Ischemia

Ischemia is when the blood supply to a part of the body is restricted, resulting in a lack of oxygen. The signs and symptoms include pain, redness, loss of sensation, cyanosis (bluish discoloration of the skin), and necrosis.

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What can cause diffuse cerebral atrophy?

Query: Hi doctor, My sister is a 45 year old female. She had two episodes of unconsciousness. Her BP usually is normal at 80/58 mmHg and pulse 76 to 80 beats per minute.  We got an MRI done which showed diffuse cerebral atrophy with chronic ischaemic changes. MRA normal with no flow limiting significant ...  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to icliniq.com. From the attached MRI report (attachment removed to protect patient identity) it seems that vascular pathology is the primary cause for the MRI changes in brain. The current pathology indicates that she had poor blood supply for last few years. The reason may be hy...  Read Full »

What could cause epilepsy and arachnoid cyst in a 30-year-old?

Query: Hello doctor,My 30 year old brother has an arachnoid cyst displacing his hypoglossal nerve. He has no tongue problems, but he has epilepsy since the last 10 years. If I send over his MRI report, can you tell me what causes his epilepsy? Thank you in advance for your time. Due to his new medicine Epi...  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hello, Welcome to icliniq.com. I read your query and reviewed the attached MRI report. As per the available MRI report, it appears that your brother suffered some ischemic (blood circulation related) damage during his early part of life, especially around his birth. It is possible that the same dam...  Read Full »

Is bariatric surgery advisable for a coronary artery disease patient?

Query: Hi doctor,I planned to go in for bariatric surgery and was instructed to take some pre-op tests for medical clearance. It included lab work, chest X-rays, and cardiology. So, today I received my EKG test results back. What does this mean?. I immediately sent an email to my doctor, but he is yet to r...  Read Full »


Dr. Prashant Valecha

Answer: Hi, Welcome to icliniq.com. I understand your concern. It is not a very serious matter but suggests that there can be ischemia that is decreased blood supply in one region. It can also be a normal variant in inferior leads and females. To confirm and rule out any coronary artery...  Read Full »

Is a child diagnosed with cerebral palsy considered as disabled?

Query: Hello doctor, I am attaching details of a girl. Her left side of the body is not working properly. She cannot hold or pick things from her left hand. She cannot move her left thumb. She walks on her left toes. She cannot stand straight without support on her legs. Attached are the MRI findings. Ple...  Read Full »


Dr. Faisal Abdul Karim Malim

Answer: Hello, Welcome to icliniq.com. This looks like an old ischemic insult to the brain, which has led to cerebral palsy with hemiparesis. Unfortunately, this is an incurable condition, but some changes and improvements can be seen with proper and long-term physiotherapy.   Read Full »

What do my MRI reports suggest?

Query: Hello doctor, I am diabetic and hypertensive and have neuro problems. Please look at my MRI reports and advise me accordingly. I have attached the reports.  Read Full »


Dr. Ambekar Sudheer

Answer: Hello, Welcome to icliniq.com. I have gone through the attachments (attachments removed to protect patient identity). The MRI (magnetic resonance imaging) report says chronic ischemic changes suggestive of small vessel ischemia. These changes are usually seen in people with underlying diabetes...  Read Full »

What causes burning sensation of legs in an arthritis patient?

Query: Hello doctor, My mother is 80 years old. She has been suffering from arthritis or spondylolysis for more than 30 years. She is receiving treatment from a local orthopedician. She has been taking NSAIDs and other general medicines for five years. Her ESR level suddenly rose. For the last few months,...  Read Full »


Dr. Sumit Chawla

Answer: Hello, Welcome to icliniq.com. I have gone through the MRI report (attachment removed to protect patient identity). Your mother has nerve compression at two levels. Grade I spondylolisthesis is mild and an osteoporotic compression fracture D12 vertebra. Burning pain is due to ischemia of th...  Read Full »

I have both discoloration and numbness in the glans penis. Why?

Query: Hello doctor, I am 31 years old with 5'9 height and weight 150 lbs. I have both discoloration and numbness but only on the glans penis and not the shaft. I have gotten consultations, and no one can find the problem. I have photos to show before and after. I have had this problem for about a year now...  Read Full »


Dr. Samer Samer Juma Ali Altawil

Answer: Hi, Welcome to icliniq.com. Thanks very much for consulting us. Discoloration of the glans and penis can have many causes like inflammation, bruises, or ischemia, and numbness can be mainly due to penis or nerve injury. The picture will help with the diagnosis if you send me. Gonococcal infection ...  Read Full »

Can medicines cure minor heart blocks?

Query: Hello doctor,I had chest pain after three weeks of the second shot of the COVID vaccine. My arms went numb. I consulted a doctor, and all my blood tests were normal. So, he referred me to a cardiologist who suggested me do a treadmill test and stress echo test. The results came positive for myocardi...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Yes, it is appropriate to go for CT (computed tomography) and coronary angiography, as the probability of disease is still low to moderate only. I guess you did not have any symptoms like chest pain or heaviness during the test. With the negative ECG (electroc...  Read Full »

Why am I having LVEDP of 4 mmHg in diastolic dysfunction?

Query: Hello doctor, I am a 57 year old male, and I had episodes of shortness of breath and tachycardia, six months back. I take high doses of Statin and ACE inhibitors from ten years, and my lipid profile is excellent. EKG showed slight ST depression, an echocardiogram showed WMA (wall motion abnormalit...  Read Full »


Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. Thanks for providing a detailed explanation. In my practice, normal LVEDP (left ventricular end-diastolic pressure) is considered between 4 to 12 mmHg. I would love to know when you last went for any of these tests, that is EKG (electrocardiography), echocard...  Read Full »

After a severe attack of vertigo, my EKG is abnormal. Why?

Query: Hello doctor, I am a 50 year old male, who weighs 240 lbs. Two weeks back, I had dizziness following an attack of severe vertigo that made me fall to the ground. My psychiatrist sent me for an EKG, I went to the cardiologist to review the reports, and he said that the EKG was abnormal. My psychiat...  Read Full »


Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. Have you informed your psychiatrist about vertigo? Because vertigo could be caused by some of the drugs you are using, like Depakote (Divalproex sodium) and Risperdal (Risperidone). So, you could be having the dizziness due to the side effects of the medication. ...  Read Full »

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