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Doctor insights on: What Sort Of Brain Symptoms Would Be Helped By An Etv How Is An Etv Done

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What sort of brain symptoms would be helped by an etv? How is an etv done?

What sort of brain symptoms would be helped by an etv? How is an etv done?

Hydrocephalus: Etv is short for endoscopic third ventriculostomy. It is generally done for obstructive hydrocephalus, commonly for aqueductal stenosis. The procedure is done through a frontal burr hole, an endoscope passed through the lateral ventricle, the foramen of monro, and the third ventricle. A thin membrane is opened and CSF can circulate directly from the ventricle into the prepontine cistern. ...Read more

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Wanted to ask how eustachian tube dysfunction is diagnosed? Is there a definitive method? I have sinus and tinnitus (possible caused by sinus,is it?

Wanted to ask how eustachian tube dysfunction is diagnosed? Is there a definitive method? I have sinus and tinnitus (possible caused by sinus,is it?

Examination: Examination and history of pressure or popping in the ear. You also may have tympanometry performed by your physician. It is examination using an impedance machine usually in an ENT physicians office. ...Read more

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What does " there is some minimal cystic change in the lunate" mean as stated by an mri. How serious is it and what can be done ? From weightlifting.

What does  " there is some minimal cystic change in the lunate" mean as stated by an mri. How serious is it and what can be done ? From weightlifting.

Mild arthritis: Cystic changes can be incidental, or the beginning of the develpoment of a ganglion cyst. Unless there is severe pain, this is usually nothing to be worried about. ...Read more

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Doctor suspects avm or narrowing of vessels in brain from mri. Have upcoming angiogram. Can they be wrong. Im told this is strictly for exploration. ?

Doctor suspects avm or narrowing of vessels in brain from mri. Have upcoming angiogram. Can they be wrong. Im told this is strictly for exploration. ?

Possibly: Mris are good screening tests for the avm. The final test is the angiogram. That is because this is a dynamic test, meaning that one can see the flow of the blood in the vessels. This will help with defining the anatomy of the vessels in the abnormality. As to whether an MRI may be wrong in diagnosing an avm, that is possible if the findings on the MRI are not clear. ...Read more

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What electrical problems of brain that cause poor sleep. Could it be detected by an EEG ordered by doctor.what could be the type of treatment?

What electrical problems of brain that cause poor sleep. Could it be detected by an EEG ordered by doctor.what could be the type of treatment?

Poor sleep & brain: Sometimes poor sleep is driven by brain activity. This often occurs with stimulants, like caffeine and amphetamines. Although there is altered brain activity with certain medications, this activity is not normally something that can be measured. An EEG would generally not help to diagnose causes of abnormal sleep. The one exception is when seizures occur during sleep. ...Read more

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If I have Gastritis caused by H pylori infection, would a doctor be able to tell from an endoscopy? Or is there a procedure needed to be done after?

If I have Gastritis caused by H pylori infection, would a doctor be able to tell from an endoscopy? Or is there a procedure needed to be done after?

H Pylori : During endoscopy , your doctor will see some inflammatory changes . Biopsies are taken , which wi show typical changes under the microscope . There is also a blood test call H pylori Ab that will be positive , that wi indicate if you have ever had the infection . ...Read more

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What is and how would a procedure called chest tube drainage be handled?

What is and how would a procedure called chest tube drainage be handled?

Same as its name : It is a tube inserted into chest cavity around the lung to drain air or fluid/blood/pus. After it is inserted the amount of fluid removed daily along with type of fluid plus almost daily chest x-ray will tell your doctor when it is ready to come out . In case of air leakage they will wait for air to stop before pulling it out as long as your x ray looks good. ...Read more

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What kind of treatment is available for neck an head pain related to what is thought to be a pinched nerve?

What kind of treatment is available for neck an head pain related to what is thought to be a pinched nerve?

Physical therapy: You might be a good candidate for physical therapy, which is often quite effective for headache associated with cervical spine degenerative dic and joint disease. ...Read more

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If depression is caused by an inflammation on the brain, why can't we detected it with an mri?

If depression is caused by an inflammation on the brain, why can't we detected it with an mri?

Inflammation & Dep.: There is some evidence -- based on medical knowledge -- that inflammation has a role in developing depression. Many of the cytokines involved have effects pathways related to mood. http://www.ncbi.nlm.nih.gov/pubmed/23636913 still, not all inflammatory processes can be seen on mri, which detects anatomical (not functional) abnormalities. Ms can't be "seen" on MRI until it damages white matter. ...Read more

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Oesophageal manometry and 24-hour pH monitoring for this test if abnormality is found ,obviously depending on what is found ,would there be any type of treatment or is this test just purely to explain reasons WHY you have GERD or problem with LES?

Oesophageal manometry and 24-hour pH monitoring for this test if abnormality is found ,obviously depending on what is found ,would there be any type of treatment or is this test just purely to explain reasons WHY you have GERD or problem with LES?

There are treatments: if these tests reveal either hyperacidity or esophageal spasm there are numerous treatments that can lead to relief. the main reason to do them is so that the appropriate treatment is chosen. if hyperacidity, a PPI or H2 blocker can be very effective; if spasm, calcium channel blockers are the gold standard. they are not interchangeable, so ascertaining the cause of your symptoms is important ...Read more

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If depression is caused by an inflammation on the brain, why can't we detect it with an mri?

If depression is caused by an inflammation on the brain, why can't we detect it with an mri?

Inflammation: The inflammation hypothesis of depression is just that -- a very plausible, but not completely proven hypothesis. Early stages of inflammation may not show up on an MRI because physical structures like myelin and nerve cells have not been damaged to the point it can be seen anatomically. Change in functional status of these cells and their components precedes anatomical change or damage. ...Read more

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Costochondral separation. Can it be diagnosed without an mri, and by what kind of doctor, an orthopedic?

Costochondral separation.    Can it be diagnosed without an mri, and by what kind of doctor, an orthopedic?

Yes: Clinical exam still is useful especially by an orthopedic surgeon. Mr is used to confirm suspicion but not necessary. ...Read more

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Is an abnormal rns with a >12% decrement (not done on an area that is really weak) specific for myasthenia gravis? Please assume patient has signs and symptoms of generalized mg, as this is the case.

Is an abnormal rns with a >12% decrement (not done on an area that is really weak) specific for myasthenia gravis? Please assume patient has signs and symptoms of generalized mg, as this is the case.

Not necessarily: Really require more than one area of decrement, and even so, nonspecific as can be seen with metabolic problems, muscle disease, neuropathies, and even can be artifactual. Maybe a tensilon test would be helpful, but of course, better approach via anti-neuromuscular junctional antibody or anti-musk results. In the end, if responding to mestinon, (pyridostigmine) may be a good confirmatory sign, also. ...Read more

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Is there a way to cure chronic pain around the ilium. It may be occupational caused by sitting. I have an MRI with no indication of the cause.

Is there a way to cure chronic pain around the ilium.  It may be occupational caused by sitting.  I have an MRI with no indication of the cause.

Get GI opinion: Get a GI referral and have an exam and make plans for other methods of imaging. Sometimes a direct look with a camera scope may give you more information. Thanks and all the best sorting this out. ...Read more

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What can be done in advance of an MRI to ensure the contrast does not cause an allergic reaction? Is there any way to be extra cautious or do a test?

What can be done in advance of an MRI to ensure the contrast does not cause an allergic reaction? Is there any way to be extra cautious or do a test?

MRI = very safe: No need to do anything in advance. The incidence of true reaction to MRI contrast is on the order of 1 in 10, 000 or less. If your kidney function is decreased for any reason, the radiologist may choose not to give contrast to prevent a rare complication called nsf, but it has nothing to do with allergy. ...Read more

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What sort of testing is done to see if a tumor is malignant?

What sort of testing is done to see if a tumor is malignant?

Pathological exam: A biopsy to remove a portion or the entire tumor is performed to allow the pathologist to examine the tissue under the microscope using special stains to help assess features to make a diagnosis not only of malignancy but also the type and potential behavior of the tumor. Ancillary tests like flow cytometry, gene rearrangement test for monoclonality, presence of associated tumor markers also help. ...Read more

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