How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Mark Your Own Question

Dr. Mark
Dr. Mark, Doctor (MD)
Category: Health
Satisfied Customers: 11946
Experience:  U.S. Physician/Surgeon in Neurosurgery
Type Your Health Question Here...
Dr. Mark is online now
A new question is answered every 9 seconds

i need help. my mom last year lost her ablity to move her ...

Customer Question

i need help. my mom last year lost her ablity to move her left side it started slowly from her finger then the arm and slowly to her leg. we took her to the doctor she did not have a stroke. she has rapid eye movement, a uti that just keeps comming back even with anti-bioatics. a strong smell from her urine and is constipated.she is now in the hospital she had a seizure. The thing that baffles us the most is she has lost 4 family memebers to this and now has a sister in israel. all of the family members were all diagnoised different.my mpms symptoms are seizures, confused,inablity to move her left side,uti, constipation,abdominal pain,loss of speech,swelled up ankels,non responsive sometimes, and was rushed to the hospital due to high grade fever. the doctors have given us so many different answers. My mom is now laying in the hospital for over a month and still no answer.please please help my mom...iris
Submitted: 5 years ago.
Category: Health
Expert:  Dr. Mark replied 5 years ago.
While I'm sure it already has been done, did they get a MRI of the brain with and without contrast to look for anything?

Inability to move the left side starting with the hand, then to the arm, then to the leg is suggestive of something causing problems with the right parietal lobe, growing slowly. The fact that she had a seizure also points to the fact that something is irritating the brain cortex (surface). Although the seizure could have come from other things, such as electrolyte imbalances, fever (from the UTI), medications, the fact she also has focal (one sided) weakness is concerning.

The key to the diagnosis here is what is happening within her brain at this time. Do you or can you get a copy of the Brain MRI report?
Dr. Mark, Doctor (MD)
Category: Health
Satisfied Customers: 11946
Experience: U.S. Physician/Surgeon in Neurosurgery
Dr. Mark and 6 other Health Specialists are ready to help you
Customer: replied 5 years ago.
Reply to Dr. Mark's Post: yes i could get a copy of her mri.They did mention that she may have white matter disease.the sistuation is complicated because of so many siblings. One of her brothers had gone to the doctor for a uti and was given meds which didnt help he also started to lose ablity to talk and walk and then slipped into a coma. the doctors wanted to give up his son refused and thats when they did a brain byopsy. he was diagonsed with the herpies virus syndrome. He was given anti bio and has made a full recovery.Is it pissible my mom has the same thing? they wanted to do a spinal tap to find out? is there any other way of knowing if she has this virus? and are the symptoms the same? when we told the doctor he was kind of iffy about it..
Expert:  Dr. Mark replied 5 years ago.
That condition is known as "herpes encephalitis" and could be a possibility, though you describe a long process of left sided weakness, and typically the herpes encephalitis is of quicker onset (over days). It can cause seizures as well, but does not usually just affect one side of the brain and body (encephalitis usually affects both sides of the brain).

http://www.mayoclinic.com/health/encephalitis/DS00226/DSECTION=3

White matter disease on a MRI is a relatively common finding as you get older, and usually the result of years of high blood pressure, but would not cause the symptoms you are describing either.

A spinal tap to get the spinal fluid to test for infection and elevated proteins could be helpful if they are suspicious of an infection causing her mental status decline. They can also test the fluid for viral DNA if they suspect herpes virus infection.
Customer: replied 5 years ago.
Reply to Dr. Mark's Post: one last question. one doctor in pa mentioned whipples disease. the symptoms are all there. I know that whipples is a rare disease found outside of the U.S. MY mom was born and spent most of her childhood years in morrocco. Your opinion is it possible? does whipples make more sense in her situation with her symptoms? these are the two things we are looking at. I know that the spinal tap would give me a more accurate diagonis but im scared she is going to move while they do the procedure.she has a tube in her throat and coughs a lot because of it.
Expert:  Dr. Mark replied 5 years ago.
The one symptom that your mom has that doesn't fit with Whipple's disease is that her weakness happens to be on one side of the body only; when weakness happens on one side of the body only, it is suggestive of something occuring on the opposite side of the brain.

The weakness in Whipple's disease and other systemic diseases is global, or all through the body. A focal (meaning one specific part of the body) weakness is suggestive of a specific lesion/problem.

While this is certainly very low down the list of possibilities, it never hurts to suggest it to her doctor's to see if they agree or disagree.

The lumbar puncture is a safe procedure, as it actually is in a part of the spinal canal where there are only nerves, and not the actual spinal cord, so even if she were to move, the risk of injury to a nerve is still very small. I have done lumbar punctures on very agitated patients before without much difficulty.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4013
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4013
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5575
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    16265
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12090
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    8726
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery