Doctor insights on:
Pet Refractory Seizures Presurgical Evaluation
Yes it is: Though numbers are better when surgery is employed in focal epilepsies, generalized seizures are successfully treated using techniques such as implanted vagal stimulators and corpus callosum sections. It is even true that some cases of generalized epilepsy are recognized as focal after such surgeries are performed. In carefully chosen cases I believe outcomes are very good. ...Read more
Diagnosed with TIA/Basilar migraine last night. Both cat scans normal. History of severe Chiari Malformation. Further testing warranted?
Pet indications: Pet is good to show in vivo abnormal functional areas--it has limitations--it would be nice if cheaper, more available and the pictures come superimposed on MRI pictures---may benefit us in dementia--separate radiation necrosis from active brain tumour--separate infectious from degenerative area. ...Read moreSee 1 more doctor answer
Potential for episodic mild central vertigo to be the lone presenting symptom of a brain tumor? Only symptom & dr wants CT/MRI. Neuro exam perfect.
Recently diagnosed with palatal myoclonus. What medical treatment is nest for myoclonus? Is Functional Cranial Release (FCR) a valid treatment?
Myoclonus: Often medical providers use medication to treat myoclonus. Sometimes palatal myoclonus does not need any treatment. Here is a link to more information about myoclonus: http://www.ninds.nih.gov/disorders/myoclonus/detail_myoclonus.htm I cannot find any medical literature supporting the use of FCR. I would not recommend it until it has been well-studied. ...Read moreSee 1 more doctor answer
What is the prognosis for status epilepticus? Left sided stroke, craniotomy, seizure free first 1 1/2 yrs. 2 seizure meds episodes min 75days apart
Status epi: Long-lasting status is a difficult case and can be serious. People who have recovered from status have a much better prognosis, with rare relapses, but they should continue anticonvulsant medications afterwards. They will likely always be on at least one medicine. ...Read moreSee 1 more doctor answer
Diagnosed partial right vocal cord paralysis following a surgery. Clean chest/neck CT. Said no neurological problem. Seeking another opinion. ?
Do hepatoligists use MRI scans in diagnostics? (alt^) unknown cause, referred to specialist. As i'm terrifiedof invasive procedures eg biopsy! useful
What other test(s) can diagnose epileptic seizures in severe dev. Delay child > 5y/o (beside eeg)?
Observe,Video EEG: The label of epilepsy is generally applied when a patient has recurrent neurologic events originating from the brain structures. A normal eeg does not rule out epilepsy, nor does an abnormal eeg always mean epilepsy. Some specialty centers will do a 24hour video eeg to try to capture the events with a simultaneous eeg as they may come at unpredictable times. Some events may not be seizures at all. ...Read more
I have non vestibular non vertigo chronic dizzy for 8 month 24/7. Neuro is treating for migraine aura. Differential diagnosis? Dizziness never stops.
Besides IRE, cyberknife, chemotherapy, diet, radiotherapy and clinical trials, what else may be an upcoming procedure for pancreatic cancer patients?
Increase in vertigo events & tremor post TIA (q? Sepsis complication) with brainstem symptoms. Awaiting MRI & Transoesophageal Echo. Potential DDx?
Embolism: It sounds like your doctors suspect endocarditis which may throw septic emboli into the brain which causes ischemia or infarction of brain tissue and depending on where the tissue damage is, you would develop symptoms similar to what you describe. Are you on broad spectrum iv abc? are you on anti-coagulants? why are you waiting for a brain MRI? that should be done urgently to eval brain insult. ...Read more
Yes: This works particularly well for isolated metastatic brain tumors. ...Read more
Possibly: Gamma knife surgery is actively being studied as an alternative choice to traditional epilepsy surgery. Deep brain stimulation of the thalamus has been studied and has been found to be an effective therapy for some types of epilepsy. However, it may not offer any advantage over the vagus nerve stimulator, which is a less invasive treatment. Right now, insurers do not cover dbs for epilepsy ...Read more
Pet scans for mental disorders? Is it possible for a pet scan to detect mental disorders like anxiety or depression?
NO: Positron emission tomography (pet scan) images activity or physiological processes, but it would in my opinion be of little use for the specific diagnosis of anxiety or depression per se; it can possibly show the severity of cognitive disorders like dementia or alzheimer's disease. This is a very important and emerging tool in neuroscience, but i think less appropriate for depression/anxiety. ...Read moreSee 3 more doctor answers
Post concussion syndrome possible brain stem contussion + whiplash injury. Details in my symptoms section. Looking for additional treatment options.
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