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This is the result of my CT scan . I

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Posted on Wed, 20 Mar 2019
Question: This is the result of my CT scan. I am a 53 year old female with no health issues but have cervical and lumbar stenosis and DDD. I was sent to ER by my primary care physician due to increase in headaches and dizziness as well as numbness and tingling in both arms. I was told scan looked ok but I needed to follow up with primary care. I am wondering if I should seek assistance of neurologist, or see my previous orthopedic physician. I hate to keep missing work and this is having a huge impact on my normal activities.

Study Result
Narrative
CT head without IV contrast:

History is headache/dizzy.

Unenhanced images of the cranium were obtained we have no prior CT available
for comparison.

There is no evidence of intracranial hemorrhage or mass effect. The
ventricular volume appears to be mild to moderately increased. There is also
some asymmetry of the ventricular system with a asymmetrically greater volume
on the right side. This could represent a normal variation however.

Increased CSF space is visible bilaterally in the distribution of the frontal
lobe.

Bone window centimeters of the cranium show no evidence of intrinsic osseous
abnormality.

IMPRESSION:

No acute appearing intracranial changes.


Radiation dose reduction techniques were employed per protocol. CTDIvol: 47.1
mGy. DLP: 787 mGy-cm.
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Answered by Dr. Erion Spaho (28 minutes later)
Brief Answer:
Consider consulting a Neurologist.

Detailed Answer:
Hello and welcome to 'Ask A Doctor' service.

I have read your query and here is my advice.

There is no relation between degenerative disc disease and your headaches, dizziness, numbness in the arms.

So, for these new issues, you should see a Neurologist and you should have a brain MRI done.

A transient ischemic attack (TIA) for example may cause similar symptoms.

Also, the CT scan results are not completely okay since enlarged ventricles were found.

This may be not an issue, however, further investigations are necessary to be sure and the MRI is a more specific test for this purpose.

Hope you found the answer helpful.

Let me know if I can assist you further.




Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 3918 Questions

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This is the result of my CT scan . I

Brief Answer: Consider consulting a Neurologist. Detailed Answer: Hello and welcome to 'Ask A Doctor' service. I have read your query and here is my advice. There is no relation between degenerative disc disease and your headaches, dizziness, numbness in the arms. So, for these new issues, you should see a Neurologist and you should have a brain MRI done. A transient ischemic attack (TIA) for example may cause similar symptoms. Also, the CT scan results are not completely okay since enlarged ventricles were found. This may be not an issue, however, further investigations are necessary to be sure and the MRI is a more specific test for this purpose. Hope you found the answer helpful. Let me know if I can assist you further.