Thank You In Advance For Your Answer. I Am Looking

Posted on Thu, 26 Mar 2020

Question: Thank you in advance for your answer. I am looking for a genetic disorder, adult onset fourth or fifth decade. repeated acute episodes Dilated pupils, acute confusion, ataxia walking as if intoxicated, very prominent livedo rash that gets worse during the episode, hallucinations, ringing and swhooshing sound in ears, delirium, inapproperate laughter, Rarely any evidence on MRIs, CT scans or MRA%E2%80%99s. other that small vessel disease that is normal with age of patient. elevated d-dimer if not on asprin therapy. slightly decrease red blood cells, normal platlet, elevated vWF collegen, elevated risten cofactor, slightly decreases citillium, slightly elevated free carinatine, minor stacking of red blood cells.

Answered by Dr. Ajay Panwar (25 hours later)

Brief Answer:
Can you please share your medical reports and documents?

Detailed Answer:
Hi,
Thanks for being on healthcaremagic.com
I'm Dr. Ajay Panwar, a neurologist, here to answer your query.

I've read through your clinical details, by virtue of which it looks like a syndrome; however, I'd like to see your medical documents and reports before commenting on this any further. Can you provide the scanned images of the same?

Regards,
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Ajay Panwar (9 hours later)

patience had two brother diagnosed with encephalopthy. CSF- no findings. There has been an extensive workup over the past 12 years all with no findings. I have many more lab testing available for review. Never any evidence of infection.

Follow up: Dr. Ajay Panwar (2 days later)

labs

Answered by Dr. Ajay Panwar (2 days later)

Brief Answer:
Needs physical examination

Detailed Answer:
Hi,
Thanks for being in follow-up.

I apologize for a late reply first of all. I've gone through all the reports which you have mentioned; however, I could not find any significant conclusive evidence to suggest a particular illness in the reports. Based on the description, the causes can be genetic, metabolic, vasculitis, autoimmune. Unfortunately however, I only feel that physical examination is required to say anything further here.

Regards,
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Vaishalee Punj