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Suggest Medications For Cerebral Atrophy And Ventricular Dialation
Question: I am Male 56 years old - Healthy - No Diabetes, No Hypertension. Few days back I suddenly felt giddyness while tilting my Head in various directions. Doctor advised MRI Scan, which revealed 1. Mild Cerebral atrophy and 2. The ventricular system is mildly dilated. All other points show Normal reading. Is this one to be worried about ? what medication should I take ? kindly advise.
Brief Answer:
How long the giddiness last?
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
MRI findings of mild cerebral atrophy along with mild ventricular enlargement are normal age related changes at your age. You should not worry for that.
Please tell a few details so that I can answer your query better-
1)Does the giddiness last for seconds or minutes with change in head posture?
2)Any ear related problem?
3)Any history of double vision?
Please ask follow up question with answers to these questions.
Dr.Ajay Panwar,
MD,DM (Neurology)
How long the giddiness last?
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
MRI findings of mild cerebral atrophy along with mild ventricular enlargement are normal age related changes at your age. You should not worry for that.
Please tell a few details so that I can answer your query better-
1)Does the giddiness last for seconds or minutes with change in head posture?
2)Any ear related problem?
3)Any history of double vision?
Please ask follow up question with answers to these questions.
Dr.Ajay Panwar,
MD,DM (Neurology)
Above answer was peer-reviewed by :
Dr. Prasad
Thanks Doctor for your answers. Please find below my answers to your questions:
1. The giddyness lasts for few seconds only with change in head posture.
2. There was an ear related problem a month ago, i.e., ear pain due to exposure at lower temperaures in western XXXXXXX when i was there and i had not taken adequate care to close my ears. However this was cured and an x-ray of sinuses also revealed normal condition.
3. There is no history of double vision.
4. I am right now taking medicines - vertin and stemetyl.
From : XXXX XXXXXXX
1. The giddyness lasts for few seconds only with change in head posture.
2. There was an ear related problem a month ago, i.e., ear pain due to exposure at lower temperaures in western XXXXXXX when i was there and i had not taken adequate care to close my ears. However this was cured and an x-ray of sinuses also revealed normal condition.
3. There is no history of double vision.
4. I am right now taking medicines - vertin and stemetyl.
From : XXXX XXXXXXX
Brief Answer:
It is likely 'Benign positional vertigo'.Vestibular rehabilitation therapy.
Detailed Answer:
Hi Mr.D.P XXXXXXX
Thanks for being in follow-up and providing comprehensive answers to the questions I asked.
After clinical analysis of your medical condition,I am of the opinion that your clinical diagnosis is -'Benign paroxysmal positional vertigo'(BPPV)..
Management protocol-
1)Vestibular rehabilitation therapy(VRT) is the mainstay of treatment.These exercises should be learned from a doctor who is specialist in 'Physical and Medical rehabilitation' or an expert physiotherapist.
1)Continue vertin and stemetil initially on regular basis.Later on,when on regular VRT,number of episodes of giddiness gets decreased,than you can take vertin on sos(at the time of symptoms) basis.
Hope I have answered your query.If you have some follow up queries,I shall be glad to answer else,please close the thread-rate it and write a review.
Dr.Ajay Panwar,
MD,DM(Neurology)
It is likely 'Benign positional vertigo'.Vestibular rehabilitation therapy.
Detailed Answer:
Hi Mr.D.P XXXXXXX
Thanks for being in follow-up and providing comprehensive answers to the questions I asked.
After clinical analysis of your medical condition,I am of the opinion that your clinical diagnosis is -'Benign paroxysmal positional vertigo'(BPPV)..
Management protocol-
1)Vestibular rehabilitation therapy(VRT) is the mainstay of treatment.These exercises should be learned from a doctor who is specialist in 'Physical and Medical rehabilitation' or an expert physiotherapist.
1)Continue vertin and stemetil initially on regular basis.Later on,when on regular VRT,number of episodes of giddiness gets decreased,than you can take vertin on sos(at the time of symptoms) basis.
Hope I have answered your query.If you have some follow up queries,I shall be glad to answer else,please close the thread-rate it and write a review.
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
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