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Suggest Remedy For Memory Loss Episodes After A Black Out
Question: Hello Doctor,
My father experienced blackout for a moment couple of weeks back & we got his ecg done (He had a bypass surgery 2 yrs back). The ecg seemed fine but the sugar reading was 200+. Ever since that blackout he seems to have short term memory loss & feels dull. We consulted our the general physician & explained the events & he advised us to get the Brain MRI.
MRI Report: (I've attached the same report as well)
The Infratentorium reveals the brainstem, the cerebellum & the fourth ventricle to be normal. Note mild exaggeration of the cerebellar sulci. The pre-pontie, pontie angle & paracerebellar cisterns are prominent.
The supratentorium reveals, mild exaggeration of the cortical sulci, across both cerebral hemispheres. The anterior interhemispheric fissures & the sylvian fissures bilaterally appear prominent, The third & the lateral ventricles appear mildly ectatic. A few small circumscribed irregular foci of T2 TIRM, non restricting hyperintensities are noted across the frontal subcortical regions & across the left posterior perventricular corona radiata. No associated mass effect is noted. The remaining cerebrum depicts normal parenchymal signals. The midline structures are normally oriented. The corpus callosum also appears normal.
The sella turcica & contents show normal configurations/signal intensities.
Note Basal cisterns are clear
Note right Maxillary & Ethmoidal sinusitis.
Impression:
Ischaemic foci across the frontal subcortical regions bilaterally asymmetrically & across the left posterior periventricular corona radiata
Kindly let me know your thoughts about this report & advice me on the findings.
Regards,
XXXX
My father experienced blackout for a moment couple of weeks back & we got his ecg done (He had a bypass surgery 2 yrs back). The ecg seemed fine but the sugar reading was 200+. Ever since that blackout he seems to have short term memory loss & feels dull. We consulted our the general physician & explained the events & he advised us to get the Brain MRI.
MRI Report: (I've attached the same report as well)
The Infratentorium reveals the brainstem, the cerebellum & the fourth ventricle to be normal. Note mild exaggeration of the cerebellar sulci. The pre-pontie, pontie angle & paracerebellar cisterns are prominent.
The supratentorium reveals, mild exaggeration of the cortical sulci, across both cerebral hemispheres. The anterior interhemispheric fissures & the sylvian fissures bilaterally appear prominent, The third & the lateral ventricles appear mildly ectatic. A few small circumscribed irregular foci of T2 TIRM, non restricting hyperintensities are noted across the frontal subcortical regions & across the left posterior perventricular corona radiata. No associated mass effect is noted. The remaining cerebrum depicts normal parenchymal signals. The midline structures are normally oriented. The corpus callosum also appears normal.
The sella turcica & contents show normal configurations/signal intensities.
Note Basal cisterns are clear
Note right Maxillary & Ethmoidal sinusitis.
Impression:
Ischaemic foci across the frontal subcortical regions bilaterally asymmetrically & across the left posterior periventricular corona radiata
Kindly let me know your thoughts about this report & advice me on the findings.
Regards,
XXXX
Brief Answer:
Detailed answer below
Detailed Answer:
Hello XXXX,
I have gone through your question and understand your concerns.
Transient loss of consciousness at this age may be caused by cardiac cause, cervical spondylosis or transient ischemic attacks(TIA).
If ecg is normal then cardiac cause is less likely.
Cervical X ray may be done to look for cervical spondylosis.
TIA occurs due to many causes and is associated with high risk of stroke.
Sometimes such syncopal attacks lead to Transient global amnesia lasting for hours and some deficit of memory about the incidence may persist.
In your father's case deranged sugar levels /Diabetes mellitus may be an accelerator of atherosclerosis and increases risk of cardiac as well as stroke occurrence.
The MRI reports shows some small ischemic zones suggestive of small vessel blocks in brain mostly due to aging, diabetes and atherosclerosis.
You need to get your father evaluated by a neurologist and undergo some investigations (blood sugar fasting and post prandial, HbA1c, urea, creatinine, liver function test, Vitamin B12, Thyroid profile, Automated count, Lipid profile)
For treatment take good nutritious food, control blood sugar, maintain blood pressure if raised continue medications advised by cardiologist.
Hope you found the answer helpful.
Do get back to me for further queries.
regards
Dr Neeraj Kumar
Neurologist
Detailed answer below
Detailed Answer:
Hello XXXX,
I have gone through your question and understand your concerns.
Transient loss of consciousness at this age may be caused by cardiac cause, cervical spondylosis or transient ischemic attacks(TIA).
If ecg is normal then cardiac cause is less likely.
Cervical X ray may be done to look for cervical spondylosis.
TIA occurs due to many causes and is associated with high risk of stroke.
Sometimes such syncopal attacks lead to Transient global amnesia lasting for hours and some deficit of memory about the incidence may persist.
In your father's case deranged sugar levels /Diabetes mellitus may be an accelerator of atherosclerosis and increases risk of cardiac as well as stroke occurrence.
The MRI reports shows some small ischemic zones suggestive of small vessel blocks in brain mostly due to aging, diabetes and atherosclerosis.
You need to get your father evaluated by a neurologist and undergo some investigations (blood sugar fasting and post prandial, HbA1c, urea, creatinine, liver function test, Vitamin B12, Thyroid profile, Automated count, Lipid profile)
For treatment take good nutritious food, control blood sugar, maintain blood pressure if raised continue medications advised by cardiologist.
Hope you found the answer helpful.
Do get back to me for further queries.
regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thanks for your inputs doctor. I would also like to mention that my dad felt that blackout for a moment & post that day (3 weeks ago) he hasn't been his usual best. He looks dull & seems uninterested in his usual activities. Also, post that day he is unable to perform some of his works on the computer as he seem to forget what needs to be done. I've mainly noticed that he looks dull & doesn't talk much as like before. He himself mentions that something is wrong & that he is unable to perform/judge some of his activities.
I would like to know if this is due to ischemic attacks. Or could there have been a silent stroke or something. Please let me know your thoughts.
I've also attached the report (sugar & lipid profile)
Regards,
XXXX
I would like to know if this is due to ischemic attacks. Or could there have been a silent stroke or something. Please let me know your thoughts.
I've also attached the report (sugar & lipid profile)
Regards,
XXXX
Brief Answer:
Possibility of vascular involvement of barin
Detailed Answer:
Hello XXXX,
Yes it is related to progressive loss of brain volume due to aging , diabetes and small vessel occlusion.
Blood sugar is high and needs to be controlled.
Sometimes coexisting metabolic or nutritional causes may aggravate the presentation and delay treatment response.
you should get the investigations done as advised previously.
For treatment diabetes control, cardiac medicines and healthy diet is important.
Drugs for dementia are also available but should be taken in consultation of a neurologist.
Lipid profile is ok.
Risk of stroke is present according to current scenario.
Do get back to me for further queries.
Regards
Dr Neeraj Kumar
Neurologist
Possibility of vascular involvement of barin
Detailed Answer:
Hello XXXX,
Yes it is related to progressive loss of brain volume due to aging , diabetes and small vessel occlusion.
Blood sugar is high and needs to be controlled.
Sometimes coexisting metabolic or nutritional causes may aggravate the presentation and delay treatment response.
you should get the investigations done as advised previously.
For treatment diabetes control, cardiac medicines and healthy diet is important.
Drugs for dementia are also available but should be taken in consultation of a neurologist.
Lipid profile is ok.
Risk of stroke is present according to current scenario.
Do get back to me for further queries.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
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