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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medicine For Ventriculomegaly

sir ,my father s ct scan report is as follows 1. mild ventriculomegaly 2.extensive bilateral periventricular deep white matter hypodensities atropic in nature. 3.area of gliosis in right occipital region. my fathers age is85yrs please advise medicines for him
Mon, 3 Jun 2024
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Internal Medicine Specialist,  's  Response
Hi,

Ventriculomegaly with periventricular atrophic changes could be due to a normal aging process (leading to cognitive impairment) or can be normal pressure hydrocephalus (NPH). In NPH, patient will have symptoms of urinary incontinence, imbalance in walking and dementia. The gliosis can result from a past ischemia/trauma. The CT scan can differentiate an aging process from NPH to an extend.

In case of normal aging, he can be supplemented with neuroprotective drugs which can be prescribed by a neurologist. In case of NPH, a neurosurgeon has to be consulted to decide on further medical treatment (actazolamide) or surgical treatment (shunting).

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Devi Venugopal Rita, Internal Medicine Specialist
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Suggest Medicine For Ventriculomegaly

Hi, Ventriculomegaly with periventricular atrophic changes could be due to a normal aging process (leading to cognitive impairment) or can be normal pressure hydrocephalus (NPH). In NPH, patient will have symptoms of urinary incontinence, imbalance in walking and dementia. The gliosis can result from a past ischemia/trauma. The CT scan can differentiate an aging process from NPH to an extend. In case of normal aging, he can be supplemented with neuroprotective drugs which can be prescribed by a neurologist. In case of NPH, a neurosurgeon has to be consulted to decide on further medical treatment (actazolamide) or surgical treatment (shunting). Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Devi Venugopal Rita, Internal Medicine Specialist