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Dr. Andrew Rynne

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Disabled R/T Chronic Seizures From Meduloblastoma, Radiations Done. Swelling, Pain On Right Ankle, Foot Due To Edema. Solution?

My niece is 40 yrs old, disabled R/T chronic seizures from meduloblastoma as a 5 y/o, many radiation tx's, etc. New onset of "right ankle only" swelling and pain in rt foot. Edema does not go down overnight. She is on many seizure meds, I do not know which ones specifically. ANy ideas? How much does the answer cost?
Sat, 14 Sep 2013
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Neurologist 's  Response
Hi,

Thank you for posting your query.

There can be various causes for ankle edema in this case. These would include

1. Drug induced (we need to know the detailed list of medicines the patient is on),

2. Low protein in blood (hypoalbuminemia)- this could occur due to poor food intake,

3. Diseases of kidney, liver and heart- clinical examination and investigations would help,

4. DVT- deep vein thrombosis, due to clotting of blood in veins, this can be diagnosed by venous Doppler.

I hope this helps. Also, to let you know, this answer is free.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
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Disabled R/T Chronic Seizures From Meduloblastoma, Radiations Done. Swelling, Pain On Right Ankle, Foot Due To Edema. Solution?

Hi, Thank you for posting your query. There can be various causes for ankle edema in this case. These would include 1. Drug induced (we need to know the detailed list of medicines the patient is on), 2. Low protein in blood (hypoalbuminemia)- this could occur due to poor food intake, 3. Diseases of kidney, liver and heart- clinical examination and investigations would help, 4. DVT- deep vein thrombosis, due to clotting of blood in veins, this can be diagnosed by venous Doppler. I hope this helps. Also, to let you know, this answer is free. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist