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Home > Archive > Radiology > September 2005 > Brain CT result question
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Brain CT result question
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| 56 year old male, HBP well under control with medication, otherwise
healthy, fit and physically active, non smoking pt, had sudden onset
and progressively worsening episode of nausea, vertigo and nystagmus
lasting 3 days. Primary care physician called for non emergency
transport to ER.
Treatment consisted of IV, IV Valium, Brain CT, followed by release
from ER with Rx for 10 mg valium qid. Symptoms resolved.
Brain CT w/o contrast performed. Prelim reading was:
"Reduced parenchymal volume, otherwise normal".
Any comments on the reading ??? TIA
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| It is not very specific.It happens that,with age,our brain parenchymal
volume slightly reduces.What is most important-no pathological
masses,ie tumours.If you feel unease with this,you can have endocranial
MRI with gadolinium.
QX wrote:
> 56 year old male, HBP well under control with medication, otherwise
> healthy, fit and physically active, non smoking pt, had sudden onset
> and progressively worsening episode of nausea, vertigo and nystagmus
> lasting 3 days. Primary care physician called for non emergency
> transport to ER.
> Treatment consisted of IV, IV Valium, Brain CT, followed by release
> from ER with Rx for 10 mg valium qid. Symptoms resolved.
>
> Brain CT w/o contrast performed. Prelim reading was:
> "Reduced parenchymal volume, otherwise normal".
>
>
> Any comments on the reading ??? TIA
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| Ray Laughton 2005-09-30, 9:51 pm |
| QX <nomail@nomail.com> wrote:
> 56 year old male, HBP well under control with medication, otherwise
> healthy, fit and physically active, non smoking pt, had sudden onset
> and progressively worsening episode of nausea, vertigo and nystagmus
> lasting 3 days. Primary care physician called for non emergency
> transport to ER.
> Treatment consisted of IV, IV Valium, Brain CT, followed by release
> from ER with Rx for 10 mg valium qid. Symptoms resolved.
>
> Brain CT w/o contrast performed. Prelim reading was:
> "Reduced parenchymal volume, otherwise normal".
>
>
> Any comments on the reading ??? TIA
Reading sounds OK, but the treatment was a bit wierd.
Valium for nausea, nystagmus and vertigo?
Valium is neither an antiemetic nor does it have anti-vertigo
properties.. (nor is it useful for treating brain edema for that
matter).. They obviously felt your problems were 'all in the brain' (pun
intended) ie psycological, or due to stress. If it helped, then they
were right..
Ray
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