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Doctor insights on: Diffuse Axonal Injury Prognosis

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Age 23. Coma patient. Diffused axonal injury. Intraventricular hemmorhage. Bleeding in frontal lobe. Chances of survival? Any possible impairment?

Age 23. Coma patient. Diffused axonal injury. Intraventricular hemmorhage. Bleeding in frontal lobe. Chances of survival?  Any possible impairment?

Not good : Sorry about this one, but there will be a suboptimal outcome at best. Survival may be issue, talk to your doctors, and perhaps an eeg can guide decisions, but hard to predict outcome of comas. Sounds like a profound traumatic event, and since young and severe, have a family conference with the treatment team, and get all your questions answered. ...Read more

Prognosis (Definition)

The prognosis is the predicted outcome or "forecast" for a disease or process. It is only an estimate but is likely based on past experience or data taking into account the individual's overall health status. It may suggest progression of disease ...Read more


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What is diffuse degenerative endplate changes wth extensive multi level disc osteophyte disease /implication ?

What is diffuse degenerative endplate changes wth extensive multi level disc osteophyte disease /implication ?

You have arthritis: In the spine effecting multiple vertebras, that could lead to pinch nerve in the back or the neck area. ...Read more

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S+s of end stage primary brain cancer, (aa iii) r medial temporal lobe, diffuse numerous cells. Growing!/brainstem and posterior temp./basal ganglia?

S+s of end stage primary brain cancer, (aa iii) r medial temporal lobe, diffuse numerous cells. Growing!/brainstem and posterior temp./basal ganglia?

Ask for more info: Signs and symptoms can vary greatly with any 'end-stage' cancer. Things like if it has spread to other organs, impacting functional status and alertness (sleeping more, in bed most of the time), causing pain/seizures, and so on. His doctors can maybe determine what is most likely. If not involved already ask for hospice or palliative care help as they could also help answer what the s/s might be. ...Read more

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Is chronic diffuse sensorimotor peripheral neuropathy with predominant external & secondary demyelinative changes a long-term disability?

Is chronic diffuse sensorimotor peripheral neuropathy with predominant external & secondary demyelinative changes a long-term disability?

It can be: Sensorimotor peripheral neuropathies have many types and various causes. Some of them can be disabling, even long term in some cases. A thorough search will have to include blood tests and urine tests. In some cases spinal tab (lumbar puncture) can be necessary. In delineating the diagnosis. ...Read more

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MRI brain results Impression- there is cerebral atrophy with subcortical WMC, consistent wit microangiopathic disease, demyelination, or giliosis?

MRI brain results  Impression- there is cerebral atrophy with subcortical WMC, consistent wit microangiopathic disease, demyelination, or giliosis?

Covering the bases: That signal that is seen in patients who age is seen very frequently. Most of the time it is what has become known as microangiopathic disease or small vessel disease. Demyelination and gliosis come with a more notable history. Gliosis or scarring and demyelination also produces symptoms that MRI is useful for. Depends on why you had the MRI in the first place. The first entity more common than 2 ...Read more

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Regarding traumatic brain injury.Does recovery occurs at primary injury or secondary injury?

Regarding traumatic brain injury.Does recovery occurs at primary injury or secondary injury?

Please clarify: I am not understanding the question on traumatic brain injury and how recovery takes place...Or when? Would like to help you understand this entity a bit better. ...Read more

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MRI shows chronic infarct right cerebellar hemisphere and inferior vermis with internal hemorragic areas.TREATMENT & PROGNOS? TIME F COMPLT RECOVERY?

MRI shows chronic  infarct right cerebellar hemisphere and inferior vermis with internal hemorragic areas.TREATMENT & PROGNOS? TIME F COMPLT RECOVERY?

Depends upon cause: A cerebellar infarct in someone of your age would likely be due to an embolic cause. Considerations include vertebral dissection, valvular heart disease, or hypercoagulable state. The treatment is different in each case. As far as recovery, the human brain is quite plastic and will continue to improve as long as you stimulate it. In cerebellar disease special attention is paid to balance. ...Read more

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Is diffuse moderate pancreatic fatty atrophy serious?

Is diffuse moderate pancreatic fatty atrophy  serious?

It depends & more: info about u would help. Why ?'d? If test was US not very accurate for this. Gen this is in overweight/obese people, usually w ? triglycerides. The wt is the prob & w wt loss the panc fat will improve. There are more rare causes? Reason usually never be found, can be a gallstone, chronic pancreatitis, rarely mass. Main concerns are pain if chronic pancreatitis/stones & malabsorption. Needs eval. ...Read more

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MRI scan shows two small focal flair hot spots in either frontal lobes subcortically. Mild peri ventricular gliosis. Age related mild diffuse atrophy.

MRI scan shows two small focal flair hot spots in either frontal lobes subcortically. Mild peri ventricular gliosis. Age related mild diffuse atrophy.

Probably not...: ...significant. A few small lesions can be seen in many patients without an underlying problem. If there is any concern, then a repeat MR in 4-6 months can be performed. Without any interval change, then you should not worry. However, atrophy at your age is more worrisome and not common, and your Doctor should examine you closely for any underlying cause. ...Read more

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What is mild diffuse cerebral involvement mean?

What is mild diffuse cerebral involvement mean?

Cerebral involvement: I wonder if you may have misinterpretered the conclusion of the study (probably ct or mri). If it is what it is, then all it means is that your brain tissue (diffuse) is not significantly involved in some kind of process, inflammatory or infection or malignancy, or... ...Read more

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Can a frontal lobe brain injury cause MS ?

Can a frontal lobe brain injury cause MS ?

Probably not : The exact cause of multiple sclerosis is not well understood. However, researchers have looked at a link between brain injury and ms. It is a very weak relationship. About 1 person in 5000 who has a brain injury may get ms, so i wouldn't worry too much about it. ...Read more

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Contemplating surgery. I have type II diabetes, depression, carpal tunnel syndrome, peripheral neuropathy. Abnormal nerve conduction Multileveled bilateral acute on chronic cervical radiculopathy.Correlate EMG findings with cervical spine MRI. Severe sens

Contemplating surgery. I have type II diabetes, depression, carpal tunnel syndrome, peripheral neuropathy. Abnormal nerve conduction Multileveled bilateral acute on chronic cervical radiculopathy.Correlate EMG findings with cervical spine MRI. Severe sens

Double Crush: Sounds like you may have what's known as "double crush" phenomenon. Both cervical spine and entrapment of the ulnar/median nerve causing symptoms. Certainly, carpal tunnel and/or cubital tunnel release is easier and less risky than neck surgery and usually considered before neck surgery. Unfortunately, diabetes puts you at high risk for recurrence of carpal/cubital tunnel syndrome. ...Read more

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My mother, 84, MRI scan> subacute infarcts, bilateral frontal lobes, small vessel ischematic changes inthe basal ganglia, periventricular white matter?

My mother, 84, MRI scan> subacute infarcts, bilateral frontal lobes, small vessel ischematic changes inthe basal ganglia, periventricular white matter?

Small vessel disease: Mri in a 84 years old lady showing infarcts and small vessel disease means she is having ministrokes. That is very common in that age group. If she has heart disease or carotid artery disease or risk factors like high BP or diabetes or high lipids they should be controlled and she should follow up with her dr who can give her further recommendations. ...Read more

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Direct sternal injury 2 years ago with chronic pain. Recent diagnosis of first rib injury with brachial plexus involvement. Changes of recovering?

Direct sternal injury 2 years ago with chronic pain.  Recent diagnosis  of first rib injury with brachial plexus involvement.  Changes of recovering?

Minimal: It seems you had enough time for spontaneous recovery. I would seek surgical correction of the rib to remove any pressure on the brachial plexus. ...Read more

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MRI meaning? Stable severe myelomalacia in the thoracic spinal cord @ T4/T6 & mild diffuse volume loss above & below this level.

MRI meaning?
Stable severe myelomalacia in the thoracic spinal cord @ T4/T6 & mild diffuse volume loss above & below this level.

Meaning of scan: Myelomalacia is injury to the spinal cord. It can be caused by Trauma, infection, inflammation, pressure from a disc or bone fragment. Atrophy is shrinkage of the spinal cord as an after effect of old injury ...Read more

Dr. Gerald Mandell
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Injuries (Definition)

An injury, of any severity, is a condition in which a person has damage to any part of his body. Examples of major injuries include gunshot wounds, knife wounds, large burns, severed ...Read more