Male | 65
Recently my father diagnosed with diffused cerebral autrophy with chronic microangiopathic changes involving deep hemispheric white matter (fazekas Grade 2 white matter hyperintensities) Kindly suggest what to do ?
Clinical Pharmacologist
Answered on 23rd May '24
Currently there is no specific treatment for managing white matter lesions/hyperintensities. The goal is to treat the reason of the damage and cease the progression and worsening of the disease.
Depending on the reason of damage, the doctor will start you on blood pressure lowering or cholesterol lowering medicines.
In case you have a social habit such as smoking, then it is suggested to quit smoking at the earliest for preventing any further damage.
Consult a neurologist for further treatment.
53 people found this helpful
Questions & Answers on "Neurology" (619)
April 12,2023 I was showering when I finish I heard a sound in my head like pipes falling. Then I notice I couldn't hear in my left ear and I started hear a loud buzzing sound. This was a weekend and I couldn't see my doctor until Monday. He had me take a ct scan to rule out a stroke. I then was given a referral to see an ENT . I was told by the ENT that I was deaf in my left ear and a hearing aid wouldn't help me and come back in a month. I became so angry with this person because he didn't care about my health issue. I feel like I am on this journey alone. Through my research, I found there is no cure for sudden hearing loss. However it appears stem cells offer promise for a cure. When do you think there may be a cure or which country is ahead of the curve for a cure.
Male | 76
Sudden hearing loss, like what you've described, is known as sudden sensorineural hearing loss. Common symptoms include hearing a loud buzzing sound and feeling as though your ear is blocked. The exact cause isn't always clear, but it may be related to infections or blood circulation issues in the ear. While there is no known cure, researchers in countries like Japan are exploring stem cell treatments as a potential future option. It's important to prioritize your health and stay in regular contact with your doctor.
Answered on 9th Aug '24
Dr. Gurneet Sawhney
I had a CVA and became craniectomy.Now I have cognitive problems and I am undergoing rehabilitation and use Apixaban 5 mg,Levebel 500mg,ِDepakin500,Prednisolon5mg,Ritalin5mg,Rosuvastatin 10 mg, Memory power 250mg, Aspirin80mg,pentaprazole40mg,Asidfolic 5mg, Ferrous sulfate.Please prescribe drugs that strengthen the brain and memory and improve cognitive forms as well as strengthen hand and leg movements(Trouble speaking and understanding what others are saying(Not at all). Experience confusion, slur words or have difficulty understanding speech).Please let me know,how long does it take to heal?
Female | 21
you talk to your neurologist about the best medications to help with your cognitive problems, hand and leg movements, and speech difficulties.
Answered on 23rd May '24
Dr. Gurneet Sawhney
I have had headache since years. (Approx 4 to 5 years) I used to have Vasograin since then prescribed by a doctor(migraine). But now it is somehow getting little uncontrollable by the medicine! I dont have seizures, or physical disability.
Female | 45
It is concerning that your continuous headaches (4-5 year) with Vasograin as prescribed by a doctor. There might be a need for you to reassess the situation and get medical advise from a neurologist who is well trained in the management of headaches and their complications. They could give a more profound diagnosis as well as offer possible replacement treatment options. Furthermore, don't shy away from visiting the office and speaking with a specialist that can help you out.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Why do I feel like pins are poking on my skin and whenever I try to move it hurts badly
Female | 20
The sensation of pins and needles you experienced can be caused by nerve irritation, peripheral neuropathy, inflammatory conditions, or nerve-related conditions. You must consult with a neurologist for a proper evaluation and diagnosis to figure out the cause and treatment options.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Epilepsy 100% treatment shower
Male | 33
It depends on certain things like age and other health factors. There are medications to control epilepsy and advanced treatment like stem cell therapy can help you with epilepsy. Please talk to a neurologist for individual treatment plan
Answered on 23rd May '24
Dr. Pradeep Mahajan
I m feeling burning sensation on feet and palms and all joint and also having pain in my leg calves and in muscles also . Feeling very hot but not fever.
Male | 27
It seems you might have a health issue called peripheral neuropathy. This makes nerves send wrong signals to the brain. It makes feet and palms feel burning pains. It also hurts legs calves and muscles. This happens from diabetes, nutrition problems, or infections. To feel better, see a neurologist. They will find out what causes it. They might give meds, physical therapy, or life changes.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Respected sir,my mother Ritu jain suffering from cerebral atrophy n the problem was detected last year while doing brain MRI n the symptoms were as follows Difficulty in walking, voice clarity, gripping n handling the urself We are taking the medication from different doctors but day by day the condition become down n pls confirm n check as we are taking the medication currently as follows 1) NICERBIUM 2)GABAPIN100(2TIMES A DAY) 3)ROOST D 4) GASOPRIME 5) ADCLOF20 6)T.THP2mg. 7) NEXITO 10 mg. 8)ROOST25(2 TIMES A DAY) 9)FERIAPPLE D 10)LINAXA M 2.5/500(FOR SUGAR) MORNING 11)GLYCOMET GP2 FOR SUGAR NIGHT) THESE MEDICINES ARE TAKEN FROM LAST 3 MONTHS. PLS SUGGEST SOME ADDITION OR LESS OF MEDICINES WE HAVE TAKEN THE TREATMENTS FROM DR.SS BEDI JI(SHARANJIT HOSPITAL) DR.S.PRABHAKHAR JI(FORTIS) DR. ESHA DHAWAN JI(VIDHYA SAGAR) N BUT NOT SEEMS ANY IMPROVEMENT PLS CHECK N CONFIRM IF ANY UPDATES THANKS FOR YOUR VALUABLE TIME DEEPANSHU JAIN 9417399200 JALANDHAR (PUNJAB)
Female | 60
Cerebral atrophy impairs the patient\'s coordination to the extent that he/she loses the touch to walk and speak, and the manual dexterity needed to carry out simple tasks. The condition is demonstrated when the brain cells are gradually losing their size. The medication prescriptions your mother is taking might only produce short-term benefits, you must carry out the consultations with the responsible neurologists who are in charge of her health.
Answered on 12th July '24
Dr. Gurneet Sawhney
I am 18 old boy, I have headache from 4 days and it especially feel in night time. I also feel numbness or weakness in my left hand and today I experience difficult to swallow food.
Male | 18
These symptoms may be linked to different things such as nerve issues or even something more serious. It's urgent to consult with a neurologist if you want to know what's going on and get the right treatment.
Answered on 29th July '24
Dr. Gurneet Sawhney
I am md .moniruzzaman from Bangladesh .I am couses by brain vein bleeding our Bangladeshi neurology doctor suggest me to used clip by surgery .but I want to recover this problem by madicine is it possible .
Male | 53
You can continue medicine as prescribed by your doctor but not to rely on just that. Mostly, surgery happens to be the commonest method to treat this life threatening condition. I suggest to get a second opinion from another neurosurgeon and discuss your case to get specific treatment advice for your situation.
Answered on 23rd May '24
Dr. Gurneet Sawhney
headache - more on the left side around the ear/temple and all forehead (long term) tingling in the leg (a 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 mild fever Is it MS or something else?
Male | 46
You described symptoms like one-sided headaches, tingling legs, a bulging spinal disk, facial pain, vision problems, neck and shoulder discomfort, exhaustion, sleep disturbances, constipation, dizziness, and mild fever. Multiple potential causes beyond MS must be evaluated. These might relate to spinal issues, nerve conditions, or other bodily ailments. A thorough medical examination from a neurologist is vital for identifying the precise source of all these symptoms.
Answered on 13th Aug '24
Dr. Gurneet Sawhney
What happens if someone eats 6 pills of neurobion forte tablets.
Female | 37
Taking 6 neurobion forte pills in one go may seem harmless but actually can prove dangerous. It is possible for the person to experience stomach pain, vomiting, and dizziness after inhaling this drug. This is due to the body becoming overloaded with certain nutrients. In this case, you should drink a lot of water, rest, and consume light foods. It's crucial not to exceed the dosage prescribed by your doctor. If the situation worsens, get in touch with a doctor.
Answered on 26th Aug '24
Dr. Gurneet Sawhney
I'm from the country and all waste water accumulates in a septic tank. My parents don't usually call that truck home to dump the contents, they take care of it by dumping all the liquid in their own garden on a corn crop. Indeed, we do not actually eat the corn, but we do eat the rest of the nearby plants. But the birds they have, and from which we consume the eggs, consume some of that corn. I am very concerned about my physical health, especially my brain, and my fear is that I may have ingested substances from detergents/toothpaste over time, such as fluoride, which I know is neurotoxic, or other strong substances, etc. . . The usual analyzes always turned out fine for me. I drew their attention to these things and they told me that there are other people who do the same thing and apparently nothing happened. Should I worry/do something about it? I'm thinking that maybe those substances in the detergents and everything that gets there affect the nervous system, the brain. The plants in the garden show no signs of damage, probably because the detergents contain substances similar to fertilizers. Also, I'm wondering if from the feces, if some guest is infected with some parasite, and they then end up on the soil, can I also get them through the plants and affect components of my SN? Does all this accumulate in them? I can't stop eating food/eggs from home because I just started college, I have 6 more years until I can choose what and when to eat, have my own salary. I was thinking that for my own peace of mind, I would have a brain MRI this year to make sure everything is ok, as well as the usual urine test, which he can arrange for from the GP. Do you think it's okay?
Male | 18
While it's natural to worry, it's unlikely that the small amount of substances from detergents or toothpaste in the water would cause significant harm to your brain. Eating the food grown in the garden is generally safe, as plants can filter out harmful substances. It's encouraging to know that your health reports are okay. Getting a brain MRI and urine test for peace of mind is a proactive step, and it's okay to do.
Answered on 11th Sept '24
Dr. Gurneet Sawhney
I have this cold numbing sensation going down my left shin. Also, my left shin is colder to the touch then my right shin.
Female | 42
You could probably have a situation that is called peripheral neuropathy, something that has to do with the nerves that send signals to your leg and possibly there is a problem with that. This can be the reason why you feel the numbing sensation and the difference in temperature between your shins. It's best to have a neurologist check this out to determine the cause and talk about treatment options.
Answered on 22nd Aug '24
Dr. Gurneet Sawhney
Legs are feeling very weak. Feel like sleeping and not eating
Female | 48
Faster or weaker legs, fatigue, and absence of appetite are possible causes of many diseases. It could be due to a lot of sleepless nights or maybe the deficiency of body important nutrients. Have a balanced diet with healthy food, get enough rest, and drink plenty of water. If the symptoms are still there, make sure to visit a neurologist so they can help you find out what's wrong.
Answered on 22nd July '24
Dr. Gurneet Sawhney
Hello. I am a male about to marry a 23 y/o female who at the age of 19 was diagnosed with Focal Epilepsy Affecting Frontal Lobe. I am trying to see whether it is a good idea to marry and start a family with this girl. The problem is her head and eyes move to the right when she has an episode which is usually triggered by eye contact and nervousness. So her neurologist perscribed Lacosamide twice a day which she says has prevented her from having an episode in over a year, but I want to check with you if this is true/common? Also will her illness get worse later down the line especially when we start having kids? Will it spread to other parts of the brain and what will happen if that occurs? She says the side effects of the medicine is she gets drowsy and sleepy sometimes, how often does that last? Thank you.
Female | 23
While Lacosamide can effectively prevent epilepsy episodes, its side effects like drowsiness are common. It's advisable to consult with a neurologist regarding the long-term effects of epilepsy and its potential impact on family planning. Specialists like neurologists can provide personalized guidance based on individual health conditions.
Answered on 23rd May '24
Dr. Gurneet Sawhney
I'm 17 years old. I'm having sleep problems.i can't sleep properly in night, it's almost took me 2 hours to sleep even after closing my eyes. And in day time , my eyes started to burning
Female | 17
Seems like you might have insomnia, that is the inability to fall asleep or stay asleep. If you can’t fall asleep at night this can cause tired eyes that burn all day long. Stress, caffeine and use of screens before bedtime are some common reasons why teenagers suffer from this condition. Establishing a night time routine, avoiding caffeine and switching off the screens before going to bed may help improve your sleeping patterns.
Answered on 11th June '24
Dr. Gurneet Sawhney
The time was 2 years ago, one day without knowing it, I felt a biting muscle above the left ankle. Then little by little after a few days the muscles started biting down to the knee and some pain in the tendon with it seemed as if the tendon was getting tight. In such a way, it gradually became the same condition as the completely fit. He also started having problems with the nerves in his head. Now the right side has the same problem. Now I feel some problem in the stomach and toilet. But no problem with urination yet. Why are they happening? And now what should I do please tell me!!!! I have seen two doctors. One says that the spinal cord is directly caused. Another says that they are caused by impingement on the spine. Treatment is not working.!!!!
Male | 18
These symptoms may be because of something in your spine, or spinal cord that is putting pressure on the nerves. You might have been through tests already. The body part essential for treatment will need to be precisely identified. If the current treatment is not helpful, need to find the right specialist so there is a chance of a second opinion or neurologist and orthopedic doctor for further evaluation and guidance can be provided.
Answered on 23rd May '24
Dr. Gurneet Sawhney
There is a lot of pain at night. It feels like the vein in the forehead will burst and the body jerks repeatedly.
Male | 17
You may be having a cluster headache. It may be accompanied by a jolt of the body. Stress, alcohol consumption, and intense smells can serve as irritants. To counter these conditions, use relaxation methods, do not expose yourself to triggers, and consult a neurologist for further advice and support.
Answered on 28th July '24
Dr. Gurneet Sawhney
Last year, I got sick pretty bad. It started with migraine like headaches then intense body pain and severe back and neck pain. It was followed by fatigue, muscle stiffness and dizziness. No amount of painkillers relieved the pain. I couldn't even walk properly, someone had to hold me to get through hospitals. I got several tests done including MRI, EEG, B12, vitamin tests, eye tests, CBC and X ray for my back. There were a few vitamin deficiencies but they shouldn't have caused that much pain according to the doctors, MRI was pretty much normal. There were few abnormalities with my XRay in spine but again they were mild and not severe enough to cause me such intense pain. I took medication or migraine, some medication to make my nerves strong and I think some anxiety meds because they suspected GAD (all were prescribed by doctors). Most physicians suggested I go to a psychologist and the psychologist referred me back to physicians and I went back and forth. I got better after bed rest but I had to go back to college because I was missing on my studies. But I fell sick again, cramps like pain, consistent fever but on and off. I got tested for typhoid and other things but absolutely nothing. Then I went to a neuropsychiatrist who told me I had fibromyalgia, it aligned pretty well since I always had memory gaps as well and I've been concerned about it for a while. The medication he gave me worked, I for the first time in months started feeling better but as time passed by, it stopped working for me. I couldn't continue the medication due to expenses as well. So, I've been in pain ever since. When I've had a tiring day the pain is bad, when I am stressed it's worse. Every morning I wake up with pain and every night I go to bed in pain cuz it's worse in the mornings and night. If I rest too much, that's painful and if I don't that's painful too. Fever also shoots up every now and then. My body is in pain and exhausted, everything is difficult, walking up or down the stairs. Although some days it's better but other days it's difficult to even move, painkillers do absolutely nothing. I don't know what to do anymore
Female | 19
It could be fibromyalgia. This condition causes widespread pain in your body along with tenderness too – plus other things like being tired often or having trouble sleeping well. However, there are ways to handle this. For example, physical therapy might help ease some of the hurt; moderate activities such as walking or swimming could be beneficial because they won’t make the ache worse but can still keep muscles from getting too stiff; also relaxation methods (e.g., mindfulness meditation/deep breathing) may relieve stress which often worsens any existing discomfort. Besides that, proper rest is crucial, so try getting enough sleep each night; nutrition matters, so eat healthily; don’t push yourself too hard.
Answered on 23rd May '24
Dr. Gurneet Sawhney
I have migraine in left side
Male | 22
Headaches on one side of your head, throbbing with each pulse. Loud noises and bright lights feel like knives. Sometimes, nausea even joins in. This unwelcome guest? A migraine. Certain foods, stress, lack of sleep, or hormonal changes can trigger it. But you can fight back! Stay hydrated, breathe deeply, and find calm. Pay attention to what triggers it. If migraines don't take the hint, talk to a neurologist.
Answered on 4th Sept '24
Dr. Gurneet Sawhney
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