Doctor insights on:
How Can Dermatomes Be Used In Diagnosis Of The Location Of A Spinal Injury
Yes: Dermatomes are maps of the skin based on study of many people. Based on where the skin is numb or sensitive or has abnormal feeling, a physician can tell which nerves or part of the spinal cord are affected. People do vary in what part of the body is supplied by which spinal nerve root, but a trained physician or health care provider can come close. Imaging like MRI can confirm the location. ...Read moreSee 1 more doctor answer
What can be done for nerve impingement in the neck? Is that the same as a pinched nerve in the neck? What are the symptoms of nerve infringement? Help
Nerve impingement?: can be caused by being sandwiched between two spinal bones, pressed by a bulging. It can cause muscle spasm and back pain. Prevention treatment is always recommended. This condition must be professionally managed. See interventional pain management specialist for definitive diagnosis and management. It is the same as a pinched nerve. ...Read more
Do Axial images of the leg check the entire length of the leg or is it only localized to a suspected region of the leg?
In general What is treatment for concavity of the contour of the inferolateral patella due to injury in a child?
Depends: The implication would be that it is a post-traumatic finding as in a fracture. If the fracture is well aligned, could be treated in cast or brace, if displaced, then surgical reduction and fixation may be required. We would usually obtain comparison views to the other side as well. ...Read more
MRI guidelines : Mri of brain and spinal cord may show areas of abnormal signal which are consistent with ms but must be taken in the context of the individual's clinical course, objective findings on the neurological exam, and no better explanation forthcoming. Ms diagnosis can be supported by MRI findings, often with additional support from spinal fluid abnormalities consistent with the diagnosis. ...Read moreSee 2 more doctor answers
Many things : It depends on what they mean by widening. It could be that it is being flattened spreading it wider due to compression in the neck from a herniated disc and/or facet joint arthritis. Or it could be something inside the spinal cord like extra fluid or even a tumor causing enlargement of the cord. ...Read more
Can MS show lesions only in the brain and not in the spinal cord? And what type of MS would this be?
See below: If you have optic neuritis and suspicious lesions in the brain, you have a very high chance of having multiple sclerosis. The absence of lesions in spinal cord is not exclusionary. Although other disorders may cause your issues, would get diagnosis confirmed, and start a potent MS agent ASAP, if that seems to be answer. ...Read more
Is there a difference in the way the pain a regular run of the mill pinched nerve would present itself vs that of tumor induced nerve compression?
Tumor vs. HNP: No and yes. Pressure on a nerve will cause radiating pain along that nerve with numbness and or weakness. Tumor, bone spur, misplaced pedicle screw, infection, disk, the nerve doesn't care. You are more likely to have severe, unremitting back/neck pain with tumor especially at night causing awakening. Add weight loss, loss of appetite, fever/chills/sweats, immune compromise, etc, that suggests ca. ...Read moreSee 2 more doctor answers
Yes: Brain tumors are uncommon. Nevertheless, a there is always the possibility. If you can reproduce the pain on your scalp above the skull bone than it is less likely to be a tumor under the skull. ...Read more
No delay: Patients with an an aneurysm usually present acutely with a rupture. Once the rupture occurs, the blood spills out into the brain. The symptoms are instantaneous. There is the sudden severe headache (often described as a "thunderclap headache"), sensitivity to light, nausea/vomiting, and even coma. Seek immediate medical attention. ...Read moreSee 1 more doctor answer
What if the cause of the neuropathy (i.e peripheral neuropathy) is injury/trauma can the problem be resolved? I.e nerve damage. e.g in the penis.
MS v ALS: One important difference- the brain or spinal cord MRI is often abnormal in MS, they are normal for ALS. The EMG is abnormal for ALS, it is normal for MS. MS often causes symptoms that affect touch sensation, ALS causes a painless weakness, no symptoms that affect sensation. MS often causes attacks, ALS is a progressive illness without attacks. ...Read moreSee 1 more doctor answer
What is the best type of laser or any other procedure for a deep scar on the forehead due to a previous form of injury ?
Still experimetal: Use Google to look up the phrase" "laser treatment of hypertrophic scars keloids striae", the type of scars more amenable to some cosmetic improvement with LASER (an acronym for a method to heat tissue, etc. when the light is absorbed). Since the response is a function of light absorption, the color/distribution of pigments within the scar will have a big influence on LASER frequency & responses. ...Read more
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