Dr neha surana on scope&limitationofhomeopathyforneurologicaldisorders

Scope of Homeopathy in Scope of Homeopathy in Neurological disordersNeurological disorders

Neurological diseases in OP Neurological diseases in OP May 1998-August 2000May 1998-August 2000

• Neurological cases: 5728

• Received Homeopathy: 1,550

Neurological disorder

• Neuroanatomic Syndromes

• Neurocliical Syndromes

• Neuropathologic syndromes

Neuroanatomic Syndromes

• Cerebral cortex – Gray and white matter

• Basal Ganglion and Thalamus

• Hypothalamus

• Cerebellum

• Brain Stem

• Spinal Cord

• Anterior horn cell

• Peripheral nerve

• Neuromuscular

junction

• Muscle

Neuroclinical Syndromes

• Disorders of consciousness

• Disorders of behavior and cognition

• Sleep disorders• Disorder of speech

and language

• Motor weakness• Movement disorders• Epilepsy• Disorder of sensation• Bladder and bowel

dysfunction• Vertigo

Neuropathologic syndromes

• Infectious disorder

• Demyelination

• Metabolic disorders

• Toxic disorders

• Genetic disorders

• Neoplastic diseases

• Neuro trauma

• Vascular disorders

Disorder of Consciousness

Spectrum of alteration of consciousness

2. Inattention

3. Drowsiness

4. Stupor

5. Coma

6. Brain death

Causes of alteration consciousness

2. Supra tentorial diffuse structural disease

3. Infra tentorial disease

4. Metabolic disease.

Cognitive and Behavioral Disorders

• Organic brain syndrome– Delirium– Dementia

• Psychosis– Schizophrenia– Mania– Depression – Compulsive neurosis

• Personality disorders• Neurosis

– Anxiety– Hysteria

Anxiety Disorders

Phobic anxiety disorders• Agoraphobia• Social phobias• Specific phobias

Generalized anxiety disorder

Panic disorders

• Homeo remedies– Aconite– Arsenic album– Argentum nitricum– Causticum– Gelsemium– Ignatia– Phosphorus

Hysteria (Dissociative disorders)

• Dissociative amnesia• Dissociative fugue• Dissociative stupor• Trance and possession

disorder• Dissociative motor

disorder• Dissociative convulsion• Dissociative sensory

disorders

Homeo remedies– Ignatia– Aquilegia– Castoreum– Moschus– Pothos foetidus– Platina– Valeriana

Speech Disorder

A. Disorder of articulation -> Brain stem cranial nerve diseases

B. Disorder of phonation -> Laryngeal and cranial nerve diseases

C. Disorder of language -> Diseases of speech center cortical – Expression problem– Auditory and visual reception problem– Reading writing problem

Sleep Disorders

• Disorder of initiation and maintaining sleep – Insomnia

• Disorder of excessive sleepiness

• Disorder of excessive day time sleepiness– Narcolepsy

– Cataplexy

– Sleep Apnea

• Disorder of sleep wake cycle

• REM sleep related parasomnias

• Sleep arousal syndromes

• Sleep wake transition disorders

Restless Leg SyndromeRestless Leg Syndrome

Restless Leg Syndrome Restless Leg Syndrome

Essential featuresEssential features• desire to move the extremities, often associated

with paresthesias/dysesthesias

• unpleasant creeping sensation ;arising deep within the legs and occasionally in the arm.

• motor restlessness;

• worsening of symptoms at rest with at least temporary relief by activity.

Restless Leg Syndrome Restless Leg Syndrome Other featuresOther features• Sleep disturbance,• Periodic limb movements in sleep and similar

involuntary movements while awake, • A normal neurological examination in the

idiopathic form, • A tendency for the symptoms to be worse in

middle to older age• In some cases, a family history suggestive of an

autosomal dominant mode of inheritance.

Restless Leg Syndrome causesRestless Leg Syndrome causes

IdiopathicIdiopathic

• Anaemia

• Polyneuropathy

• Cancer

• Motor neuron disease

Zincum metallicumZincum metallicum

• Kent– Incessant and violent

fidgetiness of feet in sleep and also when awake.

– Formication of feet and legs as from bugs crawling over the skin, preventing sleep - .

• Allen Key notes– Excessive nervous moving

of feet in bed for hours after retiring,even when asleep-

• Boericke– Nervous motion of feet

when asleep

– Body jerks

– Feet in continued motion;cannot keep still

• K.N.Mathur– Fidgety feet,must move

them constantly

– Twitching and trembling even during sleep

ZZincum metallicum incum metallicum

==Restless Leg SyndromeRestless Leg Syndrome

RLS CasesRLS Cases

• Period: Sept 99-June 2000

• No of cases : 22

• Male:Female: 15:7

• Age: 35-55years

• Duration of symptoms: 2-20years

Associated diseasesAssociated diseases

• Hypertension 1

• Diabetes mellitus 1

• Epilepsy 3

OutcomeOutcome

• Complete recovery: 11

• Partial recovery: 02

• No follow up: 09

Case 1Case 1

• Age: 51years Male• Profession: Lecturer• Duration of symptom: 20years• Symptoms: Creeping sensation in the legs,

relieved by moving or massaging leg at night with sleep disturbance (2am-10am)

• Treatment received : Nitrovet 5mg BD for 5years without any relief

Case 1Case 1 TreatmentTreatment

Zincum met 200 one dose given on

Sept 30th 98.

Follow up: Symptoms improved

remarkably with in two days.

Patient was symptom- free after a

month.

Case 2Case 2• Age : 37years• Duration of symptoms : 2years • History :On 18th Oct 98 at 1am tingling sensation

in the legs;fainted ,when he tried to get up to move his leg.Admitted in Apollo Hospital to investigate for Stroke.

• On further inquiry, these sensation were present over two years at rest, relieved by leg movement. Jerking of legs in sleep

Case 2 TreatmentCase 2 Treatment

• Treatment: Zinc met 200 one dose

• After two days his symptoms

disappeared completely.

Other Homeopathic Remedies for Other Homeopathic Remedies for RLSRLS

• Medorrhinum: Intense restless and fidgety

legs feet. Lower limbs ache all night;

preventing sleep. Heaviness of legs, walking

very difficult.

• Graphites: Fidgety while sitting at work.

Allopathic TreatmentAllopathic Treatment

• Benzodiazepines

• L-dopa and bromocriptine

• Opioids

Zincum metallicum can be considered as Zincum metallicum can be considered as

a specific homeopathic remedy to treat a specific homeopathic remedy to treat

Restless Leg SyndromeRestless Leg Syndrome. .

Nocturnal Cramp

• Spasm of calf muscle at night disturbing sleep

• Primary familial• Secondary

– Salt loss– Pregnancy– Renal failure

• Medical treatment– Magicium– Calcium– Vit E– Quinine– Quinidine– Phenytoin

• Homeopathic Tretment – Cuprum Metallicum

Cuprum Metallicum in Cramp

• Total cases 78

• Male 41

• Females 39

• Result– Improved 45– No impovement 09– No follow up 24

Motor Weakness

Site of lesionCortical subcortical

Brain stem

Spinal cord

Anterior horn cell

Nerve

Myoneural junction

Muscle

CausesTrauma

Tumor

Infection

Vascular

Degenerative

Demyelination

SyndromesQuadriplegia

Hemiplegia

Paraplegia

Monoplegia

Focal

Movement disorder

RhythmicTremor – Fast and slow

Arrhythmic– Fast

• Chorea

– Slow• Dystonia• Athetosis

– Mixed• Dyskinesis

Medical treatmentBeta blocker

– Halloparidole

– Pacitan ,– Beclofen– Botox toxin

Epilepsy

• Focal – Motor– Sensory– Psychic

• Generalized– Major

• Tonic• Clonic• Myoclonic• Tonic clonic

– Minor • Petit Mal

• Complex partial

• Focal motor– Cup met

• Generalized tonic clonic: – Cicuta: – Absinthium– Hydrocyanic acid

Disorder of Sensation

Paresthesias– Tinglingling numbness– Burning

CausesPeripheral nerve

Central

Psychogenic

Pain

Headache

Backache

VertigoVertigo

A hallucination of motion in which A hallucination of motion in which

either the patient feels himself either the patient feels himself

spinning or the surroundings spinning or the surroundings

spinningspinning..

Vertigo CasesVertigo Cases

• Duration - Duration - May’98- June2000 May’98- June2000

• Total cases Total cases 321321

• Age - Age - 20 to 75years 20 to 75years

• Sex - Sex - F:132 : M :189F:132 : M :189

Types of Vertigo Types of Vertigo

• Vestibular 262

• Cervical 48

• Central 21

ConiumConium

Vertigo on lying down, turning over in bed,

turning head sideways (esp.to left),turning eyes

Treated : 123 ( 38%)

Relieved : 103 ( 84% )

Unreported : 21

BryoniaBryonia

Vertigo from motion, rising from bed. Ameliorated

by lying down and head rest.

Treated : 149 ( 46%)

Relieved : 105 (70%)

Not relieved : 15 (10%)

Not reported: 29 (20%)

CocculusCocculus

Motion sickness (nausea with vertigo) on traveling and

walking

Treated : 30 (9%)

Relieved : 15 (50%)

Not relieved : 05 (16%)

Unreported : 10

BoraxBorax

Vertigo on looking downwards, descending steps, coming down in a lift.

Treated :02

Relieved :02

LachesisLachesis

Vertigo on waking from sleep or in sleep; on

closing eyes.

Treated :01

Relieved :01

SummarySummary

Relieved

259 (80%)

Not relieved

16

Not reported 46

Total 321

Vertigo Trio

1. Bryonia

2. Conium

3. Cocculus

Postural HypotensionPostural Hypotension

Postural Hypotension - CasePostural Hypotension - Case

• A 45 year old diabetic male patient transferred

from other hospital having severe fall in BP to 0

mm Hg on standing with repeated fall.

• He was given Bryonia 200,1 dose after which

the patient showed immediate improvement in

blood pressure

Postural HypotensionPostural Hypotension

• Fall in blood pressure more than 30mm Hg

systoloic/ 20mm Hg diastolic on changing

position from lying to sitting and from sitting to

standing.

• Associated with

giddiness,palpitations,sweating,swaying and fall.

Causes of Postural HypotensionCauses of Postural Hypotension

Peripheral1. Diabetic neuropathy

2. Alcoholic neuropathy

3. Guillian-Barre syndrome

4. Familial dysautonomia

Central

1. Shy-Dager syndrome

2. High spinal cord

transection

Bryonia in Postural Hypotension Bryonia in Postural Hypotension CasesCases

Neurocardiac Syncope: 10

Diabetic Neuropathy: 2

Parkinsonism: 2

HIV: 1

Spinal cord Injury: 2

Total 17

Commonly used drugsCommonly used drugs

• Bryonia: 149 Giddiness on rising• Arnica: 124 Soft tissue injury• Conium: 123 Giddiness on head movement• Cup met: 78 Cramps of calves• Rhustox: 78 Fibrous tissue injury• Ignatia: 76 -> emotional trauma• Causticum: 55 -> Facial palsies• Ars alb: 47 Constitutional• Zinc met: 38 RLS/Sleep myoclonus• Pulsatilla: 35 Constitutional

Commonly used drugsCommonly used drugs

1. Nat.mur: 34 Constitutional2. Cocculus: 30 Vertigo on

motion3. Ruta: 30 Tendon injury4. Lachesis: 27 Constitutional5. Arg.nit: 26 Constitutional6. Gelsemium: 25 Constitutional7. Hypericum: 24 Spinal Injuries8. Agaricus: 15 Facial twitching9. Sanguinaria: 10 Constitutional10. Cicuta: 9 Epilepsy

Mode of PrescribingMode of Prescribing

Constitutional Causation Key notePulsatilla Ignatia Bryonia

Nat mur Aconite Conium

Ars.alb Opium Cocculus

Lachesis Hypericum Cup.met

Arg.nit Arnica Zinc.met

Gelsemium Rhustox Causticum

Sulphur Ruta Agaricus

Calc carb Symphytum Plumbum met

Nux vomica Nat sulph Borax

Lycopodium Bellis per Cicuta

Thank YouThank YouDr. Neha SuranaDr. Neha Surana, ,

Sumati Polyclinic,Sumati Polyclinic,6 Dealing Corner, Opp Sambhaji Park, Jangali Maharaj RD, Jangali Maharaj Road, Pune - 4110046 Dealing Corner, Opp Sambhaji Park, Jangali Maharaj RD, Jangali Maharaj Road, Pune - 411004 IndiaIndia Phone: +9120-25538904Phone: +9120-25538904Mobile: +91 9881156677Mobile: +91 9881156677 Visiting hours at Sumati Homeopathy polyclinicVisiting hours at Sumati Homeopathy polyclinic - Noon: 12 PM to 2PM, Evening: 5 PM to 7 PM - Noon: 12 PM to 2PM, Evening: 5 PM to 7 PM Email :Email : drnehasurana87@gmail.com drnehasurana87@gmail.comSkype: drnehasurana87Skype: drnehasurana87Twitter:drnehasurana87(Twitter:drnehasurana87(https://twitter.com/#!/drnehasurana87https://twitter.com/#!/drnehasurana87))Linkedin: Linkedin: http://www.linkedin.com/profile/edit?trk=hb_tab_pro_tophttp://www.linkedin.com/profile/edit?trk=hb_tab_pro_top