Dr. Ambekar Sudheer
Neurosurgery
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Patient's Query
Hello doctor,
I am diabetic and hypertensive and have neuro problems. Please look at my MRIs (Magnetic Resonance Imaging) reports and advise me accordingly. I have attached the reports.
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 and hypertension and represent the longstanding nature of the two conditions. The only way to prevent further progression of the changes is strict control of diabetes and hypertension. These changes in the brain will not lead to any disability. However, you should understand that you are at increased risk of stroke, and hence strict control of diabetes and hypertension is essential.
Patient's Query
Hi doctor,
Thank you for the reply. Is this an emergency? Previously, I had these changes, and my neurologist has given a medication that they got reversed. I took his appointment tomorrow. Hope I keep my diabetics under control. Is this a worrying factor?
Hello,
Welcome back to icliniq.com.
One cannot reverse these changes but can only halt their progression. This is not an emergency as long as you have no neurological signs and symptoms. There is no medication to reverse these changes. Only a strict control of diabetes and hypertension will prevent progression.
Patient's Query
Hi doctor,
Thank you for the reply.
Can you tell me the neurological signs and symptoms we are looking for? I am suffering from cervical spondylosis too. I did MRIs (Magnetic Resonance Imaging) for that too. I am attaching the reports.
Hello, Welcome back to icliniq.com.
The neurological symptoms related to diabetes and hypertension cause small vessel damage or weakness of the arms or legs, asymmetry of the face, or transient unconsciousness episode. The symptoms are related to cervical spondylosis, stiffness of arms or legs, and balance while walking. From the neck's MRI (magnetic resonance imaging) report, you may have significant disc prolapse in the cervical region. Whether you need surgery or not will depend on neurological examination.
Patient's Query
Hi doctor,
Thank you for the reply.
I can feel stiffness and pain from my left hip to toe and stiffness in the neck. While standing, there is discomfort in balancing. I am consulting my neurologist tomorrow to show the MRIs (Magnetic Resonance Imaging) and the neurological examination you mentioned. I will contact you for your opinion on the treatment suggested.
Hello,
Welcome back to icliniq.com.
You are most welcome.
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Neurosurgery
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