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Showing posts from January, 2025

How Our Brain Makes Choices About Liking and Disliking:- Prof. (Dr.) Rohit Chhirolya, MD, DM (Neurology) Blog

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Every day, we make countless choices—what to eat, whom to befriend, which music to enjoy, and even what values to uphold. But how does our brain decide what we like and dislike? Is it purely a neurological process, or does consciousness play a role? In this article, we explore this question through the lens of neuroscience, Bhagavad Gita, and insights from Sadhguru. ⭕️  The Neuroscience of Liking and Disliking www.NilakanthaBrainClinic.com Our brain’s preferences are shaped by a complex interaction of neurons, neurotransmitters, and past experiences.  The key players in this process are: 1. Dopamine & Reward System • The brain’s dopaminergic system influences pleasure and motivation. When we experience something enjoyable, dopamine is released in the ventral striatum (part of the basal ganglia), reinforcing that preference. • If an experience causes discomfort, the brain suppresses dopamine release, leading to aversion. 2. Amygdala & Emotional Memory ...

Essential Cryofibroginemia:- An Iconic Research by Prof. (Dr.) Rohit Chhirolya MD, DM

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Prof. (Dr.) Rohit Chhirolya, a distinguished Consultant and Interventional Neurologist, has made significant contributions to the field of neurology through his extensive research and clinical expertise. His work encompasses a broad spectrum of neurological disorders, with a particular focus on rare and complex conditions. One of his notable research endeavors includes the diagnosis and study of cryofibrinogenemia, a rare blood disorder characterized by the presence of cryofibrinogen proteins in the blood plasma, which precipitate at cold temperatures. This condition can lead to various clinical manifestations, including purpura, ulcers, and, in severe cases, gangrene. In a published case study, Prof. Chhirolya detailed the clinical reasoning involved in diagnosing a 30-year-old man who presented with acute paraplegia and left foot gangrene. Through meticulous clinical evaluation and diagnostic investigations, he identified the underlying cause as cryofibrinogenemia, highlighting the...

Best Neurologist for Spinal Disc diseases (Cervical & Lumber spine PIVDs)

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  Prof. (Dr.) Rohit Chhirolya, a distinguished neurologist based in Cuttack, has dedicated over 19 years to the non-surgical management of spine disc diseases. Throughout his career, he has treated approximately 150,000 patients, achieving a remarkable success rate by avoiding surgery in nearly 99% of cases. His holistic approach emphasizes prompt and complete recovery, enabling patients to become medicine-free swiftly and regain their quality of life.  Understanding Prolapsed Intervertebral Disc (PIVD) A Prolapsed Intervertebral Disc (PIVD), commonly known as a herniated or slipped disc, occurs when the nucleus pulposus (the soft, gel-like center of the disc) protrudes through a tear in the annulus fibrosus (the disc’s tough outer layer). This condition can affect both the cervical (neck) and lumbar (lower back) regions of the spine, leading to pain, numbness, or weakness due to nerve compression.  Cervical Spine PIVD In the cervical spine, disc herniation can cause ...

Neurologist as Wonderful Researcher

Prof. (Dr.) Rohit Chhirolya, a distinguished neurologist, has significantly contributed to the field through his extensive research. His work encompasses a variety of neurological disorders, providing valuable insights into their diagnosis and management. 1. New Daily Persistent Headache (NDPH) and Somatization In the study titled “Is new daily persistent headache a fallout of somatization? An observational study,” Dr. Chhirolya and his colleagues explored the association between NDPH and somatoform disorders. The research suggests that NDPH, characterized by a sudden onset of daily, persistent headaches, may be linked to somatization, highlighting the importance of considering psychological factors in its management.  2. Supraorbital Neuralgia in Leprosy Dr. Chhirolya co-authored “Pearls & Oy-sters: Supraorbital neuralgia in lepromatous leprosy masquerading as SUNA,” where he reported a case of supraorbital neuralgia in a patient with lepromatous leprosy. This work emphasizes ...

Celebrating the Excellence of Prof. (Dr.) Rohit Chhirolya: A Visionary Neurologist in Cuttack

When it comes to finding the right medical expert for neurological conditions, the name Prof. (Dr.) Rohit Chhirolya stands out as a beacon of hope and trust. Widely regarded as the best neurologist in Cuttack, Dr. Chhirolya has transformed countless lives with his unmatched expertise and compassionate care. His commitment to patient well-being and his deep understanding of neurology have made him a leading figure in the medical community. Dr. Chhirolya’s clinic, often considered the best neurology clinic in Cuttack, is a hub for patients seeking advanced treatment for a variety of neurological disorders. Equipped with state-of-the-art facilities and supported by a team of skilled professionals, the clinic offers comprehensive care tailored to individual needs. From common conditions like migraines to complex issues like epilepsy and paralysis, Dr. Chhirolya’s clinic has become a trusted destination for quality healthcare in the region. For those in search of a paralysis doctor in Cut...

Living with Motor Neuron Disease: Support, Care, and Hope under Prof. (Dr.) Rohit Chhirolya’s Expertise

Motor Neuron Disease (MND) is a life-altering condition that impacts not just the individual diagnosed, but also their loved ones. Understanding the disease, its prognosis, and how to manage it is essential for patients and caregivers alike. Under the expert care of Prof. (Dr.) Rohit Chhirolya, the best neurologist and super specialist in Cuttack, Odisha, patients with MND find guidance, compassionate care, and reassurance despite the challenges posed by the disease. What Is Motor Neuron Disease? MND refers to a group of progressive neurological disorders that affect motor neurons – the nerve cells responsible for controlling voluntary muscles, such as those used for walking, speaking, breathing, and swallowing. The most common type of MND is Amyotrophic Lateral Sclerosis (ALS), which gradually weakens muscles, leading to reduced mobility, difficulties with speech and swallowing, and, in advanced stages, respiratory failure. While the exact cause of MND is unknown, genetic and environm...