How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Chip Your Own Question

Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 26759
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
18722459
Type Your Medical Question Here...
Dr. Chip is online now

Hi, I am hoping that you can help me. I have a son who is

Customer Question

Hi, I am hoping that you can help me.
I have a son who is 12, he had meningitis and an itracranial haemorrage at 3 weeks old, following this he developed epilepsy and other complex mental issues. during the last 18 months he has suffered with drop seizures as many as up to 50 a day.Last week during one of these seizures he hit his head and was admitted to hospital. He had a CT scan which i am having difficulty interpreting and would like your opinion. Previously to this his last scan was an MRI in 2007.
The CT scan said the follwing:
'The striking abnormality is assymetry of cerebal parenchymal volume with relative atrophy of the left hemisphere as evidenced by deep sulcation and relative widening of the left lateral ventricle.
It then goes on to say :
'interestingly I note this finding was not apparent on the January 2007 MRI, but had developed, along with a thin left subdural effusion, on the scan in April of 2007. Angiography and venography in April of 2007 shoed symmetrical vascular supply. The cause for this later hemiatrophy is not clear ( i understand the possibility of a neuro degenerative condition has been raised)
Potential causes for hemiatrophy include Rasmussen's encephalitis, infection, hypoxia/ischaemia and postictal hemiatrophy.
Abnormal white matter low attenuation is again present within the centrum semiovale
of the right hemisphere which is longstanding.
Could you please explain what is meant by these report findings as i now have to wait to see his consultant, which may be some time and i am concerned.
Many thanks
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Chip replied 2 years ago.
Hi. Sorry to hear about your son. In layman's terms, the report is saying that the left half of his brain, the left hemisphere, has basically shrunken since the MRI. There's less total volume--less solid matter there--and the left ventricle--the tank that holds his cerebrospinal fluid--is larger. The radiologist is saying there could be several reasons for this including his previous meningitis, his intracranial bleed, or from his multiple seizures, or a combination of these. Ok that's my initial answer but I'll be glad to continue the discussion if you'd like.

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Last | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions