Doctor insights on:
Dandy Walker Malformation Treatment
Open up space: Surgery is done to make more space around the cerebellar tonsils which have descended below a bony landmark called the foramen magnum. Bone is removed in the suboccipital area and extended down over the cervical bones as needed to take any bone over the tonsils off. The dura or covering over the tonsils can be opened and a patch sewn over the area to increase the space. ...Read moreSee 1 more doctor answer
Sometimes surgery: Chiari malformation type i neurological disorder where cerebellum (or more specifically the cerebellar tonsils), descends out of the skull into the spinal area, resulting in compression of parts of brain and spinal cord, and disruptsl flow of cerebrospinal fluid sxs include .Dizziness, muscle weakness, numbness, vision problems, headaches, problems of balance/ coordination. If severe maybe surgery. ...Read more
I saw a doctor who diagnosed chiari malformation. Now he wants to do treatment. I suspect he is churning. What is significance of the condition?
Churning?: Treatment of chiari malformations is surgical. These are usually surgical if the patient has specific headaches, difficulty swallowing, weakness, or hydrocephalus along with other symptoms. I'm not sure quite what you mean by churning but if you're uncomfortable with your neurosurgeon, please seek another opinion. Remember that we are here to help you and you should feel that from your surgeon. ...Read moreSee 1 more doctor answer
Not "ALL": The treatment of avms is should involve mutliple specialists these days. Some of the more recent research suggests that treatment through the arteries is dangerous but it is important to realize that many of those treatments did not involve a team of doctors treating the patients. Make sure you involve an experienced team of mds in treatment recommendations regarding your avm. ...Read moreSee 3 more doctor answers
Do you have one?: You saw the malformation on an MRI, right? Who's the patient, you or the MRI? Are either you or the MRI having symptoms? If brain surgery (not a minor matter) were needed, who would have it, you or the MRI? You're making a common layperson's mistake: You're mistaking a test result for the thing itself. A Chiari malformation that causes no symptoms is much better left alone. ...Read moreSee 2 more doctor answers
Surgery: Surgery is definitely an option but i would see someone who specializes in this and would make sure that your symptoms are of the sort that would improve. I would also get an MRI flow study that proves that there is abnormal flow through the foramen magnum. ...Read moreSee 1 more doctor answer
Can depend...: Depending on the location (face, trunk, extremities) and level (superficial, deep) and degree of symptoms from the "shunting" of blood from the arteries to the veins the treatment can vary. Thorough imaging (ultrasound, mri, arteriogram) is needed to figure this out. Treatment can involve surgery but more often today relies on injecting chemicals directly into the avm to clog it up. ...Read more
Just got out of cam walker for lat.Malleolus frac. Ongoing ankle probs for last 4 years. What can I do at home to help my ankles inc. Massage/therapy?
No: Oxygen therapy is not a "cure" or fix of problems in the lungs. But, if you need oxygen and you do not use it, then you may cause damage to other organs including the heart. The use of oxygen will also allow you to do more things that otherwise, you would not be able due to dyspnea. Oxygen doesn't fix problems, but if you donn't use it you may develop other problems and you will be more limited. ...Read moreSee 1 more doctor answer
Hypoxia: In people who are deemed to need oxygen from any cause but especially copd, because they are hypoxic, studies show that the only treatment that can prolong life is oxygen. All the others, such as steroid, bronchodilators, make the person feel better but don't prolong survival, if everything else equal. ...Read more
Sometimes surgery: Chiari malformation type i neurological disorder where cerebellum (or more specifically the cerebellar tonsils), descends out of the skull into the spinal area, resulting in compression of parts of brain and spinal cord, and disruptsl flow of cerebrospinal fluid sxs include .Dizziness, muscle weakness, numbness, vision problems, headaches, problems of balance/ coordination.If severe maybe surgery ...Read more
Can SPECT scan help diagnose why I have Visual Snow&Tinnitus?Studies show abnormalities in both on SPECT. Does SPECT help guide treatment?
As we know that fibro is due to abnormalities in the levels of chemicals in the brain but how could treatment restore the normal balance of chemicals?
Sensitization: Central sensitization is the process of the CNS nerve receptors becoming hyper-sensitive to stimulation whereas normal touch and movement becomes painful. This is one of the working possibilities behind fm. The issue remains that little is none as to how to diagnose and how to treat. This symdrome is diagnosed too often and too early, with many complaints explained by other pathology. ...Read moreSee 2 more doctor answers
Does the far pad wear away after a few years? I'm a avid walker but now I have pain under my big toe after walking. What is the "cure" ?
Bone marrow Biopsy showed 2 genetic abnormality. Another bone marrow done in same center showed no abnormalities. No treatment done. Any explanation?
Cytogenetic analysis: A bit more complicated. Not enough information to assess.Need more details on the exact type of genetic abnormality. Would be helpful to be able to view the entire genetic evaluation, complete blood count and history. Suggest that you seek a full one on one consultation. Good luck. ...Read more
20 year-old woman with 2 painful left popliteal lumps, "inconclusive" x-ray and MRI, leading to difficulty standing or walking.....?
Excisional Biopsy: Since the X-rays and MRI are inconclusive, it would be prudent to have one of the lumps removed for pathological evaluation (excisional biopsy). It is likely a benign process, like an angiolipoma, a neurfoibroma, a neurilemoma or a Masson's tumor, but a pathological diagnosis is your best option at this time. Plus, removing the lump will likely make the pain resolve. Good luck. ...Read moreSee 9 more doctor answers
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