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My Brother Is Diagnosed With Non Hodgkins Lymphoma And Undergone

Posted on Sat, 13 Oct 2018

Question: My Brother is diagnosed with non Hodgkins lymphoma and undergone 6 times chemo. Since a week is having severe leg pain, headache and neck pain. Since two days he is not able to swallow food, what ever he eats it is coming out in liquid form. Doctor suggested for Brain MRI and plz see the attached MRI report. We given the spine test and waiting for the report. Please advise what needs to be done.

Answered by Dr. Sudhir Kumar (17 hours later)

Brief Answer:
MRI shows involvement of cranial nerves.

Detailed Answer:
Hi,

Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.

I have noted your brother's symptoms and seen the MRI brain report also. The report shows involvement of multiple cranial (brain) nerves. The involvement is part of his Non-Hodgkin's lymphoma (NHL).

Please meet his oncologist. They may plan to decide intra-thecal chemotherapy (where the medicines are given via lumbar puncture (injection in the lower back region), so that medicines can reach the brain.

I sincerely hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.

Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (20 minutes later)

Hi Sir,

Thanks for your immediate response. Oncologist earlier asked us to do CSF tests to confirm the involvement of NHL on brain. We did the CSF test twice and both times CSF results not confirmed that it is because of NHL.

Is there any particular test to confirm this is happening because of NHL?
MRI does not show us any maligns (tumors) in brain, Still brain can be affected by NHL?
How serious is effecting Nerves?

Do you recommend any oncologist in XXXXXXX who is good at dealing these?
Attaching the Spine report.
Expecting a response at the earliest.

Thanks Bala

Answered by Dr. Sudhir Kumar (23 hours later)

Brief Answer:
You can meet Dr XXXXXXX Rajappa, Oncologist

Detailed Answer:
Thank you for getting back and providing additional information.

CSF analysis may come normal even with involvement of brain and spine.

MRI spine shows involvement of spinal cord and spinal nerves also.

You can meet Dr XXXXXXX Rajappa, Oncologist at Indo XXXXXXX Cancer Hospital, Banjara Hills, XXXXXXX for expert management.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Yogesh D