Hi,
Thank you for posting your query at DoctorSpring.com
I have noted the details of the patient as well as the discharge summary.
The symptoms pertain to brain involvement and a specific diagnosis can not be made on the basis of symptoms and brain scan. The most common possibilities would remain an infection (parasitic, tuberculous or fungal or others) and malignancy (secondaries or metastases).
Further work up would involve doing a whole body PET scan (which can pick up cancer anywhere else in the body from where secondaries can go to brain) and brain biopsy of the lesion, if possible (which would give a confirmed diagnosis).
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist
Patient replied :
no pat scan was done and biopsy refused because of mri results would a pallatI've care specialist have the experience with brain disorders to make this diagnosis
Thank you for getting back.
Glad to note that both PET and biopsy could not be done (which could have aided in getting a diagnosis). A palliative care specialist may not be competent to make a diagnosis in the case of neurological disorders.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist
Patient replied :
would most neroligacall disorders complicate type 2 diabities typical levels go upto 29 then down to 7.4
No, the neurological disorders would not interfere with the blood sugar levels.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist
Patient replied :
thank you fortaking the time to answer my questions you have been most helpful i have one more id like to ask before closing this consultation in terms of diagnosis capability is there a diffrence between a neurosurgeon and a neurologist thank you for all your help
Yes, neurosurgeons deal more with brain tumors and surgeries.
Neurologists have a medical perspective.
You needed neurologist, hence I helped you.
Thank You.