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How To Differentiate Between Brain Hematoma And Brain Damage?
Question: How do you make differential diagnosis in MRI image between brain hematoma due to TBI(7month post brain surgery) and excess salt (2900mg)intake thru peg tube if brain damage occured.
Brief Answer:
blood and sodium related changes have different pictures
Detailed Answer:
Hi
Thanks for your query.
Normally there would not be a confusion between these two as they have entirely different pictures on MRI. Hematoma usually would occur as a space occupying lesion, while rapid rise in sodium (in a patient with originally low sodium) presents as more diffuse dehydration like changes in the brain, and specifically myelinolysis (dissolution of nerve fibers) in the pontine area.
If you can upload the exact report then we may be able to guide you better.
Hope this helps.
Regards
blood and sodium related changes have different pictures
Detailed Answer:
Hi
Thanks for your query.
Normally there would not be a confusion between these two as they have entirely different pictures on MRI. Hematoma usually would occur as a space occupying lesion, while rapid rise in sodium (in a patient with originally low sodium) presents as more diffuse dehydration like changes in the brain, and specifically myelinolysis (dissolution of nerve fibers) in the pontine area.
If you can upload the exact report then we may be able to guide you better.
Hope this helps.
Regards
Above answer was peer-reviewed by :
Dr. Priyanka G Raj
Is there any change in brain. Can we see image or draw picture to understand better. Thank you.
Brief Answer:
Of course there is change in the brain
Detailed Answer:
In both of these conditions there will be change in the brain. In high sodium, there may or not be changes depending on the severity but blood in brain will definitely be seen on MRI.
You can check the following links for corresponding images-
http://emedicine.medscape.com/article/344973-overview
http://www.neurology.org/content/67/5/880/F1.expansion.html
Of course there is change in the brain
Detailed Answer:
In both of these conditions there will be change in the brain. In high sodium, there may or not be changes depending on the severity but blood in brain will definitely be seen on MRI.
You can check the following links for corresponding images-
http://emedicine.medscape.com/article/344973-overview
http://www.neurology.org/content/67/5/880/F1.expansion.html
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you. I have asked other doctors friend and family what happened. Everybody said nothing serious. Now I am getting closed what I thought when I looked at mri disk.Is there any treatment on brain shrinkage due to hypernatremia? It has been 7 months. I knew something going on. But I was not sure. She has been vision problem(Homonimous heminepsia). 3rd nerve palsy others. At this point I do not know what to do? Please help me.
Brief Answer:
please send me the MRI report
Detailed Answer:
Then I can guide you better. Also what does her neurologist say?
please send me the MRI report
Detailed Answer:
Then I can guide you better. Also what does her neurologist say?
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
They said it was ok 2nd Mri but 3rdmri shown differently.. Widen subdural space.
Another question is that ~ 2900mg sodium could cause damage enough. Thank you.
Another question is that ~ 2900mg sodium could cause damage enough. Thank you.
Brief Answer:
this much sodium should not cause much problem
Detailed Answer:
But it may be that the patient was dehydrated and this compounded to the problem.
Anyway, now you have to follow what the neurologist says.
this much sodium should not cause much problem
Detailed Answer:
But it may be that the patient was dehydrated and this compounded to the problem.
Anyway, now you have to follow what the neurologist says.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
As you mentioned, very diffused mri lesion in the brain shown as same as web site.
Brief Answer:
It can be because of various reasons
Detailed Answer:
diffuse shrinkage is not only due to high sodium but also other causes like brain atrophy, age-related or radiation induced.
You can send me her detailed history and a copy of the latest MRI report for more clarity.
It can be because of various reasons
Detailed Answer:
diffuse shrinkage is not only due to high sodium but also other causes like brain atrophy, age-related or radiation induced.
You can send me her detailed history and a copy of the latest MRI report for more clarity.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hx. 65old, f,TBI rt subdural hematoma, Sx removal of hematoma, icu, 2 cans of Cambodia chicken noodle soup +5 cans of regular liquid food(total 2900mg sodium)thru peg feeding tube in March. I will get MRI report soon. Mri image different after sodium diet.
Brief Answer:
very unlikely for this much sodium to do anything
Detailed Answer:
This is just the sodium through food and very unlikely to do brain damage and produce the symptoms you mentioned. They are probably due to the primary disease, hematoma long term-effects and post radiotherapy long term effects.
very unlikely for this much sodium to do anything
Detailed Answer:
This is just the sodium through food and very unlikely to do brain damage and produce the symptoms you mentioned. They are probably due to the primary disease, hematoma long term-effects and post radiotherapy long term effects.
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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