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Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Neurology
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Doctor Q&A
67 Answers
1 Agree
The number of answers this doctor has agreed with.
A 21-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Muscle disease: Muscular dystrophy is a worsening disorder that causes muscle weakness. The worst kind is duchenne's dystrophy, that affects only boys, leads to seve... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Normal sleep: Sudden jerks in sleep are normal parts of sleep related arousals. The sensation of awakening with being unable to move is called sleep paralysis, and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Unconsciousness: Head injury severity is determined by the duration of symptoms following the injury. If you have wooziness for less than 15 minutes you are probably ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Low blood pressure: A brief sensation of lightheadedness or a faint feeling is most often due to low blood pressure, or to lowering of blood pressure with standing up. I... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Migraine: Intermittent headaches that are throbbing, severe, happen on one side of the head, worsened with activity, lights and noise, are migraines. Triggers ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 64-year-old female asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Nerve heating: Spinal nerve clipping is usually done by pain management anesthesiologist by inserting a needle into the back and directing it to the nerve root chann... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Large aneurysms: I have been taught that aneurysms greater than about 5 mm (about 1/4 inch) are visible on brain MRI with or without contrast. The contrast helps to m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Hours: You have to remain still to avoid bleeding at the site of the puncture for the catheter. If it is in the groin, the doctors may have used an artery c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 45-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Probably benign: Most normal people have had "sleep starts", a sudden jerk of the body, when falling asleep, or when aroused. This is worse when sleep deprived. Repe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Sleepy or unsteady: Dizziness is either a sensation of spinning, or a sensation of head feeling light or faint. Drowsiness means falling asleep easily.
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
EEGs are hard: An abnormal eeg can mean many things. Intermittent changes in eeg, like theta discharges or spikes, can be associated with epileptic seizures or othe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 25-year-old male asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Bupropion: None of the antidepressants are free of possible weight gain, but you might try bupropion (wellbutrin) or fluoxetine (prozac).
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsAnswered >2 years ago
A 32-year-old female asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
CT for bleeding: The spinal tap can show blood or other findings that suggest a need for additional scans. Ct can be done of almost any part of the body. Ct of abdom... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 22-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
NO: There are forms of muscular dystrophy that affect young adults, are milder, and less disabling. Becker's dystrophy, facioscapulohumeral dystrophy, sc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 24-year-old female asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Hyperventilation: Carpopedal spasms happen with low ionized calcium in the blood, usually when people hyperventilate from anxiety. These spasms are brief, and you also... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 18-year-old female asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Low blood pressure: A brief sensation of lightheadedness or a faint feeling is most often due to low blood pressure, or to lowering of blood pressure with standing up. I... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 32-year-old female asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Pain in the leg: The sciatic nerve can pass through the pyriformis muscle, or go under it, and it may not be in spasm, just larger than normal. The pain is then felt i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Low blood sugar: Feeling cold and shaking can be signs of low blood sugar; the body responds to low blood sugar by releasing adrenaline, that causes shaking and constr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 42-year-old male asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Likely not permanent: The most likely issue causing hand numbness after a long plane flight, a situation implying cramped circumstances, is an ulnar neuropathy - pressure o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Yes: Many patients who have epilepsy have panic attacks and other spells that are not epileptic. It is traumatic to have true seizures; that makes people ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Blood pressure: Dizziness on standing is most often a sign that the blood pressure is too low when standing. Have your physician check the blood pressure lying down,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Heart: Most strokes are associated with hardening of the arteries and formation of clots in the carotid artery in the neck. These produce small emboli to th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Competence: This is a question more suited for answering by a lawyer, but in my opinion, as long as the person with power of attorney remains competent to make ju... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Vertigo exercises: Vertigo is often best treated by simple exercises. Many times the problem is due to crystals in the tiny inner ear canals, especially if the vertigo ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years agoMerged
A 29-year-old female asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Possible narcolepsy: Sleep paralysis affects almost everyone occasionally, especially when sleep deprived. Frequent sleep paralysis can be a part of narcolepsy. If narcol... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
More data: To answer the specific question, the symptoms would need to be described. Low potassium, which might occur when taking diuretics (water pills) for hi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 40-year-old female asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Chemical not likely: The most likely reason for a persistent strange smell is a chronic sinus infection. Less likely are injuries to the olfactory nerves. Chemical sensit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Low blood supply: Fainting is a brief, sudden loss of consciousness due to low blood supply to the brain. The medical term is syncope. The most common cause is slowin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Nerve parts: A dendrite is a delicate branch of a single nerve cell, the part that generally receives signals from other nerve cells. It often has multiple branch... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 45-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Probably benign: Most normal people have had "sleep starts", a sudden jerk of the body, when falling asleep, or when aroused. This is worse when sleep deprived. Repe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Stroke: Cerebrovascular disease is a broad term, encompassing strokes because of blockage of major blood vessels of the brain, bleeding into the brain, and ti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Find out the cause: Tingling in the foot can mean several things. Probably most commonly it is due to pressure on the nerves in the foot, and might respond to changing t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Certainly neurology: Neurologist are diagnosticians, and diagnosis is done mainly by listening to patients. It would be a handicap to have difficulty seeing MRI scans and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Inherited disorder: Hypokalemic periodic paralysis is an inherited disorder that results in occasions temporary paralysis. Large meals can trigger attacks, especially th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 30-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Anxiety: Most people who stop xanax (alprazolam) suddenly feel an increase in anxiety. I am not certain what is meant by your head "feeling frozen" but i know... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 18-year-old female asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Exercise?: There are not many details to go by in this question. If you were doing a lot of abdominal and leg exercise earlier in the day the muscle might shake... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsAnswered >2 years ago
A 49-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Notalgia: If the pins and needles sensation is in the upper back (around the shoulder blades) consider 1) dry skin 2) a benign disorder called notalagia paresth... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years ago
A 45-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Splint: The first thing i recommend when i suspect someone has carpal tunnel is the use of a splint, that holds the hand straight on the wrist - wrist support... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 45-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Blood vessel damage: Hypertension can directly damage small blood vessels in the brain, leading to thickening of the walls of the blood vessels and subsequent closure. Hy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 50-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Consider ulnar nerve: There are many possible causes of pain in the forearm and wrist, most of them do not involve nerves. If you mean the side of the forearm on the same ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Calcium, folic acid: Generally, one should take calcium and vitamin d, and folic acid, when on anti-seizure medications. Trileptal can cause low sodium, and topamax (topi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Headache: Strokes due to bleeding in the brain more often have headaches at onset than strokes due to loss of blood supply to part of the brain. Bleeding strok... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 23-year-old female asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Not from pregnancy: Nausea, and vomiting, are typical symptoms in early pregnancy. High fever (>100) is not typical, and it could mean you have an infection, either a no... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
No feeling: Numbness should be the lack of sensation - you can't tell if water is hot or cold, can't tell texture of cloth or the type of coin you are holding. S... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Periodic nystagmus: The medical term for eye shaking is nystagmus. Nystagmus is most often due to problems in the balance mechanism in the inner ear. If your eye shakin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years ago
A 31-year-old female asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Rebound: Daily headaches are often due to rebound headaches; daily use of maxalt, (rizatriptan) or other relief medications, can cause the next headache to be ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.2k viewsReviewed >2 years ago
A member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Nerve pinch: Neck and right arm pain with pins and needles strongly suggest a nerve root pinch in the neck. Some conditions affecting the very top of the spinal c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsAnswered >2 years ago
A 30-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Tingling, pan: Carpal tunnel syndrome is due to pressure on the nerve at the wrist. It causes tingling and/or numbness in the index and middle fingers, sometimes we... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Difficult question: Coma is a difficult behavioral state to define. Most people think it is a sleep like state with lack of immediate reactions to stimuli. There are st... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsAnswered >2 years ago
A 61-year-old male asked:
Dr. Andrew Dutkaanswered
Neurology 47 years experience
Hypoglycemia: It seems you have diabetes, if you are knowledgeable about your hemoglobin a1c. The symptoms you describe could be due to low blood sugar (hypoglycem... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
226
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Dutka is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Dutka is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
thank you your information was very helpful why do I also see that some people with vertigo are on oxygen?
HealthTap member
Thank you, your answer was very helpful! Thanks for your time. I learned something today
HealthTap member
Thanks, I'd never understood migraines before but I'v read a bit now.
Education & Training
Medical/Graduate school
Albert Einstein College of Medicine of Yeshiva University, NY
Graduated 1976MD
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