Question 1

what is surgery for l5 s1 isthmic spondylolisthesis like?

Accepted Answer

Fusion: The success is higher with a fusion in this case.  Whether there should also be a decompression depends on the findings on clinical exam and on imaging of any significant nerve compression. Overall, success rate should be 90% if not a smoker.

Question 2

thyroid ultrasound shows right sided hyperemia, right lateral isthmic tr-3 module measuring 5x11mm, a cyst and another 5mm nodule on the right side. however the ultrasound also says no further follow up. my doc agreed. should i see an endocrinologist?

Accepted Answer

: No, nodule in TR3 category does not require biopsy unless it is 25 mm or bigger.

Question 3

what is micro angiopathic ischemic changes?

Accepted Answer

MRI lingo: This is a description of white spots seen, using t2 software, within the white matter of brain in a nonspecific fashion.  Although these could be non-diagnostic, they may well be associated with some atherosclerotic changes associated with aging.  Smaller blood vessels are noted here, and unless you have had cerebrovascular events, it is unlikely that these represent strokes.

Question 4

sir
i had small isoechoic nadule in isthmus  size was 6.3mm?

Accepted Answer

Specialist: Need thyroid labs and a specialist visit.  The nodule on the thyroid may need fine needle biopsy. See an otolaryngologist ENT doc for their opinion on this. You might have under or over active thyroid causing you the symptoms you describe.

Question 5

i have tiny hypothecoic nodule in isthmus measuring 8.5-5.9 mm. is it normal.any problem is there.?

Accepted Answer

No: No nodule in the isthmus is normal. Most are removed.

Question 6

what is ischemic gliosis?

Accepted Answer

Ischemic gliosis: The scar tissue that forms in the brain and spinal cord after damage from lack of oxygen or blood flow to a specific area (stroke) or diffusely (heart attack with no blood to the brain).

Question 7

what is ischemic demyelination?

Accepted Answer

Lack of blood flow: Causing a loss of myelin in the central nervous system.  This condition is most commonly seen in the periventricular white matter in both hemispheres.  There appears to be 5 major risk factors for these lesions:
1. Hypertension
2. Hyperlipidemia
3. Diabetes
4. Smoking
5. Family history of stroke

please be evaluated to minimize the risk for stroke and consider antiplatelet therapy if appropriate.

Question 8

what is ischemic leukoencephalopathy?

Accepted Answer

Not a neurologist...: "Ischemic" refers to decreased blood flow to an area. "Encephalopathy" refers to disease or abnormality in the brain. "Leuko" means white. This term is usually applicable to a brain imaging scan, like a CT or MRI. They are seeing white areas in the brain that reflect brain disease due to lack of blood flow. I hope our experts will add their views here!

Question 9

chronis ischemic changes is that a stroke?

Accepted Answer

Not really: It means that chronic poor blood flow to parts of the brain caused changes in the tissue that are seen on imaging. Stroke is typically an acute blockage of blood flow to the brain which causes damage to brain tissue.

Question 10

symptoms of microvascular ischemic change ?

Accepted Answer

Pain: Feeling of cold. Blanching. Numbness.

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A member asked:

What is surgery for l5 s1 isthmic spondylolisthesis like?

A member asked:

Thyroid ultrasound shows right sided hyperemia, right lateral isthmic tr-3 module measuring 5x11mm, a cyst and another 5mm nodule on the right side. however the ultrasound also says no further follow up. my doc agreed. should i see an endocrinologist?

A member asked:

What is micro angiopathic ischemic changes?

A member asked:

Sir i had small isoechoic nadule in isthmus size was 6.3mm?

A member asked:

I have tiny hypothecoic nodule in isthmus measuring 8.5-5.9 mm. is it normal.any problem is there.?

A member asked:

What is ischemic gliosis?

A member asked:

What is ischemic demyelination?

A member asked:

What is ischemic leukoencephalopathy?

A member asked:

Chronis ischemic changes is that a stroke?

A member asked:

Symptoms of microvascular ischemic change ?

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