Recently Answered Questions
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I suffer from pulsatile tinnitus and vertigo. Please help.
Query: Hello doctor, I have been struggling for approximately two years with symptoms such as pulsatile tinnitus, dizziness, vertigo, orthostatic headaches and general fatigue. I had an MRI that showed empty Sella with some herniation of CSF into the pituitary gland area. I have a set of images from a CT a... Read Full »
Answer: Hello, Welcome to icliniq.com. The MRI findings are suggestive of benign intracranial hypertension and these also correlate well with your symptoms. In the scan provided, no obvious defect is seen in either of the cribriform plates. The CT angiogram is within normal limits. But still, if you have... Read Full »
My sister is not regaining eyesight post-surgery. Why?
Query: Hello doctor,My sister suffered intracranial hypertension six months back and she became blind a few weeks after. A lot was done (lumbar puncture, etc.) to bring back her vision but in vain. Recently she has had VP shunt surgery and there is another plan to do optic nerve sheath fenestration. I woul... Read Full »
Dr. Sheikh Zubair Abdul Razzak
Answer: Hi, Welcome to icliniq.com. I have seen the scans and the VEP (visual evoked potential) report you have sent (attachment removed to protect patient identity). In theOCT(optical coherence tomography) the optic nerve heads do seem bulged out. Was an MRI done? VP (ventriculoperitoneal) shunt surgery ... Read Full »
My daughter has back pain, arm stiffness, and shooting pain. Why?
Query: Hello doctor, My daughter has been experiencing severe back pain, arm stiffness with grip loss, shooting pains down legs when the heel is put to floor and vision blurring when sitting in the car for long periods, for over two years following spinal anesthesia for C-section. magnetic resonance imagin... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern and would explain that her symptoms (especially the grip loss in her arms and blurring vision) are not related to a lumbar spine disorder. A brain disorder (intracranial hypotension) or a cervical myelopathy could explain some of her symptoms... Read Full »
Is my back pain due to hypoplastic or absent left transverse sinus or a transverse sinus thrombosis?
Query: Hi doctor, Two months back, I had an angiogram of head and neck, which came back negative. Is it possible to develop a pulmonary embolism just two months after the angiogram? For the past several days, I have back pain. What other symptoms can I expect? Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Your symptoms are not suggestive of pulmonary embolism as symptoms of this disorder are much more dramatic and acute. On the other hand, angiography does not lead to pulmonary embolism. In my opinion, the back pain could be related to a wr... Read Full »
I have poor balance, dizziness, and difficulty swallowing. Why?
Query: Hello doctor, Can you please check my MRI carefully? My symptoms started nine years ago suddenly, and gradually these symptoms are progressing. I have poor balance, difficulty swallowing, tingling in the fourth and fifth fingers, difficulty standing still for more than three minutes, slow heart rate... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for writing to us. I hope you are not in much discomfort. After reviewing your MRI (magnetic resonance imaging) brain and spine images (attachments removed to protect the patient's identity), my observations are below. Brain: There is mild cerebral and cere... Read Full »
Will continuous intake of Doxycycline for 10 days cause intracranial hypertension?
Query: Topic: Doxycycline and Intracranial Hypertension. I was prescribed 10 days Doxycycline (100mg twice a day) for a mild ear infection. I went back at 5 days and they said the infection was cleared and that I was able to stop taking it. I felt kind of stuck, because I was afraid to stop taking an ant... Read Full »
Dr. Peter Bryant Rapsing Grutas
Answer: Hello! Thank you for this information. Although doxycyline may induce intracranial hypertension, it is relatively safe as long as you are guided by a doctor, and not a prescription online alone . Risk factor of developing intracranial hypertension in women includes obesity and with history of intr... Read Full »
Why am I suffering from poor imbalances, difficulty in standing and swallowing, and dizziness?
Query: Hello doctor, I am suffering from poor balance, difficulty in swallowing, tingling in the fourth and fifth fingers of both hands, difficulty in standing for more than three minutes, slow heart rate, and dizziness. All the symptoms started suddenly nine years ago. Could you please check my magnetic r... Read Full »
Answer: Hi, Welcome to icliniq.com. I can see that you have been having different problems for quite some time. So, my finding is that the spine magnetic resonance imaging (MRI) is relatively normal (attachment removed to protect the patient's identity). There is only a bony hemangioma in one of the verteb... Read Full »
Does venous sinus stenosis and severe hypoplasia of transverse sinus in meent mean the same thing?
Query: Hello doctor, I have had pulsatile tinnitus in my right ear for a year, so I have had every test. Unfortunately, I do have a small hole in the semicircular canal. But now another maybe a problem. Through a CTV, it was discovered I have venous sinus stenosis. An angiogram report stated severe hypopla... Read Full »
Answer: Hi, Welcome to icliniq.com. Severe hypoplasia of the left transverse sinus means - the left transverse sinus is very small or not well-formed since the beginning (since birth or during development). It is a developmental anomaly and does not cause any symptoms. It should not be a reason for tinnitu... Read Full »