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Neurology

815 questions answered by doctors & treatment decisions assisted by team clinicspots.

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Male | 66

What are recovery options for hemiplegia in a 66-year-old male?

iam male66years suffering with hemeplegiasince2014 big spacitu in upper left limbnotmoving toundergophysio therappy heavypain left lower limbnot able iowalk freely recovery methods may bekindly informer

1 Answer
Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Neurosurgeon

Answered on 23rd May '24

For hemiplegia, consult a neurologist as soon as possible. The specialist can recommend physiotherapy along with certain medications and supportive therapies for recovery.

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Male | 28

How to treat Bell's palsy lasting 2 months?

Bell's pasly treatment suffering since last 2 months

1 Answer
Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Neurosurgeon

Answered on 23rd May '24

Bell’s palsy is a disease that affects the facial muscles on one side of the face. It is believed that the exact cause of BVD is a viral infection. In some cases, the treatment options may differ based on how serious the condition is and it is recommended that one should seek medical attention from a neurologist or an ENT specialist as quickly as possible.

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Female | 21

Why is my bruised shin area still numb after a fall?

I am a 21 year old female. I fell down the stairs 2.5 months ago and the bruise became numb on the front of my shin. It doesn’t hurt or affect my ability to walk but the bruised area is competely numb

1 Answer
Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Neurosurgeon

Answered on 23rd May '24

You might have Paresthesia. It is caused by damage to the nerves and may result in numbness or tingling. Visiting a Neurologist may be advisable for examination and diagnosis.

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Male | 63

What can improve left leg weakness post-surgery?

I had surgery LEFT L4-5 HEMILAMINECTOMY & MICRODISCECTOMY My left foot dropped and after 3 months it has not improved and I feel weaker in my left leg. Is there something that can be done to improve this condition?

1 Answer
Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Neurosurgeon

Answered on 23rd May '24

You should see your neurosurgeon who operated on you as soon as possible. Your history is suggestive of possible nerve injury, which should be thoroughly assessed by a specialist. 

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Female | 30

Can cerebral meningitis cause long-term urinary issues?

Hello I hope this message finds you well. I am writing to discuss some ongoing health concerns that have persisted since I experienced cerebral meningitis a few years ago. Initially, the treatment process faced challenges, leading to subsequent neurological issues. Although most aspects of my health have improved, I continue to grapple with a specific matter related to urinary and bowel control. Following the meningitis treatment, I encountered difficulty using the restroom, leading to the use of a catheter for approximately three weeks. Subsequently, once the catheter was removed, I experienced challenges in retaining urine, necessitating the use of diapers, particularly during the night. Presently, after five years, while I have achieved some improvement in urinary control, there are instances, especially during the night, when I still face issues with involuntary urination. Additionally, I find it challenging to maintain control over bowel movements. There is a correlation between retaining urine and the urge to defecate, often resulting in occasional accidents. This situation has led to a degree of stress, particularly when venturing outside. I am reaching out to seek your expert advice on whether these issues may be treatable or if there are potential avenues for improvement. Your insights and recommendations regarding any further evaluations or treatments would be greatly appreciated. Thank you for your time and consideration. I look forward to your guidance on managing and addressing these persistent challenges. Sincerely,

1 Answer
Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Neurosurgeon

Answered on 23rd May '24

You need to consult with a urologist or neurologist specialist for these disorders. They can assess your symptoms and whether further treatment is needed. 

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Male | 18

How to manage post-trauma neck symptoms?

On January 2023I had a neck trauma ….while studying I felt asleep on table suddenly then hit my head to it and slept about 30 min and after Next Day Symptoms Started As Neck Pain, Dizziness,Pulsations Over My Body…Then I took some medications To Reduce The Symptoms So it got reduced a bit but from month of MAY new symptoms raised that were Pulsations In My Chest , Left Arm Weakness And Pain In My Hand , Upper Chest Pain While Bending I don’t know how to overcome this so plz help me with this if you know….

1 Answer
Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Neurosurgeon

Answered on 23rd May '24

From the symptoms that you have provided, you have sustained an injury to the neck which has injured your nervous system. I strongly recommend that you consult a neurologist as soon as possible to get properly evaluated and diagnosed. 

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Female | 18

Can Deep Brain Stimulation help with Dystonia in limbs?

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?

1 Answer
Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Neurosurgeon

Answered on 23rd May '24

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. 

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Female | 37

What does tingling/burning sensation in head indicate?

Why's there a sudden moving sensation in the body? There has been a feeling of something growing inside the left side of the head, like a tingling/burning sensation (I hope I explained myself properly). On the nerves or inside the brain I don't understand. Sometimes there's a pain on the back side of the head too (mostly on the right side). What do these symptoms indicate?

1 Answer
Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Neurosurgeon

Answered on 23rd May '24

These signs may indicate a neurological disorder and require consultation with a neurologist. Seeking the help of a specialist is necessary for proper diagnosis and treatment.

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Female | 23

What can help with sleeplessness at night?

Sleep less I can't in the night

1 Answer
Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Neurosurgeon

Answered on 23rd May '24

Your inability to sleep at night may indicate that you have a condition called insomnia. A specialist or neurologist in sleep disorders should be consulted. 

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Female | 36

Abnormal findings on brain MRI. Interpretation?

MRI of the brain reveals few focal non specific abnormal signal intensities on t2 and flair of frontal white matter. What does this mean?

1 Answer
Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Neurosurgeon

Answered on 23rd May '24

This result might be linked to many conditions such as demyelinating diseases, migraines or small vessel ischemia. Visit a neurologist for further diagnostic assessment is advised.

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Male | 48

Sudden Amnesia: Causes and Treatment

If a person suddenly forgets what is happening

1 Answer
Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Neurosurgeon

Answered on 23rd May '24

Sudden loss of memory may indicate underlying medical condition . . It can be due to head injury or stroke . Other causes include seizures, medication side effects, and INFECTIONS. Consult a doctor immediately for proper diagnosis and treatment. Treatment may involve medication or therapies depending on the cause. Early detection and treatment is crucial for better outcomes. . . . .

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Male | 19

Causes of Ear and Eye Pain

Headache can be caused near the ear and eye can be caused due to

1 Answer
Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Neurosurgeon

Answered on 23rd May '24

Headache near eye/ear usually due to sinuses/eye strain. Stress, allergies, infections can trigger.OTC painkillers, rest, hydration can alleviate. In chronic cases, consult doctor. Avoid triggers, maintain healthy lifestyle. 

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Male | 70

Symmetrical Neuropathy: Seeking Treatment in Chennai

I have had some kind of neuropathy for the past 4.5 years and have level 6/7 pain in my palms, soles, toes, and fingers. I suffer from pin/needle and burning pain. Over the years I have also lost my muscles in both legs, thighs, arms, posteriors, and have become very weak and can hardly walk now. All my symptoms are symmetrical on both sides. Extensive tests including MRI of brain, chest, EMG, abdomen, ABI, spine, etc. have been done but no significant disease has been found. Constant routine blood tests have shown no major problems. I am not diabatic and have not been identified as hypertensive. Some doctors have inconclusively indicated small fiver neuropathy. I have used gabapentin, pregabalin, and duloxetine for pain relief. I continue to become weak due to muscle atrophy. My friends and relatives have suggested treatment in Chennai, and I would like to come to Chennai in a short time hoping for better treatment and cure of my disease. Thank you and looking forward to a quick response.

1 Answer
Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Neurosurgeon

Answered on 23rd May '24

Based on your symptoms, you may have small fiber neuropathy.. Ebut a more in-depth investigation may be needed to confirm the diagnosis. To come to any conclusion need to check your previous reports and few other details. Your decision of treating in Chennai is good you will find the best hospitals for neuropathy treatment in chennai

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Male | 39

Managing Autonomic Nervous System Disorder

I am going through Autonomic nervous system disorse, Whole body weakness, Heaviness, Middle of chest weakness, Depression because of it..

1 Answer
Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Neurosurgeon

Answered on 23rd May '24

Autonomic nervous system disorders can have various causes, and a comprehensive assessment is necessary for accurate diagnosis and tailored treatment .DEPRESSION can be a result of chronic illness. Seek medical attention for diagnosis and treatment options. 

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Male | 70

Pituitary Adenoma with Ischemic Changes: MRI Report

Dear Sir, Below i am sending my father MRI report, kindly guide me. MRI REPORT – BRAIN WITH CONTRAST TECHNIQUE: T1W Sagittal, DWI - b1000, ADC, GRE T2W FS Axial, MR Angiogram, FLAIR Axial & Coronal Post contrast images after administration of 5 ml of gadolinium contrast. OBSERVATION: The study reveals an intrasellar mass lesion, with enlargement of the right half of the anterior pituitary gland, extending to the suprasellar cistern. The mass lesion is predominantly isointense to gray matter on T1-weighted images. On T2-weighted images the mass is predominantly isointense to gray matter with internal areas of T2 hyperintensity suggestive of ?necrosis/cystic change. Dynamic postcontrast images revealed decreased/delayed enhancement of the mass lesion as compared to the rest of the pituitary gland. The mass lesion measures 1.2 AP x 1.6 TR x 1.6 SI cm. Superiorly the mass displaces the infundibulum to the left side. A clear CSF plane of cleavage is seen between the superior aspect of the mass lesion and the optic chasm. No significant parasellar extension of the mass lesion is seen. The cavernous segment of both internal carotid arteries show normal flow void. The mass causes mild thinning of the floor of the sella turcica, with slight bulge toward the roof of the sphenoid sinus. MR findings likely represent pituitary adenoma. Confluent and discrete areas of T2/flair hyperintensity are seen in bilateral supratentorial periventricular and subcortical deep white matter, likely representing nonspecific ischemic changes with a combination of leukoariosis, microvascular ischemic changes, lacunar infarcts and prominent perivascular spaces. Basal ganglia and thalami are normal. Midbrain, pons and medulla are normal in signal intensity. The cerebellum appears normal. Bilateral CP angle cisterns are normal. The ventricular system and subarachnoid spaces are normal. No significant midline shift is seen. The cranio-cervical junction is normal. Post-contrast images reveal no other abnormal enhancing pathology. Bilateral maxillary sinus polyps are noted.

1 Answer
Dr. Gurneet Sawhney

Dr. Gurneet Sawhney

Neurosurgeon

Answered on 23rd May '24

THE MRI SHOWS a mass lesion in the pituitary gland. It measures 1.2x1.6x1.6 cm and causes mild thinning of the sella turcica floor . Post-contrast images reveal delayed enhancement of the mass, suggesting PITUITARY ADENOMA.. Bilateral maxillary sinus polyps are noted . ISCHEMIC CHANGES with leukoariosis, microvascular ischemia, lacunar infarcts, and perivascular spaces are present .. Basal ganglia, thalami, and brainstem are normal ..For detailed discussion and treatment plan need to visit a neurosurgeon.

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