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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Neurological Disorder In An Elderly Person?

Dear Sir, Enclosed please find herewith the reports of my father Shri Snkk,ad, 68 Yrs of age , who has been suffering from neurological disorder since 2006.The consultant neurologist /neuro surgeons are of the opinion that he may be suffering from NPH? STROKE? PSP? PARKINSON PLUS?DM induced neuropathy?. His main problems are : 1) he is unable to walk properly and apparently has magnetic feet, 2) he is also having incontinence of urine and bowel. To give you a brief back ground of his ailment , I would like to mention the following facts please: -# my father is having a history of DM and hypertension for the last 15 years or so -# during 2005-06 he had a sudden fall without any known reason, but there was no head injury etc -# in October 2006 ,he developed severe backache and was unable to hold his weight on his feet. -# he became bedridden and was hospitalized for a fortnight or so -# subsequently with the help of physiotherapist ,he could start moving with the help of walking aid -# initially he stared with incontinence of urine ,but subsequently he developed occasional incontinence of bowel also. -# of late he complaints of pain and stiffness in his back which precedes his inability to hold his weight on his feet -# he DOES NOT have dementia or tremor of hands etc. -besides drugs for hypertension and diabetes he has been prescribed SYNDOPA by his neurologist. He is also taking Tropan 5 Mg. . Shall be grateful for your guidance please. Regards, klm;/. Head (Marketing & Sales) Secondary Products E-mail - YYYY@YYYY Ph/Fax - 91- 6nlkmas;ldl.
Fri, 31 Jan 2020
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Neurologist 's  Response
Hello,

First of all, Diabetes and hypertension can cause neurological symptoms such as peripheral neuropathy, so your father needs strict control of blood glucose by healthy food and medical treatment.

The salt and fat intake should decrease, besides the medical treatment of hypertension.

Second, the magnet gait and incontinence mean that your father has Normal-pressure hydrocephalus.

So, your father should do a CT Brain to confirm the diagnosis. The treatment of NPH is mainly surgical treatment. The neurosurgeon put a shunt to drain the excess CSF. Finally, tropan is a temporary treatment.

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

Take care

Regards,
Dr Dr/Mustafa, Neurologist
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What Is The Treatment For Neurological Disorder In An Elderly Person?

Hello, First of all, Diabetes and hypertension can cause neurological symptoms such as peripheral neuropathy, so your father needs strict control of blood glucose by healthy food and medical treatment. The salt and fat intake should decrease, besides the medical treatment of hypertension. Second, the magnet gait and incontinence mean that your father has Normal-pressure hydrocephalus. So, your father should do a CT Brain to confirm the diagnosis. The treatment of NPH is mainly surgical treatment. The neurosurgeon put a shunt to drain the excess CSF. Finally, tropan is a temporary treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dr/Mustafa, Neurologist