Doctor insights on:
Treatments For Upper Motor Neuron Lesion
Try this: Although no cure currently, the drug Riluzole has been used to slow down the process and prevent or delay tracheostomy. Some pts might benefit from other glutamate blockers, Gabapentin and memantine have been tried in addition. Some alternative health sites have mentioned anti-oxidant approaches, and you might check hsi (health science institute). Get second opinion at nearby medical schools. ...Read more
Extensor respons: The presence of a Babinski sign suggests an upper motor neuron lesion, although in infants the presence of the dorsiflexion of the great toe with plantar stimulation can be normal. Simplifying, it's thought by some it may be related to the difference between the anatomical flexors behaving differently, more as extensors. Medicine Decoded has a reasonable explanation of this. ...Read more
Neurologist: The physical exam findings will be more difficult to see, but a neurologist will be able to examine the patient and might elect to do testing such as an EMG which tests the conduction of the nerves. ...Read more
What are the symptoms and signs of the upper motor neuron lesion (cortex, internal capsule, brainstem, spinal cord)?
Variable, but: Typical results of a stroke affecting brainstem and rostral structures, could see focal weakness over unilateral arm and leg, with possible problem with speech. Spinal cord smaller area and maybe both legs and less commonly unilateral arm and leg. ...Read more
Paralyzis and hyperalgesia in one limb initiated 2 weeks after scoliosis surgery. Sphincter incont Clonus. Spasticity. Upper motor neuron lesion? Why?
Postop complication: One has to worry about a delayed postoperative complication-significant!!!! Need to see operating surgeon. Potential causes would be hematoma (blood) compressing spinal cord or even a spinal cord lesion remote from operative site ...Read more
Paralyzis in one limb initiated 2 weeks post scoliosis surgery. Clonus spasms and dorsal back pain. Upper motor neuron lesion? Why? Mri and CT normal.
Higher brain centers: Babies normally have babinski responses but lose it as they mature. The response remains deep in the brain and spinal cord but is suppressed by the higher brain centers. If the higher brain centers become damaged, these primitive responses return because they are no longer being suppressed. Hope this helps to simplify the prior excellent answer. ...Read more
The upper motor neurons also called “Cortical Motor Neurons” are located in the motor cortex of the brain. The the spinal motor neurons are the lower motor neurons. Signs of UMN is a stiffness and resistance to movement. Signs of LMN damage include weakness, muscle atrophy.
Hope it helps. ...Read more
Lesion: Is it in relation to breast?Get a more detailed answer ›
Usually is: At least postinflammatory pigmentation. Keep an eye on it and repeat as necessary. These things basically don't ever turn malignant. ...Read more
Which treatment is best for large poliploid lesion in ileum? Is this completely curable after treatment? My father is ill...He is 50 year. Help me!
Need to find out dia: First we have to find out what this polypoid lesion is. This will require a biopsy which may need surgery. Once we know what kind of disease this is, then we can give you prognosis. If it turns out to be cancer, it may be removable which can often cure cancer but not always. So go to meet with his doctor and ask such questions to his doctors. ...Read more
Benign parotid lesion in the deep lobe with cystic degeneration. 1.1 x 1.2cm in size, mobile, not painful. Suggested treatments?
It depends...: If the lesion was diagnosed as clearly benign by biopsy or aspiration then several options are possible including watchful waiting if it doesn't bother the patient and is not an esthetic problem, or surgical removal. Consulting a surgeon is recommended. ...Read more
What are treatment options for a 2.4 cm liver lesion seen via ultrasound in case it turns out to be malignent?
Depends on type.: Even if it's a malignancy (cancer), the options for treatment can vary based on the type of cancer & it's cause. In general, cancers are treated by 1-3 of 3 modalities: 1) chemotherapy (delivered locally or systemic), 2) surgery (liver surgery is risky!), & 3) radiation therapy. There may be adjunct measures like alcohol cessation or antiviral medications if the cancer is result of a virus. TTYD. ...Read more
What treatment do I need for a sclerotic lesion at the neck of the fibula due to a bone island I have pain is there a treatment for it plz?
Work up?: An MRI can determine if a lesion in bone is an active process. Many times, sclerotic lesions in bones, or bone islands, are innocuous, and cause no problems. If there is pain associated with the lesion, then it may signal a more serious problem. Seek care or additional workup. ...Read more
I have a 2.6cm adnexal hypoechoic lesion on my left ovary and a 2.2cm complex adnexal cyst on my right ovary what is the difference and treatment plan?
I have cyst on my parotid gland (deep lobe). It has been identified as a benign lesion with cystic degeneration. What are the suggested treatments?
Parotid cyst: This really depends on how bothersome it is and how it looks. If its painful or looks terrible then it can be removed. You already know its benign. ...Read more
Mri 1.5t onright foot (hgh g polymorphic s) (24x 10x 14)mm size heterogeneously enhancing lesion in the right 1st inter digital space. What treatment?
Several things: This is a problem that necessitates a face-to-face meeting with your doctor. This will allow him/her to examine you, ask specific questions. And possibly order tests to find out what's wrong and what to do to help you. ...Read more
I have been diagnosis with sclerosing intraductal papilloma with lesion on breast. What are the treatment? So worried.
Surgical excision: Sclerosing intraductl papilloma is a benign lesion which developes in milk ducts, but sometimes it may be associated with breast cancer. So if this diagnosis was made by a needle biopsy, it is recommended to have surgical excision to verify presence or lack of presence of assoiated malignancy. ...Read more
Can an ankle cystic bone lesion cause burning and warmth? What type of treatment is available. Physical therapy provided no relief.
Possibly: It depends on where the cyst is located, how big it is, and what it is close to. I recommend you see an ankle specialist for evaluation and treatment. ...Read more
What is the prognosis of Spindle cell melanoma T4 lesion on the scalp? Other than the surgery, what other treatments have been successful?
My cervical pap smear test report is negative for intraepithelial lesion or malignancy with sever inflammatory smear dr. Plz say about treatment?
Your GYN can help:
There is nothing to worry about. You may need a short course of antibiotics in case there is vaginal infection (ask your gynecologist about it.
But the main purpose of pap is to make sure you do not have cancer of the cervix or precancer conditions caused by hpv. In that regard you should be happy that it is all well. ...Read more
14 R OLD MALE HAD LEFT EYE CROSSING, MRI SHOWS LESION ON THE PONS, WHAT WOULD CAUSE THIS AND IS THERE ANY TREATMENTS. ALSO HOW DANGERIOUS IS THIS/?
Ask his pediatrician: For triage and advice is best, who can refer you to a pediatric neuro-ophthalmologist to answer your specific questions. We cannot diagnose, treat or prevent on this platform legally, and much will depend on how long this has been going on, the size, location and other associated findings & clinical symptoms. So the images of the MRI will be very useful place to start. Best wishes! . ...Read more
Fnac report :liver space occupying lesion. Dignosis : metastatic infiltrating duct cacinoma for my mother age 62+? Is thr any option of treatment?
Not sure: You used the term inflitrating duct carcinoma, which is normally a metastatic breast cancer. If that is the case, the receptor status and her-2 status play a major role. If the report is adenocarcinoma of bile duct origin then the prognosis is poor. I would get a clarification from your doctor. ...Read more
MR- Cystic lesion in C2 verterbrae which maybe a bone cyst How to confirm this & any non surgery method? What are the least risk treatment available?
Observation: The least risky treatment is observation and expectant management. Vertebral cysts are not uncommon, and if they are not causing problems, observation is the least risky treatment alternative. At times they will spontaneously resolve. ...Read more
Had MRI on knee showed meniscal tear, tendentis, bursitis, benign lesion on cartilage. What is yr opinion on treatment? .
Depends on your main:
Symptoms. If knee is hurting and "gives way" when you walk, then a Scope surgery to get rid of the Meniscal tear; which also provides an opportunity to look at all other structures. Lesion on Cartilage, might look benign, But a biopsy could be done, to confirms it is Benign,
The bursitis/tendonitis, if still persists can be treated by the NSAIDs and PT/exercises, heat/cold packs etc.
Good Luck. ...Read more
Is a talar dome lesion the same as an osteochondral lesion or osteochondral fracture? Please explain. Also what is the treatment?
Acase of cirrhotic liver with focal lesion 6*5 CM serum albumin 2, 3 portal vein normal what is the ideal treatment for focal lesion?
Depends: It really depends on what the lesion is. If your doctors want to treat it they very likely will need a biopsy of it. Best of luck! ...Read more
My forehead is sunken in from a cortisone injection into a cystic acne lesion on jan.8/2013. What are the possible treatments?
Fat injection: First the area must have time to be free of steroid then fat injection taken from another area seems to be best the area may also fill in on its own. Saline injection is often suggested but doesn't reliably work see a plastic surgeon. ...Read more