bobb ....

[AMO]

hi again Bobb,,

i posted a new continue note in my orginal threat (HCBS)  date
3-30.... can you go back and read it?
thanks!!! be well...amo


p.s.  golf may not be so 'overated after all! The masters today can help with a much needded afternoon nap! LOL :)

[BobbHilton]

Hello AMO
   You Qs are very scientific??exame type of Qs??  hope you are not a medical student ? Anyway, it will be very hard for you to disscuss these information with your neurologist, because they require excellent knowldge of the autonomic , motor system anatomy, as well as neuropathology some how!!

YOUR QUESTIONS: Q&A...LOL
do all this sound autonomic in orgin? yes

and do they dreive from brainstem?NO there is a big share from  higher centers in the Diencephalon or some of the lower neurons  e.g urinary retention caused by detrusor atonia due to Sacral intermediolateral cell columns , while urinary incontinence is due to preganglionic cell loss in T spinal cord (intermediolateral cell columns)

possible in corrolation to the HCBS? No, HCBS, could give pyramedial signs  and  causes limb ataxia

"once had cocain dropps to look for horners syndrome too.... my neuro opthamologist said the drops must have beenn 'bad'(they were ordered that day specific for my test at a large university hospital) because neither eye dialted"  

    was it Cocaine 10%? did they drop twice (1 min apart) and read the pupils in a dimmed light after 45min? She could have used 1% hydroxyampetamine 2 days later!!

  "When she repeated the test a month later they responded approriate"??  
o you think it was at al possible i did have a temporay problem ... or is a horners syndrome permanant?
I remember a report and a review of alternating HS in both eyes (days to weeks in each eye)..1989 by TAN E in Neuro ophthalmology J  .

3, can pons nerves regenerate and maybe i will not have the hcbs on a future mri? Mostlikely not , but you would be better off  asking one of the many resarch labs who are coming up with new things daily

4. as my brain biospy , findings of reactive gliosis, is this always damage? or degenerative disease?
Glial cells are meant mainly fill the gap of any neuronal death (loss)

or would the 'normal' aging 44 year old brain have this? NO, thats a very young age

  Hope this is helpful
   Bob

[BobbHilton]

Sorry I missed a couple of them
p.s. did you have a 'special interst' in your practice? No
i.e.. movement disorders... m.s... infections... etc ?NO ..a jack of all trades...I'm not sure if I typed it right?


    Bob Hilton

[AMO]

dear bobb,

thanks for your response today.... i hope it was not confuseing i went back to my orginal posst.
LOl i  do have to chuckle if remotely mention of being amed student !LOL just digging , reading , googling as mcuh as i cna for answeres. Wonder if i was in my last life?? LOL i'll have to do more reading and decifer some of what you wrote.

yes, ii do have the pyrimd signs and cocain was 10%.
it has been 2 1/2 years since my last mri
i read you will like to continue a part-time parctice ,i wish you luck. and if you stilll participate here aftter i have a floowup soon with my movemnet specialist i will update you.
be well , amo