Dr. Florilyn Joyce Chulsi Bentrez
Neurology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have a question that pertains to mental health but explores potential physical causes for the various negative symptoms I experience. In short, I have severe mental health issues and I am eager to find explanations for why I feel the way I do. It would be satisfying to have some understanding of the reasons behind my symptoms. Several years ago, I underwent a CT scan and currently possess an image of it. Although the CT scan yielded normal results, indicating no health concerns, my interest lies elsewhere. I would like to inquire, based on your expertise and experience, if the image reveals any structurally atypical aspects or deviations from what is typically observed. Does anything appear different or out of the ordinary from a structural standpoint?
Thank you.
Hello,
Welcome to icliniq.com.
The single image you sent seems normal (attachments removed to protect the patient’s identity). Structurally, the brain is fine. But in schizophrenia, it is the circuits that are impaired. There are chemicals in the brain called neurotransmitters that control mood and thought processes. An imbalance may lead to symptoms that you feel. It is best corrected through medication and cognitive-behavioral therapy too. To conclude, the brain may be structurally fine, however, despite normal architecture and anatomy, the brain may be functionally impaired due to problems in the circuitry.
I hope I have answered your query.
Thanks and regards.
Patient's Query
Hello doctor,
Thanks for your response to my earlier query.
I also have two additional questions. First, there is something I did not notice until I checked the image a second time. I wish I could circle the part of the image that I am referring to but I cannot so I can only describe. Near the middle of the image, there is a white spot or dot. What is that? Is that normal? Secondly, regarding the image of the brain, at the top and towards the back, there appears to be a bump in the shape. Would this also be normal? Would this also be fine? Kindly answer.
Thank you.
Hello,
Welcome back to icliniq.com.
I have read your query and understand your concern.
It may be challenging to provide a comprehensive interpretation with just one image. A more accurate assessment can be made with multiple cuts to create a 3D (three-dimensional) configuration. However, based on your profile:
1. The presence of a tiny white spot could indicate calcification of the pineal gland, which is generally considered normal.
2. The bump you mentioned is likely the venous sinus.
I would like to enquire if you are experiencing any chronic headaches.
I hope this information will help you. Please revert in case of further queries.
Thank you.
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Neurology
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