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Doctor insights on: Management Of Myelomeningocele Study

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Diagnostic imaging in 2009: update on evidence-based practice of pediatric imaging. What is the role of imaging in sinusitis?

Diagnostic imaging in 2009: update on evidence-based practice of pediatric imaging. What is the role of imaging in sinusitis?

Complicated but: Imaging indicated in sinusitis for chronic infections (>90 days), recurrent infections, concern for complications of sinusitis (e.g. Periorbital cellulitis, brain abscess), or preoperatively before sinus surgery. Ct scans are almost always done, but mris are helpful for intracranial or orbital extension. Threshold to image is higher in pediatric population in order to avoid unnecessary radiation. ...Read more

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Scared.Had MRI of cervical spine in 2009 and 2010.Incidental finding of large hemangioma.No action evet taken.Recent back pains.Ref.To neurodurgeon.

Scared.Had MRI of cervical spine in 2009 and 2010.Incidental finding of large hemangioma.No action evet taken.Recent back pains.Ref.To neurodurgeon.

Patience: Hemangiomas are discovered often on mris and are usually incidental (not the cause of the problem, just found coicidentally). If you have changing or worsening symptoms, then repeat MRI is indicated along with follow up with an orthopaedic spine surgeon or neurosurgeon. It looks like you are already on track for that. Remain calm and wait until you can discuss this with the neurosurgeon. ...Read more

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What are the best hospitals for the treatment of central hypoventilation, central sleep apnea, pathologic hypersomnia, seizures?

What are the best hospitals for the treatment of central hypoventilation, central sleep apnea, pathologic hypersomnia, seizures?

MANY CHOICES: Consider some of the best facilities for respiratory problems. National jewish hospital is ranked #1 by usnwr, but you could receive amazing care at johns hopkins hospital, mass general, mayo clinic, ucla, or a number of other academic centers. ...Read more

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What's the benefit of spinal cord stimulation for pain management?

What's the benefit of spinal cord stimulation for pain management?

Helps with: Chronic pain due to neuropathic pain whether due to radiculopathy due to post spine surgery or postlaminectomy syndrome, diabetic or other neuropathies, chronic regional pain syndrome are a few reasons. Newer diagnoses its being shown to help with are peripheral vascular disease, heart/cardiac abnormalities like angina. ...Read more

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What is the non-surgical management of spinal retrospondylolistesis l4-l5?

What is the non-surgical management of spinal retrospondylolistesis l4-l5?

Let me help: Treatment is geared toward alleviating symptoms caused by the displacement of one or more vertebrae. Conservative methods such as pain medication, physical therapy, exercise, stretching, corticosteroid injections, and other techniques generally are sufficient for symptom management. Good luck. ...Read more

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What is the major benefit of fusion imaging with PET and CT scans?

What is the major benefit of fusion imaging with PET and CT scans?

It combines: the high sensitivity of PET with the high level of anatomic detail of CT, so an abnormality on PET can be accurately localized. ...Read more

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New research findings in the treatment of rhabdomyosarcoma?

New research findings in the treatment of rhabdomyosarcoma?

COG trials ongoing.: The best option is to find a cog treatment center and discuss this with them. In a nutshell, timing/dose/volume of agents is being optimized at present. Late effects and mixtures of drugs that may or may not be too toxic are just now finishing studies. New imaging and new radiation methods (protons) are also coming to light. Better than a 400 word answer, find a face to face option. ...Read more

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What is the effectiveness of spinal decompression non-surgical treatment?

What is the effectiveness of spinal decompression non-surgical treatment?

Limited: It is a form of traction using a machine to pull on the spine, somewhat like pulling on two ends of a rope. It can give temporary relief of neck, back, arm, or leg pain. For mild cases, it might be effective. The problem of proving effectiveness is the variability of spinal problems among sufferers, and the tendency for some to get better with time (regardless or in spite of treatment). ...Read more

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What type of doctor specializes in diagnosis and treatment of children's behavioral disorders?

What type of doctor specializes in diagnosis and treatment of children's behavioral disorders?

Behavoir problems: An experienced pediatrician can begin a work-up of a child with behavior problems. Depending on the severity of the issues with the child, a psychiatrist or psychologist may also need to be involved. If autism is suspected, then a developmental expert at a pediatric hospital can provide helpful information to discover why a child and family are struggling with certain behaviors. ...Read more

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What is neurology the study of in general?

What is neurology the study of in general?

Subspecialty area: Neurology is the area of medicine that focuses on disorders of brain, spinal cord, peripheral nerves and muscles. Illustrative disorders include stroke, headaches, parkinson's, alzheimers, multiple sclerosis, epilepsy, als, many injuries, neuropathy, myopathy, etc. To learn more, go to www.Aan.Com. ...Read more

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What are treatments of an ependymoma of the spinal cord?

What are treatments of an ependymoma of the spinal cord?

Depends on exact: Location. Some could be intramedullary others extramedullary. Depends on how much mass effect it's exerting, and symptoms. See your neurosurgoen to better review your mris, rule out other issues with the rest of your neural axis. By checking MRI of your brain, cervical, thoracic, lumbar spine with and without contrast, and then deciding on treatment, surgery may be needed... ...Read more

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Orthodedic surgeon or neurosurgeon for the field of spinal fusions?

Orthodedic surgeon or neurosurgeon for the field of spinal fusions?

Experience/training: Orthopaedic and neurologic surgeons are qualified with basic training to perform spinal fusions. Surgeons from both fields can undergo additional training in spine surgery known as a fellowship. The best recommendation of choosing a surgeon should be based upon experience and training. Understand board certification status, and ask for patient recommendations. ...Read more

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Results of ct scan?dependent perfusion changes in the lung bases?no evidence for spondylitis significant for patient age are bony bridging.Explain???

Results of ct scan?dependent perfusion changes in the lung bases?no evidence for spondylitis significant for patient age are bony bridging.Explain???

Showing your age: This just means that there are no inflammatory changes seen on your spine but some bone spurs that are reaching across disc spaces from one bone (vertebra) to another which is a sign of age related or degenerative changes of the spine rather than a spine arthritis or spondylitis ...Read more

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What are the long-term outcomes of surgical treatment for spinal stenosis?

What are the long-term outcomes of surgical treatment for spinal stenosis?

It depends: These arethe result after 8 years follow up for patients have the sugery.There were 68% excellent and good, 22% fair and 10% poor results. Back pain was relieved in 91% of the patients. Leg pain was relieved in 76% of the patients. Numbness was relieved in 87% of the patients. Five patients had re-operations. ...Read more

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What is the scientific study of the patterns of growth in children?

What is the scientific study of the patterns of growth in children?

Epidemiology?: Your question made me think of two things - first the definition of the study of changes/diseases in a population - Epidemiology. http://www.who.int/childgrowth/publications/WHO_growth_charts.pdf But if you want an interesting read about the history of the development of the growth charts: http://www.who.int/childgrowth/publications/WHO_growth_charts.pdf ...Read more

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A slight loss of anterior stature of the L1 vertebra is unchanged, compared to the CT scanogram of 2009. Other lumbar vertebrae are normal in stature. There is no lumbar spondylolisthesis. Axial images suggest a nondisplaced fracture of the L4 facet (imag

Need more info: Not sure what your question is, but how old are you and what are your symptoms? Have you had any trauma lately? All these factors help determine the significance of any radiographic abnormality. Also, when the radiologists use a term like "suggest", it means they can't tell for sure if an abnormality is really present or not. ...Read more