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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29282
Experience:  MD
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Initial Symptoms;sudden onset anxiety,personality

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Initial Symptoms;sudden onset anxiety,personality change,becoming reclusive & agitated,insomia,complaining of "dim vision" these symptoms lasted months then recently complained of urinary retention

Hi there,
This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.

How old is he?
Does he have any other existing medical conditions?

Customer: replied 9 months ago.
48 no other medical problems

Any family history of any neurological condition?

Customer: replied 9 months ago.
Mother had progressive supernuicliar palsy

Given these symptoms you will need to get thorough neurological evaluation.
Change in personality, reclusiveness, are signs of frontal cognitive function change.
Change in vision, insomnia, and urinary retention also can be due to the degenerative changes in the brain.
Progressive supranuclear palsy can run in the families although uncommon.
Normal pressure hydrocephalus, multiple sclerosis are other possibilities as well.
Please see a neurologist, also get a MRI scan of the brain with contrast.
Best wishes

Customer: replied 9 months ago.
Thank you so much for your reply just one last question what are the chances of it being psychological rather than a physical disease?

There is a good chance since degenerative neurological disorders like supranuclear palsy are rare in occurrence.

Best wishes

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