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What Does This MRI Report Of Brain And Neck Indicate?
Question: Hi
My father is 60 years old. He has been having severe dizziness and imbalance issues since two months now. He also has cervical problem. Last month the doctor prescribed him traction and he felt much better for almost two weeks but then the problem came back,
This time we took an MRI scan of his necj=k and brain and this is what the report says
Sylvian fissures, basal cisterns and cortical sulci are prominent- s/o cerebral atrophy
C-Spine screening::
Mild diffuse postero-central disco bulge causing mild compression of the thecal sac which are seen at C4-5 and C5-6 levels
IMPRSSION: FINDINGS ARE S/O DIFFUSE CEREBRAL ATROPHY. POSTEROCENTRAL DISC BULGES AT C4-5 AND C5-6 LEVELS.
NO EVIDENCE OF FRESH INFARCT OR HEMORRHAGE.
He has been taking medicines for a day but the dizziness has increased.
Can someone please tell me if this is something serious. Or what exactly does this mean?
My father is 60 years old. He has been having severe dizziness and imbalance issues since two months now. He also has cervical problem. Last month the doctor prescribed him traction and he felt much better for almost two weeks but then the problem came back,
This time we took an MRI scan of his necj=k and brain and this is what the report says
Sylvian fissures, basal cisterns and cortical sulci are prominent- s/o cerebral atrophy
C-Spine screening::
Mild diffuse postero-central disco bulge causing mild compression of the thecal sac which are seen at C4-5 and C5-6 levels
IMPRSSION: FINDINGS ARE S/O DIFFUSE CEREBRAL ATROPHY. POSTEROCENTRAL DISC BULGES AT C4-5 AND C5-6 LEVELS.
NO EVIDENCE OF FRESH INFARCT OR HEMORRHAGE.
He has been taking medicines for a day but the dizziness has increased.
Can someone please tell me if this is something serious. Or what exactly does this mean?
Brief Answer:
There is no serious disease.
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted all the symptoms and the MRI reports of cervical spine & brain.
I would like to reassure you that there is no serious disease and there is no need to worry.
Cerebral atrophy refers to brain shrinkage and is normal with ageing. There is no blood clot or bleeding in the brain.
Cervical spine shows mild disc bulges with minimal compression on the neck nerves.
For this he would require traction and neck extension exercises.
For giddiness, he can take betahistine tablets.
He would soon get better.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
There is no serious disease.
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted all the symptoms and the MRI reports of cervical spine & brain.
I would like to reassure you that there is no serious disease and there is no need to worry.
Cerebral atrophy refers to brain shrinkage and is normal with ageing. There is no blood clot or bleeding in the brain.
Cervical spine shows mild disc bulges with minimal compression on the neck nerves.
For this he would require traction and neck extension exercises.
For giddiness, he can take betahistine tablets.
He would soon get better.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Sir.
Is the giddiness not related to the brain shrinkage at all? And if it is.. Does he need to take some long term medicine for the brain?
He also has been taking Stelopam Plus for almost 2 years now. He used to get anxiety attacks and bad dreams. That's how it started, but no doctor is helping us with phasing it out. Can you please guide me through it?
Is the giddiness not related to the brain shrinkage at all? And if it is.. Does he need to take some long term medicine for the brain?
He also has been taking Stelopam Plus for almost 2 years now. He used to get anxiety attacks and bad dreams. That's how it started, but no doctor is helping us with phasing it out. Can you please guide me through it?
Brief Answer:
Brain shrinkage is not the cause of dizziness.
Detailed Answer:
Thank you for getting back.
Brain shrinkage is common with ageing and is not the cause of his dizziness. No medicine is needed for that.
Stalopam plus is a combination of escitalopram and clonazepam. Escitalopram is used for treating depression. Clonazepam is a medicine used for treating anxiety and is addictive. You should consult a psychiatrist to get him off these medications, if they are not needed.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Brain shrinkage is not the cause of dizziness.
Detailed Answer:
Thank you for getting back.
Brain shrinkage is common with ageing and is not the cause of his dizziness. No medicine is needed for that.
Stalopam plus is a combination of escitalopram and clonazepam. Escitalopram is used for treating depression. Clonazepam is a medicine used for treating anxiety and is addictive. You should consult a psychiatrist to get him off these medications, if they are not needed.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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