Moyamoya Disease Radiology

Health Q&A
B12 B9 deficiency - Neurological symptom

Hi My serum value B12 226 pg/ml, past 1 year ago had 162 pg/ ml so doctor prescribed 3 re-nerve plus injection. My current MMA - 481, active b12- 32, Homocysteine >50, folate - 1.19, ferritin serum 32.3. I have been facing floating sensation for past 2 years reduction in libido, pins and needles pain in palms and feet and some time severe pins and needle pain in penis after ejaculation Already visited many doctors don't know which doctor to visit. My symptoms are not getting improved come and goes not able to judge what is happening Kindly suggest first course of treatment should it be b12 injection or some other treatment like oral supplements and also which doctor I have to visit?

Nerve weakness

I got a uti 6-7 before during treatment my sugar level where high don't know why after that I have many problem urinary bladder problems nerve weakness and many more i consult my urologist but it don't cure could it be a nerve problem

Inability to Achieve Cognitive Detachmen

Doctor, when I practice mindfulness, I am completely unable to achieve cognitive detachment or the witness state. My awareness gets immediately immersed in incoming thoughts. Could this be related to an altered stimulus filtering mechanism or something like a sensory gating deficit? What is your opinion on this, Doctor?

Suspect hypoglycemia

Hi i am non diabetic healthy but recently I diagnose with vernick sclerosis I had night time peeing a lot soon after drinking water with mild headache little bit demotivate with insomnia i take probiotic i have gut issue and inspiral 10 sr with brivact 50mg sir but i don't have tremors at all now

Spinal problem

Osteophytes and mild disc dessication. Perineural cysts in proximal sacral spinal canal at the level of $2 vertebra. Mild facet joint arthropathy at l5-$1 level. Subtle posterocentral disc protrusion at L4-L5 and L5-$1 levels causing mild anterior thecal sac indentation however there is no obvious impingement of nerve roots. AP spinal canal (thecal sac) diameter: L1-L2- 13.4mm L2-L3-11.8mm L3-L4 -11.5mm L4-L5-10.5mm L5-S1-10mm Spondylotic degenerative changes in form of loss of cervical lordosis, multilevel small marginal endplate osteophytes and disc dessication. Posterior disc osteophytic complexes from C3-C4 to C6-C7 levels causing mild anterior thecal sac indentation and mild narrowing of spinal canal. Few small perineural cysts are seen in bilateral neural foramina at multiple levels. At C4-C5 & C5-C6 levels, there is mild narrowing of right neural foramen with possible mild impingement of exiting nerve root.

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Doctors
Dr. Colleen M Opremcak - Neurologist
Dr. Colleen M Opremcak Neurologist (Chief Residency in Psychiatry, Class of 1982, Medical School, Residency - ID) 44 years experience Ohiohealth Behavioral Health
Columbus 43214, COLUMBUS
Dr. Michael Karl Racke - Neurologist
Dr. Michael Karl Racke Neurologist (Medical School, Class of 1985, Internship, Residency - ID, Fellowship 2, Medical degree, DO, Residency in Neurology, Fellowship in Neuroimmunology/Multiple Sclerosis, Internship-Internal Medicine) 41 years experience Hudson Regional Hospital
Columbus 43210, COLUMBUS
Dr. Daniel Jones - Neurologist
Dr. Daniel Jones Neurologist (Internship, Residency - ID, Neurology, Medical degree, DO, Fellowship 2, Class of 1989) 36 years experience Nationwide Children's Hospital
Canal Winchester, COLUMBUS
Dr. Jason Lee Barfield - Neurologist
Dr. Jason Lee Barfield Neurologist (Medical degree, DO, Internship, Residency - ID, Fellowship 2, Residency in Neurology, Fellowship in Clinical Neurophysiology, Medical School) 24 years experience Ohiohealth Physician Group Neurology New Albany
Columbus 43230, COLUMBUS
Dr. Punit Agrawal - Neurologist
Dr. Punit Agrawal Neurologist (Doctor of Osteopathic Medicine (DO), Medical School, Residency in Neurology, Internship-Internal Medicine, Medical Education, Class of 2020) 24 years experience Ohio State Outpatient Care New Albany
Westerville, COLUMBUS