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Doctor insights on: Ischemic Demyelination And Lyme Disease

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Is ischemic microvascular brain disease related to stroke?

Is ischemic microvascular brain disease related to stroke?

See comments: Are you referring to radiology reading of an MRI of brain? In elderly, often thought that white matter lesions are associated with "microvascular angiopathy", sign of potential atherosclerosis. Maybe potential stroke risk, especially lacunar infarct, but not straightforwards. Your physician needs to assess stroke risk. Spots more likely from migraine or prior injury. ...Read more

Demyelination (Definition)

Nerve fibers have a central axon insulated by myelin covering. Demyelination is damage to the myelin, and typically experienced in multiple sclerosis due to an autoimmune attack by lymphocytes, but may be seen also in hereditary leukodystrophies, acute encephalomyelitis, ...Read more


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Are cardiovascular disease and ischemic heart disease the same disease?

Are cardiovascular disease and ischemic heart disease the same disease?

Close: The way i define it is that cardiovascular disease refers to the present of plaque (arterial disease) in the arteries of the heart. Ischemic heart disease means that the disease in the arteries has now decreased the blood flow to the heart and is affecting how it functions. Ischemic heart disease is a subset of cardiovascular disease. ...Read more

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Can hashimoto's disease cause brain demyelinations ?

Can hashimoto's disease cause brain demyelinations ?

No: No, Hashimoto's does not cause brain demyelinations. Hashimoto's is an autoimmune thyroid dysfunction which will eventually cause hypothyroidism. During initial stage of Hashimoto's, thyroid function may remain normal or transiently elevated with self resolution. But in long term, most patient with Hashimoto's will develop hypothyroidism requiring thyroid hormone replacement ...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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Is crohn disease and inflammatory bowel disease both lifelong diseases?

Is crohn disease and inflammatory bowel disease both lifelong diseases?

Depends: Inflammatory bowel disease includes crohn's and ulcerative colitis. Crohn's has the potential of being a lifelong disease as it can involve any portion of the GI tract from mouth to anus. Ulcerative colitis only involves the colon; thus worse case scenario, removing the entire colon is a cure. See a GI doctor/colorectal surgeon for more details. ...Read more

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What is chronic microvascular ischemic disease?

What is chronic microvascular ischemic disease?

Parse the words: Chronic = long-standing. Microvascular = small blood vessel. Ischemic = insufficient blood flow. Technically such a condition can affect any organ in the body but this condition gets most attention due to neurologic involvement. Certain genetic & environmental factors contribute to this condition--that is, there is more than one cause. ...Read more

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Is crohn disease and inflammatory bowel disease lifelong?

Is crohn disease and inflammatory bowel disease lifelong?

Generally yes: Inflammatory bowel disease (crohns and ulcerative colitis) are generally considered to be chronic diseases and generally require lifelong treatment. The disease can become less active over time and ultimately some patients may be able to stop therapy. Some crohn's disease is very mild and patients will go for years before seeking treatment. ...Read more

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Is progressive supranuclear palsy a demyelinating disease?

Is progressive supranuclear palsy a demyelinating disease?

PSP: Progressive supranuclear palsy: the disorder's long name indicates that the disease begins slowly and continues to get worse (progressive), and causes weakness (palsy) by damaging certain parts of the brain above pea-sized structures called nuclei that control eye movements (supranuclear). It is central; demyelinating conditions occur in the peripheral nervous system. ...Read more

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What is chronic microvascular ischemic disease, chronic migraine, and a disseminating process such as multiple sclerosis mean on MRI? Do I have MS?

What is chronic microvascular ischemic disease, chronic migraine, and a disseminating process such as multiple sclerosis mean on MRI? Do I have MS?

You're the patient..: ...not the MRI. Presumably you didn't just wander into an MRI facility & make an impulse purchase. The MRI was ordered by your doctor & for a reason. The radiologist isn't paid to diagnose YOU; (s)he just looks at studies & reports what (s)he sees. Go back to the ordering MD; diagnosing YOU is his/her job. Ask to see the MRI: in radiology, 1 picture is worth 1000 words. ...Read more

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What can cause brain demyelination besides a demyelinating disease?

What can cause brain demyelination besides a demyelinating disease?

Several: There are hereditary problems called leukodystrophies, toxins such as glue sniffing can damage brain myelin, paraneoplastic events associated with cancers can have some effect, and of course ms as the best known cause. But sometimes, other disorders seem similar and can masquerade. ...Read more

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Can celiac disease cause vasculitis?

Can celiac disease cause vasculitis?

Almost never: Vasculitis complicating celiac disease has been described but is extremely rare, and is not the most likely cause of any symptoms you might be experiencing. ...Read more

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What distinguishes Parkinson's disease from alzheimer's disease?

What distinguishes Parkinson's disease from alzheimer's disease?

Many things.: Parkinson's Disease will present with physical symptoms such as shakiness, stiffness of the limbs causing a shuffling gait, lack of facial expression causing a mask-like face and the dementia may occur later while Alzheimer's dementia starts with gradual memory problems which begin to get worse in a few years and maybe accompanied with paranoid delusions. ...Read more

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What does Lyme disease attack?

What does Lyme disease attack?

Many areas: If left untreated it can effect several areas including the heart, brain, peripheral nerves, skin, muscles and joints. ...Read more

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Low cd57 and Lyme disease related?

Low cd57 and Lyme disease related?

In some cases but...: Noted lyme specialist raphael stricker discovered that many lyme patients have a low cd57 count (this is a subset of a type of white blood cell called natural killer cells) and that the level often increases as patents improve. However, not all lyme patients have low cd57 counts. A low cd57 may be supportive of a lyme diagnosis but a high level in no way rules it out. See my comment for more info:. ...Read more

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What are the symptoms of neurological chronic Lyme disease?

What are the symptoms of neurological chronic Lyme disease?

Brain Lyme : Neurological involvement by Lyme occurs after a long period of untreated infection and leads to difficulty with walking, thinking, vision and MRI with a spinal tap test to confirm diagnosis ...Read more

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Is crohn disease and inflammatory bowel disease a lifelong disease? Please advise!

Unfortunately yes: but you can achieve control of disease with careful medical management is most cases. You need to under the care of a gastroenterologist who specializes in Crohn's disease and ulcerative colitis. Try National Foundation for Ileitis and Colitis home page for referral to one in your local area. ...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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Dr. Randy Baker
656 doctors shared insights

Lyme Disease (Definition)

A tick-borne illness caused by the bacterium borrelia burgdorferi that results in symptoms of fever, headache, fatigue, and a characteristic skin ...Read more