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Male | 59

Can Spinal Tap Procedure Benefit Diabetic Elderly Patients with Chronic Small Vessel Ischemic Changes and Cerebral Atrophy?

my mother is 82 years and diabetic .mri result says 1)multiple small T2W/FLAIR hyperintense foci noted in bilateral frontal and parietal periventricular and sub cortical regions-chronic small vessel ischemic changes 2) Diffuse cerebral atrophy doctor suggested procedure to remove water from spine your suggestion pl

1 Answer

Answered on 23rd May '24

I recommend that she should visit a neurologist. In MRI, the T2W/FLAIR images exhibited multiple small white matter hyperintensities in the bilateral frontal and parietal periventricular and subcortical areas. They suggest chronic small vessel ischemic change. Spinal tap water removal may not be the recommended treatment for her symptoms. 

48 people found this helpful

Questions & Answers on "Neurology" (790)

My father was unable to walk properly (not able to move the legs freely). Unable to lift the weights, foot drop, unable to write properly sometimes, some muscle loss was seen in limbs. We have gone to hospitals in Hyderabad but there was no improvement in his condition. Please help me in finding out the doctor and treatment for this condition?

for best recovery and treatment consult LEGEND PHYSIOTHERAPY HOME VISIT SERVICE IN HYDERABAD . DR.SIRISH
https://website-physiotherapist-at-home.business.site/

Answered on 23rd May '24

Dr. velpula sai sirish

My wife has been recently diagnosed by one of neurologist a retinal migraine issue, she faces migraines headache in 2 or 3 months once only. Now the doctor has suggested few medicines which I think is affecting her mental health. She is prescribed with propranolol 25mg daily twice, topiramate 20 mg daily twice Due to this she always feel sleepy, dizziness, harsh behaviours, mood swings, lack of appetite, lack of focus, lack of confidence, feels awkward cannot stay awake, cannot use mobile for long time, headache affects her head daily in the evening mostly. She is using these medicine since two weeks, before she doesn't have these issue. She only had a migraine and she once had a spot in her right eye which goes after a week. But she has a small lump behind her ear which doctor mentioned it as a swellon nerve. Kindly please suggest is she getting correct treatment because her Condition is getting worse day by day in terms of mental health. She has a family history of migraine her mother and sisters.

Female | 34

Propranolol and topiramate sometimes result in symptoms such as drowsiness, lightheadedness, mood changes, and an inability to concentrate. You or she must discuss this with the neurologist who prescribed these drugs because they could fix this issue by adjusting dosages or prescribing different medications that would be effective against migraines without affecting mental stability. If the lump located at the back of her ear is not yet diagnosed then it should also get checked into by the doctor to find out if there might be any connection with other signs.

Answered on 3rd June '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

I am 50 years old female. Doctor has prescribed me 1.bonther xl ( contains methylcobalamin 1500 mcg) twice daily and 2.penogab sr (contains methylcobalamin 1500 mcg ) once daily Is it safe to take 4500 mcg of methylcobalamin daily?

Female | 50

For some people, taking 4500 mg of methylcobalamin every day can be dangerous. If you take too much methylcobalamin, you might get an upset stomach, diarrhea, or a rash. Talk to your doctor if you feel unwell. They might change the amount you take or give you another kind of treatment. 

Answered on 10th July '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

My friend is having seizure like symptoms we were in high altitude what should I do

Female | 34

Altitude sickness can be a serious condition, especially if it leads to seizure like symptoms. These symptoms could be due to altitude sickness, but they could also indicate other medical issues..

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Hello, Doctor Name Because of the horrible things i have endured through out my life up until now which kept getting worse without pause Emotions i've felt and the anger that would cease One day, half of my face started jerking (Hemifacial spasm) and i woke up with blood from my ear later i had my cerebral fluid leaking out of my ears nose eyes From then whenever I get angry I would have Seizures and later i'd hear loud BANG in my Brain followed by blood leaking from my ears and i believe that is what is called a ruptured cerebral aneurysm and I have had about 20 or 21 of them and maybe more and I became ill with other illnesses which if god you reply to me I will give to you I have not been given treatment Since I lack the fund for medical treatment I want to pass away a faithful man to god Please tell me how long do i have until i will pass away from theses illnesses so i may have hope that i will pass away soon God willing Thank you

Male | 23

You should consult for a second opinion right away. Hemifacial spasm can be a symptom of another neurological condition, including an aneurysm. A ruptured cerebral aneurysm is a medical emergency that requires to be treated promptly. Speculating on life expectancy without the proper medical evaluation is inappropriate. As soon as you can, see a neurologist.

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

BUT SIR I HAVE NO OTHER SYMPTOMS OTHER THAN EXCESSIVE YAWNING AND SLEEPY FEEL

Male | 18

Excessive yawning and feeling sleepy even when there are no other symptoms can sometimes be due to lack of proper quality sleep. It is also linked to the feeling of being slightly down or the deficit of air. Try going to bed earlier and have a good sleep routine. Get outside for a breathe of fresh air each day to be active a little more.

Answered on 30th Nov '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

For epilepsy need without side effects tablet

Female | 30

For side effects-free epilepsy, it is necessary to ask a neurologist who can assess the patient’s condition. However, a range of drugs can well regulate seizures with minimal adverse side effects. 

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Sir mera hath me jhanjhanahat hot ha 10day se

Male | 17

Consult a neurologist if you are experiencing hand tremors persistently for more than a week. They can diagnose you and offer the best treatment once the cause is established. Seek medical help, some tremors can be a symptom of more serious condition.
 

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Answered on 23rd May '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Muje ratko nid nhi aati hai Pesle 2 3 chal se Muje kuch acha nhi lagata Me subhe me irritated feel karta hu

પુરુષ | 26

It seems like you are having problems with falling asleep at night. Some common signs of insomnia are difficulty in sleeping, feeling exhausted during the day, and not being interested in things. It can result from stress, a harmful lifestyle, or some other reasons. Try to keep your room dark, stay away from screens before sleeping, and come up with a relaxing bedtime routine that will help you sleep better.

Answered on 21st Nov '24

Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

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