Hi, my MRI report says" Central and bilateral paracentral disc herniation at L5-S1 level causing thecal compression and right traversing nerve root impingement. The right paracentral component of the herniated L5-S1 disc is extruded". I feel pain in my buttocks and calf muscle on the right side. Is it possible to get cured by non-surgical treatment?
Pankaj Kamble
Member of team ClinicSpots.
Answered on 23rd May '24
Hello, You are having nerve root impingement which is responsible for your pain. Analgesics will give some relief for some time. Non-surgical treatment will not be of much help in the long run. Final remedy for your case will be keyhole surgery by a spinal surgeon. For further guidance kindly consult a good Neurologist, our page can help with this regards - Best Neurologist in India. Hope our answer helps you.
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Questions & Answers on "Neurosurgery Treatment" (45)
Is it normal to remain unresponsive for days after seizure?
Female | 43
post-seizure drowsiness is common and being unresponsive for days is unusual and needs medical attention immediately.
Answered on 23rd May '24
Dr. Gurneet Sawhney
I am a 46yr old female, experienced hoarseness for more than a year after covid, I did a ct scan which reveals Avidly enhancing extra axial mass just posterior to the pineal gland. Pineal region meningioma vrs pineocytoma.
Female | 46
The CT scan showing a mass near your pineal gland could be a meningioma or a pineocytoma, two tumors that can have similar effects. Both of them may result in headaches and vision problems. A neurosurgeon can help run through the methods, and the main treatment can consist of surgery or other alternatives, as the specific type of tumor requires.
Answered on 25th Nov '24
Dr. Gurneet Sawhney
FINDINGS: Brain parenchyma and extra-axial compartments: Stable postoperative appearance of prior excision of the right mesial temporal lobe and para hippocampal gyrus, with progressive gliosis and volume loss of remainder right anterior superior temporal lobe and temporal stem. There is increased volume loss and FLAIR hyperintensities of the right fornix. There is no evidence of left mesial temporal signal abnormality or mass effect.
Male | 41
The findings indicate a stable postoperative appearance after the excision of the right mesial temporal lobe and parahippocampal gyrus, but there is progressive gliosis and volume loss in the remaining right anterior superior temporal lobe and temporal stem. Additionally, there is increased volume loss and FLAIR hyperintensities in the right fornix. It is important to consult a neurologist for further evaluation and management of these changes.
Answered on 12th June '24
Dr. Gurneet Sawhney
I had a routine mri scan which has showed a possible 1mm dilated blood Vessell on my brain,is a dilated blood Vessell the same as an aneurysm?
Male | 44
A dilated blood vessel is not necessarily the same as an aneurysm, but it can sometimes indicate one. Follow up with a doctor for evaluation and any necessary treatment.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Is there treatments or cure to AVM? He encounters seizures often
Male | 26
There are treatment options available to manage the conditions, like surgery, endovascular embolization, radiosurgery, or observation. Seizures, a common complication, can be controlled with medication. Consult a neurosurgeon or a neurologist near you.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Yesterday 13 July 2024 I received MRI report of my wife who did MRI because feeling pressure on jaw and right side of the head, she also feel drowsiness like she is floating. She doesn't have sever headache but above mentioned symptoms have been common through they day for a month now. It gets worse when she is stressed. The MRI showed she had "large left fronto-temporal arachnoid cyst that measures approx 8.4cm in craniocaudal extent, 5cm from side to side and 5.4 cm in greatest antero-posterior dimension, it's causing hypoplasia of the left fronto-temporal lobes" Very worried about this, is this very serious? When do we know it's serious? What should we do about it? What are the surgery options? Is it better to do surgery or leave it as it is?
Female | 31
The problems your wife has are most likely due to the arachnoid cyst. This is a small, fluid-filled pouch that develops in the brain and may lead to pressure and dizziness. Although very serious, not every arachnoid cyst requires surgery. This issue in the long term may be diminished by consistent monitoring by a neurosurgeon to check for early warning signs. In some cases, the operation is an answer to avoid the worsening of the symptoms or the visible growth of the cyst. The road to recovery can provide the most appropriate therapy options with a neurosurgeon to come up with the best possible solution.
Answered on 28th Aug '24
Dr. Gurneet Sawhney
My sister is 43 years old no know co morbids ,suddenly she developed headache and fever for 10 days,we rush to Er and in MRI it was as tumor they resect tumor and did craniotomy now in biopsy they saying grade 4 astrocytoma. What is the prognosis of this as patient is very young and what will be the best options for treatment
Female | 43
Grade 4 astrocytomas are aggressive brain cancers. Prognosis varies but typically includes surgery, radiation therapy (RT), and chemotherapy (CT). She should see her team regularly along with other experts if they feel it necessary. New symptoms such as fever, seizures increased headaches or behavioral changes mean that we need an immediate discussion so we may start correctly with the treatment regime too isolated be too. Medical guidance is important in deciding what will work ultimately.
Answered on 23rd Sept '24
Dr. Gurneet Sawhney
Kya brain tb ka operation karna jaruri hai
Male | 12
SurGERY is not always neceSSARY for BRAIN TB treatMENT.. It depends on the severity, location, and response to medication.. DOCTORS may recommend surGERY to drain fluid buildup, remove a damaged portion, or relieve pressure.. However, medication is the first line of defense and often effective.. SURGERY carries risks and should be done only when required.. Always follow the doctor's adVICE and take medication as preSCRIBED..
Answered on 23rd May '24
Dr. Gurneet Sawhney
Subtle acute subarachnoid hemorrhage involving right tentorial leaflet
Female | 60
If you had this condition, it would signify that there has been a tiny amount of blood leaked into the brain lining on the right side. Symptoms might include severe head pain, vomiting, nausea, and stiffness in the neck. Causes can be high blood pressure or an injury to the head such as from a fall or car accident. An aneurysm burst occurs when a weak spot in a blood vessel wall swells like a balloon. Eventually, it bursts, releasing its contents into surrounding tissues, potentially affecting the brain. Often treatment involves being closely watched in the hospital where doctors will also do some tests before deciding what might need doing next. Remember always to follow your neurologist's advice carefully.
Answered on 30th Aug '24
Dr. Gurneet Sawhney
Sir, our patient was told by the Drs on the eve of the feast. He suffered a cerebral hemorrhage due to sudden high blood pressure. He was operated on and a drain was inserted. He was intubated for the first 3 days, and reintubated 4 days later. It was informed that our patient reacted to pain but could not wake up because he was unconscious. We watched him react to some reactions, but his doctors say that these reactions are meaningless, for example, when I tickled the bottom of our patient's right foot, I saw that his right toes made small movements and I saw him open his eyes. and I looked from left to right with eye movements and I saw tears flowing from my left eye, I couldn't see this feeling in the left foot. When we wet it with cotton, I saw mouth and lip movements move, I saw movements that were disturbed by thirst, but there was no speech, but the first 10 legs of his body were very swollen and cold. In the last week, keep the body on fire, from the feet to the head, the body temperature is very high. Our patient was operated on the 14th day. Drainage has changed Dear teacher, we need you about the general condition of our patient, can you get back to us, can we share our patient's information?
Erkek | 75
I would suggest to consult with the patient's doctors and nurses directly involved in their care for accurate information and updates regarding their condition and share your concerns directly with them.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Do my son need shunt surgery
Male | 19
I cannot provide personalized medical advice or diagnose online. If you are concerned about your son's health and whether he needs shunt surgery, consult with a professional pediatrician or a neurosurgeon. Shunt surgery is recommended for individuals with hydrocephalus or other conditions that cause an abnormal accumulation of cerebrospinal fluid (CSF) in the brain, leading to increased pressure and damage to brain tissue.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Is Glioblastoma hereditary??
Female | 42
Glioblastoma is generally not considered hereditary. While some cases may be associated with genetic conditions, the majority occur sporadically due to a combination of genetic and environmental factors.
Answered on 23rd May '24
Dr. Gurneet Sawhney
I have a problem with stuttering speech i have naw 5years my age is 20
Male | 20
Stuttering might occur because of several reasons such as genetic influences, developmental delays, or neurological diseases. One should see a speech therapist or a neurologist for the right diagnosis and treatment. On time response can aid in speech prograce and lessen anxiety related to stuttering.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Hi . We have a 19 year old girl diagnosed with Nf1 and retroperitoneal huge mass Do you have any cures for this Is there any way to get well completely if not please give us any suggestions to live longer or stop the spread Can we do radiotherapy or chemotherapy or surgery to get out some parts or is there any effective drug ?
Female | 19
NF1 may bring about tumor formation in one's body, just like the one that grew in the abdomen. Regrettably, there is no cure for NF1 at the moment. Treatment options may include the surgery of the mass, chemotherapy, or other medication to relieve symptoms and slow down the formation of the tumor. It is necessary to consult with an oncologist regarding all the alternatives to find the most suitable option for the patient.
Answered on 13th Nov '24
Dr. Gurneet Sawhney
My mother multiple scoleris un balance body mind demage spine damage treatment is continue but no a good response please tell me treatment kya ha is ka ?
Female | 40
Multiple sclerosis affects everyone differently. I suggest you to get a second opinion from a neurologist who specializes in MS. They can provide a treatment plan tailored to your mother's specific needs. It's important to continue any ongoing treatment while seeking additional medical advice.
Answered on 23rd May '24
Dr. Gurneet Sawhney
I am 48 years old and suffering from carpal tunnel from past 6 years. Earlier problem was not so much but now I am feeling numbness in my right hand while writing or doing any particular work. Should I go for surgery? Is there any physiotherapy after surgery and after how long I can do writing work as I am a teacher
Female | 48
You should go for surgery if your symptoms are very severe and make it difficult for you to do your everyday activities. Yes, after surgery, physiotherapy is done for better flexibility and strength. When can you resume writing and other work depends on the type of surgery you had and other things. It is important to listen to your doctor and start writing only after consulting him.
Answered on 23rd May '24
Dr. Gurneet Sawhney
AVM surgeons in Philadelphia say it is impossible to get to the middle of the brain and say this child would die with or without surgery
Male | 15
It is true that some AVMs located deep within the brain may be challenging to access surgically, there are advanced techniques and technologies available that can enable surgical intervention or other treatment options. It is crucial for the child's parents or guardians to seek multiple medical opinions from highly experienced AVM specialists at the best neurology hospitals who have expertise in treating complex cases.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Hello, This is Edu, I am 30 years. I injured my head even my face has seams like fat. When it started with my head my hair roots were very injured now continuing to half part of my face.
Female | 30
The fat-like stitches you are telling me about could be swollen tissue from the injury. The head injury side effects like irritated hair roots and swelling are the symptoms that would show up after a head injury. At the point of not seeking help for yourself, you put yourself at a higher risk. A doctor can diagnose the problem and pick the best remediation method for you which can be medication, wound care, or surgery.
Answered on 30th Aug '24
Dr. Gurneet Sawhney
dear doctor my mother has an inoperable grade 4 glioblastoma diagnosed in february 2024. Her tumor measures 7.4x4.6x3.4 cm. she is undergoing radiotherapy and is taking chemotherapy tablets called themodal could you please give your specialist opinion?
Female | 52
Glioblastoma is an aggressive form of brain cancer, which is not feasible for us to deal with. The disease may result in symptoms viz. severe headaches, nausea, and changes in the body's functioning. Conventional methods in the stream of treatment rather than the mainstay are therapies using radiation and chemotherapy drugs of oral forms like tablets for chemotherapy. Both approaches of treatment are prevalent to slow down the growth of the cancer and manage symptoms. Keeping the neurosurgeons instructions in mind and monitoring her condition at regular intervals is the only way to achieve a favorable outcome.
Answered on 23rd May '24
Dr. Gurneet Sawhney
My father suffered right subdural hematoma, and underwent surgery on 11/12/24 but on the repeat scan of 16/12/24, there was still residual hematoma, so what should be the further management. His bp stays high, in the range of 170-180 systolic, but diastolic is in normal range. Now he has left sided loss of power but he can move all limbs, gcs is 15/15, no vomiting or headache.
Male | 68
Nice to know that your father is fully awake and GCS is intact at 15. A remaining hematoma can sometimes need extra checkups. His high blood pressure is dangerous and the doctors should address it as it has an impact on the recovery. The weakness in the left side of the body is probably due to the intermitted functioning of the hematoma in the brain. You must get advice from his neurologist for personalized management, which will cover such measures as controlling blood pressure, monitoring his symptoms carefully, or seeking additional intervention for a hematoma.
Answered on 20th Dec '24
Dr. Gurneet Sawhney
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