Doctor insights on:
Ischemic Demyelination And Lyme Disease
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
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
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 moreSee 1 more doctor answer
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
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
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 moreSee 2 more doctor answers
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
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
Does infectious disease specialist treat or study systemic scleroderma. Undifferentied diffuse connective tissue disease,raynauds?
No: these are generally dealt with by rheumatologists. Good luck. ...Read more
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
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
Can degenerative disc disease, endometriosis, migraines, and colon condition all be due to food sensitiv.'s and/or underlying auto immune disease @46?
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 moreSee 2 more doctor answers
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