Doctor insights on:
Is monoclonal epilepsy, tonic clonic seizure, tonic seizure and clonic seizure are the same ( grand mal)?
No: Juvenile moloclonal epilepsy is a generalized epilepsy, which occurs in the age group from 12-16yo. Grand mal seizures are usually generalized type of seizures and has two phases. In the tonic phase, loss of conciousness occurs and muscle contraction causes the person to fall down. The clonic phase is the rhythmic contraction of muscles, alternating b/w flexion and relaxation. Thanks. ...Read more
Effective in most: The choice depends on you and your doctor. ...Read more
Epilepsy: is by definition recurrent unprovoked seizures. Recurrent provoked seizures are seen on occasion (for example the alcoholic who uses up his SSI monthly stipend who presents to the ER with alcohol withdrawal seizures on the 29th of the month) GTC seizures can occur for many reasons (taking too much Ultram, caffeine, cocaine, hypomagnesemia, hyponatremia, hypocalcemia, withdrawal from Benzodiazepine ...Read moreSee 1 more doctor answer
Yes: Mirapex is a Dopamine agonist, similar to requip, and Neupro (rotigotine) patch. The latter two are approved for restless leg syndrome, but the former does help rls. None are specifically approved for periodic limb movements of sleep, but all seem to help nicely. A sleep specialist can help select an appropriate med. ...Read more
PLMD: Periodic limb movement disorder is a sleep disorder caused by low iron stores in the body caracterized by low serum ferritin. Plmd can lead to frquent awakening during sleep and also can cause sleep maintaince insomnia. Plmd is the second common sleep disorder in children and can lead to parasomnias like sleep waking or/and night terrors. The only way to diagnose plmd is the sleep study. ...Read more
Symptomatic treatmen: Hsp is a group of inherited disorders, often insidiously progressive and severe. There are no effective treatments to the underlying damage to the nerve axons so treatment is symptomatic. Baclofen, dantrolene and tinazidine may help with spasticity; oxybutinin with urinary urgency; gabapentin, Pregabalin and duloxetine for neuropathy. Vitamins, d, e and b6 may also help. Physical therapy also. ...Read more
Grand and petit mal, tonics, transient eschemic stroke is a temporary stopping of blood flow to brain, is this true?
Definitions TIA & sz: TIA is caused by a transient decrease in blood flow to part of the brain. Sometimes it is a misdiagnosis- no test proves whether it is or is not the right diagnosis. Grand, petit mal and tonic refer to types of seizures. These are due to excessive electrical activity in part or all of the surface of the brain. Blood flow is not impaired in these cases. ...Read moreSee 1 more doctor answer
See below: no-: Atonic seizures ( aka drop seizures, akinetic seizures or drop attacks), consist of a brief lapse in muscle tone that are caused by temporary alterations in brain function. The seizures are brief - usually less than fifteen seconds & can occur while standing, walking or sitting. Pt. May become temporarily paralyzed in part of his or her body. This usually does not last longer than 3 minutes. ...Read more
Calf tightness w/ swelling Achilles (and paratendon) + distended unilateral tributary over achilles. Compartment syndrome? Venous? No known injury.
Not sounding good: If someone can't move their legs it would be a nerve problem from the spine or a brain problem from a stroke it would be an emergency if just happening, there could also be a significant infection in the spine or a blood flow problem to the spine or a bleed in the spine or brain. ...Read more
Will hypocalcemia contribute to bilateral prolonged ankle clonus ? Is hypocalcemic pt more vulnerable to seizures during sevoflurane inhalation ?
Paralyzis and hyperalgesia in one limb initiated 2 weeks after scoliosis surgery. sphincter incont Clonus. Spasticity. upper motor neuron lesion? why?
Lasting weight loss: In order to lose weight and keep it off, you need to make a commitment to a permanent lifestyle change. No diet is permanent. Eat 75-85% of your daily calorie needs (and count them). www.bmi-calculator.net/bmr-calculator/ try to lose at a healthy pace of 0.5-1.5 lbs per week and most importantly count calories. Don't skip meals. Increase h2o. Good luck. ...Read moreSee 1 more doctor answer
Depends...: By immobile, do you mean wheelchair-bound, special needs, or just generally inactive? If it's one of the former, then I strongly suggest referral to a good physical therapist. They can examine muscle bulk and tone, joint mobility, pressure points, and then set goals and tailor therapy to his needs, and they can recommend effective and appropriate exercises for home! ...Read more
If a child was kept immobile at a certain age could this have an effect on their motor functions down the road?
Depends on variables: Immobility is often required during treatment for problems like displaced hips, fractured limbs, etc. The process is generally limited and though stressful to child and parent, the child will eventually emerge from treatment and catch up with his peers. Some could require some pt or ot, depending on the duration of immobalization and treatments, but this is seldom needed. Kids are very resilient. ...Read more
Pain, spasm: Please get evaluated by a spine specialist. A "bulging" disc should not completely immobilize you. There may be spinal pathology present that only a specialist may diagnose. Is the disc really bulging, or is it herniated, degenerated, part of an instability, etc....? ...Read moreSee 1 more doctor answer
Disaster.: Prolonged periods of immobility from any cause without proper preventive during and after the immobility will lead to a problem, usually very serious. Examples: lying in hospital or any bed...Clot in veins of leg (thrombosis), stroke, death. Being weightless (space flight) the longer, the worse: osteoporosis, bone frx, embolism from clot, stroke. Deconditioning of every mm in body. Depression. ...Read more
The hard immobile residual node has not grown - been a week on my collarbone. What after 2-4 weeks it is still there with no change. What would i do?
Get a "donut": If you haven't already, get a "donut" (inflatable cushion) from the pharmacy. This may allow you to sit or lay down comfortably. Not much you can do about a tailbone fracture, though. Stay off of it as much as you can. If no improvement in a few weeks, revisit your physician or go to your doctor for follow up. The severity of the fracture may require further intervention, but let ur dr decide. ...Read more
RICE: What activities led up to the problem? Rest the shoulder, consider applying an ice pack to the shoulder several times a day. The ice should itself not touch the skin. Consider a water in a baggie with the ice in it. Wearing a sling will help to rest the shoulder. If all of this fails to help, I would call your doctor for additional ideas or referals. ...Read more
Is novacaine what doctors give you when you get an epidural or any other procedure that you have to be immobile for?
What's causing it?: Immobility of what: one part of your body or your whole being? Must make diagnosis then treat it. Suspect severe depression or stroke. Depression during or after delivery (post-partum) is part genetic predisposition, hormonal and early life experience. Professional help and medication is obligatory. Forget breast feeding and use medication as directed by the experienced professional treating you. ...Read moreSee 1 more doctor answer
Somewhat: The joints are moved via muscles, which are controlled by nerves. It's best to address all of these to get the greatest results. Joint and spinal manipulation would likely be a better choice being more directly related to the joint and effecting the nerve input to the muscles. Visit your chiropractor and get a massage. Treat yourself! ...Read more
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