Doctor insights on:
Mesial Temporal Sclerosis
Sir my friend suffering from mesial temporal sclerosis he is on oxidal tablet since 3yrs i want to ask that is it a complete curble diseas?
What happens if someone with mesial temporal sclerosis (mts) does not want anterior temporal lobectomy?
Depends...: If you're seizure-free, surgery is generally not indicated anyway. If not seizure-free, sometimes different needs can be more effective...though MTS does tend to lead to intractable epilepsy. Another option might be a vagal nerve stimulator. You need to discuss all options with your epileptologist carefully. IMO, risks of ATL are overblown. Biggest "risk" in my book: not 100% become seizure-free. ...Read moreSee 3 more doctor answers
What happens if you suffer from mesial temporal sclerosis and complex partial seizures,can you haev a normal life?
No: Mesial temporal sclerosis is NOT a disease, but rather an anatomical asymmetry in the brain due to focal scarring and injury to one temporal lobe. This may promote a variety of epilepsies, which could be difficult to control, but if treated, this should not shorten your life. If untreated, there is risk of nocturnal SUDEP, which could be deadly, but that is indirect, not primary. ...Read more
I was diagnosed with pmr & temporal arterits 10 days ago, steroids aren't working? Could it possibly something else, like multiple sclerosis?
Confidence?: How do you know that your steroids are not working? This can take several weeks for full beneficial outcome. Why are you questioning your doctor's diagnoses? Why consider a disorder like MS which has absolutely nothing in common with your disorders mentioned? Have you taken the time to sit down with your doctor and discuss your concerns and doubts? ...Read moreSee 1 more doctor answer
Do all avms in the temporal lobe need to be treated if a symptomatic but have history of arteriale sclorosis in heart?
Need chronically: Some advice, there are pills available, but where you live, might be tough to get. Nonetheless, do not miss your injections, and add Vitamin D-3 about 5000-10000 units per day. We do not have a clear idea when to stop the MS meds, and in those older patients who I have stopped, a few have had relapses. Stay tuned, drugs to be used differently are on the horizon. (even Lemtrada) ...Read more
Why are "family doctors" answering multiple sclerosis questions?! I have spotted inaccurate info being given. Only a neuro answer? 's
Part of a team: Your family doctor is usually the doc who makes the referrals and is often the one who helps treat complications, such as urinary tract infections, fatigue, associated injuries, medication reactions, and he/she keeps open the communication lines between different specialties. Coordination of medical care is critcal these days. ...Read moreSee 1 more doctor answer
No cure at this time: It is difficult to develop a cure when the cause of a condition is not fully understood. There seem to be several factors that contribute to the development of MS but there is no ONE gene or ONE virus that has been implicated as a direct cause. Rather, the interaction of genetic susceptibility and infectous and/or environmental factors seem to result in dysregulation of the immune system. ...Read moreSee 1 more doctor answer
Variation of ALS: Motor neuron disease or ALS presents in several variable forms, and is a disease of motor neuron degeneration in brain and spinal cord. In the primary lateral sclerosis variant (only 1-3% of all cases), the disorder affects the upper motor neuron only, and is focal on one side or the other. By definition, this form would be far less malignant. ...Read more
Detective Work: No one diagnostic study can stand alone to conclusively diagnose ms. A neurologist must be a detective, hunting out clues from symptoms suggesting abnormal function in the brain or spinal cord white matter, of appropriate duration (greater than 24 hours) coupled with abnormalities on examination. Mri, spinal fluid, and certain blood tests. This information can help exclude MS mimickers. ...Read moreSee 3 more doctor answers
Not fully understood: Multiple sclerosis is a very complex disease. There is a large collection of research identifying certain genes (most governing control of the immune system) as both increasing risk and potentially protective against MS (based on studies of populations). Environmental and hormonal factors may also play a role in individuals with a background genetic risk. ...Read moreSee 2 more doctor answers
Genes: Ms has been shown to be associated with mutations in a number of genes, the majority of which appear to regulate the immune system. Among first degree relatives, the risk of ms is increased, but absolute risk is low. Other factors weigh in to the development and expression of this disease other than strictly genetic predisposition. ...Read moreSee 1 more doctor answer