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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes cerebral and cerebellar atrophy?

my husband 43years was diagnosed tuberculosis meningitis in sep 2009. post that in 6months of 2nd line drugs he developed abscess on the right side brain and he was aspirated 2 times at the same place. culture came negative second time around and confirming mtb. suddenly the last 2mri s i find cerebral and cerebellar atrophy which was not mentioned before. he has left side weakness but otherwise he is very normal. my worry is why this has happend suddenly and what should i do
Tue, 4 May 2021
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General & Family Physician 's  Response
Hi,

Cerebral and cerebellar atrophy is loss of nerve cells (neurones) and connections between nerve cells, thus affecting the functional performance of brain. It may be result of many conditions like stroke, post traumatic and certain neurological conditions like dementia, Alzheimer, Pick's disease etc. It may be a normal aging process also. Also, in some cases, the atrophy may be result of some unknown medical conditions as well as vice versa.

In the case of your husband, the chronic tubercular infection, prior to diagnosis and / or some silent strokes due to any Known or unknown medical accompanying conditions may be also a cause. Usually, this type of atrophy is not a sudden process, rather it is a gradual increasing process. However, in its earlier stage, it may not be diagnosed by MRI. This may be only reason for the finding of atrophy being negative in earlier MRI, while being Positive in current MRIs. The treatment of the accompanying disease, a good healthy diet and regular exercises may stop or slow the progression of disease.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Satnarain Bansal, General & Family Physician
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What causes cerebral and cerebellar atrophy?

Hi, Cerebral and cerebellar atrophy is loss of nerve cells (neurones) and connections between nerve cells, thus affecting the functional performance of brain. It may be result of many conditions like stroke, post traumatic and certain neurological conditions like dementia, Alzheimer, Pick s disease etc. It may be a normal aging process also. Also, in some cases, the atrophy may be result of some unknown medical conditions as well as vice versa. In the case of your husband, the chronic tubercular infection, prior to diagnosis and / or some silent strokes due to any Known or unknown medical accompanying conditions may be also a cause. Usually, this type of atrophy is not a sudden process, rather it is a gradual increasing process. However, in its earlier stage, it may not be diagnosed by MRI. This may be only reason for the finding of atrophy being negative in earlier MRI, while being Positive in current MRIs. The treatment of the accompanying disease, a good healthy diet and regular exercises may stop or slow the progression of disease. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Satnarain Bansal, General & Family Physician