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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Am I Having Memory Loss Due To Diffuse Cerebral Atrophy?

in the past i used to posses much better memory and in a way i was proud of my memory;but now i think i usually forget things.my thinking and imaginative power has diminished. i feel mentally a bit tired. ctscan of brain report says i am sufering from diffuse cerebral atropy
Thu, 8 Aug 2019
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Neurologist 's  Response
Hi,

You may be suffering from some mild memory impairments due to either metabolic issues or stress/anxiety. Your writing, grammar, and syntax are all quite good from what I can see so my assessment of your language skills in that sense demonstrates there is really no evidence for a florid dementing type of illness.

If I were your neurologist I would do a very thorough HISTORY of your condition followed by an examination to include some mental and memory screening tests such as a Montreal Cognitive Assessment (MoCA).

Depending upon how you scored on that test (and my guess is that you would score fairly high) I would then, look at some biochemistry profiles to include thyroid testing, Vitamins B12, B1, B6, and D.

I would also make sure your liver and kidney functions were good, check other routine blood chemistries, and perform a urinalysis...sometimes a very mild infection can cause memory or other cognitive issues.

CT of the brain is not nearly as sensitive as MRI and depending upon your age some atrophy of the brain is expected so I don't see that as much of an issue at this point. Any treatment would depend upon the results of your labs and neurological examination.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dariush Saghafi, Neurologist
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Am I Having Memory Loss Due To Diffuse Cerebral Atrophy?

Hi, You may be suffering from some mild memory impairments due to either metabolic issues or stress/anxiety. Your writing, grammar, and syntax are all quite good from what I can see so my assessment of your language skills in that sense demonstrates there is really no evidence for a florid dementing type of illness. If I were your neurologist I would do a very thorough HISTORY of your condition followed by an examination to include some mental and memory screening tests such as a Montreal Cognitive Assessment (MoCA). Depending upon how you scored on that test (and my guess is that you would score fairly high) I would then, look at some biochemistry profiles to include thyroid testing, Vitamins B12, B1, B6, and D. I would also make sure your liver and kidney functions were good, check other routine blood chemistries, and perform a urinalysis...sometimes a very mild infection can cause memory or other cognitive issues. CT of the brain is not nearly as sensitive as MRI and depending upon your age some atrophy of the brain is expected so I don t see that as much of an issue at this point. Any treatment would depend upon the results of your labs and neurological examination. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist