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Bilateral hyperintensities in thalami basalgangalia - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   hi
Doctor :  
Doctor :   how may i help you/?
User :   hi
User :   s
User :   dr my son is a csae of near drowning
Doctor :   ok
Doctor :   when did it occur?
User :   4 MONTHS BACK
Doctor :   Ok
Doctor :   proceed with query
User :   MRI says bilateral hyperintensities in thalami basalgangalia
User :   no significant improvements so far'
Doctor :   what are his complaints

User :   no vision,no major limb movements,is on tracestomy,NG feed
Doctor :   Ok
User :   will he improve
Doctor :   See when there is infARCT IN THE BASAL THALAMI
Doctor :   It takes time for complete recovery
Doctor :   Did you meet an neuro surgeon regarding This
User :   his optic nerves r intact itseems
User :   s
Doctor :   The hyperintensities indicate necrosis
User :   wat is necrosis
Doctor :   This wiill render the region not fit to functioning
User :   it means
Doctor :   Its death of tissue due to improper blood supply
Doctor :   The particular region is dead
User :   ok,will it b okay with time
Doctor :   Though Optic nerve is intact there are chances for damage of optic tract
Doctor :   I guess he will probably require surgical intervention
User :   no vision is possible
Doctor :   On the long run some improve with Physiotherapy
User :   does a surgery help
Doctor :   Vision is concerned have to actually analyse the underlying pathology to confirm
Doctor :   Let me be frank
Doctor :   There are chances of 50%
User :   ok
Doctor :   Always its very difficullt to bring neurological functions back
User :   ok
User :   ok
Doctor :   As once the architecture of brain is damaged then will take high skills and more risk in operating
Doctor :   To get back to normal
User :   so,wat else can b done,im upset
Doctor :   Did you meet an Neurosurgeon
User :   s
User :   he says he cant predict
Doctor :   What was his Inference
Doctor :   Did he also suggest Surgery?
User :   no
User :   wat surgery is possible?
Doctor :   The Infarct has to resolve with anticoagulants or the affected region should be removed

User :   so will it help
Doctor :   To relive compression effect produced by clot on the neighbouring area
Doctor :   There are chances
User :   ok
User :   where is to b done
Doctor :   I am sure there will be no surgeon who can give assurance , sorry for this
User :   ok
Doctor :   As the damage is occured in Thalamic region which is one of the most vascular and highly funtional area
Doctor :   The region controls functions like motor activity/ vision/
User :   physiotheraphy cant help
Doctor :   Yes
User :   ok
Doctor :   Sorry it will improve the motor activity slowly
User :   ok
User :   does ayurveda help
Doctor :   Not per my knowledge
Doctor :   But can give it a try and be cautious not to mix both medicines

Doctor :   Thanks for consulting me
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