Medical Advice on "Neurology"

I have minor tingle in my right second toe with moderate to severe stenosis of spine. Please help.

Hello, Welcome to icliniq.com. I understand your concern and would explain that your MRI findings (head and spine) fulfill the radiological criteria of MS (multiple sclerosis). There are many old lesions in the head and spine and there is a new les...  View thread »

Answered by Dr. Aida Quka

How can severe shoulder pain be treated?

Hi, Welcome to icliniq.com. It seems to be frozen shoulder, as told by orthopaedic earlier. Primary treatment of frozen shoulder is physiotherapy. Pain killer and muscle relaxants are given temporarily, start on tablet Neorelax MR 8 (Aceclofenace +...  View thread »

Answered by Dr. Upendra K Shah

Is it possible to get daily headaches due to degenerative disc disease?

Hello, Welcome to icliniq.com. Your husband having intermittent headaches which are more looks like migraine then cluster headache from your description. Hence I want to clarify some points. Is that headache is very very severe? Please rate the sev...  View thread »

Answered by Dr. Prakashkumar P.bhatt

I am on Levetiracetam for epilepsy and experiencing mood changes. Is it the side effect of that drug?

Hi, Welcome to icliniq.com. Your assumption is right, Levetiracetam causes behavioral disturbance as a side effect. There are two options now, 1. To taper off the Levetiracetam - if you have not experienced any seizure or aura in the last four ye...  View thread »

Answered by Dr. Upendra K Shah

After meningitis vaccination, I am getting headache with visual aura and dreamy sleep. Please help.

Hello, Welcome to icliniq.com. Your symptoms seem to be related to tension type headache, which is a benign headache. Light and sound intolerance are features of migraine, but the other symptoms you explain, are more compatible with tension type he...  View thread »

Answered by Dr. Aida Quka

I get migraine daily but it gets controlled with painkiller. How to manage the same?

Hello, Welcome to icliniq.com. I understand your concern and would explain that considering your aggravated situation, it would be reasonable to start preventive therapy for migraine. In this regard, I would recommend starting Topiramate 50 mg tw...  View thread »

Answered by Dr. Aida Quka

Should I take Rituximab for neuropathy?

Hi, Welcome to icliniq.com. I am here to help you. First and foremost, I would like to congratulate you for your excellent narration and detailed documentation of the prescriptions and reports (attachment removed to protect patient identity), which ...  View thread »

Answered by Dr. J Mariano Anto Bruno Mascarenhas

After lying on stomach for 20 minutes, I get most intense headache. Is this brain aneurysm?

Hi, Welcome to icliniq.com. This pain seems to be due to vasospasm, unlikely to be aneurysmal bleed pain, if it was aneurysm it should have continued for a long duration. I have another set of questions, please answer them. Is this first ever head...  View thread »

Answered by Dr. Upendra K Shah

I get muscle twitches in my quad and calf muscles often with no pain. Could this be due to anxiety?

Hello, Welcome to icliniq.com. Such muscle twitching can happen in few medical conditions like anxiety, motor neuron disease, nerve injury, benign fasciculation syndrome, and hyperthyroidism. If you do not have any weakness or muscle thinning, it...  View thread »

Answered by Dr. Hitesh Kumar

What is the definitive test for MND?

Hi, Welcome to icliniq.com. Motor neuron disease may be a possibility for the appearance of muscle atrophy in the photographs that you have sent (attachment removed to protect patient identity). However, the definitive test for MND is ENMG, which sta...  View thread »

Answered by Dr. Sudheer Ambekar