Doctor insights on:
Als Spontaneous Remission
It doesnot make sens: The two words paraneoplastic degenative, juxtaposed next to each other do not make sense. So something is missing in what you are trying to say. Tell us what you have wrong and we can explain. _paraneoplastic means that one has some remote changes in the body which are due to a cancerous tumor somewhere in the body.Give us some details of your history like, you have any recent diagnosis of cancer. ...Read more
Paralysis of muscles: Lou gehrig's disease is also known as amyotrophic lateral sclerosis. The disease attacks nerve cells in the brain and spinal cord that run the muscles that we can normally control. The cause of the disease is not known. In about 10% it is genetic. People with lou gehrig's disease slowly become weak in the arms and legs, and can have difficulty speaking, swallowing, and breathing. ...Read moreSee 1 more doctor answer
Not necessarily : Ms has been said to shorten life span, and untreated this is correct, but several studies have supported normal life if appropriate potent meds are employed. Primary progressive ms does not respond well to the usual meds, and mostly symptomatic interventions are used. There are many research projects nowadays, and best to contact a medical school and get involved. ...Read more
Bilateral babinski/hoffman, hyperreflexia , spasticity, voice gravely, progressive +5 yrs, MRI , spinal tap normal, doc denies mnd. Family normal. ?
A friend had chronic demyelinating polyneuropathy (cidp), then got chronic lymphocytic leukemia 2 years later. Is cidp paraneoplastic syndrome sometimes?
Not likely: Chronic inflammatory demyelinating polyradiculopathy (cidp) is almost always an autoimmune condition incited by some antecedent infection--c. Jejuni, ebv, cmv, or another infection. Antibodies produced against the virus/ bacteria/ pathogen cross-react with the myelin sheath on the nerve roots, first causing guillain-barre (aidp), then later cidp. It's exceedingly rare that cancer could cause this. ...Read moreSee 2 more doctor answers
TTP/rituximab: Twelve articles have reported 27 patients treated with Rituximab for ttp, with bene?t described in 25 (93%) of the patients. These observations from small uncontrolled case series is said to provide the background and rationale for a randomized clinical trial to establish the efficacy of Rituximab in this disease. ...Read moreSee 1 more doctor answer
Do Your Own Research: Answer: largely no unless one changes at least part of what is driving it. Neuro=nerve cell. Motor=muscle. Except for heart, no muscle cell in our body contracts without nerve impulse telling them to: ~0.001 sec per impulse. Motor neuron, from brain or spinal cord, axon growth into the cell matrix early in development & firing induces cells to become muscle cells. Medicine treats, rarely cures. ...Read more
Multiple myeloma patient relapsed after Velcade , Revlimid (lenalidomide) and Carfilzomib. Any hope. Patient is 80 yrs old?
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
Does having 1 autoimmune disorder predispose u2 others? Mom with hoshimoto's>psoriatic arthritis>viral hepatitis>acute myeloid leukemia.
Can receiving IVIG 6 weeks earlier effect ANA type testing? 5 months on, 2 months off, then test. Suspected autoimmune w/auto + periph neuropathy, unintentional weight loss, Raynaud's, Rosacea, stable pancreas IPMNs.
AML. platelet transfusion pltls = 48. 24hrs later plt down to 24, then 8. Another transfusion. Plts = 60. 48hrs later, plts at 30. now 21. Prognosis?
Variable, worse >65Y: The prognosis in AML is variable/ is based on age(worse in >60 yr olds) and cytogenetic changes in the leukemic cells. Low platelets are common and often fluctuate as observed in this case. Find out the genetic subtype of his AML. Achievement of complete remission(CR) with the first cycle of chemo(4 weeks time) is a good sign. What date did he start his chemo? ...Read more
Dad(52yrs)diagnosed w/cerebral vermian atrophy. Symptoms:uncoordinated movements, speech, swallowing difficulty(at times). Non-drinker. Is there a cure
Search for cause: The term "cerebral atrophy" is generic and does not explain why your dad is impaired. You truly need to have a full neurological evaluation, as the symptoms do raise concerns regarding many potential problems. Some of these issues could be associated with vitamin deficiencies, some from an inflammatory condition. Even might be due to a prion infection. Need to vigorously pursue. ...Read more
Yes: Soft tissue always heals by scar and scar is never the same as original uninjured tissue.Scar will stretch over time and you may have some laxity because of this. ...Read more
Have appt re: R.a. factor 23.4, +ana, sjogrens ssa 8.0. increased chance of m.s. or lymphoma? Have bros w/both. drop things, random muscle pain tingle
AML Relapse: First of all, congratulations on being disease free for 3 years! Remission means just that. Unfortunately, remission is not synonymous with cure. It used to be that 5 years of remission=cure. Now,10 years or in some cases more = cure. Keep following your doctor's directions, live a healthy lifestyle, and seek medical care at the earliest sign that you might be having a relapse. One day at a time ...Read more