Top
20
Doctor insights on: Pet Refractory Seizures Presurgical Evaluation

Share
1

1
Is brain surgery successful for Generalized epilepsy?

Is brain surgery successful for Generalized epilepsy?

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

Dr. Dawn Eliashiv
32 doctors shared insights

Status Epilepticus (Definition)

Without regaining consciousness between each event. The most common cause is sudden stopping of anti-epileptic drug, but this can be an event secondary to infection, injury, encephalitis, chemical imbalance in the body, alcoholism. This is indeed a true ...Read more


2

2
Diagnosed with TIA/Basilar migraine last night. Both cat scans normal. History of severe Chiari Malformation. Further testing warranted?

Diagnosed with TIA/Basilar migraine last night. Both cat scans normal. History of severe Chiari Malformation. Further testing warranted?

Symptomatic Chiari: It would be worth having a neurosurgeon evaluate you & review your current MRI. If you have no current MRI, the neurosurgeon will order one & any other needed studies. ...Read more

3

3
Living with Seizures (Checklist)

Sleep 6-8 hours each night
daily
Wear a medical alert bracelet
Once
Limit your alcohol intake as much as possible
Once
4

4
Can a Pet scan diagnose Generalized seizures?

Can a Pet scan diagnose Generalized seizures?

Not really: Primary generalized seizures would not be expected to change anything on a PET scan. Partial-onset could show an area of altered metabolism. Either way, PET scans are not really a primary way to diagnose epilepsy. ...Read more

5

5
Why would coma induction be used as a treatment for refractory status epilepticus?

Why would coma induction be used as a treatment for refractory status epilepticus?

For brain protection: It is thought that repetitive seizures if not controlled can themselves injure the brain. If the seizures are hard to control it is necessary to give drugs which deeply sedate the patient in order to stop the seizures. ...Read more

See 1 more doctor answer
6

6
What would a neurologist refer patients for positron emission tomography scans for?

What would a neurologist refer patients for positron emission tomography scans for?

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 more

See 1 more doctor answer
7

7
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.

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.

Possibly : Vertigo can have many reasons the most common being BPV : benign positional vertigo ... Obtaining MRI or CT to rule out other causes such as tumor etc is a wise idea specially if the vertigo is significant and has lasted a while .. ...Read more

8

8
Recently diagnosed with palatal myoclonus. What medical treatment is nest for myoclonus? Is Functional Cranial Release (FCR) a valid treatment?

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 more

See 1 more doctor answer
Dr. Adam Hebb Dr. Hebb
2 doctors agreed:
9

9
Gait freezingafter deep brain stimulation surgery for Parkinson's disease any suggestions?

Dr. Adam Hebb Dr. Hebb
2 doctors agreed:
Gait freezingafter deep brain stimulation surgery for Parkinson's disease any suggestions?

Complex Issue: Gait is a very complex neurological function that relies on many systems functioning together. I would recommend that you see a specialist in dbs programming to help you maximize function. ...Read more

See 1 more doctor answer
10

10
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

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 more

See 1 more doctor answer
12

12
Do hepatoligists use MRI scans in diagnostics? (alt^) unknown cause, referred to specialist. As i'm terrifiedof invasive procedures eg biopsy! useful

Do hepatoligists use MRI scans in diagnostics? (alt^) unknown cause, referred to specialist. As i'm terrifiedof invasive procedures eg biopsy! useful

Depends: In the usa, an MRI is a wonderful non-invasive means of evaluating the liver for causes of hepatitis. Ultrasound and ct are also non-invasive means of performing the same. Mr availability across the pond may not be what it is in the us, though. Good luck! ...Read more

13

13
What other test(s) can diagnose epileptic seizures in severe dev. Delay child > 5y/o (beside eeg)?

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

14

14
I have non vestibular non vertigo chronic dizzy for 8 month 24/7. Neuro is treating for migraine aura. Differential diagnosis? Dizziness never stops.

I have non vestibular non vertigo chronic dizzy for 8 month 24/7. Neuro is treating for migraine aura. Differential diagnosis? Dizziness never stops.

Vertigo: Non vestibular vertigo means it is not from the ears, and therefore the neurologist is trying to control it by controlling your migraines as they can be correlated, follow their advice. ...Read more

15

15
Besides IRE, cyberknife, chemotherapy, diet, radiotherapy and clinical trials, what else may be an upcoming procedure for pancreatic cancer patients?

Besides IRE, cyberknife, chemotherapy, diet, radiotherapy and clinical trials, what else may be an upcoming procedure for pancreatic cancer patients?

The future is coming: Nanoparticle therapy, biologic therapies, and vaccine trials are coming up in the next few years for pancreatic cancer. A lot of work still to be done! ...Read more

See 1 more doctor answer
16

16
Increase in vertigo events & tremor post TIA (q? Sepsis complication) with brainstem symptoms. Awaiting MRI & Transoesophageal Echo. Potential DDx?

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

18

18
Could deep brain stimulation or gamma knife surgery for OCD be done on someone with epilepsy?

Could deep brain stimulation or gamma knife surgery for OCD be done on someone with epilepsy?

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

19

19
Pet scans for mental disorders? Is it possible for a pet scan to detect mental disorders like anxiety or depression?

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 more

See 3 more doctor answers
20

20
Post concussion syndrome possible brain stem contussion + whiplash injury. Details in my symptoms section. Looking for additional treatment options.

Post concussion syndrome possible brain stem contussion + whiplash injury. Details in my symptoms section. Looking for additional treatment options.

Give it time: Since you didn't give an etiology (ie car accident or fall, etc) it's difficult to say. If this is a simple grade 1 concussion, then give it time. It may take a few months for your head to clear. No specific therapy is indicated. No chiropractic for a while though. ...Read more