Some of these neurological diseases are known to you, and some are unknown. But people affected by diseases are around you.
Gulen Bari Syndrome
A patient with Gulen-Barry syndrome (GBS) suddenly becomes weak in their arms and legs. In most cases, two to one week before the onset of the disease, the patient has loose stools or a cold, cough, or fever. Sometimes the disease can occur even after vaccination.
In this disease, the patient’s legs suddenly become paralyzed; the paralysis gradually moves upwards; and sometimes the hands are also affected. Sometimes shortness of breath begins, which takes the patient into a very critical condition.
Plasmapheresis, or an injection of immune globulin in the first week after the onset of GBS, gives good results. If respiratory distress begins, the patient should be admitted to the ICU without delay.
The role of physiotherapy in the treatment of GBS patients is immense. About 80 percent of GBS patients recover completely if given the right treatment at the right time.
Trigeminal Neuralgia
The trigeminal nerve carries our facial sensations to the brain. If this nerve is affected for any reason, the patient experiences severe pain in the face. It is called trigeminal neuralgia. A patient suffering from this disease has severe pain like an electric shock on either side of the face.
This disease increases when you brush your teeth or bite something. Typically, blood vessels in the brain are what put pressure on the trigeminal nerve to cause this disease. However, in some cases, a brain tumour or multiple sclerosis can also cause this problem.
Treatment of trigeminal neuropathy is mainly of two types: medication and surgery. Drugs like carbamazepine are very effective in treating this disease. Carbamazepine has many side effects, so patients should be cautious while taking this medicine. A surgical treatment called microvascular decompression is very effective in treating this disease.
Peripheral Neuropathy
The tingling sensation is very uncomfortable. Along with this, many times one’s hands and feet become paralyzed, bite, hurt, and do not sleep. In medical terms, this problem is called ‘peripheral neuropathy’. The prevalence of this disease is higher in the legs than in the hands.
When the problem is complicated, sometimes the sensation in the legs is reduced. Even if the sandal is removed from the feet, the patient does not feel it.
Peripheral neuropathy can be caused by many reasons. These include diabetes, thyroid hormone problems, kidney disease, drug side effects, and vitamin deficiency.
Pregabalin, amitriptyline, and vitamin B are very effective in treating this disease. Also, if you have diabetes, it should be controlled. Consult a neurologist if necessary.
Parkinson’s Disease
Unexplained shaking of hands and feet, slowness of walking, inability to balance the body, etc. are symptoms of Parkinson’s disease. Parkinson’s is usually a disease of old age, but in some cases, Parkinson’s can occur at a young age.
Symptoms of Parkinson’s disease include slowness of walking, slurred speech, reduced size and speed of writing, tremors of hands or feet, stiffness of arms and legs, and an inability to maintain balance. Apart from this, memory loss, restlessness, anxiety, etc. are also seen in Parkinson’s disease.
In most cases, the cause of Parkinson’s disease is unknown. Drug side effects, brain inflammation (encephalitis), strokes, and other factors can all cause Parkinson’s disease. If someone has Parkinson’s at a young age, we must also keep in mind a disease called ‘Wilson’s disease’.
Parkinson’s disease is not curable, but it is controllable. Before starting the treatment of this disease, the symptoms of the disease, the treatment process, the side effects of the drugs, and the patient’s long-term well-being should be discussed in detail with the patient. Dopamine drugs are very effective in treating this disorder. Regular exercise keeps Parkinson’s disease under control.
Restless Leg Syndrome
Many people move their legs unnecessarily during sleep at night, which creates sleep problems for themselves and those who live with them. In medical terms, this problem is called ‘restless leg syndrome’.
Patients with this disease are better at walking. But when sitting or lying down, the discomfort starts between the legs and is relieved by moving or walking. Problems are less in the morning and increase in the afternoon or at night.
The treatment of restless leg syndrome is divided into three categories:
Tip: It is better to take a bath before going to bed at night. Wearing tight socks or ‘elastic stockings’ to sleep reduces this problem. You can put a heavy blanket on your feet if you don’t have tight socks.
Medicines: Medicines like dopamine are very effective in treating this disorder. Sometimes doctors also use drugs like clonazepam it.
Treating the cause: If you have restless leg syndrome, you need to find out if there is a reason behind it. Restless leg syndrome is associated with anemia, kidney disease, or Parkinson’s. First, the cause should be treated, and then this problem of leg movement for no reason will be reduced to a great extent.
Bell’s Palsy
Suddenly, one day, he was startled to see himself in the mirror; it seemed that one side of his face was crooked. Lips are curving strangely when smiling, eyes can’t close properly, and water is rolling down the corners of the lips when drinking. The name of this disease is Bell’s palsy.
This disease occurs when there is a problem with the facial nerve that controls the muscles of the face. The facial nerve has a long path from the brain to the mouth, and a problem in any part of it can damage the facial nerve. Sometimes a virus infection is also behind it.
In the case of Bell’s palsy, a neurologist should be contacted as soon as possible; delaying treatment may result in less benefit. Physiotherapy is the main treatment after treatment with antiviral and steroid drugs.
Tosis
Sometimes one eyelid suddenly closes. Those eyelids cannot be opened, even after trying. This problem is called tosis. This disease occurs when there is a problem in the third cranial nerve. Reasons for this range from brain tumors and strokes to uncontrolled diabetes, eye muscle problems, etc. It is important to determine the cause. Then treat accordingly. Since uncontrolled diabetes causes such neurological complications, it is important to control diabetes.
Dr. Nazmul Haque: Assistant Professor (Neurology), National Institute of Neurosciences and Hospital, Dhaka
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