(PGIMER CHANDIGARH)
Associate DIRECTOR and Head (Unit)
Neurology
Max Super Speciality Hospital, Shalimar Bagh
New Delhi
Dr. Manoj Khanal is a best neurologist doctor in Delhi
Dr. Manoj Khanal is the best neurologist doctor in Delhi. With an Experience of 15+ years, Dr. Khanal offers treatment for Parkinson, Epilepsy, Headache & Migraine, Trigeminal Neuralgia, Brain Stroke, Alzheimer’s, Bell’s Palsy, and other neurological disorders.
About
Dr. Manoj Khanal
Dr. Manoj Khanal – Best Neurologist Doctor in Delhi
Dr. Manoj Khanal is a highly skilled Neurologist and an innovator in treatments related to the Brain & Spine. He specializes in the treatment of Stroke and Intravenous Thrombolysis, Epilepsy, Headaches, Multiple Sclerosis, Parkinson’s Disease, Dementia, Lower Back Pain, Cervical Spondylosis, Nerve Problem, Muscle Problem, Spinal Problem, Eye Movement Problem, Myasthenia Gravis, Optic Neuritis, Guillane Barre Syndrome, Botox Treatment for various disorders. Over the years, he has been a mentor and guided many skilled & upcoming neurologists. His experience and proven abilities in neurology have ensured positive outcomes in both emergency and medical management of cases.
Achievements, Awards and Publications:
Treatments
STROKE
HEADACHE
EPILEPSY
PARKINSONS
DEMENTIA
ALZHIEMERS
MULTIPLE SCLEROSIS
NEUROMUSCULAR DISORDERS
Infections of the nervous system, like Encephalitis, Meningitis, and Brain Abscesses
Spinal cord disorders, including inflammatory and autoimmune disorders
CHALLENGING CASES
MEDIA PRESENCE
Past Events
APICON 2024 Delhi
Dr. Manoj Khanal is one of the Best Neurologist in Delhi. With more than 15 years of experience, Dr Manoj Khanal has treated more than 20k patients.
Talk on RBD (Sleep Disorder) with North Delhi Physician Forum
Dr. Manoj Khanal is one of the Best Neurologist in Delhi. With more than 15 years of experience, Dr Manoj Khanal has treated more than 20k patients.
Blog
What to Avoid When Someone is Having a Stroke?
Stroke is often known as a silent killer because it can happen without any warning and remains as one of the leading causes of death and disability around the world. When someone experiences a stroke, there is an immediate stop of the blood supply to the brain. The blood flow stops because a blood vessel ruptures or there is a blockage in a blood vessel. It is a deadly instance because people can have a stroke and not know about it, leading to a permanent damage in the brain. Stroke is a severe medical condition that requires immediate medical intervention. We at Max Healthcare have a dedicated centre of neurosciences and the best neurologist in Delhi for stroke treatment.
Stroke can be life-threatening and can even lead to permanent disability. There are certain essential things that a person suffering from stroke or the ones near them must follow in case of such an instance.
Here are things to avoid when someone is having a stroke:
Do not Let the patient Go to Sleep
It is important not to let the person who’s experiencing a stroke to go to sleep. People who have a stroke usually feel sleepy, and all that happens suddenly without any warning signs. Stroke treatment is time sensitive and letting a person sleep can be life-threatening. Even if the person is refusing to visit a hospital, it is important to call an ambulance and take them before any considerable damage.
Do not Drive them to the hospital
It is never advisable to drive a stroke patient to the hospital and never let the person drive themselves as stroke can impair the ability to drive safely. Always call an ambulance whenever someone is a having a stroke. Ambulances are equipped with necessary life-saving equipment, drugs and healthcare professionals who can immediately save the life of the patient. Emergency responders can start life-saving treatment as soon as they reach the patient which can help minimise damage.
Refrain from giving the patient anything to Eat or Drink
It is better to avoid eating or drinking when the person is experiencing a stroke. Since a stroke can cause muscle weakness throughout the body and can even lead to paralysis, a person suffering from a stroke can choke on food, water and have difficulty in swallowing.
Do not Give Them Any Medication
Do not self-medicate the person having a stroke. Usually, people believe that giving aspirin will help, but it does not because it is not always a blood clot that causes a stroke. It can be caused by a ruptured blood vessel and giving aspirin in such a situation will make the bleeding worse. To maximise chances of survival, it is essential to call an ambulance right away.
The points mentioned above are critical and must be followed without fail. A stroke can be deadly and life-threatening, so it is crucial never to delay in seeking medical attention. Most people will wait and observe if the symptoms will improve; however, it is one of worst things to do as it increases the chances of death or disability significantly. Remember, every second count when someone is experiencing a stroke. So, act wisely and fast!
Dr. Manoj Khanal is one of the Best Stroke Specialist in Delhi. With more than 15 years of experience, Dr Manoj Khanal has treated more than 20k patients.
Everything You Need to Know About Amyotrophic Lateral Sclerosis (ALS)
Amyotrophic lateral sclerosis, also known as ALS, is a nervous system disease in which the neurons in the brain, as well as spinal cord, are attacked. The function of the neurons is to transfer messages from the brain and spinal cord to the voluntary muscles. The voluntary muscles are the ones which can be controlled, like in the arms and legs. ALS being a progressive disease can get worse as time passes. As it affects the nerves in the brain and spinal cord that control the muscles, the muscles get weaker and, this creates difficulty in walking, talking, eating, and even breathing. One should visit a brain hospital as soon as these symptoms start to appear.
Symptoms of Amyotrophic Lateral Sclerosis (ALS)
Some of the earliest signs of ALS include:
- Constant tripping and falling
- Difficulty in walking or doing the normal daily activities
- Weakness in hand or clumsiness
- Difficulty holding the head up or maintaining a good posture
- Weakness in leg, feet or ankles
- Muscle cramps and twitching in arms, tongue, and shoulders
- Trouble swallowing or slurred speech
Types of ALS
There exist two main types of ALS:
- Sporadic ALS: This being the most common form of ALS, affects up to 9 percent of individuals diagnosed with the disease. Sporadic means it sometimes happens without an apparent cause.
- Familial ALS (FALS): This type of ALS runs in families. However, only 5 to 10 percent of individuals with ALS have this type. A faulty gene passes to the children through their parents. If one parent has the ALS gene, each of their children will have a 50 percent chance of inheriting the gene and being diagnosed with the disease.
Causes of ALS
ALS is inherited in 5 to 10 percent of cases, while the remaining cases have no known cause. As per the researchers, these could be the several possible causes of ALS:
- Chemical Imbalance: Individuals with ALS usually have higher than normal levels of glutamate, which can be toxic to some nerve cells. Glutamate is a chemical messenger present in the brain, near the nerve cells in their spinal fluid.
- Gene Mutation: Many genetic mutations can lead to inherited ALS, which has almost similar symptoms as the non-inherited form.
- Protein Mishandling: Mishandled proteins present inside the nerve cells may accumulate which can eventually destroy the nerve cells.
- Disorganized Immune Response: At times an individual’s immune system starts attacking some their normal cells, which may kill the nerve cells.
Risk Factors for ALS
Some of the established risk factors for ALS are:
- Heredity: 5 to 10 percent of the individuals with ALS inherited it, which is known as familial ALS.
- Age: The risk of ALS increases with age and people between the ages of 40 and 60 are more prone to be diagnosed with this disease.
- Sex: Slightly more males than females develop ALS before the age of 65. This sex difference tends to disappear after age 70.
- Genetics: There exist certain similarities in the genetic variations of individuals with familial ALS and some individuals with non-inherited ALS. These genetic variations might make individuals more vulnerable to ALS.
Damage done by amyotrophic lateral sclerosis cannot be cured by treatments, however; medicines can slow the progression of symptoms, prevent complications and make an individual more independent as well as comfortable. One may require an integrated team of doctors skilled in multiple areas and other healthcare professionals to offer the right care. Doing this may prolong a patient’s survival and improve their quality of life.
Dr. Manoj Khanal is one of the Best ALS Doctor in Delhi. With more than 15 years of experience, Dr Manoj Khanal has treated more than 20k patients.
What Do You Need to Know About Locked-In Syndrome?
There are over 600 neurological disorders. Each one has its own shocking complications and symptoms that prove the fact that human mind is way more complex than what we conceive. Even a simple defect in the smallest of the nerves can result in challenging complications.
While you may have heard of common neurological conditions like brain tumor disease or may even know about brain stroke symptoms or brain tumor treatment, there are various other neurological conditions you might have never heard. One such rare neurological disorder is “Locked-In Syndrome”.
Also known as pseudocoma, Locked-In Syndrome (LIS) is a condition in which the patient loses the ability to move all voluntary muscles except for some like blinking of the eyes. To put it in simple words, the patients suffer from a complete paralysis where though they are aware of their surroundings, it is impossible for them to make any movement or use verbal communication. Another condition known as total locked-in syndrome causes paralyses even to the eyes; thus, barring communication.
Here is what you need to know about locked-in syndrome:
Signs and Symptoms
The syndrome is mainly characterized by the complete loss of movement in the voluntary muscles. However, there are some other signs and symptoms as well which may vary from one patient to another.
Patients suffering from locked-in syndrome are not able to speak or make any facial movement. The only way they can communicate is through blinking or eye movements. They can understand everything that happens around them and recognize people as their cognitive function remains unaffected during locked-in syndrome.
Causes
Locked-in syndrome is often caused by damage to a specific part of the brain known as pons which contains the important neuronal pathways between the cerebellum, spinal cord and cerebrum. A damage to this part interrupts the movement of motor fibers running from grey matter in the brain causing paralysis. Here are some of the causes and conditions that may lead to locked-in syndrome:
- Amyotrophic Lateral Sclerosis (ALS)
- Brainstem stroke
- Traumatic brain injury
- A stroke or brain hemorrhage
- Lesion of the brain stem
- Infection in the certain part of the brain
- Poisoning from krait bite or other neurotoxic venoms
Diagnosis
There are various other disorders like Akinetic mutism and a Guillain–Barré syndrome that exhibit symptoms similar to that of locked-in syndrome. This makes it difficult to recognize the occurrence of locked-in syndrome and hence the delay in treatment. Therefore, it is vital that one should seek medical consultation from hospitals that have an excellent neurological department.
We at Max Healthcare have highly experienced neurologists who have specializations in all type of neurological disorders and neurosurgery like brain tumor surgery. Some of the diagnostic tests that are performed for locked-in syndrome include Magnetic Resonance Imaging, Magnetic Resonance Angiography and Electromyography.
Treatment
Though there is no specific treatment for locked-in syndrome, there are some therapies and supportive care methods that can increase the chances of recovery. In most of the cases, the doctors try to treat the underlying cause of the syndrome. They may also recommend tracheotomy to aid the patient in breathing.
Furthermore, to ensure that the patient gets enough nutrition, gastrostomy (where a feeding tube is inserted in the stomach) is performed as feeding and drinking via mouth is not possible. A special therapy called functional neuromuscular stimulation can also be used to stimulate muscle reflexes which can activate paralyzed muscles.
Another essential and effective treatment option is care, support and hope of the family members who can help the patient fight this unfortunate condition.
Dr. Manoj Khanal is one of the Best Neurologist in Delhi. With more than 15 years of experience, Dr Manoj Khanal has treated more than 20k patients.
OPD Slots
Max Super Speciality Hospital, Shalimar Bagh New Delhi:
Monday to Saturday: 12pm to 4pm
Except Sunday.
Clinic:
AB10; Shalimar Bagh; Delhi: 6pm to 10pm
1. Sonipat: Tulip Hospital: 3pm to 4pm every 2nd and 4th Thursday.
2. Panipat: Rabindra Hospital: 5pm to 7pm every 2nd and 4th Thursday.
3. Bahadurgarh: Mission Hospital: 1pm to 3pm. Last Sunday every month.
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