The Neurologist heard all the Parkinson’s disease symptoms Mr Bhatia had to share and after a thorough examination, suggested that he might be having early Parkinson’s disease. While there are no conclusive tests, the doctor said that the combination of his symptoms and findings on physical examination made the diagnosis very likely and that he would order a few investigations that would make the diagnosis more secure.
Stroke is the third leading cause of death and the leading cause of major disability worldwide. A stroke, otherwise called ‘Brain Attack’, is a sudden loss of brain function and injury to part of the brain resulting from damage to the blood vessels supplying the brain.
Neurological disorders refer to a group of diseases of the brain, spine and nerves. There are nearly 600 diseases of the nervous system, including stroke, migraine, brain tumors, epilepsy, Alzheimer's disease, and Parkinson's disease.
One of the simple ways to determine if a person is having a stroke is to remember the acronym BE-FAST
B – Balance problems
E – Impaired vision in one or both eyes, double vision
F – Face: Drooping of face, uneven smile
A-Arms: Inability to raise both arms equally
S – Speech: Slurring or difficulty in repeating simple sentences
T – Time: Rush to the nearest hospital with stroke care services with minimum delay. Every second count after a brain attack
It begins with impairment in memory but gradually progresses to involve all aspects of brain functioning. The patient may have difficulty in performing day to day tasks. Drug treatment is effective only if the disease is treated in the early stages.
Severe headaches are not always due to a brain tumor. Migraine and other types of headache can also cause a severe headache. However, it is imperative to consult a neurologist when you have a severe headache to consult a neurologist who will identify the cause after examining the patient and doing necessary investigations.
After taking a thorough medical history, the neurologist will proceed to do a general physical examination. The Neurological examination assessment of higher mental functions, speech, cranial nerves, testing on muscle strength, sensation and coordination. He may then proceed to order some basic investigations to support the diagnosis such as EEG, MRI and Nerve conduction studies.