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Recent Hydrocephalus questions

I was just after a but of clarity to waht an mri report

Hi yes i was just after a but of clarity to waht an mri report means, i dont really understand all of the wordingJA: Have you seen a doctor about this yet? What medications are you taking?Customer: yes i saw a doctor but i live in a regional area away from the doctors so he forwarded me the report and im still a little unclear what it means. it seems nothing is wrong but i just dont understand what it meansJA: Anything else in your medical history you think the doctor should know?Customer: Clinical History: 27 year old female with chronic mainly rightsided headaches. For exclusion of intracranial pathology also neck pains withradiation to left upper limb ?discogenic problems.CRANIAL MRIThere is no space occupying intracranial mass lesion identified. There are nofeatures of raised intracranial pressure. The degree of visibility of corticalsulcal spaces and basal cisterns is normal. There is no hydrocephalus or focalextra-axial fluid collection. Appearances at the craniocervical junctionnormal. Cerebral parenchymal signal is satisfactory throughout apart from onesmall focus of hyperintensity within the white matter of the right frontal lobe.This is non specific.There is no abnormality of signal of the posterior fossa structures.There are grossly satisfactory vascular flow voids.Incidental note is made of the presence of a mucous retention cyst within theright maxillary antrum. There is minor mucosal thickening within the leftanterior ethmoidal air cells. No current MRI evidence of significant paranasalsinus inflammatory disease.Comment: Satisfactory intracranial appearances with no specific cause forheadaches identified.MRI CERVICAL SPINEThere is satisfactory cervical spine alignment. Appearances at thecraniocervical junction are normal. No intrinsic cord pathology.C2/3: Normal disc and facet appearances with no canal or foraminal stenosis.C3/4: There is very minimal disc bulging. Canal and foraminal dimensionsnormal. No significant established facet disease.C4/5: Satisfactory disc and facet appearances with no canal or foraminalstenosis.C5/6: Disc height maintained. Minor disc bulging. There is a superimposedbroadbased central posterior disc extrusion which is mildly directed above andbelow the level of the disc. This measures up to approximately 2.5mm in depth.It mildly indents the ventral thecal sac margin. No direct cord impingement.No associated nerve root compromise identified. Canal and foraminal dimensionsare normal.C6/7: Normal disc and facet appearances with no canal or foraminal stenosis.C7/T1: No established disc degenerative change or facet arthropathy identified.Canal and foraminal dimensions satisfactory.Comment: There is a central posterior disc extrusion evident at the C5/6 levelwithout associated cord or nerve root impingement. Otherwise there is at mostonly very minor disc bulging. No nerve root compromise to account for leftradicular symptoms. thats the mri report my medical history is;JA: Are you keeping a personal medical record while dealing with this?Customer: constant unidentified head aches

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Dr. David

Radiation Oncology Attending Director

Post-Doctoral Degree

51,240 satisfied customers
This is my drastic and desperate attempt to seek some help

Hi there,This is my drastic and desperate attempt to seek some help and a second opinion. I live in Canada, so everything moves extremely slow and my choices seem to be limited.I have suffered headaches for as long as I can remember. My mother says I've had them since I was a child, dating back to even before I could remember. I'm now 22 years old, and I have worsened significantly over the past few years.I first reached out to my family practioner when I was suffering fairly severe headaches 3-5 times a week and I constantly had a lingering pain at the back of my head. The headaches were occipital, starting right at the base of my skill and radiated up and behind my eyes. I wasn't responding to any over the counter medications (ibuprophen, acetaminophen caffeine codeine, Excedrin, etc.). Over a number of years I took several migraine preventative medications (blood thinners, Gabapentin, SSRIs, Nortriptyline)Without any success, I asked to be referred to a neurologist. I waited close to a year. Before meeting with the Neurologist I had my first MRI and X-rays for him to examine.Upon our first meeting, I was given a diagnosis. I wasn't expecting this at all as I know there are so many varying sources and factors that contribute to headaches and migraines. The diagnosis I was given was Chiari Malformation. Although the low lying cerebellar tonsils were more subtle than extreme, I was told that the symptoms can varry for every individual. Many are symptomless, and others suffer severe neurological symptoms. So, I was referred to a neurosurgeon and was told that it was a fairly straightforward procedure - "You will wake up, and your head will be sore because you just had brain surgery, but that constant headache will be gone!"What amazing news. I couldn't believe I was one of the very few who had something come up on a scan explaining the source of my pain as I know it's a very rare occurrnce. I was in tears and in pain but smiling for weeks because I had a sense of hope.I was referred to a neurosurgeon as we don't have one working at either of the two hospitals in my city. I waited about another year to meet with this surgeon. The anticipation was huge. I couldn't wait to start living again.When we finally did meet, the surgeon walked into the room without making any eye contact, looked down at my file and just said "no". My parents who accompanied me, were confused, and so was I. They apologized for not understanding what he meant and he responded, "no, this isn't the cause of her headaches. She doesn't need surgery" and began to exit the room. I burst into tears because I couldn't even process the thought of having to suffer any longer. My parents stopped him and asked what our next course of action should be, and if he had a suggestion of any kind. He simply said I should be going to a pain clinic, maybe Botox injections. And that was it.I have continued to get worse and worse since that time. Now I know a lot of people say "I have a high pain tolerance" or "oh I get migraines, they're awful"...But I'm a really tough chick who has battled and managed these all my life and I was suffering. Badly.I was a full time honours psychology student, I worked as a head server and manager in the busiest diner in the city 30-40 hours a week, and somehow managed to find time for family and friends (even with the migraines).Today, the pain in so intense and crippling I vomit almost every day, I have fainting and blackout spells, I experience trembling and muscle spasms, the list goes on.Because of this downward spiral, I find myself barely succeeding enrolled in only 3 courses. I had to leave my job which I held very close to my heart, and I'm lucky to feel well enough to walk around for more than 30 minutes.Last week I broke my leg when I collapsed from being so dizzy. In a year I went from having 20/20 vision to needing glasses because the muscles in my eyes have started to deteriorate from constantly over working from the headaches.I have tried a few rounds of nerve-blocker injections with my Neurologist, and continue to take 100mg of Nortriptyline with no success. I am awaiting approval to try Botox injections as a form of treatment. The only medication I have responded to is Prednisone. It was a miracle drug. I had forgot what it felt like to not have a headache, but I was only able to take it for four weeks. As soon as I came off of it I was right back where I started.Triptans used to do the trick for some temporary relief (6-8 hours max) but again, the migraine came back full-force and I never felt full relief. They just dimmed the pain.I know medication-over use is a very common cause of reoccurring headaches. The idea of the Prednisone was to take it, break the cycle, and start fresh. I didn't touch anything for months after the Predisone and that was the hardest thing I've ever done. I would usually take something every couple of days, and it was always just a combination of over the counters or 2 triptans. Heavier pain killers always just made the headaches worse. I think there's only so much pain the body can take. I landed in the ER after not being able to take it anymore, and my symptoms were so intense the Dr's thought I had Meningitis. I was sent home after my spinal tap came back clear.Additionally, I eat nothing but clean, whole foods. Well sourced and cooked meat and veggies and fruit. That's about it. I haven't had a sip of alcohol in years, a spoon of dessert, a puff of a cigarette. I've cut anything that causes inflammation in the body. I also do light exercises/stretches every day, drink a butt load of water, and sleep 12-14 hours a night (crazy, I know).I know a lot of people suffer headaches and migraines. I know there are so many triggers. I know there are a lot of treatments out there. But I also know my body (he how often do you hear that one?) It's hard to understand or appreciate a person's suffering when it can't be measured or isn't visible. I come from a conservative family and have always suffered silently and been brave about this, but I've completely fallen apart and I need help. A second opinion or even a suggestion.I realize this was a short essay. So sorry for that, but it's hard to condense this whole journey. I'm using the Internet for Christ's sake. I don't even know if this works. But hey, like I said, I'm desperate and will try/take anything l can get...So thank-you.- Kelsey

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Dr. David

Radiation Oncology Attending Director

Post-Doctoral Degree

51,240 satisfied customers
I got my eyes dilated the day before yesterday at 11:30 AM

I got my eyes dilated the day before yesterday at 11:30 AM and as time went on I started to develop a migraine and by 9 PM that night it was really bad. My vision started getting worse and I had a thick cloud over my right eye and my right eye is still dilated even now. I took prescription strength Excedrin at nine and woke up at one still hurting and took another pill as well as allergy medicine to make sure that it was not an allergy migraine. By 5 AM I could barely see and my eye was still dilated. I went to the emergency room by ambulance and by 7 AM my vision went completely black. I threw up several times. They gave me several medications through an IV and it took hours for the migraine to settle down. My eye is still dilated and is extremely bloodshot.JA: Is the headache episodic or daily? And what about nausea?Customer: This particular headache has never happened before but I do have migraines along the left temple on a regular basis. This one was over my right eye. Nausea is also common but today I threw up.JA: Anything else in your medical history you think the doctor should know?Customer: I have hydrocephalus and Lyme disease and I have had implantable contact lenses placed in my eyes over a year ago.

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Neurodoc

MD, CEO

Post-Doctoral Degree

4,524 satisfied customers
I have hydrocephalus and chiari malformation. I've noticed

I have hydrocephalus and arnold chiari malformation. I've noticed signs that my ACM is getting worse. it seems like today is worse than yesterday. I've found myself getting confused with breathing and swallowing. I would want to do one but do the other instead. how urgently do i need to be seen for this? the progression to this stage has been gradual but it is noticeably worse today

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Dr. SH

Board Certified Physician

Doctoral Degree

14,936 satisfied customers
I have hydrocephalus and chiari malformation. the ACM is

I have hydrocephalus and arnold chiari malformation. the ACM is gradually getting worse. I've noticed lately that I have been short of breath and wheezing a lot. could that be due to worsening of ACM or is it more likely something else?

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57,216 satisfied customers
I have a 4 mm fat-containing lesion noted by CT in the

I have a 4 mm fat-containing lesion noted by CT in the anterior aspect of the falx representing a falx lipoma. I have almost complete hearing loss that started with extreme tinnitus. the CT showed this and I need to know if this could be causing the hearing loss and tinnitus.I would also like to know if removal of this lipoma would help...the tinnitus is almost unbearable!

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Dr. Muneeb Ali

Senior Registrar Critical Care Medicine

Doctoral Degree

4,456 satisfied customers
I recently developed a lump on the parietal area of my skull

I recently developed a lump on the parietal area of my skull that when palpated would cause me to exhibit dizziness, light-headedness, pressure, light-sensitivity and blurred vision. These symptoms would persist all day but would be exacerbated when that lump was pressed. I went to an urgent care clinic who immediately sent me to the ER for neuro eval. EKG and blood work were normal. BP was 167/110 and CT showed just some mild fluid build up in the that area of the lump but was told it was not emergent and should be eventually absorbed? I was sent home and told to take excedrin for relief from the pressure. I am still exhibiting the sx currently, excedrin is not providing relief. Should I make an appointment with a nearo for further evaluation or could this all just possibly be stress related? Some additional info: I just started PA school (increased amount of stress) about 3 weeks ago and have had to stare at a computer screen to study/read books about 2/3 of my day every day.

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Dr. David

Radiation Oncology Attending Director

Post-Doctoral Degree

51,240 satisfied customers
Top Expert ONLY Please.. (NOT people like Rick/Phil/etc) My

Top Expert ONLY Please.. (NOT people like Rick/Phil/etc)My Father is 74 years old.The past month I've been noticing a substantial increase in confusion/slow thinking.What might be causing this besides age?What can we do to turn it around?THANK YOU!!!!

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Dr. SH

Board Certified Physician

Doctoral Degree

14,936 satisfied customers
23 year old Female lumbar puncture today. I guess 15cm is

23 year old Female lumbar puncture today. I guess 15cm is normal, the tube overflowed beyond 60cm. She went to the neurologist due to ongoing bad headaches (maybe including some migraines) which she's never had before. He referred to surgeon for puncture.See neurologist again tomorrow. What questions should we ask?What causes this? They say it's not related, but in January she had 2 surgeries to remove each lobe of her thyroid. Hard to believe this has no relationship; otherwise healthy. 5'10" 195 lbs

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Dr Uzair

FCPS (R) General Surgery

M.B.,B.S. FCPS

9,116 satisfied customers
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