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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Brain Bleeding And Seizure Sign Of Ommaya Of Brain?

My son is 34. Has multiple myeloma and has had so many problems from his ommya res. that they had to take it out. The brain bleeding could be from the ommya or mm in the brain? His speah is very bad and has major weakness on the left side. Can t walk. Is there any way to determine the cause of the brain bleed? They did the cat scan and mri but I don t want to do another LP. He has had about 8 and we were able to use the ommya twice then he had a seizure and we stopped. Do you think he has mm in his brain
Wed, 12 Jun 2019
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Neurologist 's  Response
Hello,

Multiple myelomas is not something that can be "in the brain." Its a target is bone marrow and specifically, it alters the ability of the bone marrow to produce blood cell lines.

In the case of brain bleeding I believe a more plausible explanation would be that the blood lacks the necessary elements (because of the MM) to "NOT BLEED" into tissues because of low or deficient things such as clotting factors, platelets, etc.

This is why bleeding occurs but the brain itself is not being "attacked" by the MM. I agree with you that additional LP's would not help diagnose or treat any problem of brain bleeding.

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

Take care

Regards,
Dr Dariush Saghafi, Neurologist
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Is Brain Bleeding And Seizure Sign Of Ommaya Of Brain?

Hello, Multiple myelomas is not something that can be in the brain. Its a target is bone marrow and specifically, it alters the ability of the bone marrow to produce blood cell lines. In the case of brain bleeding I believe a more plausible explanation would be that the blood lacks the necessary elements (because of the MM) to NOT BLEED into tissues because of low or deficient things such as clotting factors, platelets, etc. This is why bleeding occurs but the brain itself is not being attacked by the MM. I agree with you that additional LP s would not help diagnose or treat any problem of brain bleeding. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist