnosis allows for the prompt initiation of disease-modifying therapies (DMTs), which can reduce the frequency and severity of relapses and potentially slow disease progression. Studies have shown that initiating treatment during the early stages of MS can preserve neurological function and improve long-term outcomes.

Summarisingly, increasing awareness about the early signs of MS and advancing diagnostic techniques are essential in improving patient outcomes.

Dr. Swayam Prakash

MD, DM, SCE, FEBN, FICP , FRCP

Sr. Consultant & HOD – Neurology

Kins Institute of NeuroSciences

Multiple Sclerosis: A Smouldering Disease

Multiple sclerosis (MS) is a chronic neurological condition that affects approximately 2.8 million people worldwide. MS is a complex disease that affects the central nervous system, which includes the brain, spinal cord, and optic nerves. Although the cause of MS is still not fully understood, a combination of genetic and environmental factors are thought to play a role in its development.

MS Day is an international event that takes place on May 30th every year. The purpose of this day is to raise awareness about MS and to support individuals living with this condition. 

Symptoms of MS:

MS can cause a wide range of symptoms that vary from person to person. The most common symptoms include:

1.Fatigue: Feeling tired or exhausted is a common symptom of MS. This can be due to the damage caused to the nervous system, which can make it harder for the body to function efficiently.

2.Cognitive IssuesMS can affect cognitive function, including memory, attention, and problem-solving. These symptoms can often be frustrating for individuals living with MS.

3.Vision Issues: MS can cause vision problems, including blurred vision, double vision, or loss of vision. These symptoms are caused by damage to the optic nerve.

4.Mobility Issues: MS can cause mobility issues, including difficulty walking, tremors, and weakness in the limbs. These symptoms can be due to damage to the neurons that control movement.

Causes of MS

The exact cause of MS is still not fully understood. However, researchers believe that a combination of genetic and environmental factors may play a role in its development.

Genetic Factors: MS is not directly inherited, but certain genes may increase a person’s risk of developing the condition. Researchers have identified over 200 gene variants that are associated with MS.Gefälschte Rolex-Uhren in der Schweiz zu verkaufen, billige replica uhren kaufen im Präsidentenstil mit hoher Qualität zu verkaufen, Rolex-Imitationsuhren online kaufen.

Environmental Factors: Researchers have also identified several environmental factors that may increase a person’s risk of developing MS. These factors include vitamin D deficiency, smoking, and exposure to certain viruses.At fakewatches.io online shop with various perfect super clone watches. Fast shipping. Quality guarantee.

Treatment for MS

Although there is currently no cure for MS, there are several treatments that can help manage the symptoms of the condition. These treatments include:

1.Medications:There are several medications available that can help manage the symptoms of MS. These medications include corticosteroids, immunosuppressants, and disease-modifying therapies.Elevate your wrist game with a stunning replica hublot watches that mirrors the design and elegance of the original model flawlessly.

2.Physical Therapy: Physical therapy can help individuals with MS improve their mobility and reduce the risk of falls. Physical therapy can also help manage pain and improve energy levels.

3.Occupational Therapy: Occupational therapy can help individuals with MS learn new strategies to manage their daily activities. This can include learning how to conserve energy, adapt to physical limitations, and use assistive devices.

Summarisingly, MS is a chronic neurological condition that affects millions of people worldwide. Although the cause of MS is still not fully understood, there are several treatments available that can help manage the symptoms of the condition. MS Day is an important event that raises awareness about MS and provides support for individuals living with this condition. By increasing awareness of MS, we can help improve the quality of life for individuals affected by this condition.

#WorldMultipleSclerosisDay

#Multiplesclerosis

#Multiplesclerosisawareness

#KinsInstituteofNeurosciences

#KinsHealth

Be#GreaterThan stroke

Stroke is the third leading cause of death and perhaps the leading cause of long term disabilities known to mankind. World-wide, 15 million people suffer stroke every year out of which 5 million die and another 5 million are significantly disabled.

Common risk factors are Hypertension, Diabetes, Dyslipidemia, Irregular heart rhythm, Heart failure, Smoking, Improper diet and Sedentary Lifestyle. Roughly 80 percent of all stroke are preventable by maintaining Blood pressure and Blood sugar in the Normal range, Good Diet and Exercise habits and saying no to smoke and alcohol. Regular health check up with special thrust to cardiac health, since the age  as early as 25 years is a good practice. This world stroke day let’s pledge to work on preventive models more than other aspects of stroke, coz prevention is always better than cure.

Be#GreaterThan stroke

#prevention #stroke #disabilities #WSD

Dr. Swayam Prakash

MD, DM, SCE, FEBN, FICP , FRCP

Sr. Consultant & HOD – Neurology

Kins Institute of NeuroSciences

Clinically Isolated Syndrome

I feel honored and humbled in the same breath to be awarded with the Best Presentation for my co-authorship for the poster on “Clinically Isolated Syndrome Presenting with Writer’s Cramp: A Rarity at Neuroimmunology-Movement Disorder Interface” by The PACTRIMS Scientific Committee 2023, Perth Australia.At www.watchesexpress.co.uk online shop with various perfect super clone watches. Fast shipping. Quality guarantee.Check out our replica rolex watches for the very best in unique , from our shops.IWC replica show Swiss luxury replica iwc watch here best cheap price with AAA High quality fake watches.
I share this award with the other coauthor, Dr. Kadam Nagpal. Collaboration is the key…

Multiple sclerosis (MS)

Multiple sclerosis (MS) is not an uncommon disease of the central nervous system (brain and spinal cord). Today, 2.8 million people around the world have MS.
MS is an inflammatory demyelinating condition. It is caused by damage to myelin. In MS, the loss of myelin affects the way nerves conduct electrical impulses to and from the brain. Common symptoms include blurred vision, weak limbs, tingling sensations, unsteadiness, loss of bladder bowel control, erectile dysfunction, memory problems, and fatigue.Excellent Swiss Movement AAA+ Replica Rolex Submariner Watches With Low Prices For Men And Ladies. Special 1:1 Super Clone/Cheap Fake Rolex Submariner Watches Hot Sale.
Most people with MS are diagnosed between the ages of 20 and 40. MS is two to three times more common in women than in men. At present, there is no drug that can cure MS, but treatments are available which can modify the course of the disease favorably. Best hi quality replica rolex daytona watches is swiss watches, at https://www.daytonareplica.com sale 1:1 best fake rolex daytona watches, high-quality swiss movement.
World MS Day is officially marked on 30 May. It brings the global MS community together to share stories, raise awareness, and campaign with everyone affected by multiple sclerosis (MS). We can choose to focus on a variety of angles when celebrating World MS Day, including:
* Challenging social barriers and stigma that can leave people affected by MS feeling lonely and isolated* Building communities that support and nurture people affected by MS* Promoting self-care and healthy living with MS*Lobbying decision-makers for better services and effective treatment for people with MS* Connecting people affected by MS to MS research.AAA High Quality Luxury Replica Rolex Watches Online Sale At https://datejustreplica.com.
‘I Connect, We Connect’ #MSConnection

Diary of a small town Neurologist

COVID-19 is perhaps the greatest disaster of all time, reported as a cluster of forty odd cases from Wuhan, China in December 2019 which culminated into a pandemic by March 2020, as declared by the WHO.  And we were at war with an invisible enemy who was clever and powerful and was spreading at meteoric pace and only way to survive was to confine and conceal ourselves until we knew how to combat. With that came life to a screeching halt with its tangible repercussions on just everything around.

Healthcare arena also got changed dramatically with entire focus being shifted towards combating COVID-19, and perhaps rightly so but very rapidly it consumed most of the healthcare resources, leaving little for the Non-COVID patients. With the surge of second wave, the conditions got further worsened with literally no bed left for non-COVID emergencies like Acute Stroke, Status Epilepticus, Traumatic Brain Injuries, Severe Neuroimmunological conditions, Acute Myocardial Infarction etc. adding woes to the already suffering humanity. And smaller cities are rather badly hit. What pains me more is lack of preparedness and dearth of planning as how to overcome this situation.

 In the current prevailing situation, as a Neurologist, I have following points to highlight with regards to Organization of care, Management of neurological disorders/symptoms, Management of neurological complications arising out of COVID-19 infections and Considerations for patients with chronic neurological conditions based on consensus statements of various scientific bodies:

Points to ponder regarding Organization of care

This is high time we realize that need for non COVID care is as much, if not more, as COVID care. This reminds me of a famous quote by Charles E. Hummel from Tyranny of the urgent“Your greatest disaster is letting the urgent things crowd out the important.”
Hence unlike before, now we should focus on starting and further strengthening non-COVID hospitals/facilities/wings for non-COVID emergencies where standardized treatment for various neurological/neurosurgical emergencies could be started without delay while taking due care to prevent contamination or spread of infections.

Teleconsultation should be encouraged for routine patients not requiring admission; however, those patients who may require in person consultation should be picked up from there and advised accordingly.

Postpone all elective EEG/EMG/imaging investigations unless urgent and likely to impact clinical decision making and treatment plans and contamination prevention guidelines must be adhered to if at all it’s necessary.

Special management issues

Acute Stroke is a time sensitive neurological condition therefore properly selected patients of acute ischemic stroke should receive IV thrombolysis/ endovascular treatment in timely fashion.

Treatment of Convulsive Status Epilepticus shoud receive top urgent priority as per recent ILAE guidelines.

While using Cell depleting therapy (Rituximab, Ocrelizumzb, Alemtuzumab etc.) for neuroimmunological conditions, risk-benefit ratio must be properly weighed against each other as they increase susceptibility to contract infection for several months after infusion.

Regarding use of IVMPS/IVIG/PLEX, though they do not pose any additional risk yet should not be started if there are signs of active infection

Neurological complications arising out of COVID 19 infection

We should also be mindful that severe neurological complications can occur in COVID-19 patients during hospitalisation, such as Seizures, Encephalopathy, Encephalitis and Cerebrovascular events including Ischaemic Stroke or Intracerebral Haemorrhage.

Prolonged ICU admission may cause development of Multifactorial Encephalopathy, Critical Illness Neuropathy and Myopathy.

 Post ICU-care syndrome develop in ICU-survivors in the form of cognitive impairment, psychiatric and/or physical disability.

There may be a higher risk of sub acute neurological complications, including GBS and other autoimmune diseases such as Necrotizing Encephalitis following COVID-19 infection.

Therefore, Neurologists must be kept in the loop while treating COVID-19 patients to detect and treat neurological symptoms and disorders at the earliest.

Care for patients with chronic neurological disorders is specially challenging

Patients on immunosuppressive medications should practice extra vigilant social distancing, including avoiding public gatherings/crowds and avoiding crowded public transport etc.

Patients of Parkinson’s disease may be particularly vulnerable to respiratory infections or pneumonia due to limited respiratory capacity related to reduced mobility of their thoracic cage. Therefore, it is important to counsel such patients to undertake all precautions for reducing exposure risk.

Epileptic patients may have drug–drug interactions between antiepileptic drugs (AEDs) and newer treatment options for COVID-19 including antiviral, immunomodulatory and immunosuppressive drugs. Hence, dose adjustments of AEDs or COVID-19 treatment might be necessary

Besides above specific measures, COVID-appropriate behaviours are the keys in keeping pandemic at bay. 

              There are many diseases but, in a sense, there is just one health. STAY SAFE!

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