Demyelination is a process that damages the myelin sheath, which surrounds the nerve fibers and acts as an insulating medium to the nerves. As a result, it affects the conducting ability of the nerves, causing changes in sensation, movement, vision, hearing, and thinking. Viral infections, metabolic diseases, oxygen loss, and nerve compression can induce demyelination. There is no specific treatment, but giving medicines like Interferon beta-1a or Glatiramer acetate may be effective.
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Query: Hi doctor, My head remains heavy for the past three weeks and I have a feeling of having giddiness and dizziness. I have dysarthria and a decrease in the right-hand motor movement for the past two weeks. I have ataxia. I did an MRI with and without contrast MRA and CT. All my results came back no... Read Full »
Answer: Hi, Welcome to icliniq.com. You have been evaluated extensively, but I need a detailed history. Kindly provide a complete history. Based on your reports, the abnormality observed in the MRI of the brain suggests a demyelinating disease (attachment removed to protect patient identity). For this... Read Full »
Query: Hi doctor, My symptoms over the last four months are as follows. I sat down on my mother's bed and could not get up. I had severe pain in lower back on left side shooting down my leg. They felt like electric shocks and it lasted for a little over a week. During that time I had a lot of memory issue... Read Full »
Answer: Hello, Welcome to icliniq.com. These all symptoms could be unrelated but can be related too.¬†In my opinion, you should be evaluated for multiple sclerosis. A person with ALS (amyotrophic lateral sclerosis) or multiple sclerosis (MS) can have almost any neurological symptom or sign. Autonomic, visua... Read Full »
Query: Hi doctor, This query is regarding my dad. He has been limping for a year now. He is a construction worker and about two years ago he accidentally fell down from the first floor. He reassures me that his left leg limping is not due to the fall. He had about 20 sessions of physical therapy. He went t... Read Full »
Answer: Hello, Welcome to icliniq.com. It seems that he has intervertebral disc compression that needs further evaluation. Since there are suspected demyelinating changes in MRI, he would require further MRI brain to check for any demyelination in his brain. His compression as per report is no... Read Full »
Query: Hi doctor, My patient is suffering from constant conversion. Her head is poking, salvia is coming out of the mouth and eyes are open for few seconds without any moment. Every now and then she used to get conversion type, but from yesterday the saliva is drooling continuously and the conversion too.¬... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your description very carefully. The rolling of eyeball with deviation of mouth and hand is actually suggestive of seizure. It is not conversion disorder. These¬†seizures are coming because of the white spots in brain scan. It is a common term used by neurolog... Read Full »