Doctor insights on:
Neurologist Omaha Ne
Trigeminal neuralgia 6 mth.On carbamazepine 300mg tds.Still on&off symptoms.Does switching to lyrica (pregabalin) or oxcarbazepine help? Or decompression surgery?
Go higher: Carbamazepine (tegretol) is still the drug of choice. If no side effects and blood tests (cbc, liver functions) are within normal limits, increase Carbamazepine up to 1200mg/day or higher. Before switching to oxcarb try another option by gradually adding up to 10 mg of Baclofen tid. Rec:do not self-medicate. Always consult with your physician before changing any protocol. ...Read moreSee 1 more doctor answer
Daily migraine 4-6 pm right side follows trigeminal nerve taking Imitrex (sumatriptan) sometimes 2x do I need a neuro consult?
(Allegra, ortho tri-cyclen, Cymbalta)-GP prescribed.
(Baclofen, Carb/Levo, & Adderall)-added by Neurologist. Interact. b/w meds to cause hypnic jerks?
Reconciliation: If different doctors all use electronic medical records, and they perform "medication reconciliation" at each visit so that they all know what doctor prescribed which medication, likelihood is high that the systems alerts of any potential problems with the medications. The Affordable Care Act (=Obamacare) mandates medication reconciliation. ...Read more
Husband low WBC count, vit d deficient, muscle pain, jerks going to sleep..Pcp, neurology, rhumatology, hematology..Nothing conclusive found..Frustrat?
D Walk yoga: Supplement his vitamin d and follow a healthy balanced diet. With lots of fruits and veggies, plenty of water and high quality protein daily. Walk two miles every day in that gorgeous san diego weather and find a yoga class to stretch those jerking muscles. Go slow and build up to this activity. ...Read moreSee 2 more doctor answers
Need a neurologist , m epiliptic patient .my doz is epival 250 clonatril 0.5 , topiro 50 what should i do further .the duration in seizure become wide?
More of less?: You'll need to work with someone in your country but sounds like you are on low doses of three drugs. Overall care might be better and more effective if you are on more therapeutic doses of less drugs. Choice of seizure meds depends on seizure type (EEG based answer) and your tolerance of indivdual meds. Blood levels of drugs used in U.S. to guide dosing. Optimal treatment varies with person. ...Read more
James, uk, 37, Epilepsy, anxiety, memory recall issues, muscular skeletal disorders. Queary, can static electricity cloth cause issues wi epilepsy?
Not Enough Current!: Yes..if you are a flea.But to get from your skin through your skull past the cerebrospinal fluid deep into your brain would take a lot more than a little static spark.Of course then there's the topic of 'human spontaneous combustion.'but I'll leave you and Google for that.Now, static can screw-up other things,like electrical circuits, and some fine machinery,or the Hindenburg or a gas tank(BOOM!) ...Read more
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 moreSee 2 more doctor answers
How would a dr distinguish epileptic vs psychogenic seizures without EEG? 1 anti-seizure med not immediately effective, no others availabl (3rd wrld)
Went to dr for clumsiness I had hyperreflexia legs/arms +jaw jerk +hoffman's sign +babinski & clonus. Neuro ordered MRI of brain What is she looking 4?
Broad ddx: There may be a bilateral cortical/subcortical brain disruption and MRI could help identify a potential cause based on the pattern of abnormalities. For ex: adult-onset leukodystrophy would show extensive demyelination of the white matter sparing the periventricular white matter vs MS vs Cerebral Autosomal-Dominant Arteriopathy, and work-up is different for each disease. ...Read more
Norm MRI&EEG so neuro's PA said my tingling,ataxia,severe memory loss/confusion,reflex loss,chronic low fever,pain etc mite mean Im schizophrenic!Why?
Misunderstanding: I can't say who misunderstood what, but it does sound like it happened. Nothing in what you state raises the Dx of Schizophrenia. While anxiety and a somatization issue seem possible another opinion on reflexes, fever, etc is a good idea. See a psychotherapist for the anxiety and a Dr. to Dr. referral. It might help present your symptoms more clearly. Best! ...Read more
17 yr post concussive, migraines with aura. Normal eeg, on magnesium, migraine cocktail, depakote, steroids IV hospital week, sent home steroid taper, two days home limb tremors. What could cause them?
Chronic daily HA's: Sounds like your headaches are totally out of control. Your tremors are most likely secondary to the depakote, and a drug level might confirm. Alternatively, would also check thyroid function. Steroids good intervention, but wonder if these approaches have been tried: botox, acupuncture, bilateral occipital nerve blocks, otc coq-10, riboflavin, butterbur, feverfew, eval for dental, jaw, tos? ...Read moreSee 1 more doctor answer
Dr. Tom heston faafp, fasnc, facnm is it ok to take wellbutrin, pristiq, and savella (milnacipran) together?
I am not Dr Heston, : And in my opinion, that combination is very good as long as those medications work together to relieve the symptoms of depression, anxiety and chronic pain. When the illness is severe enough, combining several agents is more effective, causes less side effects, although it can be more costly and cumbersome to maintain the treatment. Hope this answer to your question while awaiting for dr heston's. ...Read moreSee 2 more doctor answers
Parkinson. Slowness movement, beginning state. 2 guide fr 2 doctors: 1st: sifrol 250; 2nd: trivastal 50mg, lioresal (baclofen) 10mg, artane 2mg. Which one better?
Critique: Trivastal, a newer Dopamine agonist, is not available in the usa, but might be a choice. Sifrol, pramipexole, is likely your safest and best starting drug. There is no role for lioresal, (baclofen) and Artane is literally "poison" and is not used in the usa. Choose the doc who recommended sifrol. ...Read more
Looking for a California ENT or neurosurgeon who is expert treating anterior ethmoid nerve syndrome (aka sluder's neuralgia, contact headache). ?
ENT consult Sluder's: I would do a pubmed search with Sluder's neuralgia and California and see if anyone has published on this from CA. Search Yahoo groups or web to see if there is a support group for Sluder's. You can search for ENT experts here I think also. ...Read moreSee 1 more doctor answer
Sorry,: your question was not translated into English. ...Read more
North carolina, need doctor to perform rating for spinal nerve extremity, prior workers comp patient. Spinal and neck?
Contact OWCP: Much of the federal activity takes place at an office in kentucky, and owcp has listings of appropriate doctors online. Most attorneys who deal with fed comp have a few docs they like, so call around. ...Read more
No consensus on this: There is anecdotal evidence that this device works in some patients in some conditions but only 1 study I'm aware of....I think it's very early to know for sure. You should talk it over carefully with your doctor before making a decision to purchase anything....unless they are willing to give you a money back guarantee! More questions? Write me at: www.healthtap.com/drsaghafi ...Read more
Neurologist thinks sleep apnea caused my mom's seizure. Does this seem reasonable? Neurologists and pathologists only please
Maybe: I could not find information that linked sleep apnea to being the only cause of seizures. But it has been reported to worsen seizure activity that might have been caused by a stroke, scar or other cause. It also has been reported that seizures at nite during sleep might be misdiagnosed as sleep apnea. In any case both issues need to be evaluated and treated by an experienced specialists. ...Read moreSee 1 more doctor answer