Dr Chandril Chugh

Nerves Impact The Intensity Of Alzheimer’s : How?

Alzheimer’s is a neurological disorder that impedes the brain’s memory and ability to function. More commonly known as the memory loss disease, the prevalence of Alzheimer's disease is worldwide.  A person grappling with Alzheimer’s disease, the brain cells start to deplete to a stage where the brain’s size shrinks and the person’s memory is completely diminished. In Alzheimer’s disease, nervous system development is  severely affected. 

In this blog, we will break down how nerves shape the severity of Alzheimer, what research says about their role, and how supporting your nervous system might just slow things down.

What is Alzheimer’s Disease?

Alzheimer is the most common type of dementia. It causes memory loss, confusion, and changes in behavior. It mainly affects older adults, but some people develop it as early as their 40s.

There are two main types:

• Early-Onset Alzheimer: Appears before age 65. Less common.
• Late-Onset Alzheimer: More frequent. Usually appears after age 65.

According to the World Health Organization (2024):

• Over 55 million people worldwide live with dementia.
• Alzheimer accounts for 60–70% of those cases.

This shows how widespread and serious Alzheimer's really is.

How Alzheimer’s Progresses in the Brain

Alzheimer does not happen overnight. It goes through stages that slowly harm brain function.

• Early Stage: Memory lapses and minor confusion.
• Middle Stage: Trouble recognizing people and performing tasks.
• Late Stage: Complete memory loss, disorientation, and difficulty moving or swallowing.

The disease mainly affects the hippocampus (memory) and cerebral cortex (thinking, judgment).

Nerve cells are vital for these brain areas. When nerves can’t communicate well, memory and cognition break down fast.

Symptoms of Alzheimer’s Disease 

The symptoms of Alzheimer’s intensify over the years. Some of them are given below: 

• Lack of energy or the zest to work
• Forgetting to carry out simple tasks
• Withdrawal from social life, signs of depression 
• Trouble understanding or interpreting words, symbols, etc.
• Struggling in solving problems, remembering directions 
• Slurred speech and trouble putting words to thoughts 
• Confusion about the time and place, difficulty in remembering faces. 
• Wandering
• Delusions

How does Alzheimer’s affect the body?

Alzheimer’s is a progressive disease, meaning that the symptoms keep getting worse as time passes by. While the cognitive effects of Alzheimer’s disease are known to everyone, very few know how debilitating effect Alzheimer’s can have on the person’s body. Alzheimer’s disease kills you slowly over a period of time. It doesn’t hit you all at once, it is a slow burn, which at first affects the memory and gradually all of you.  Hence, many a time, one may miss the early signs of this disorder. 

Some of the physical challenges that a patient may notice are - 

• • Loss of balance and poor coordination 
  • Trouble in movements such as standing, sitting 
  • Shuffling or dragging feet while walking 

• Problems sleeping 

• Weak or stiffened muscles 
• Fatigue 
• Problems with bladder and bowels 
• Difficulty in chewing or swallowing food 
• Seizures or twitches 

Physical symptoms start showing up during the moderate stage of Alzheimer's. 

Alzheimer’s and Phantom pain

Phantom pain is a condition where one perceives or imagines the pain from the part of the body which no longer exists. It is a common condition amongst dementia patients to perceive pain. The degeneration of brain cells makes it difficult for Alzheimer's patients to explain or articulate pain. There’s no specific diagnosis of phantom pain, doctors can still identify them and treat them. 

Autonomic Dysfunction and Alzheimer’s 

Autonomic dysfunction is the medical condition where the nerves in the Autonomic Nervous System (ANS) are damaged. This condition is usually common in patients with Alzheimer’s disease. Autonomic nervous system regulates several involuntary movements in the body such as digestion, heart rate, respiratory rate, urination, etc. The effects of this disease can range from mild symptoms to severe life threatening conditions. 

Some of the symptoms of Autonomic Dysfunction are - 

1. Dizziness and fainting
2. Urinary problems, bladder issues, incontinence, etc.
3. Sexual problems in both men and women
4. Sweating abnormalities which indirectly affect the regulation of temperature in the body
5. Blurry vision, sluggish pupil reaction. 
6. Difficulty in digesting and other digestive issues such as bloating, constipation, diarrhoea  
7. Problems with heart rate. Exercise intolerance where there is difficulty in maintaining heart rate. 
8. Tremors and muscle weakness 

How Nerves and the Nervous System Relate to Alzheimer’s?

Nerves act like telephone wires in the brain. They carry messages using electrical and chemical signals. When these wires break, so does communication.

The Brain-Nerve Connection in Alzheimer’s

Neurons are brain cells that pass messages through tiny gaps called synapses. In Alzheimer, these connections start to fail.

• Synapses break down due to toxic proteins.
• Nerve cells begin misfiring or stop working.
• Information gets lost between brain regions.

Synapse loss is the strongest link to memory decline in Alzheimer.

Neuroinflammation

Glial cells, the brain's support team, get triggered in Alzheimer. But instead of helping, they cause inflammation.

• Chronic inflammation damages nerve cells.
• It worsens memory problems and thinking ability.
• Over 90% of advanced Alzheimer patients have chronic brain inflammation Alzheimer’s.

Inflammation turns a bad situation worse.

Amyloid and Tau’s Impact on Nerves

Two proteins are behind most nerve damage in Alzheimer:

• Amyloid plaques form outside neurons and block connections.
• Tau tangles build up inside neurons, choking them.

Together, they:

• Cause nerve cells to misfire.
• Create dead zones in the brain.
• Destroy memory and emotions.

Nervous System as a Driver of Symptom Intensity

Your nervous system and Alzheimer’s are closely linked. When the nerves outside the brain start breaking down, the symptoms can feel worse.

• Peripheral nerves help control mood, sleep, and movement.
• When damaged, anxiety, confusion, and poor sleep rise.
• Emotions, attention, and focus all get affected.

The worse the nerve damage in Alzheimer’s, the harsher the experience.

Can Strengthening the Nervous System Slow Alzheimer’s Progression?

Many new studies suggest that boosting nerve health could slow Alzheimer’s progression. This gives hope to patients and families.

Emerging Research in Neuroplasticity

Neuroplasticity is the brain’s ability to form new nerve pathways. Even damaged brains can build new routes.

• Learning new skills boosts nerve signals.
• Physical exercise increases blood flow and brain connections.
• Music and memory games encourage nerve growth.

A healthy nervous system can mean slower Alzheimer decline.

Role of the Vagus Nerve and Brain-Body Signals

The vagus nerve links your brain to your body. It calms you, aids digestion, and controls inflammation.

New therapies like vagus nerve stimulation (VNS) show promise:

• Electrical pulses sent to vagus nerve improve brain focus.
• VNS trials showed 33% better memory recall in mild Alzheimer over 6 months.
• It reduces stress, improves sleep, and supports brain repair.

Nutrition and Nerve Health

What you eat feeds your nerves. The right nutrients can slow Alzheimer’s progression.

Key nutrients:

• Omega-3s: Protects nerves and supports cell membranes.
• B Vitamins (especially B12): Needed for nerve repair.
• Antioxidants: Fight harmful molecules that damage neurons.

Stat: People low in B12 have 2x the risk of cognitive decline.

This is why nutrition matters for both prevention and Alzheimer’s treatment and nerves.

Researchers have observed that Alzheimer’s disease can lead to autonomic dysfunction. The nerve damage in this disease interrupts the messages sent between the brain and the other organs, as well as areas of the autonomic nervous system. It is necessary to seek consultation from a professional for proper diagnosis and treatment. Consult the best neurologist in Delhi for quick recovery and enhanced treatment.  

Insights From Dr. Chandril Chugh

The nervous system is not just part of Alzheimer, it can decide how fast it gets worse. Supporting nerve health can give patients a better quality of life.

If you or someone you love is facing Alzheimer, don’t wait. Talk to a neurologist early. Small changes now can slow the clock.

Dr. Chandril Chugh is a U.S.-trained, board-certified neurologist. He treats stroke recovery, migraines, memory problems, ADHD, and more. Book a consultation to discuss symptoms and prevention plans.

Also Read: 

• What Is Parkinson's Disease?

• 5 Tips To Cope With Tragic Flashbacks

• The Effects Of Depression In Your Body

by Dr Chandril Chugh

Caring For A Person With Epilepsy: 10 Ways

Caring For A Person With Epilepsy: 10 Ways

Epilepsy is a neurological disorder characterized by seizures. The nerve cell activity in the brain is disturbed, thus causing the frequent outbursts of electrical energy. Caring for someone with epilepsy can be difficult as one does not know when or where the seizures occur. Epilepsy depends from person to person. While some people can live on their own and manage their seizures by themselves, others on the other hand may need a lot of care and attention. 

Epilepsy seizures can be different for different people. There are several reasons why a seizure can be triggered. Sometimes bleeding or haemorrhage in the brain can lead to seizures. The two major types of seizures are- 

• Focal onset seizures- These seizures at first start in the brain and later spread to other parts of the body. A person may experience sudden movement or twitching which is out of their control. They might zone out or not remember anything after the seizure. 

• Generalized seizures -These seizures affect multiple parts of the brain at the same time. People are barely aware of what’s happening around them. These can be dangerous and frightening to watch. 

Such sudden outbursts can make living with someone with epilepsy difficult. 

How to support someone with epilepsy?

The sudden seizures and the effect it has on the person, makes caring for them an arduous task. One needs to be calm and ready when it comes to looking after someone with this disorder. Here are a few tips that will come in handy while caring for someone with epilepsy. 

• Always be prepared

The seizures are irregular and unpredictable, hence, it’s important that the caretaker is ready for anything that they might have to face in the future. The best way to be prepared is to know what the other person is going through. You can do this by reading more about epilepsy and talking to the doctors and gaining more information about what type of seizure the person has and what to do when someone has a seizure. 

• First Aid 

Since the seizures are so unpredictable, it’s safer to keep a first aid box handy as the patient may hurt themselves. The first thing to do is to ease the person out of the epileptic seizure. Keep them away from other people and let them calm down. In case of any injuries, cover them up. Remove all the obstacles in front of them to avoid clashes. Practice breathing with them. If things get worse, provide them with the required medications or call for help. 

• Observe and take notes 

As a caregiver, one of the best ways to support someone is observing their seizures. Doctors can’t be with the patient the whole day, however, as someone who is usually around the patient, you can observe them and their seizures and take notes of them. You can note down how long the seizure lasts, when and how it takes places, what triggers the seizures, etc. Maintaining a record of all these points will help you and the patient in future treatment. 

• Medications  

It is vital that you provide the person suffering their medications on time. Ensure what dosage they’re having and at what time. It is necessary that the person suffering has their medicines on time for their effective working. Medications will help the person recover and have a better life.

• Be supportive and encouraging

As a caregiver one of the best ways you can help a person with epilepsy, is by encouraging them. A few words of daily encouragement can help them overcome the disorder and get better. The frequent seizures have a great impact on the person and can affect them severely. Hence, it becomes necessary that you take good care of them and help them relieve their anxiety and frustration. Help them focus on the positive aspects of life and engage in activities that will keep them busy and shift their attention. 

• Ensure they get enough rest

Seizures can be exhausting, both mentally and physically. Therefore, sleep is necessary. Ensure that the person is getting enough and sound sleep. Sleep deprivation is one of the triggers of seizures. Hence a sound and peaceful sleep is a must. 

• Make them communicate 

Being dependent on someone and having frequent seizures can deeply affect the mental state of a person. Thus, talking to them and having a conversation can comfort the person, and help in managing epilepsy. 

• Take care of their diet 

When a person has a seizure they’re barely aware of what happens around them. They may tend to skip their meals or ignore their diet. Some may even resort to alcohol in order to overcome this disorder. However, alcohol will only cause further damage to the patient’s body and health. 

• Keep emergency contact ready 

Safety is of most importance. Therefore, in case of any emergency, such as times when the person has a seizure longer than usual, or anything unusual you notice, keep the emergency contact nearby. This way you can immediately call for help without wasting much time. Consult the best neurologist in Delhi for better treatment and care of a person with epilepsy. 

• Teach them relaxing techniques

In order to get someone to overcome their seizure, you should help them relieve their stress and anxiety. Teaching them relaxing techniques will help them soothe themselves and calm them down. Stress is one of the reasons for seizures. By learning relaxing techniques such as meditation or yoga, you can ease out the stress. 

Caring for someone with this disorder can be overwhelming and exhausting. However, it is important to note that this is just as hard for them as it is for you. With proper love, care and medical attention, one can take control of their life. 

Also Read: 

• What Is Parkinson's Disease?

• 5 Tips To Cope With Tragic Flashbacks

• The Effects Of Depression In Your Body

by Dr Chandril Chugh

Development Of Nervous System In A Child :Its Importance

Development Of Nervous System In A Child: Its Importance

A newborn child is a universe in itself. The initial years are of most importance and require great care and attention. There are several changes taking place in the body as the growth takes place at an exponential rate. Most of the development in a child takes place in the first five years. Similarly, the development of the nervous system takes place in the initial years, which later helps the child to learn, speak, think, and carry out several activities. 

The development of nervous system, which comprises the brain and the spinal cord, starts right when the child is in the womb. 

The development of nervous system in childhood depends on various factors such as the child’s environment, relations, and experiences. At birth itself, the brain has approximately 100 billion to 1 trillion neurons. The well development of the brain depends upon proper nutrition and brain-building activities. 

In this blog, we will understand the entire development of nervous system in children. From pregnancy to school age, we will break down each stage, what affects it, and how parents can support it for a healthy future.

What is the Nervous System and Why It Matter in Children?

The nervous system controls everything, from lifting a finger to solving a puzzle. In children, it's the base for growth, learning, and emotional balance.

There are two parts of the nervous system:

• Central Nervous System (CNS): Made up of the brain and spinal cord. It processes thoughts, movements, feelings, and memories.
• Peripheral Nervous System (PNS): Connects the brain and spinal cord to the rest of the body.

So how does it help children?

• Supports movement and reflexes, like crawling, walking, and blinking.
• Controls cognition, or how we think and make decisions.
• Helps with emotion regulation, such as calming down after crying.

In simple words, without a well-built nervous system, a child cannot reach basic milestones like talking, walking, or learning new skills.

Stages of Development of Nervous System in a Child

The development of nervous system doesn’t begin after birth. It starts inside the womb and continues into early teenage years. Let’s break it down stage by stage.

Prenatal Stage (Before Birth)

In this stage, everything begins. Even before a baby is born, the nervous system starts forming.

• The neural tube forms between the 3rd and 4th week of pregnancy.
• The brain and spinal cord start to grow from this tube.
• Folic acid is very important in this stage.
• Genes and the mother's health play a key role.
• Harmful substances like alcohol or smoking can affect brain growth.

Stat: According to NIH, over 300,000 babies are born every year with neural tube defects.

Infancy (0–12 Months)

This is the time when the brain is growing at super speed.

• Billions of connections (called synapses) are made in the brain.
• Vision and hearing start becoming sharper.
• Myelination (a process that helps speed up signals) begins.
• Brain size doubles by the end of year one.

Toddler to Early Childhood (1–5 Years)

Your toddler is now running, talking, and showing personality. That’s all thanks to the nervous system.

• Language skills grow fast.
• Motor skills (like holding a spoon) improve.
• The prefrontal cortex grows. This area controls attention and decisions.
• By age 5, 90% of brain development is complete.

Late Childhood (6–12 Years)

Now comes the polishing phase. The base is already there.

• Brain connections get stronger and more useful.
• Child becomes better at memory, focus, and reasoning.
• Emotional understanding and social behavior grow.

The 6 Stages of Neuron Development in Children

The development of nervous system includes the growth and formation of neurons, which are cells that carry signals in the body. These stages start in the womb and continue through life. Here’s a breakdown:

These stages allow the brain to become faster, smarter, and more efficient. They are a natural part of growth but can be influenced by genetics, nutrition, and environment.

Why Healthy Nervous System Development Is So Important

A strong development of nervous system means your child can do better in life, both in school and outside.

Here’s why it matters:

• Sharp thinking: Better problem-solving and memory.
• Good emotions: Handles stress and makes friends.
• Body control: Better balance, walking, and quick responses.
• Learning: Picks up school lessons quickly and adapts fast.

Signs of Poor Nervous System Development

Sometimes, things don’t go right. And parents need to spot that early.

• Late walking or talking.
• Trouble learning letters, numbers, or sounds.
• Sensitive to lights, sounds, or touch.
• Sudden anger or sadness without clear reasons.

Stat: As per CDC (2023), 1 in 6 children in the U.S. has a developmental disability.

How to Support the Healthy Development of Nervous System in Your Child

Every parent wants to help. Here's how you can support the development of nervous system at every stage.

During Pregnancy

• Start prenatal check-ups early.
• Take folic acid and eat balanced meals.
• Avoid smoking, drinking, and junk food.
• Practice relaxation methods like deep breathing.

In Early Childhood

• Serve a nutrient-rich diet (fruits, veggies, fish).
• Fix a proper sleep routine.
• Encourage active play, crawling, walking.
• Read and talk to the child daily.
• Respond to their needs with love and patience.

When to See a Specialist: Signs of Concern

Not every delay means something serious, but it’s smart to stay alert.

• Child isn't walking by 18 months.
• No words spoken by age 2.
• Muscles feel too floppy or too tight.
• Child avoids eye contact or doesn’t show emotions.

In such cases, meet with a developmental pediatrician or pediatric neurologist.

Factors That Influence Nervous System Development in Children

Many things shape the development of nervous system. Some are in our control; some are not.

The importance of Development Of Nervous System

The nervous system is the engine of the human body. It controls every cell, tissue, and organ system in the body. Hence, it’s crucial that no harm is caused to the nervous system. If the nervous system is harmed, there can be grave repercussions. Every part of the nervous system carries out major functions in the body. The spine, the skull, and the vertebrae thus exist in order to protect these fragile systems.

Note from Dr. Chugh

As a neurologist, I’ve seen how early brain care changes a child’s life. Many parents worry when their child seems different, but acting early makes a big difference. Don’t wait if you see signs of concern.

A child is just as a delicate being as the nervous system. Thus, one needs to take utmost care while bringing them up. At times, because of some complications or heredity and environmental factors, there is the late development process of the nervous system.

In cases such as these, it is important that you seek guidance and treatment from a neurologist. Seek treatment from the best neurologist in Delhi for the well-being of your child. 

If you have questions about your child’s growth or development, feel free to reach out to our clinic.

Book a consultation with Dr. Chandril Chugh today.

Also Read:

• What Is Parkinson's Disease?

• 5 Tips To Cope With Tragic Flashbacks

• The Effects Of Depression In Your Body

Frequently Asked Questions

1. When does the nervous system in a child start developing?

The nervous system starts developing between the 3rd and 4th week of pregnancy. This is when the neural tube forms, which later becomes the brain and spinal cord. For personalized guidance, book a consultation with Dr. Chugh.

2. What food helps in brain development in toddlers?

A diet rich in omega-3 fats, iron, folate, and protein helps with brain development in toddlers. Eggs, fish, spinach, and nuts are all excellent.

3. How can I tell if my baby’s brain is growing well?

You should see growth in movement, eye contact, babbling, and responding to sounds. If you notice delays, consult Dr. Chugh for a checkup.

4. What is the best age for early childhood brain development?

The first 5 years are most important. This is when early childhood brain development is at its peak. Reading, playing, and love during this phase help shape the brain.

5. Can problems in pregnancy affect the child’s nervous system?

Yes. Stress, toxins, poor diet, and infections can affect the prenatal nervous system. Regular checkups and healthy habits are key. Dr. Chugh can help you manage risks.

by Dr Chandril Chugh

7 Possible Causes For Lower Back Pain

Often, we may feel a stinging and sudden pain in the lower back. It can because of sitting for long hours in the same position. Lower back pain is a common condition and usually, there is no cause for concern as it gets better on its own. Almost everyone, at some point in their life, has faced it. However, at times the pain can be as a result of injuries or straining of muscles or because of some diseases, one can feel intense pain or ache in their lower back. 

Symptoms of Lower Back Pain

One can easily detect lower back pain as they feel a dull ache in their back. The pain can be acute or chronic, varying from person to person and what injury they have.  Symptoms can aggravate over time, some of them are -

• Dull ache- The pain is felt in the lower back, usually when there is a minor injury or a muscle strain. One can experience severe spasms, and difficulty in moving. 
• Stinging back pain that affects the buttocks, pelvis, hip, legs and the feet. 
• Pain that intensifies as you sit for long hours, etc. 

What causes lower back pain? 

The human body is an intricate design and is prone to injuries if not taken care of.  There are numerous reasons why one may have a backache. Factors such as age, gender, etc. too can cause lower back pain. The pain can range from minor, dull ache in the back to intense pain that hurts when you move and hampers your daily life. 

Some of the possible causes are -  

• Injuries  

Many a time, one can get severely injured while playing sports, driving or during road accidents or a fall that can inflict injury one. Receiving such a painful blow on the lower back can damage the spinal cord, or leave you with vertebral fractures. In cases such as these, it’s important to seek lower back pain treatment, to avoid any further complications. 

• Sprains and strains

Sprains and strains of the ligaments and muscles, can occur in the lower back suddenly because of some heavy work. This can be as a result of overstretching or tearing in muscles and ligaments. Symptoms can include muscle spasms, pain and stiffness in the back. 

• Disc Injury

The discs are the spongy cushions that are located between the vertebral column. These discs are delicate and are prone to injury as they can tear or herniate. The soft material in the discs can rupture or bulge and affect a nerve. Disc injury can occur after twisting your back or while lifting something heavy. Disc injury may go unnoticed or only seen during an X-ray. 

• Sciatica

A person with sciatica can fell stinging pain that runs down from the lower back to one or both the legs. This is because the pain radiates along the path of the sciatica nerve. Symptoms may include burning pain or piercing of sharp needles. At home, for quick pain relief, one should use an ice pack at the sight of pain. 

• Spinal stenosis 

In spinal stenosis, the spinal canal starts narrowing, which in return can add pressure on the spinal cord and the nerves in the spine. This condition is common amongst people over the age of 50 years. Spinal stenosis occurs due to the degeneration of the discs between the vertebral column. One may experience symptoms such as numbness, cramping and weakness in the legs. The very first symptoms that one may notice is difficulty while walking or standing.

• Abnormal spinal curvature  

When seen in an X-ray, the spinal cord looks like a ‘S’ from the side. This is the normal spine curvature. However, some people are born with deformities. Abnormal curve can cause poor posture and pain as it puts pressure on the tendons, vertebrae, muscles and ligaments. Some of the abnormal spinal curvatures that are detected during childhood or early adolescence are- scoliosis, kyphosis and lordosis. 

• Health conditions. 

There are several health conditions that can be a cause for lower back pain. Some of them are as follows :

• Arthritis is a medical condition wherein there is an inflammation of the joints. It is usually common among people of old age. 
• Pregnancy, endometriosis, ovarian cysts, uterine fibroids, cancer, etc are the lower back pain causes in females. 
• Spondylitis is another type of inflammation between the joints of the spinal cord. 

Can a neurologist help with lower back pain? 

The answer is YES. A neurologist can help with lower back pain. Very often people go to a chiropractor for back pain, however, what is not known is that even a neurologist can diagnose and treat diseases of the back. A neurologist specializes in conditions affecting the brain, nervous system and the spinal cord. They can detect the symptoms and causes for your back pain. 

While lower back pain is a common condition, it is necessary that you seek the proper treatment from an expert. 

by Dr Chandril Chugh

Are You Stroke Smart? Calculate Your Stroke Smart Score

Let’s see if you are stroke smart. Below are eleven questions based on general knowledge about stroke. Try and answer them and then score yourself to see if you are a Stroke Novice or a Stroke GOD.  Every question is one point.

1. What is Stroke?

• Is it how you swim?
• Related to cricket?
• A brain emergency
• A heart disease.
• Its bad, but I don’t know what it is exactly

Answer: Stroke is rapid and sudden damage to the brain. Also known as brain attack or paralytic attack.

2. How common is a stroke?

• Very rare, I haven't heard anything about it.
• It's common but I will never see it in my life.
• Who cares!!!
• It’s so common that someone close to me might be having one right now.

Answer D: Stroke is the third leading cause of death, after coronary heart disease and cancer. On average, someone in the United States has a stroke every 40 seconds. More women die of stroke than of breast cancer.

3. Which organ does stroke affect?

• Brain
• Heart
• Lungs
• Muscles
• Cricket bat

Answer A: Brain, Brain, Brain.

4. How do you diagnose Stroke?

• Stroke is painful, chest pain may occur.
• Stroke can cause a lot of symptoms like weakness, numbness, slurred speech etc.
• Stroke can’t be diagnosed; it is happening quietly inside the body.
• Only doctors can diagnose it.

Answer B: Stroke can cause a lot of symptoms like weakness, numbness, slurred speech etc.  Most of the strokes are painless. Stroke can be diagnosed reliably by patients and their relatives. In fact, its easy to diagnose stroke, keep reading....

STROKE: REMEMBER THE 7 S METHOD TO DIAGNOSE STROKE

SUDDEN (symptoms usually start suddenly)

SLURRED SPEECH ( speech is not clear, as if drunk)

SIDE WEAK ( face, arm or leg or all three can get weak)

SPINNING (VERTIGO) and disbalance.

SEVERE HEADACHE

Sight ( sudden loss of vision)

SECONDS (note the time when the symptoms start and rush to the hospital).

5. Who is at risk of having Stroke?

• Stroke affects old people only.
• Stroke affects unhealthy old people.
• Stroke can affect the young and the old generation.
• Babies don’t have a stroke.

Answer C: Up to one-third of stroke patients belong to the age group of 20 to 60. Even babies can have a stroke.

6. Is paralysis/ stroke treatable?

• No way. It’s permanent.
• Ayurveda or homeopathy may help.
• Yes,  Yes, Yes

Answer C: Yes. Newer treatment modalities have changed the paradigm of stroke treatment. Stroke is very much treatable and the patients do extremely well.

7. What should you do if someone close to you has a stroke?

• Lay them on the floor and get them some water.
• Wait for the symptoms to get better.
• Ask them to sleep, maybe they are tired.
• Rush to the hospital.

Answer D: Rush to the hospital immediately. Don’t waste time. The longer you wait the more brain injury happens. Brain loses 1900000 brain cells every minute.

8. How bad is stroke?

• Not really, no one dies of a stroke.
• Stroke can kill you!
• The stroke will get better, just stay calm.
• Stroke is like the flu. It will pass over.

Answer B: Over 15% of people who have had a stroke die within 30 days, and 15-30% of people who survive a stroke are permanently disabled.

9. Is it worse in women or men?

• Doesn’t matter.
• Men
• Women
• Men have more strokes but women die more often.

Answer D: Women have a higher stroke mortality rate than men. Six in ten stroke deaths occur in women, largely due to strokes occurring later in life in women, when strokes are more dangerous.

10. Is it preventable?

• No, it’s your karma
• Yes, of course, you don’t need a doctor.
• I am not sure
• It's all in the genes.

Answer B: Yes, it is. Control BP, sugar and cholesterol. Stop smoking. Active lifestyle and daily exercise prevent stroke. Some strokes may be genetic though.

11. Until how long is the recovery possible?

• 1 week and then no recovery is seen.
• 1 month
• 1 year
• 2 years.

Answer D: People seem to think that recovery is only possible for the first few days after a stroke, however, patients can continue to recover with physical therapy for up to a year in most cases and sometimes recovery is seen even at 2 years.

Stroke SMART score:

0-4: Stroke Novice

5-7: Stroke Player

8-10: Stroke Pro

11: Stroke GOD

Originally Published On Max HealthCare - Are You Stroke Smart? Calculate Your Stroke Smart Score

Also Read: 

• Sleep Strategies For Complex PTSD

• 5 Tips To Cope With Tragic Flashbacks

• The Effects Of Depression In Your Body

by Dr Chandril Chugh

A Harmless Neck Massage Could Cause Stroke!

by Dr Chandril Chugh

Is Brain Attack Or Stroke An Emergency?

Is Brain Attack Or Stroke An Emergency?

Yes, a brain attack, commonly known as a stroke, is indeed a medical emergency that requires immediate attention and intervention. It can occur due to two main reasons: a blocked vessel (ischemic stroke) or a ruptured blood vessel (hemorrhagic stroke or subarachnoid hemorrhage).

Dr. Chandril Chugh, Senior Consultant and Head of Interventional Neurology of Max Super Speciality Hospital, Saket, says that stroke/brain attack may cause these following symptoms:

• Weakness and numbness on one side of the body
• Difficulty in speaking and understanding the words
• Drowsiness
• Loss of vision
• Severe headaches or in some cases Death.

The severity of a stroke cannot be overstated. Studies have shown that every minute during an ischemic stroke, a patient loses a staggering number of brain cells, nerve connections, and nerve fibers. This rapid loss of brain tissue can result in permanent neurological deficits, leaving the patient paralyzed and dependent for life.

*Symptoms depend on which part of the brain is affected and if not treated well in time, the weakness and other neurological defects may become permanent and extremely disabling.

How Severe Can Be A Stroke?

The severity of a stroke cannot be overstated. Findings from a 2006 study conducted in the USA revealed alarming statistics. For instance, a patient experiencing an ischemic stroke loses a staggering 190,000 brain cells per minute. Additionally, approximately 14 billion nerve connections are severed every minute, while 12 km (7.5 miles) of nerve fibers are lost within the same timeframe. These sobering figures often culminate in permanent paralysis and lifelong dependency, underscoring the gravity of the situation.

How Do You Recognise Stroke?

Recognizing the signs of a stroke is crucial for timely intervention. The "6 S Method" can help in diagnosing a stroke:

• Sudden Onset: Symptoms usually start suddenly.
• Slurred Speech: Speech may become unclear, resembling drunken speech.
• Side Weakness: Weakness may affect the face, arm, leg, or all three on one side of the body.
• Spinning Sensation: Vertigo or dizziness may occur.
• Severe Headache: A sudden and severe headache may indicate a hemorrhagic stroke.
• Seconds Count: Note the time when symptoms start and seek medical help immediately.

Is There Any Treatment For Stroke?

Treatment modalities vary based on the type of stroke. For ischemic strokes, intravenous administration of tPA (recombinant tissue plasminogen activator) within 3 to 4.5 hours of symptom onset is a viable option. Alternatively, patients with blockages in large blood vessels may benefit from Mechanical Thrombectomy, a minimally invasive procedure that restores blood flow by removing obstructions.

The cornerstone of effective stroke management lies in raising awareness among patients and their families. Given that most strokes are painless, individuals may disregard initial symptoms, leading to delays in seeking medical assistance. By educating individuals about stroke symptoms, we empower them to recognize warning signs promptly, facilitating timely intervention and enhancing overall outcomes.

Conclusion:

In addition to medical interventions, lifestyle modifications and preventive measures play a crucial role in reducing the risk of stroke. Adopting a healthy lifestyle, including regular exercise, a balanced diet rich in fruits and vegetables, maintaining a healthy weight, avoiding tobacco use, and limiting alcohol consumption, can significantly lower the risk of stroke. Managing underlying health conditions such as high blood pressure, diabetes, and high cholesterol levels through medication and regular check-ups can also help prevent stroke. Furthermore, staying informed about stroke warning signs and seeking immediate medical attention in case of any symptoms can save lives and prevent long-term disability.

Originally Published On Max Health Care - Is Brain Attack Or Stroke An Emergency?

Also Read: 

• Sleep Strategies For Complex PTSD

• 5 Tips To Cope With Tragic Flashbacks

• The Effects Of Depression In Your Body

by Dr Chandril Chugh

Stroke Is The Number One Cause Of Disability

Stroke is the number one cause of disability and one of the leading causes of death in our country. Stroke disorder is sudden and severe damage to brain cells, resulting in paralysis, coma, and even death. There are three kinds of stroke: ischemic ( blockage of blood vessels), hemorrhagic( known as brain haemorrhage or blood clot in common language) and subarachnoid haemorrhage ( due to aneurysms). Below we discuss the common facts regarding the stroke diagnosis and treatment of brain stroke.

Yes, it is a medical emergency. A brain attack occurs due to a blocked vessel (medically known as ischemic stroke) or due to a ruptured blood vessel (medically known as hemorrhagic stroke or a subarachnoid haemorrhage) followed by stroke death.

• Weakness and numbness on one side of the body
• Difficulty in speaking and understanding the words
• Drowsiness
• Loss of vision
• Severe headaches or, in some cases, Death.

Symptoms and stroke complications depend on which part of the brain is affected, and if not treated well in time, stroke during sleep is also very common; the weakness and other neurological defects may become permanent and extremely disabling.

Can Stroke Be Really Serious?

If I were to say stroke disability is terrible, you will probably not believe me. Being in touch with a neurosurgeon in Patna is suggested. Luckily, some studies have made my job easier. According to a study done by researchers in 2006 in the USA, a patient with ischemic stroke loses 190,00,00 brain cells every minute, about 14000,000,000 nerve connections are destroyed every minute, and 12 km (7.5 miles) nerve fibers are lost every minute. The end result is, the patient gets paralyzed for life and becomes dependent. That’s pretty scary!!! One should be aware of symptoms that cause brain haemorrhage . If the caregiver does not understand english they   should be explained the brain attack symptoms in hindi. 

How Do You Recognise Stroke?

STROKE: REMEMBER THE 6 S METHOD TO DIAGNOSE STROKE

• SUDDEN (symptoms usually start suddenly)
• SLURRED SPEECH ( speech is not clear, as if drunk)
• SIDE WEAK ( face, arm or leg or all three on one side can get weak )
• SPINNING ( VERTIGO)

• Severe headache

• SECONDS ( note the time when the symptoms start and rush to the hospital)

Is There Any Treatment For Stroke?

• 85% of all strokes are ischemic (blocked blood vessels); the treatment depends on stroke classification or which kind of stroke the person has had. For stroke disease treatment there is an option of intravenous medication called tPA (recombinant tissue plasminogen activator), which is given to the patient 3 to 4.5 hours before the onset of the symptoms. The patients who have a blockage in a large blood vessel are offered a mechanical thrombectomy procedure, which involves removing the blockage in the blood vessel and restoring the blood supply. This procedure is performed by a brain specialist doctor in Faridabad using a small nick in the groin, and there is no open surgery involved. Recent trials have shown that patients do exceedingly well post mechanical thrombectomy and have a greater chance of living independently. It's better to consult a neurologist doctor in Jaipur or one amongst the top 5 neurologist in Patna beforehand.
• The most important part of stroke care is not the doctor or hospital; it is the Patient. As most stroke attacks that occur are painless, patients tend to ignore their symptoms and delay their treatment. The caretaker should make a list of the best food for strengthening nerves and follow diet accordingly. If the patient and family are aware of the stroke symptoms, they can reach the hospital in time and get themselves treated. One should be aware of the aspartame side effects on the brain. 

Till What Time Can You Do Mechanical Thrombectomy?

• Mechanical Thrombectomy can now be offered up to 24 hours from the onset of the symptoms but, the sooner it’s done better, the patient does. To know more, you shouldn’t hesitate consulting neuro physician in jaipur.

What Is The Single Most Important Factor In Stroke Care?

• The most important part of stroke care is not the doctor or the hospital; it’s the patient! As most strokes are painless, patients tend to ignore their symptoms and hence delay the treatment. If the patient and the family are aware of stroke symptoms, they can reach the hospital and get treated. One should also be aware of stroke facts like aspartame side effects on the brain and how aspartame slows metabolism.

For any queries or questions regarding stroke like can a neck massage cause a stroke, which mattress is good for spondylitis or other related health issues like elders dural one shouldn’t hesitate to consult a reputed online neurologist . You can also book teleconsultation services to treat further complications.

Originally Published On Max HealthCare – Stroke Is The Number One Cause Of Disability

Also Read: 

• Sleep Strategies For Complex PTSD

• 5 Tips To Cope With Tragic Flashbacks

• The Effects Of Depression In Your Body

by Dr Chandril Chugh

Bi-Plane Labs-Advanced Technology For Neurovascular Procedures!

Bi-Plane Labs-Advanced Technology For Neurovascular Procedures!

Time is of the essence when it comes to neurological ailments. Be it a stroke, aneurysm or head trauma, fast, safe and timely intervention is essential for a good outcome of the patient. Keeping this in mind, the best hospitals in India are investing in Biplane Labs for Neuro-intervention.

This technology aids in the Diagnosis as well as treatment of disorders related to the brain, spinal cord, neck and face. 

Diagnostic:

• Digital subtraction cerebral angiography
• Digital subtraction spinal angiography

Therapeutic:

• • Cerebral aneurysm,
  • Subarachnoid hemorrhage
  • Stroke/ Paralytic attack
  • Intracranial hemorrhage
  • Carotid Stenosis/blockage
  • Brain arteriovenous malformation (AVM)
  • Spinal arteriovenous malformation and fistula
  • Cerebral Venous Sinus Thrombosis
  • Inferior Petrosal Sinus Sampling
  • Carotid-cavernous fistula (CCF)
  • Dural arteriovenous fistula
  • Extracranial (brachiocephalic) atherosclerosis
  • Extracranial (head and neck) and paraspinal vascular malformations
  • Head and neck tumors(paragangliomas, acoustic neuromas)
  • Intracranial atherosclerosis
  • Tumor embolization of Meningiomas and brain tumors.
  • Nosebleeds
  • Nasal angiofibromas embolization
  • Facial AVM  embolization
  • Intraocular chemotherapy
  • Traumatic vascular lesions
  • Vasospasm

• Traumatic Brain Injury

How does the Biplane Labs work?

Dr. Chandril Chugh, Senior Consultant and Head of Interventional Neurology of Max Super Speciality Hospital, Saket says, The biplane labs system produces high-resolution 3D images of the blood vessels to the brain. As the brain blood vessel is highly complex high-quality imaging ensures safety to the patient and is paramount in delivering good results.

This system uses 2 sets of imaging sources & rotating cameras, each moving freely and independently, capturing the image at the rate of 30 frames/ second and from 2 regions of the patient’s head – front to back & side to side. Colourful, detailed, real-time images of the blood vessels are shown on a monitor, where the neuro-interventionalist rotates the image, to plan for further intervention.

 This system works like a GPS for the neuro interventionist by providing a road map to reach the desired location in the brain. Good image quality enables the doctor to perform the procedure both expeditiously and safely at the same time. Interventional Neurologists can safely treat disorders like aneurysms, arterio-venous malformations (AVM), stroke, nose bleeds etc. using minimally invasive techniques and thus eliminating the need for open surgery.  Using specialised microscopic tools, the neuro-interventionalist can coil and repair aneurysms, place scaffolds/stents in blood vessels to maintain a proper blood flow, cut off blood supply to tumours or AV malformations to stop further growth.  Neuro interventionist also helps neurosurgeons to treat complicated vascular tumours and intracranial haemorrhage. Due to the simultaneous imaging of 2 different areas, the amount of time to get the image & the amount of dye required is reduced significantly.

Advantages of Biplane Labs system:

• The advanced software technology that creates the detailed images of soft tissue and the blood vessels. This imaging helps visualise brain vessels, detect the primary site of haemorrhage & help the neuro-interventionalist make accurate and lifesaving decisions
• Minimally invasive endovascular procedures have revolutionised the field of brain and spine interventions and are replacing the need for open surgery. All over the world, these procedures are being done on a biplane machine due to its enhanced safety profile.  
• In a Biplane Labs system, the images are captured simultaneously from 2 regions –frontal view, lateral view, oblique view- which makes the positioning and repositioning of the patient less time-consuming. This ergonomic system is preferred over a single plane, where the positioning of the patient takes significantly longer.
• As mentioned before, the amount of radio-opaque dye used in a Biplane Labs system is considerably less compared to a single plane system. Therefore it decreases the risk of complications due to high volume dye usage.
• Biplane labs provide decreased radiation in comparison to single plane labs, thus are helpful in limiting radiation to the paediatric population. CT scan can be obtained in a minute during the procedure without shifting the patient to the neuroradiology department thus saving a significant time which is very crucial in neuro- intervention.

Biplane labs for neuro-intervention, while more expensive, are preferred by the best hospitals in India due to its advantage. For more information, please visit the neuroscience department of Max Hospitals.

Originally Published On Max HealthCare - Biplane Labs-Advanced Technology For Neurovascular Procedures!

Also Read: 

• Sleep Strategies For Complex PTSD

• 5 Tips To Cope With Tragic Flashbacks

• The Effects Of Depression In Your Body

by Dr Chandril Chugh