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Doctor insights on: Robin Matsukawa

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What causes virchow-robin spaces in the back of the head?

What causes virchow-robin spaces in the back of the head?

Normal phenomenon: Virchow-robin spaces are a phenomenon we see on mri's. They are merely the spaces we can see around blood vessels. Occasionally, a radiologist will describe 'enlarged' vr spaces. This is a normal finding...The spaces are just a little bigger than usual. ...Read more

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Can you tell me what causes subcortical foci of hypodensity and a prominent virchow robin space?

Can you tell me what causes subcortical foci of hypodensity and a prominent virchow robin space?

Usually normal: The virchow robin space is a perivascular space in the brain that surrounds the perforating arteries. It is believed to act as a buffer and reservoir of the extracelluar space for the neurons. These are normal findings that are best seen on the MRI scans of the brain. However, more recent studies suggest that these become prominent in neurodegenerative diseases where there is loss of neurons. ...Read more

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Question about medication I have been taking 10 mg of terazosin and it is a solid robin's egg blue. The pharmacy gave me a green and white capsule that is green and white with i4339 on the green side and 10 mg. On the white side. It makes me feel very

Question about medication I have been taking 10 mg of terazosin and it  is a solid robin's egg blue.  The pharmacy gave me a green and white capsule that is green and white with  i4339 on the green side and 10 mg. On the white side.  It makes me feel very

Honestly : Honestly the only way to know if there was a mistake is to call or present to the pharmacy that gave you the medication. Please know that the medication could very well be the same, different pharmaceutical companies may manufacture the same drug , however there may be changes in color and size, especially if it is the generic form. Also if it is generic, there may be different preservatives or additives used which could be causing you to feel "strange" you can request to have the original pill given to you due to adverse side effects. Take care. ...Read more

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Robin elbow pain looks like bone protruding?

Robin elbow pain looks like bone protruding?

See doctor: To have it evaluated. Any injury? Can try icing it till you see your doctor. ...Read more

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Hello! I'm Robin, I have a question. Since my daughter was 4 (she's now 11) on occasion when she gets in the bath she complains of her feet burning.

Hello! I'm Robin, I have a question. Since my daughter was 4 (she's now 11) on occasion when she gets in the bath she complains of her feet burning.

Interesting report: Burning and tingling are caused by abnormal stimulation of nerve endings, and if constant, can signal nerve damage, and there are multiple causes. Short term symptoms are commonly seen after recirculation after brief period without, such as " leg falling asleep after sitting on a leg,etc." This may just be the sensation of cool feet encountering warm water, or the water may be truly too hot! ...Read more

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Dr. robin salley, od - today a boxer came for ocular exam (fight in las vegas one week) dilated fundus exam = retinal folds. should he box ?

Dr. robin salley, od  -  today a boxer came for ocular exam (fight in las vegas one week)   dilated fundus exam = retinal folds.  should he box ?

No: Hi, Robin. Since retinal folds are associated with significant ocular, orbital and systemic pathology, I would tell the boxer to have a complete physical exam with blood work for inflammatory disease and orbital/cerebral imaging. If he goes on to fight without further workup and bleeds into his head from trauma to a brain tumor, there are going to be many unhappy players Best wishes! Gary ...Read more

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7mm ovoid lesion fluid density shown within posterior inferior aspect of right basal ganglia small vessel coursing through it incidental virchow robin?

7mm ovoid lesion fluid density shown within posterior inferior aspect of right basal ganglia small vessel coursing through it incidental virchow robin?

Difficult to tell: without actually looking at the scan. Virchow Robin spaces are found normally and accompany blood vessels as they penetrate the brain. They contain cerebrospinal fluid and if they expand they can look quite pathological however it would be difficult to tell for sure without looking at the scan and knowing more. Would be happy to provide a virtual consult if needed. Best of luck! ...Read more

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Is imagining robin hood talking to you, even when you try not to, a sign of a brain tumor?

Is imagining robin hood talking to you, even when you try not to, a sign of a brain tumor?

Very unlikely a: Serious physical issue, such as a tumor. An obsessional delusion is a neurotic psychiatric issue, that might involve talk or medication depending on how much this interferes with your day, your sleep, or your happiness. ...Read more

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Had a MRI brain scan.Report says prominent virchow-robin spaces in fronto-parietal white matter and basal ganglia.No other abnormality, is this normal?

Had a MRI brain scan.Report says prominent virchow-robin spaces in fronto-parietal white matter and basal ganglia.No other abnormality, is this normal?

Yes: The virchow-robin spaces are peri vascular spaces normally seen around blood vessels and are not associated with any central nervous system pathology. Please try not to worry as the report you cite is fine. Well wishes. ...Read more

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Am I dying?

Am I dying?

We all are: A 3-word question with no details... well, life is short on Earth, regardless of whether a person lives 3 days, 3000 days, or 30,000 days. It is not length of one's life that matters, but the quality of the life lived. The goal is not to live a long life, but to live a good life. Even if a person makes it all the way to age 82, that's only 30,000 days. ...Read more

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I have cold?

I have cold?

Symptoms?: The most common symptoms of a cold are sneezing, running nose, congestion and scratchy throat. Additional symptoms can be coughing, headaches, mucus dripping down the back of the throat, loss of appetite and fever (in children). ...Read more

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I have cold?

I have cold?

Cold: Tips: sore throat – gargle with warm salt water (1/2 tsp salt in 8 oz of water). Get strep test/culture if very sore. Congestion – saline nose drops or netti pot. For anti-inflammatory effect & mobilizing mucus- homemade chicken noodle soup. Hydrate- lots of water/clear broth/ add honey & a small amt. Of lemon juice to chamomile tea.. Fever/ pain – Acetaminophen / nsaid’s rest! ...Read more

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What is asp?

What is asp?

In acupuncture an: Asp is an acupuncture semi-permanent needle. They are made in germany & come in stainless steel, gold, silver & titanium. They are used for auricular (ear) acupuncture. They are usually referred to as "asp's". ...Read more

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Pls help me?

Help: In order to assist you - you need to provide us with more information. Please re-ask and clarify the question that you need help with. Take care. ...Read more

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Am i dying ?

I don't know: I don't know, john. Technically, every person who is alive will die someday, yes. But unless you have been diagnosed with some untreatable illness, then no, you are not actively dying. If this is something you worry about a lot, mention it to one of your parents, a close adult friend, or a school counselor. A lot of people have these kinds of worries and you can get help to not worry so much. ...Read more