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Doctor insights on: Cns Diagnosis

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Differential diagnosis for fetus with hydrops?

Differential diagnosis for fetus with hydrops?

Hydrops fetalis (HF): Hf is divided into two major categories: immune hf and nonimmune hf. Immune hydrops fetalis is caused by rh incompatibility, and used to be the most common cause. All other causes of hf are termed non-immune and may be caused by chromosomal aberrations, other genetic disorders, infections, anemias, structural birth defects such as congenital heart disease, and many other causes. ...Read more

Dr. Michael Kleerekoper
3 doctors shared insights

Central Nervous System (Definition)

System in humans is the brain and spinal column. The nerves that connect the CNS to the limbs, organs and the outside world is ...Read more


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How treatable is CNS vasculitis?

How treatable is CNS vasculitis?

Cns vasculitis: CNS vasculitis is usually treated with high-dose steroids such as prednisone, in combination with Cyclophosphamide (a medication that decreases the immune system’s response to autoimmune diseases).In some cases, high-dose steroids alone are tried first; if that does not treat the disease, Cyclophosphamide is added. Treatment must be continued for a prolonged period, sometimes for life. ...Read more

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Treatment for chronic demyelinating brain disease?

Treatment for chronic demyelinating brain disease?

Drugs exist: Previous answer on stress reduction which is really important.However, medications exist that can help too. It does depend on which demyelinating problem (ms, cdip), and what type as some treatments are more indicated for certain kinds of ms for example.Many are powerful immune-modulating drugs, and can be by mouth, shot or IV depending. Best to see someone skilled in treatment, such as neurologist. ...Read more

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What is r/o metabolic CNS diagnosis ? Explain treatment required please r'o metabolic diagnosis signal intensity in spinal cord on MRI of cervical spine

What is r/o metabolic CNS diagnosis ?  Explain treatment required please r'o metabolic diagnosis signal intensity in spinal cord on MRI of cervical spine

Rule out brain/spine: R/o metabolic CNS DX means to rule out a metabolic central nervous disease disorder or diagnosis. This means a neurological problem caused by a disease affecting your nerves to function probably from the higher order aresa such as the brain, spine or generalized nervous system. Heavy drinking, heavy metal poisoning, parkinson’s, previous exposure to chemotherapy, radiation, aggressive or prolon. ...Read more

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Would CNS vasculitis show up on eeg?

Would CNS vasculitis show up on eeg?

Need clarification: CNS vasculitis is an inflammatory condition affecting the brain and is diagnosed by tests of structure (mri, arteriogram...) and less of function (eeg, evoked potentials. However, there are frequent eeg abnormalities depending upon the presentation of the vasculitis such as whether the patient has had a seizure. I hope this helps. Take care. ...Read more

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What is the life span after diagnosis of central nervous system CNS vasculitis?

What is the life span after diagnosis of central nervous system CNS vasculitis?

Highly variable: Depends on root cause and treatment response. Sometimes it will relapse and remit, other times it can spontaneously resolve. ...Read more

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What type of exam can diagnose Paraneoplastic Neurological Syndromes?

What type of exam can diagnose Paraneoplastic Neurological Syndromes?

Depends on type: There r many paraneoplastic neurologic syndromes, each associated with specific types of cancers. Thus, there's no generic answer to ur question. Paraneoplastic lymphomas, 4 instance, can produce specific antibodies which can b detected by blood tests or lumbar puncture, depending. The best "test"? A thorough history & physical by some1 knowledgeable (oncologist, neurologist) who can guide u more ...Read more

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Recent diagnosis w/autoimmune disease & skin biopsy result: urticaria or mast cell disease. Shouldn't biopsy give more definitive diagnosis?

Recent diagnosis w/autoimmune disease & skin biopsy result: urticaria or mast cell disease. Shouldn't biopsy  give more definitive diagnosis?

Hard to tell: Mast cells are the cells that release histamine in the body. This is what happens in urticaria, so one will see mast cells in biopsies of urticarial (hive-like) lesions. Mast cells can also be found in increased numbers in people with mastocytosis. Thus the biopsies may be similar. As stated by my colleague, the clinical history can be key to the diagnosis. Talk with your doc. ...Read more

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Brain MRI results: differential includes nonspecific demyelinating process such as MS vasculitis and infectious etilogies. What does this mean?

Meaning of MRI: Differential- this refers to the list of possible diagnoses for the person. The radiologist is not exactly sure what the imaging diagnosis is but what they are saying is that it looks like is ms or ms like things. Ms vasculitis (swelling of the arteries seen in ms). The other thing he/she thinks is possible are infectious etiologies (causes: such as bacterial or viral infection. ...Read more

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Whats standard infectious workup post POTS diagnosis? Does typical workup include Lyme disease testing? ,

Whats standard infectious workup post POTS diagnosis? Does typical workup include Lyme disease testing?
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Yes: Lyme can cause autonomic dysfunction including POTS- good idea to get tested for lyme and its coinfections such as bartonella, mycoplasma, erhlichia, anaplasma, babesia and rocky mountain spotted fever which are all tick borne infections ...Read more

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Definitive diagnosis of pudnedal neuralgia?

Definitive diagnosis of pudnedal neuralgia?

Neurology consult: A definitive diagnosis will require definitive evaluation. For a neurologic complaint, a neurologist is the best bet. Good luck. ...Read more

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Which dr's can order muscle biopsies? Rheum, neuro, pcp?

Which dr's can order muscle biopsies? Rheum, neuro, pcp?

Muscle bx order: Any provider can order a muscle biopsy, but it is not normally ordered except by neurologists and rheumatologists. ...Read more

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What serious conditions can nerve conduction tests diagnose?

What serious conditions can nerve conduction tests diagnose?

Many.: Nerve conduction studies and electromyography (EMG) can diagnose neuropathy (nerve problem), radiculopathy (pinched nerve), myopathy (muscle problem), and other conditions such as ALS (lou gehrig's disease) and myasthenia gravis. ...Read more

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Can CNS vasculitis be seen on a non contrast mri?

Can CNS vasculitis be seen on a non contrast mri?

No: The MRI needs to be with contrast. Also, there is no specific findings on MRI that will diagnose vasculitis. An MRI will show white matter lesion consistent with vasculitis but the same lesions are also consistent with several other causes including lyme disease. You should address all of your numerous questions to a rheumatologist. ...Read more

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Does anyone have really mild chronic inflammatory demyelinating polyneuropathy, making diagnosis uncertain?

Does anyone have really mild chronic inflammatory demyelinating polyneuropathy, making diagnosis uncertain?

CIDP: Not unique to have diagnostic challenges to confirm cidp. Most cases create significant weakness, but early on, it may be difficult to confirm, as even nerve biopsies may not be helpful. Best to check EMG for characteristic findings. Spinal fluid protein elevation may help. ...Read more

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Spinal cord lesion on t3/4, negative brain mri, positive for oligoclonal banding. Neurologist says ms. Can this be with negative brain mri?

Spinal cord lesion on t3/4, negative brain mri, positive for oligoclonal banding. Neurologist says ms. Can this be with negative brain mri?

Can occur: Although less common, isolated spinal cord involvement can be seen in absence of demonstrable brain lesions. But make certain that you do no have NMO presenting atypically, and an anti-aquaporin blood test can help confirm diagnosis. ...Read more

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Dr. James Lin
3 doctors shared insights

Cns (Definition)

CNS stands for central nervous system and consists of the brain ...Read more