Doctor insights on:
What Symptoms Will Help A Doctor Diagnose Brain Aneurysm
Thunderclap headache: Very abrupt onset within a few seconds of a very very severe headache (so called "thunderclap headache") is the most suggestive sign since this is how bleeding into the subarachnoid space (in effect bleeding from annaneurysm) within the cranium announces itself. ...Read moreSee 2 more doctor answers
Nuclear medicine/PET: Radiotracer examples include 18F-FDG and 18F-DOPA. Because of their increased metabolic demand, brain tumors will "light up" with the radiotracer on PET scans in comparison to non-cancerous areas of the brain. The role of nuclear medicine in diagnosing brain tumors is still in the early stages. MRI is still most often used. Reference: http://jnm.snmjournals.org/content/48/9/1468.full.pdf ...Read more
How do you test for partial seizures/seizures? Is it accurate? Would a brain CT reveal a answer? Noticed symptoms can mimic anxiety disorder symptoms
Excellent question: To identify partial seizures, whether simple or complex, we need to catch them on an EEG, an electroencephalograph - video 72 hr telemetry. 1-hr EEGs are close to useless. A CT/MRI/PET may identify a lesion responsible for the seizure activity, or other pathology associated with seizure disorders. If you need EEG, ask if the doc wants to wean you off of the benzo which blunts seizure activity. ...Read moreSee 3 more doctor answers
No sure way: Headaches that are associated with nausea and awaken you from sleep are more worrisome than others. Also headaches that do not resolve with time, otc medications can also be worrisome. Most headaches are not from brain tumors. If the headache is associated with other neurologic findings a scan is in order. ...Read more
How fast can a brain aneurysm develop? Is a CT or MRI adequate diagnostic tools? What else could cause daily headaches.
Depends on size: Ct or mr angiograms are good screening tools, and surgeons are using cta to plan surgery instead of angiograms. If you have an aneurysm, there is a certain chance that it will grow over time. How fast it grows is not predictable. If you don't have an aneurysm, you should have your doctor look for other reasons for headaches. ...Read moreSee 1 more doctor answer
Can a nasopharyngeal cyst cause migrains? How do you treat/remove them? What type of doctor would you recommend to treat him?
Not migraines: Nasopharyngeal cysts don't cause migraines but there are case reports where they can cause significant headaches. They are best seen on mri. An ENT can usually see them with a scope and if they are superficial can drain them in the office. Deeper ones are removed similar to how an adenoid is removed. ...Read moreSee 1 more doctor answer
Depends: It is dependent upon the type and location of the tumor. Some tumors are in a relatively good location (on the surface of the brain. Much really depends on the type of tumor - some are more benign (better) others are more malignant (bad-aggressive) ...Read more
Severe headache: The classic presentation of a ruptured cerebral aneurysm is a sudden severe onset headache. This can happen even in a patient that has a long history of headaches. But, the aneurysmal headache is distinctly different. This may be coma producing. Those that are awake may have stiff neck, sensitivity to light, lethargy, nausea and vomiting. If this happens to you or a loved one-call 911. ...Read moreSee 1 more doctor answer
Brain tumor: Treatment is based on the tumor type, location of the tumor and what potential effect that tumor might have on the patient. ...Read more
Visual Field Defect: Brain tumors can affect the nerve pathways that make up our visual field. A humphrey or goldman visual field will show complementary visual field defects in each eye depending of where the tumor is. Not all brain tumors are malignant (deadly). ...Read moreSee 1 more doctor answer
Doctors can you tell me how often should a neurologist do an MRI on a patient with multiple sclerosis?
Spinal injury: A rectal exam to check for spinal injury is really an examination of the anal sphincter tone. If the tone is not present or decreased (having the patient bear down with the final in the rectal canal) during the examination, it could be an indicator that there is an injury. ...Read moreSee 1 more doctor answer
Raise your arm up: like you want to answer a question like you did in school. Also you could try to flap your arms up and down like you want to fly. If either of those hurt you have a shoulder injury Obviously this is a generalization, but to know where it hurts exactly takes more specific movements and knowledge base. Also imaging is very helpful when treatments are being planned to address these injuries. ...Read more
CT/MRI: Doctors diagnose brain tumors through a combination of clinical history, physical examination including a careful neurological examination, and imaging, including ct and MRI scans. Mri is the most sensitive way of finding and localizing a brain tumor. The exact type of tumor is determined when a sample of it is examined by a pathologist, preferably a neuropathologist. ...Read moreSee 1 more doctor answer
How can you tell if you have a brain tumor? What are the symptoms of a brain tumor? What should I look for?
Brain : Brain tumors can cause new seizures, new headaches (something different or worse than ever before), new neurological problems (like weakness or numbness in one part of your body), new visual problems (double vision or very blurred vision), severe constant dizziness, or any new neurological problem. As neurologists, we are worried whenever somebody comes in with a "new" neurological symptom. The reassuring thing about brain tumors is that we can just get an image of the head (ct scan and/or mri) and answer the question immediately. ...Read moreSee 1 more doctor answer
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