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Doctor insights on: Lhermitte Duclos

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Autonomic neuropathy sympts for 21mths.Anti hu tested neg. Could this be a paraneoplastic neurological syndrome?My GP says don't worry PNS rare. Ideas

Autonomic neuropathy sympts for 21mths.Anti hu tested neg. Could this be a paraneoplastic neurological syndrome?My GP says don't worry PNS rare. Ideas

Autonomic neuropathy: Occurs in women typically with onset in the 4th or 5th decade. First confirm you have it ( see a neurologist and have an EMG-NCS done. If the diagnosis is in question thermal testing and a tilt table test can clarify matters. Read about POTS and its many causes ...Read more

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Neurology/ radiology.What is brain rot? Answers welcome in simple terms.Is it organic or disease?Is it neurovascular? Neurodegeneration? Toxicology?

Neurology/ radiology.What is brain rot?  Answers welcome in simple terms.Is it organic or disease?Is it neurovascular? Neurodegeneration? Toxicology?

Atrophy: Brain rot is a crude description of atrophy of the brain seen on ct or MRI scans. One can make educated guesses, based on the patient's history or exam, what the underlying problem might be. Age-related, alcohol, vascular or degenerative disease, are some potential causes. A detailed evaluation by your physician can help make the diagnosis. ...Read more

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MRI brain results Impression- there is cerebral atrophy with subcortical WMC, consistent wit microangiopathic disease, demyelination, or giliosis?

MRI brain results  Impression- there is cerebral atrophy with subcortical WMC, consistent wit microangiopathic disease, demyelination, or giliosis?

Covering the bases: That signal that is seen in patients who age is seen very frequently. Most of the time it is what has become known as microangiopathic disease or small vessel disease. Demyelination and gliosis come with a more notable history. Gliosis or scarring and demyelination also produces symptoms that MRI is useful for. Depends on why you had the MRI in the first place. The first entity more common than 2 ...Read more

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Left vocal chord paralysis. Mri scattered pv & sc wm flair nonspecific. Atypical for ms. I am 55 no high BP or migraine. Is MS stil a possibility?

Left vocal chord paralysis. Mri scattered pv & sc wm flair nonspecific. Atypical for ms.  I am 55 no high BP or migraine. Is MS stil a possibility?

Unlikely.: Possible but unlikely. I would put money on local injury to the recurrent laryngeal nerve. Look in the upper chest and neck for a cause. ...Read more

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L5s1 protusion 12/52.Failed nerve block4pain.Foot drop.Nuero consult said reflexes brisk all over\sending me 4 upper back\brain scan.Why when lumbar back is issue? Could MS be a considetation here?

L5s1 protusion 12/52.Failed nerve block4pain.Foot drop.Nuero consult said reflexes brisk all over\sending me 4 upper back\brain scan.Why when lumbar back is issue? Could MS be a considetation here?

COMPLEX ISSUES: Would suggest that the foot drop most likely due to discogenic compression of l-5 nerve root, but suspect that your neurologist is checking for potential degenerative changes in neck and upper back in addition. Unlikely that ms is explanation for your brisk reflexes, but maybe the fatigue raises suspicion in the mind of your doctor, so attempt to provide fuller explanation being sought. ...Read more

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What is Lambert Eaton myesthenic syndrome?

What is Lambert Eaton myesthenic syndrome?

Lambert Eaton: syndrome is an uncommon disorder of neuromuscular junction transmission with the primary clinical manifestation of muscle weakness. Knowledge of subtle clinical features and laboratory abnormalities that accompany LEMS permits the early identification of the disorder. Early recognition is particularly important because of its strong association with small cell lung cancer. ...Read more

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?+oligoclonal in csf, + opt neuritis,vep abn,EMG Abn, ocular CT abn,neuro cog test abn. No lesions. ? MS. +s/s- n/t legs,balance,speech.ms imitat.Neg

?+oligoclonal  in csf, + opt neuritis,vep abn,EMG Abn, ocular CT abn,neuro cog test abn. No lesions. ? MS. +s/s- n/t legs,balance,speech.ms imitat.Neg

Clarification: You have multiple issues, and most would strongly implicate MS. But if an MRI of both brain and spinal cord is normal, you do NOT have MS. However, several other possibilities exist, and you need to clarify your diagnosis. May help to obtain another opinion. ...Read more

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Mri Report Says Posterocentral Disc Protrusion At l4/l5 Level, Compressing Thecal Sac.compres is in center,in my case is it Cauda Equina Syndrome???

Mri Report Says Posterocentral Disc Protrusion At l4/l5 Level, Compressing Thecal Sac.compres is in center,in my case is it  Cauda Equina Syndrome???

Probably not: You are right in saying the protrusion is in the center and pushing back toward the area where the cauda equina is, but cauda equina syndrome is characterized by really severe back pain usually associated with numbness in the legs and bowel and bladder incontinence or retention. It is not subtle, and usually requires severe compression of the canal, which was not mentioned by you. ...Read more

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Periventricular isch chnges, infarcts both cerebral hemispheres incl rt parietal? Vascular event.Blood & vessels ok.Next check pfo, but could it be ms

Periventricular isch chnges, infarcts both cerebral hemispheres incl rt parietal? Vascular event.Blood & vessels ok.Next check pfo, but could it be  ms

Possible, but...: Fine to check for pfo, but real question involves potentials for stroke. You could have cadasil, which is a genetic disorder. A spinal tap could assist in diagnosis perhaps. Vasculitis, arteritis, even sjogren's might be considered. Description not necessarily ms, but part of considerations. ...Read more

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Went to dr for clumsiness.I had hyperreflexsia legs/arms jaw jerk present positive hoffman's sign babinski present & clonus. Neuro. ordered MRI. ??

Went to dr for clumsiness.I had hyperreflexsia legs/arms jaw jerk present positive hoffman's sign babinski  present & clonus. Neuro. ordered MRI. ??

Dr ordered MRI: What is your question? Is your question why the doctor ordered an MRI? Please state the reason the doctor gave for ordering an MRI, and also, an MRI of what? Brain? Heart? Left foot? If you did not ask the doctor the reason, please state why not. ...Read more

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2mm cerebellar protrusion, some compression, (chiari?) what could that be causing?

2mm cerebellar protrusion, some compression, (chiari?) what could that be causing?

Protrusion: Depends on what you mean by protrusion? A chiari technically has to be more than 3mm to be called a chiari. Chiari i are incidental findings on many images. There are certain things to look for: downbeat nystagmus, sensory deficits of the body, synrinx (interal expansion of the spinal cord). These are all good reasons to "do something" about a chiari. ...Read more

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Saw neuro after visual disturbance, probable migraine. MRI to r/o mass, found 3mm hyperintensity ant. parietal subcortical. Ref'd to MS specialist?

Saw neuro after visual disturbance, probable migraine. MRI to r/o mass, found 3mm hyperintensity ant. parietal subcortical. Ref'd to MS specialist?

Depends: There are many lesions that appear on imaging as non-specific and can be seen in many lesions. There are exact criteria that are present which makes MRI useful in the diagnosis, discussing with another specialist might discern or eliminate this diagnosis. The finding on MRI is more consistent with migraine. ...Read more

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My MRI brain show coalescing granulomata measur 8x 4 mm abutting the cuneus rt side. Neuro told likely neurocysticircosis in dgnrative stag pl adv.

My MRI brain show   coalescing  granulomata measur 8x 4 mm abutting the cuneus rt side. Neuro told likely neurocysticircosis in dgnrative stag pl adv.

Cystercercosis: If you do have an infection with taenia solium, or the pork tapeworm, you might be able to confirm with stool samples which may contain eggs. Since you have a lesion already documented, this does raise a risk of potential seizure activity, and you should discuss with your doctor whether or not it is wise to go on anti-epileptic drug. ...Read more

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Help me, 59yrf-dercum's disease, lymphedema, ans disorder, heart disease- mi x3, 10+herniated discs, autoimmunity, gastroparesis, duodenitis w nodule?

Help me, 59yrf-dercum's disease, lymphedema, ans disorder, heart disease- mi x3, 10+herniated discs, autoimmunity, gastroparesis, duodenitis w nodule?

Too many issues here: If you do have all these listed problems, you need a good internist to take care of you and guide you further. Health matters get complicated if you truly have more than one or 2 ailments and you need long term care for any such diseases that are chronic in nature. You need a good primary care doctor to guide you for the long term. ...Read more