Recently Answered Questions
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Please interpret my MRI brain for any developmental anomalies.
Query: Hello doctor, I am a 24-year-old male. My main issue is people say that I behave like a 10-year-old boy. I think I have dyspraxia. I lack gross motor skills. I cannot play any sports. I cannot drive a car properly. People get averted due to my behavior. I have bad handwriting and I attempt things in... Read Full »
Answer: Hi, Welcome to icliniq.com. As discussed earlier, there is no doubt about the diagnosis of motor coordination disorder or dyspraxia. Many of your problems can be explained on the basis of dyspraxia itself and I feel you are right in saying that you have dyspraxia. However, your current post does ... Read Full »
My kid suffers from a developmental delay. What to do?
Query: Hi doctor, My kid has a developmental delay. He is missing his milestones. He is 1 year 10 months. He does not walk or kneel or speak yet. His TMS and GC-MS reports showed negative. We started Levi Pil syrup (Levetiracetam) based on the attached EEG report. Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. Regarding the prescription of Levetiracetam, it is completely right as there is evidence of absence seizures indicated by EEG (electroencephalogram). Regarding developmental delay, there is a need for MRI brain. A... Read Full »
Am I receiving the right treatment for my headache?
Query: Hi doctor, I am a male of 31 years. I have suffered from migraines or headaches ever since I was a child. Recently, I was told that I had enlarged blood vessels in my brain, and my neurologist has said they are tortuous vessels. I suffered a brain injury eight months before. I collapsed at home, and... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read your query, and I understand your concern. Regarding the first brain injury incident, I understand that collection of blood was there following the skull fracture. I guess it was an extradural hemorrhage. It is not always necessary to perform surgery in suc... Read Full »
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 »
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 b... Read Full »
Why is my son losing the ability to walk?
Query: Hi doctor, My son is a month away from three years old. Approximately three months ago, he started to lose the ability to walk. He is not able to stand up by making a tripod position. His balance is extremely unstable, and his grip in his hands has diminished that he cannot hold a crayon. When he do... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. I am sorry to inform you that things need to be taken care of as soon as possible. First of all, it is essential to know the diagnosis as it cannot be diagnosed in the first visit on most occasions. There is a possi... Read Full »
Query: Hi doctor, I am currently abroad on vacation, and I had an important question, which could not wait until I saw my primary care neurologist when I am back home. Five months back, I was involved in a serious hit and run accident (me being the victim). I sustained numerous injuries, the most prevalen... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. The other likely cause for enlargement of lateral ventricles includes injury to the brain tissue leading to vacuum effect on ventricular system and enlargement. However, considering no damage to other parts of the brain, I ... Read Full »
I suffer from headaches and tinnitus. Is there any test to diagnose the cause?
Query: Hi doctor,Before a month, I went for earwax cleaning, and it was unsuccessful. The second attempt after three days was fine. There were some irritation and blood was found on the removed cerumen. According to the ear specialist, there is no ear inflammation. My complaints are top right-sided burni... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and gone through the attached blood reports (attachment removed to protect patient identity). First of all, I did not find anything seriously deviated from normal in your blood report. Regarding headache, I think there is a need for a brain scan, such a... Read Full »
How to know if my seizure occurred due to a tumor or trauma?
Query: Hello doctor,I am an epilepsy patient. I got seizure before three weeks. There was a brain trauma nine months back. The CT and MRI showed only tumor and no other problem. Last week, the EEG report showed normal. How to find whether the seizure is caused by the tumor or by the trauma or both? Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. The establishment of the cause depends on the clinical history and location of the tumor as well as trauma. The nature of seizure varies from different areas of the brain. After identification of the affected area, ... Read Full »
Why was the patient treated for CVA even with normal scan reports?
Query: Hi doctor,The patient is a 79 year old male with a history of fall. CT and laboratory results showed NAD. But, the patient was treated for CVA. Now, the patient complains of numbness or paresis below waist. What would be the best option now? Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and understand your concerns. In my view, it is possible that the patient suffered TIA (transient ischemic attack) resulting in a fall and the vascular event was not detected on CT scan. I mean to say that although according to CT he does not need treatm... Read Full »
Why is an MRI needed for depression, headache, and double vision?
Query: Hi doctor, I have headaches and double vision. I am in depression, crying at any time and not concentrating on things. I visited a psychiatrist and she advised me to get an MRI of the brain. Is her advise right? Is it necessary to get an MRI? Read Full »
Answer: Hi, Welcome to icliniq.com. MRI is not required for diagnosis of depression. But, the presence of headache and double vision point towards some intracranial pathology such as tumor, abscess, complex vertebral malformation among others and this cannot be detected without test. In my vie... Read Full »