Female | 54
Managing Myasthenia Gravis and Rituximab Treatment Options
Hi in October 2022 my cpk was 2000 plus and crp was 12. Diagnosed with IIM. My leg muscles were affected that time. Early ild effects in chest ct scan. Started taking prednisone mmf 1500. But in Oct 2023 my voice is also affected can't speak now. Myositis panel of antibodies negative But Achr antibodies positive and ace levels are high. Still cpk is 1800 and hscrp is 17. 86. Diagnosed with myasthenia gravis and taking prednisone mmf and pyridostigmine now. Taken ivig also but still no improvement in voice and weakness. Recently I had severe diarrhea due to high dose of mmf. I want to know will rituximab treatment will be helpful for me. As my doctor is planning for that but now my cd 19 levels also high. Kindly suggest helpful which and what treatment is suitable and advisable.
Neurosurgeon
Answered on 4th Sept '24
It seems you're dealing with health issues like myositis and myasthenia gravis, which weaken muscles affecting your legs and voice. Since previous treatments haven’t helped, your doctor suggests rituximab to reduce inflammation and improve symptoms. Monitoring is important due to high CD19 levels. Be sure to discuss any concerns or side effects with your neurologist.
30 people found this helpful
Questions & Answers on "Neurology" (749)
Hello! I didn't sleep for 6 days consecutivly had a headace in half of my right head so I went to the hospital and they gave me antipsychotics and a drug to sleep (but I think I shouldn't have taken the antipsychotics ) after a month I stopped the antipsychotics and I had a strong headace in the same half of my head again for days and it got worse with strong sounds and me getting angry or crying. I had also a strong headace in the parietal region like a needle punture in pain but not that small from time to time. I took some painkillers but now I wake up everyday with a headace in the right half of my head it goes till the forehead it goes away when I eat but I still have during the day the painful parietal headace and I saw a worsening of my memory .What should I do ?
Female | 20
See a neurologist for your headaches, which may be due to migraine, temporal arteritis, trigeminal neuralgia, sleep deprivation, or medication use.
Answered on 23rd May '24
Dr. Gurneet Sawhney
iam 16 years old ,i frequently relapse, everyday during night my hand does that unconsciously .i don't have control at that time .i am facing this problem since a year. i want to become better but this thing always takes me down. please help me doctor
Male | 16
It sounds like you're experiencing involuntary movements in your hand during the night. This could be related to a neurological issue, and it’s important to consult a neurologist who can help diagnose the cause and suggest proper treatment. Don’t worry, with the right medical guidance, you can improve and feel better.
Answered on 7th Oct '24
Dr. Gurneet Sawhney
Am getting sudden pain on back of my head which lasts for hardly 10 sec and this happens the whole day with an interval of half an hour though the heaviness of my head is constant but the pain which last for short term is very severe and feels like someone is stabbing my head Am experiencing it from past 2 days
Female | 18
Tension headaches bring acute head pain, often at the back. It's stabbing, short-lived. Stress, poor posture, or eye strain may trigger it. Drink enough water. Take breaks from screens to rest eyes. Try relaxation methods. If the symptoms persist, see a neurologist.
Answered on 29th July '24
Dr. Gurneet Sawhney
I have congenital neurological hypoplasia of both lower limbs to deformity of axle foot with locomotor disability of 65 PERCENT by CONGENITAL.NEED COMPLETELY RECOVERY TREATMENT PLEASE HELP ME DCTR THINK ME AS YOUR DAUGHTER
Female | 23
You have a condition where your lower limbs are not developing properly causing difficulty with movement. That could be the case since birth. May exhibit may exhibit a hard time walking and a peculiar foot shape. To help with this, treatments like in the template, physical therapy, braces, or sometimes surgery can be considered. It's key to visit a neurologist for tailored recommendations.
Answered on 3rd Sept '24
Dr. Gurneet Sawhney
I have Dystonia in my left Foot and Hand and so much pain. I can barely walk and this over 1 year. We tried things like Botox Injection and a lot of therapy but nothing helped. Is there any possibility for Deep Brain Stumulation?
Female | 18
I would suggest approaching to neurologist who specializes in movement disorders. DBS is one of the potential treatment options for dystonia and can be used based on a thorough evaluation by a specialist.
Answered on 23rd May '24
Dr. Gurneet Sawhney
My family are on a trip to god's place and My brother got fits today like 3 times and he is behaving abnormal...what can we do?
Male | 30
Your brother may have had seizures, which are also called fits, and can make people behave strangely. There are many reasons why seizures occur – for instance, epilepsy or a high fever. If you see someone having a seizure, put them down gently on their side so that they don’t get hurt. Don’t try to hold his tongue or put anything in his mouth. Keep calm throughout this period then seek medical attention immediately after it is over. Finding out what caused him to convulse is important as well as getting him treated appropriately.
Answered on 11th June '24
Dr. Gurneet Sawhney
Hello Sir, I have long-term issues and have taken headache medication from a Neurologist for three years but no impact. headache - more on the left side around the ear/temple and all forehead (long term) tingling in the leg (long-term) spine disk bulge and root trap Facial pain vision problems (long-term) long term neck and shoulder pain long term fatigue unable to sleep and work due to headache long term constipation dizziness, when trying to sleep Depression feeling cold and mild fever and other symptoms It looks like I am dying or feeling suicidal, can't bear the pain Please guide me if it can be treatable, How to diagnose and what should be treatment?
Male | 46
Your symptoms seem concerning. Left-side headaches, leg tingling, vision troubles - these could link to nerve issues. That spine disk bulge is likely contributing too. Please see a neurologist soon for a proper diagnosis and care plan.
Answered on 21st Aug '24
Dr. Gurneet Sawhney
Feet tiling and eyes are blurry
Female | 16
These symptoms might be related to several conditions, including dehydration, low blood sugar, or a neurological issue. It’s important to consult a neurologist or an ophthalmologist for a proper diagnosis and treatment.
Answered on 23rd May '24
Dr. Gurneet Sawhney
My mother uses carbazapmine since last2yr but in fews days she suffer mild seizer sweet npain
Female | 67
Seizures and severe discomfort may occur due to her taking carbamazepine. Report these symptoms to her doctor, who may adjust her medication or dosage after further examination. A neurologist visit can ensure she receives the right treatment.
Answered on 1st Aug '24
Dr. Gurneet Sawhney
Is there are a treatment of behaviour dimensia
Male | 54
Behavioral dementia, which is also known as frontotemporal dementia, is the kind of dementia that causes memory loss in behavior, personality, and functional language. It is unknown so far how to cure such somnia, but there is a range of treatments to help manage the symptoms. In case you feel behavioral symptoms or know someone with such, it is highly recommended to see a neurologist or a psychologist for proper diagnosis and curable treatment.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Hath me bar bar guwahati hona
Male | 17
Frequently numb hands or tingling feelings in the hands may indicate carpal tunnel syndrome. It happens when the median nerve, which travels from your forearm to your hand through a narrow passageway called the carpal tunnel, is squeezed or compressed. It is recommended that you consult a neurologist early enough for proper treatment.
Answered on 23rd May '24
Dr. Gurneet Sawhney
I am a 23-year-old female and for the past two days I am not able to sleep at night I am staying awake till 4 o clock and after that, I am getting to sleep slowly the thing is while trying to sleep I am getting some irritation or some goosebumps kind of sensation. during the daytime also I am having this sensation but its not effecting me much because I will be involved in some work and if I am trying to take rest let's say sleeping at night that irritation is effecting me a lot what might be the reason.
Female | 23
Sleep difficulties and sensations of irritation or goosebumps could be due to many factors. It's essential to establish a relaxing bedtime routine, maintain a consistent sleep schedule, and create a comfortable sleeping environment. Reducing stress through relaxation techniques and avoiding stimulants can also help improve your sleep. If the problem persists, consider consulting a neurology professional or a sleep specialist from known hospitals for further evaluation and guidance.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Whenever I have an epilepsy attack, I have a lot of difficulty in breathing, in a way I can't breathe at all. is there a cure for it
Female | 26
DIFFICULTY in BREATHING during an EPILEPSY ATTACK is COMMON. MEDICAL attention is IMMEDIATELY required. With proper MEDICATION, the symptoms can be CONTROLLED. It's IMPORTANT to FOLLOW your DOCTOR'S INSTRUCTIONS...Also There are many advanced treatments also available for epilepsy TALK to YOUR DOCTOR FOR OPTIONS to treat Epilepsy
Answered on 23rd May '24
Dr. Gurneet Sawhney
Got a Headache and tiredness
Female | 24
Headache and tiredness could stem from various causes. Perhaps you're dehydrated or lacking quality sleep. Stress and poor diet might also contribute. Drink plenty of water, ensure adequate sleep, and consume nutritious foods. If issues persist, consulting a neurologist.
Answered on 25th July '24
Dr. Gurneet Sawhney
I wanna try to get scanned for a brain tumour, this thought has gone as far back as grade 8 and I know this is out of proportion insane but I mean at first it started with the moments of feeling like I was getting dumber instead of smarter, not like beating myself up but just the actual feeling of losing information Then it was the foggy memories, messed up timeline, all of which I just kinda blamed on Parasomnia Then it was the derealization, the feeling of my grip on the world was leaving me and I’ve just tried so hard to fight it The change in my thoughts I mean I’ve become borderline obsessive, bi polar at my worst and even just thinking of life differently I mean in grade 9 I even just lost so much sense of fear, I started being way more reckless than before Honestly I wouldn’t be surprised if it was what helped Mono attack my body harder I mean looking at symptoms yeah I only have the less severe ones but even loss of hearing and vision change has kinda set in I’ve heard stories of people who didn’t bother to check man and it just makes me afraid that I’m a ticking time bomb until the time someone sees me faint and not wake up Today in class I got, so, so lightheaded, and I just feel this impending doom sitting on my chest man
Male | 15
I would recommend you to book an appointment with a neurologist to detail your symptoms and worries regarding the potential brain tumor. He can perform extensive evaluation and diagnostic tests to determine the source of your symptoms. It is not advisable to wait until the time runs out and an early diagnosis will help you have a different outcome.
Answered on 23rd May '24
Dr. Gurneet Sawhney
But my memory issues will take how much time to resolve after Inter parenchymal bleed it's been already 2 months I haven't forgotten completely but I can't literally recall my past events and remember new events accordingly everything I miss out the dates and times
Male | 23
You are worried about your memory after bleeding within the brain. It is not uncommon for people to have these types of problems with their memories following such events. Some of the symptoms may involve having trouble remembering things that have occurred recently or forgetting appointments altogether; also clock watching could be difficult too. This can affect anyone at any age.
Answered on 29th May '24
Dr. Gurneet Sawhney
I always had sleep paralysis during sleep and I can't sleep well
Female | 18
Sleep paralysis is a condition where you wake up but can't move or speak for a short time. It's quite common and usually not harmful. It can happen due to sleep deprivation, an irregular sleep schedule, or stress and anxiety. To prevent it, try to stick to a regular sleep schedule, relax before bed, and manage stress. If it becomes more frequent or concerning, you can consult a sleep specialist for help.
Answered on 1st Oct '24
Dr. Gurneet Sawhney
Tingling sensation over body like blood hardly moves, all over body since 2months. Neurobian.. Neurokind forte.. Neurokind d3, tablets taken half cured not completely cured got 1 new, blue patch in leg??
Female | 28
It's essential to consult a neurologist, as these symptoms may be related to underlying neurological or circulatory issues. Additionally, the appearance of a new blue patch on your leg should be evaluated urgently. Further tests and examinations are needed to determine the cause and provide appropriate treatment.
Answered on 23rd May '24
Dr. Gurneet Sawhney
In 2016 I felt on my back of my head and I had a injury I didn't go to the hospital I was just treates home and I was healed from there I lived a normal life until 2022 I started experiencing headache problems which was paining on my back of the Head the carenial part the same part I had a injury on from 2022 until now I have been having headache problems in addition to that I also experience difficult in speaking, and heart burn
Male | 19
You might experience some side effects from your old head injury. Back-of-head aches and talking troubles could relate to it. The heartburn may differ yet matter too. Many causes bring headaches, like injuries in the head area. Speaking difficulty could link to brain functions. Heartburn could connect to stomach matters. The best step is to see a neurologist for a full evaluation and treatment planning.
Answered on 27th Aug '24
Dr. Gurneet Sawhney
My son 21 years old. Struggling with migrains. Have now started to feel pressure in forehead and dizzy. Have just now taken paracetamol 1 gram. Is it ok to take migraine medication he got from doctor last time now already? He is really scared to wake up and get it like last time. It was really bad with vomiting.
Male | 21
Weakness and sensitivity to light, as well as vomiting, may be the result of migraines. He is on paracetamol which is great, but he can also take the migraine medication his doctor prescribed if it is the case, even though it is soon after the paracetamol. It is important that the doctor’s guidance is adhered to and the medication is taken as instructed which will also help to prevent the next similar episode from happening.
Answered on 21st Oct '24
Dr. Gurneet Sawhney
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