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question:Hello. Thank you for your time.My 25 y.o. daughter got an MRI then an MRA after the radiologist found an abnormality in a vein in her brain. She originally went in to get the MRI to check because she was seen by an EMT md for hearing loss in one ear (asymmetrical hearing loss) and could find no reason for it. Well, after the MRA she was told she has a small clot in a vein in her brain and not to worry about it. Then they seemed more concerned about getting her into hearing aid. My question: is it accurate to not be concerned about a blood clot in the brain?
answer:Clot in vein of brain can be either cortical vein thrombosis or dural venous sinus thrombosis. In both of these conditions, need to try to find the cause of such clot in vein. Also need to ask some history regarding any hormonal preparation by your daughter.I advise these tests for your daughter:1. APLA2. Cardiolipin antibodies3. Protein C 4. Protein S5. Factor V Leiden mutation6. Anti thrombin III
question:Hi, lately I ve been getting a weird feeling as if my head/brain has a lot of pressure to it. Along with my eye. Sometimes it feels like I gave a lot of pressure and have to relax and it all just goes away. But within a couple minutes, the pressure in my brain comes back. I was wondering what may have caused this? I have been really stressed lately, done a lot of strength with singing and also been on my phone a lot so can it be my vision?
answer:Feeling of such kind of pressure on head needs to rule out any brain lesion or evidence of raised ICP. i advise you to get NCCT Head/MRI Brain. Also you need to get your eyes refraction done properly. straining on eye ciliary muscles of eyes can also cause similar problems
question:My mother, 60 yrs old has been diagnosed with ADEM. She was in an induced coma for three days and since being stopped on all sedation has continued in her own coma for 7 days. An EEG was done yesterday and shows no midbrain activity. I have read many articles where people have recovered and rebuilt their myelin sheaths after plasmapheresis....she had plasmapheresis for five days...is this accurate?
answer:ADEM is an autoimmune disease affecting the brain and spinal cord. Treatment of ADEM are high dose steroids / i.v. Ig/ plasmapheresis. Primary role of these therapies are to remove antibodies from blood circulation. But those antibodies which already bound to brain tissue, cant be removed. Prognosis depend on the amount of brain lesions.
question:once i had a fit/seizure ibecame faint for 10 minutes and felt weakness at that time. doctor gave me eption 300er dose once daily for six months. my problem is that i am having its side effects of rashes red round small spots causing itching. iwant to reduce its doses and finally want to quit it. please advise me.
answer:if you having red rashes with itching, it can be 1) allergic reaction to some drug/food/skin contact item2) any primarily skin pathology.Even you have already been on eptoin for last 6 months without any reaction, still there is chance of allergic reaction to eptoin. you should consult dermatologist. If dermatologist conclude it to be allergic rash and if you not taking any medication other than eptoin, you should stop eptoin and switch on another antiepileptic medicine (Better to avoid carbamazepine, phenobarbitone also as they have some common properties as with eptoin in causing allergic reaction).
question:Hi, I am experiencing a drunkeness feeling and nausea when I lie down in bed at night. Sometimes during the day I have had dizzy spells too but not for a while. When I was younger I used to have blackouts, after speaking to a lady I met today at a hospital visit for something else, we got talking and she told me she had experienced these exact same things, and she only found out by chance after having investigations for something else that she has a brain tumour. My sister has also had a brain tumour. I am worried about this, can you help?
answer:Nausea or vomitting occuring specially while laying in bed or bending down can be feature of raised intracranial pressure.Few brain tumors are genetically associated, but not all.as you have problems while you lay down in bed, i advise you to undergo MRI Brain and also MR Venogram of brain and fundus examination by opthalmologist to look for papilledema.
question:I have these spells . I am 60, female, overweight, COPD/Emphazema. These spells start with a kind of weird wa-wa feeling in my head, almost like I m going to faint. I feel at once like my stomach is very empty, but then I am naseous. My entire body shakes, even my voice if I try to talk. Sometimes, this is accompanied by a hot flash but not always. I am post-menopausal, have not had a period since I was 50, and had very few menopause symptoms, very few hot flashes. I ve thought this may be low blood sugar, because sometimes, but not always, it helps to eat something. I ve been having these spells for years, infrequently, but in the last year, they have become a lot more frequent, sometimes several times a week.
answer:Possibly these hot flushes are part of post menopausal symptoms. You can try low dose estrogen (only under supervision of gynecologist). Shaking (Tremulousness) of hands can occur in some cases of COPD with use of beta- agonist medications