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What Do My Lab Test Reports Indicate?

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Posted on Thu, 9 Nov 2017
Question: Can a CT or MRI of the head diagnose vascular dementia? My email is YYYY@YYYY
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Answered by Dr. Ajay Panwar (5 hours later)
Brief Answer:
Along with history, MRI aids in diagnosis.

Detailed Answer:
Hi,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist, here to answer your query.

Yes, MRI of brain can help in diagnosis by showing vascular changes or multiple evidence of multiple ischemic insults.However, it is only in agreement with clinical history and examination that the diagnosis is made.

Hope that helps.If you have some follow-up questions,I shall be glad to have you in follow-up.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Ajay Panwar (4 hours later)
My husband ( I have POA) was dx as vascular dem with Lewy bodies recently per MRI. He had no sx of dem but was having hallucinations of 1 yr duration. He was on Tramadol and pramipexole, which we recently discovered can cause hallucinations. He was started on Rivastigmine at the same time we d/c the 2 meds. His hallu. stopped and he has no sx of dem at all. Could he be misdiagnosed? I want to obtain copy of MRI and take it to a friend of mine for over read. What do you think?
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Answered by Dr. Ajay Panwar (21 hours later)
Brief Answer:
Yes, misdiagnosis is a possibility.

Detailed Answer:
Hi,
Thanks for being in follow-up.

Of course, if the symptoms have improved completely, then misdiagnosis may be a possibility. MRI can't confirm the diagnosis of LBD. It can be just supportive and more important is a historical and examination based diagnosis of Dementia. SPECT, in fact is a better tool for diagnosis. Besides, if the symptoms have improved vastly, then I would say no imaging is superior to the clinical presentation, especially in case of Dementia.

Hope that helps.If you have any further questions,I shall be glad to have you in follow-up.

Regards,
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ajay Panwar

Neurologist

Practicing since :2007

Answered : 1827 Questions

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What Do My Lab Test Reports Indicate?

Brief Answer: Along with history, MRI aids in diagnosis. Detailed Answer: Hi, Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist, here to answer your query. Yes, MRI of brain can help in diagnosis by showing vascular changes or multiple evidence of multiple ischemic insults.However, it is only in agreement with clinical history and examination that the diagnosis is made. Hope that helps.If you have some follow-up questions,I shall be glad to have you in follow-up. Regards Dr.Ajay Panwar, MD,DM(Neurology)