DR V D Sinha
About Me
DR V D Sinha
MD
Neurologist
10 Years Experience
Biography
My Clinic
OPD Hours
| Monday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Tuesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Wednesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Thursday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Friday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Saturday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Sunday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM |
Treatments
Specialised care and treatments offered
ACUTE PERIPHERAL NEUROPATHY
Sudden onset peripheral neuropathy involves rapid development of nerve dysfunction outside the brain and spinal cord causing sensory changes and weakness. It can progress quickly if underlying causes are not addressed timely.
- Patients report numbness , tingling , burning pain usually starting distally then moving proximally
- Common causes include infections , toxins , autoimmune disorders , metabolic imbalances
- Diagnosis requires nerve conduction studies alongside clinical assessment highlighting acute presentation
- Treatment depends on cause but may incorporate corticosteroids , immunotherapy , symptomatic pain management
- Prognosis varies however early diagnosis improves outcomes reducing chances of permanent impairment
This condition needs prompt clinical evaluation to guide suitable therapies minimizing nerve damage substantially .
TRANSIENT ISCHEMIC ATTACK (TIA)
A Transient Ischemic Attack is often called a mini-stroke due to its similar symptoms that resolve within minutes up to 24 hours without permanent brain damage. It serves as an important warning for potential future strokes requiring prompt attention.
- Symptoms mimic ischemic stroke including sudden weakness , speech difficulties , vision loss but resolve fully
- Causes primarily involve temporary blockages in cerebral arteries from small clots or arterial spasms
- Diagnosis involves detailed neurological exam , brain imaging like MRI , vascular studies such as carotid Doppler
- Immediate management focuses on antiplatelet agents , statins , blood pressure control , lifestyle modifications
- Close follow up with neurologist optimizes stroke prevention strategies effectively
Recognizing TIAs early provides critical opportunity to prevent disabling strokes through targeted interventions .
GUILLAIN-BARRé SYNDROME
This syndrome is an acute autoimmune disorder where the body's immune system attacks peripheral nerves leading to muscle weakness that worsens rapidly. It may follow infections like respiratory or gastrointestinal illnesses.
- The hallmark symptom is ascending muscle weakness starting from legs progressing upwards;
- Differential diagnosis requires nerve conduction studies confirming demyelination;
- Treatments include intravenous immunoglobulin (IVIG) or plasmapheresis to reduce immune attack;
- Close monitoring for respiratory muscle involvement necessitating ventilatory support might be required;
STATUS EPILEPTICUS
Status epilepticus is a medical emergency characterized by prolonged or repeated seizures without recovery between episodes. Immediate intervention is critical to avoid brain injury and complications.
- Presentation: Seizure lasting more than 5 minutes or multiple seizures without regaining consciousness in between;
- Causes: May include epilepsy progression, infections, metabolic disorders, or medication withdrawal;
- Diagnosis: Clinical evaluation supported by electroencephalogram (EEG) monitoring and neuroimaging as needed;
- Treatment approach: Rapid administration of anticonvulsants like benzodiazepines initially followed by longer-acting agents;
- Supportive care: Airway protection, oxygenation, intravenous fluids and addressing underlying causes form an integral part;
This condition demands urgent hospital care aiming to halt seizures quickly and minimize neurological damage risks.
ACUTE MIGRAINE MANAGEMENT
Migraine is a neurological condition marked by intense headaches often accompanied by sensory disturbances. Acute migraine attacks can be severely debilitating but are manageable with appropriate therapy.
- Symptoms include pulsating headache usually on one side, sensitivity to light and sound, nausea, vomiting, and visual aura in some cases.
- Triggers: Stress, hormonal changes, certain foods, dehydration, and sleep disturbances commonly precipitate migraines.
- Diagnosis: Based mainly on clinical history meeting established diagnostic criteria since imaging is often normal during attacks.
- Treatment options: Nonsteroidal anti-inflammatory drugs (NSAIDs), triptans for abortive therapy; antiemetics for nausea relief; hydration and rest also help alleviate symptoms.
- Preventive strategies: Lifestyle modification and medications may be advised for frequent or severe attacks to reduce occurrence.
A well-structured treatment plan helps control acute episodes effectively while improving quality of life for sufferers.
ISCHEMIC STROKE
An ischemic stroke occurs when blood flow to a part of the brain is blocked, often by a clot. This interruption deprives brain tissue of oxygen and nutrients, potentially causing permanent damage if not treated promptly.
- Symptoms: Sudden weakness or numbness in the face, arm, or leg, especially on one side; difficulty speaking or understanding speech; vision problems; dizziness or loss of balance.
- Causes: Blockage typically from a blood clot formed in arteries narrowed by atherosclerosis or emboli traveling from the heart.
- Diagnosis: CT scan or MRI confirm the type and location of stroke; additional tests may include carotid ultrasound and cardiac evaluation.
- Treatment: Emergency administration of clot-busting drugs (thrombolytics) within a narrow time window; supportive care in a stroke unit; physical rehabilitation after stabilization.
- Management: Control risk factors such as hypertension, diabetes, and high cholesterol to prevent recurrence.
The outcome largely depends on how quickly treatment begins. Early intervention can significantly improve recovery chances and reduce long-term disability.