Indraprastha Apollo Hospitals- Sarita Vihar

Hi,

I am Dr. Aditya S Bhati, Neurosurgeon. Today I will be talking about brain tumors. It can be presented at any age from childhood to the elderly age. The main symptoms are constant severe headache, vomiting and other symptoms like seizures, weakness of the limb, sudden speech disorder, memory disturbances, urinary and bowel disturbances. Whenever one has these symptoms, one must consult a neurosurgeon.

Accordingly, CT scan will be advised just to see the reason for the headache. Then it will be followed by an MRI scan and to rule out the brain pathology. Brain tumors will be managed according to the size and location of the tumors. If it is a small tumor, benign tumor then it will be managed with radiations. Brain tumors require surgical intervention. In today's scenario, there are different ways that one can approach the tumor. Starting from diagnostic tool, operative tools, and postoperative radiation techniques.

There are many technical advances where you specifically localize the lesions and microscopically, endoscopically, you can approach with minimal cuts on the surface and efficiently brain tumors can be managed. Following the surgery, the grade of the tumor is important. Biopsy of the tumor would be very important. It will create the prognosis of the patient. Depending upon the grade of the tumor, the prognosis will also is be depending. These days with techniques, brain tumors can be managed. Patient will have good lifestyle post-operation. And can go to work as soon as possible.

Thank You!

Hi,

I am Dr. Aditya S Bhati, Neurosurgeon. Today I will be talking about a headache. As you all know that headache is a common element one suffers in day to day life. There are different causes of headache. One of the most common cause is a tension headache. Other causes could be cluster headache, migraine. If the headache is associated with symptoms like it is constantly present, early morning headache and relieved by vomiting or blurring of the vision, speech disturbances, weakness of the limb, then one must consult neurosurgeon immediately. Then accordingly, he will suggest CT scan. Initially, CT scan followed by MRI if required then it will be dealt with accordingly.

The neurological causes of headache because of the tumor, infection. Management of the headache depends upon the cause of the headache. If it is migraine, chronic headache, cluster headache can be managed with medications. They don't show up CT and MRI. This is a clinical based diagnosis. Neurosurgical problems which involve traumatic brain injury which causes headache or tumor or any other infectious diseases. They will be dealt with accordingly. When someone is diagnosed with neurological causes of headaches as I told earlier, as I described you earlier then one must immediately consult a neurosurgeon for proper management.

Thank You.

Hi,

I am Dr. Aditya S Bhati, Neurosurgeon. Today I will be talking about low backache which is common in day to day life. Everyone suffers from low backache. In 90% of cases, low backache can be managed medically. Medically means physiotherapy and it goes off. And only in 10% of the cases, you find some or the other problem. If it is associated with red flag sign like radiating pain in the legs, trauma, causing weakness in both lower limbs, if it is associated with bowel and urinary disturbances and any other severe symptoms, then one must consult a physician then you should be referred to a spine specialist and a neurosurgeon.

We see in 10% of the cases, severe symptoms. Then you would be referred to a specialist Dr who will advice special examination like MRI of the spine or CT scan of the spine just to check there is another root compression or any other severe problem which can lead to severe symptoms. Then there are different causes of low backache rising from simple backache to tumors, disc problems which can be managed accordingly. Based on the pathology, these can be managed accordingly. If it is a simple spasm, it can be managed with physiotherapy and bed rest. If the patient has a disc problem, that can be managed with endoscopic or microsurgical discectomy.

This is a simple procedure where a patient gets admitted for a day and gets relief on the second day. Management depends on the severity of the injury. In conclusion, I would like to say that, in 90% of the cases as I said earlier, the backache is a common element and it can be managed conservatively. Only in 10% of the cases, a patient needs surgical intervention.

Thank You!