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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Exp 50 years

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Diabetes, Non-insulin Dependent, Hypertension Under Control, Diagnosed With General Brain Atrophy, Have Intense Headaches Regularly With Short Term Memory Loss. Which Medicine Can I Take?

Hi. I just found out I have general brain atrophy and specific atrophy in the right temporal lobe. I am a diabetic who is non insulin dependent. I am a 35y/o male. 6 0 , 235lbs. I also have hypertension that is controlled well by medication and am an ex-smoker. I have noticed a severe lack of short term memory and am having severe daily headaches. Do you have any ideas on the headaches? My neurologist doesn t think the headaches are because of any atrophy, and the medicine I have at home (aleve/tylenol) don t help. Is there anything you could recommend? Thank you in advance.
Wed, 16 Apr 2014
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Neurologist,  's  Response
Hi,

Thank you for posting your query.

I have noted your symptoms and brain scan findings.

You have two distinct problems- atrophy (shrinkage of brain) as well as headaches, and they are not related.

Headaches could be because of migraine, and it would be useful for you to take preventive medications such as topiramate or divalproex.

You need to be further investigated to exclude mild dementia, in view of memory loss and brain atrophy.

Memantine and donepezil could help in dementia.

I hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/
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Diabetes, Non-insulin Dependent, Hypertension Under Control, Diagnosed With General Brain Atrophy, Have Intense Headaches Regularly With Short Term Memory Loss. Which Medicine Can I Take?

Hi, Thank you for posting your query. I have noted your symptoms and brain scan findings. You have two distinct problems- atrophy (shrinkage of brain) as well as headaches, and they are not related. Headaches could be because of migraine, and it would be useful for you to take preventive medications such as topiramate or divalproex. You need to be further investigated to exclude mild dementia, in view of memory loss and brain atrophy. Memantine and donepezil could help in dementia. I hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/