Recently Answered Questions
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Due to some neurological disease, my brother could not open his eyes. What to do?
Query: Hello doctor, My younger brother is 18 years old. He was very healthy. He was attacked by neurological disease now. Currently, he is getting treatment, and his current situation is stable. He can walk, eat, and talk but he cannot open his eyelids nor he can see things even we open his eyelids forcib... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your uploaded reports. (attachment removed to protect patient identity). I would explain that they indicate a brain infection, coupled with small strokes, probably related to the infection. For this reason, the main thing to do is to diagnose and treat the i... Read Full »
Query: Hi doctor, I have been diagnosed with idiopathic intracranial hypertension. My CSF result from lumbar puncture was 12.59 inches. I have some questions about IIH. Is IIH a disease or a condition? Is a LP of 12.59 inches and above normal? Is this disease curable? I have been taking tablet Acetazolam... Read Full »
Dr. Florilyn Joyce Chulsi Bentrez
Answer: Hi, Welcome to icliniq.com. We take this opportunity to guide you. Idiopathic Intracranial Hypertension (IIH) is a disorder with no known causes. The risk factors include obesity and female gender, but both of these do not seem to apply to you. Did you take a CT (computed tomography) scan or M... Read Full »
After the blood patch, I developed swelling and a bump. Why?
Query: Hello doctor, I had a spinal tap done two weeks ago, and a blood patch three days later. The blood patch worked but, I still get headaches and do not feel well at all. I have a swollen bump on my tailbone that hurts. I saw my doctor who did not seem too sure about it but, said there did not seem to ... Read Full »
Answer: Hello,Welcome to icliniq.com.You most probably experienced a post dural puncture headache (PDPH), for which you were administered an epidural blood patch.Your signs and symptoms are more suggestive of a meningeal irritation due to some infection. I would suggest you consult a neurophysician for the... Read Full »
What does decreased disc height due to degeneration imply?
Query: Hello doctor, I have increased signal intensity within the cervical cord at C2 and C4 levels. The cervical discs have degenerated with some loss of normal disc height and hydration. What does this mean? I also have multiple sclerosis. My current medications are Gilenya, Amitriptyline, Omeprazole, an... Read Full »
Answer: Hello, Welcome to icliniq.com. I would like to know if you have performed any brain MRI (magnetic resonance imaging) study. These lesions in the cervical spine could be related to many possible causes. They could be MS (multiple sclerosis), cervical myelopathy, myelitis, neuro infections, etc. The ... Read Full »
Which is a better treatment for NPH, shunt surgery or CSF drainage?
Query: Hello doctor, My 76 year old mother was recently diagnosed with normal pressure hydrocephalus. She is having trouble walking. She can walk only three to four steps at a time. She has been having this difficulty since a month now. She is currently not on any medication for this or for any other issue... Read Full »
Answer: Hello, Welcome to icliniq.com. I am sorry to hear about your mother. I have seen her MRI reports (attachment removed to protect patient identity). Going for lumbar puncture (LP) drainage, and then checking for a clinical improvement, before a shunt, has a better chance of determining the overall suc... Read Full »
Why do I get pain after getting up from sitting or walking?
Query: Hi doctor, My mother is 65 years old (height 4'11", weight 64 kg), and has been doing all the household chores since she was 20 years. She has no problems except diabetes. Since one week, she started getting lower back pain. The symptoms are if she is in a sleeping position and gets up and starts w... Read Full »
Answer: Hello, Welcome to icliniq.com. At 65, your mother seems to be suffering from spondylosis which is nothing but wear and tear of the spine. This is made worse after any period of rest and sitting usually makes it worse. Is there any radiation of pain to the leg? I will recommend that you get an X-ra... Read Full »
Why is there discomfort in right hip joint and knee after lumbar puncture?
Query: Hello doctor, My son is 17 years old. He has delayed learning. I am at the hospital for the last two weeks and they do not have an answer as to what is wrong with my son. Magnetic resonance imaging (MRI) will be done on Monday. My son has IOP and ICP and due to his recent laser diode for glaucoma a... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern and would explain that his symptoms could be related to joint pain or musculoskeletal pain. For this reason, I would recommend performing some tests to investigate possible causes. 1. Complete blood count, PCR (polymerase chain reaction), ... Read Full »
Why did my doctor ask for a signature before undergoing LP?
Query: Hi doctor, My question regarding the lumbar puncture (LP) test of the backbone. Why the doctors want my signature for this test? Is there any major risk or side effect in this procedure? The test showed 5 x 5 rings in the brain and rest everything is normal. There is no previous medical history othe... Read Full »
Answer: Hi, Welcome to icliniq.com. Lumbar puncture is done to collect CSF (cerebrospinal fluid, the fluid surrounding the whole brain). Possibly they will send that fluid for tests to search the reason for rings in the brain. Ring enhancing lesions in the brain can be due to many reasons like tuberculosis... Read Full »
How long will it take for me to recover from a lumbar puncture?
Query: Hi doctor, I had a lumbar puncture done this morning to find an opening that was 12.2 and to collect specimens with spinal fluid. The doctor told me to sit upright. She did the preparation work. Then she inserted the first needle to freeze the lumbar region. Then she inserted a second needle. I b... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for the query. I can understand your concern. According to your statement, you had a lumbar puncture done this morning in the opening which was 12.2. I think that you want to tell about the opening pressure of CSF (cerebrospinal fluid). The initial pressure of... Read Full »
Query: Hello doctor,I have MRI scans, and I am attaching my reports. I would like an expert to review and advise. Read Full »
Answer: Hello, Welcome to icliniq.com. As per your neuroimaging report (attachment removed to protect the patient's identity), the possibility of some metastatic tumor on brain coverings (meninges or dura) can be there. The imaging photos are not properly accessible. For evaluation of this, possible ways ... Read Full »