Doctor insights on:
Cerebellar Degenerative Disease
Diagnosed w/cerebellar atrophy from MRI due to balance/memory issues.What tests can I expect next, and what are they looking for?44yr.Old non-drinker
Differential for CA: The differential diagnosis of later onset cerebellar atrophy can be hereditary, acquired, or degenerative. The acquired forms can be arrested or even treated and thus should be investigated. The investigation usually includes blood and possibly 24 hour urine evaluation. Sometimes the blood work is sent off to a specialty lab especially when the hereditary/paraneoplastic forms are being sought. ...Read more
What is progressive neuro-degenerative disease or any neuro-degenerative or atrophy cerebellar diseases or mental diseases?
Example: Neurodegenerative illnesses that affect the cerebellum may be the different forms of multiple system atrophy, such as OPCA. Other neurodegenerative illnesses (that do not affect the cerebellum) include Alzheimers, Parkinsons, and ALS. ...Read more
Incoordination: There are several features of people with cerebellar dysfunction with symptoms ranging from walking incoordination, hand incoordination, inability to do alternating movements, eye dysfunction and multiple others. Basically, your cerebellum coordinates the complex movements of your body and therefore cerebellar syndrome is a dysfunction of that coordination. It can be much more complex than this. ...Read more
MRI=enhancingT2hyperintense foci in both cerebellar regions may represent demyelinating disease. Other less likely metastasis or any infiltrative?
Complex question.: We will need to discuss your symptoms to figure out the significance of any such "findings" on the MRI. This isn't the forum to discuss- use HealthTap Prime or talk to your doctor / neurologist. In the mean time, obtain the MRI pictures & upload the pictures + report onto your computer. A metastasis in BOTH cerebellums, symmetrically, is ridiculously improbable. Can't say much more here. Good luck ...Read more
What does this mean, some hyperintense signals are seen in the brainstem, cerebellum and bilateral thalami? Paransal sinuses show mucosal disease?
Depends: At your age, must wonder about multiple sclerosis (radiologically isolated syndrome), but also, migraine can cause the spots, prior trauma can do this, and prior infection may be responsible. Discuss with a neurologist, as there may be valuable preventative treatment. The sinus issues are separate and consistent with a dry climate. ...Read more
My sister had citogamelovirus and inflamation in her brain in the cerebellum and now the disease is dormant but she can't move or swllow? Wht cn b dn
Encephalitis : I am sorry to hear about your sister. If the inflammation in the brain and cerebellum are now resolved the next step is rehabilitation. This will greatly depend on her level of awareness. If ready to be released from the hospital a transfer to a specialized rehabilitation center is next. A long term pathway for nutrition and hydration should be maintained with the hope its use will be temporary. ...Read more
Could temporary exposure of the bbb, plus already present Lyme disease, and an affected cerebellum/or not. Cause anti-nmda receptor encephalitis?
I have read some scary stuff about people with essential tremor having cerebellum disease. My tremor is worsening. Will gabapentin help?
I recently have Lyme disease, affected cerebellum, pots, anterograde amnesia. I've not smoked marijuana anymore because it makes symptoms worse. Why?
It depends on...: Marijuana often makes people dazed ; confused ; can reduce short-term memory, but it does not affect everyone this way- it depends on the strain ; how you metabolize it. Lyme can interfere with how your liver processes it, plus your brain is affected by microbial toxins. You may tolerate ; benefit from high-cbd strains as well as juicing fresh leaves (these have no thc). See http://bit.Ly/1fm38nd. ...Read more
Bleeding in brain: A cerebellar hemorrhage refers to a collection of blood in the part of the brain (cerebellum) responsible for coordination. If large, it can be life threatening and needs immediate surgical evacuation. Finding out the cause early is critical. It can be related to long standing hypertension (older patient) or a brain arteriovenous malformation, aneurysm or tumor. Mri or angiogram is often done. ...Read moreSee 1 more doctor answer
Evaluation: The essential task is searching for a treatable cause with your neurologist. The differential diagnosis of ataxia is long--be detailed ; thorough with notes re. Other symptoms. Meanwhile, supportive rx = physical ; occupational therapy, adaptive medical equipment (ex. Shower grab bar, walker). We don't have cures for most hereditary ataxias, but work closely with your neurologist. Good luck! ...Read more
Mild to moderate cerebellar vermian atrophy in 51 year old female. Recent history of unsteadiness, falls and connective tissue disorder ?
Comments: A common cause of cerebellar vermin atrophy is history of alcohol nutritional occurrence, and this variety might respond to thiamine 50-100 mg daily. Your imbalance is likely secondary to this. Connective tissue disease may be an underlying cause, but this will require further investigation to pin down. Physical therapy gait training may well help your unsteadiness. Ankle weights often aide. ...Read more
My father 70 yrs. Cabg 1999. Hypertensive and dm -good control
diffuse cerebellar and cerebral atrophy & microvascular ischemic disorder - treatment?
No cure: The changes you describe are typical ct changes of most people over age 60 with dm and htn. There's nothing that will reverse those changes. To slow progression which is as inexorable as aging, keep the BP and cholesterol under meticulous control. Control of dm is important for other reasons but may not slow the vasular changes. Of course, no smoking. Good diet and regular exercise also help. ...Read more
Variable: It depends on the underlying cause. If it is a progressive cause then the prognosis is poor. ...Read more
Illness family: This is a group of thankfully-uncommon illnesses, almost all of them genetic, in which the principal cells of the cerebellar cortex die off over time. Generalized lack of coordination results. One is treatable with big doses of vitamin E but this does not touch the rest. The other entity to rule out is remote effects of a small lung cancer. Good luck. ...Read more
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