EXPERT
Dr. Paul Kaloostian, MD
Neurosurgeon
Dr. Paul Kaloostian practices Neurological Surgery in Baltimore, MD. As a Neurological Surgeon, Dr. Kaloostian prevents, diagnoses, evaluates, and treats disorders of the autonomic, peripheral, and central nervous systems. Neurological Surgeons are trained to treat such disorders as spinal canal stenosis, herniated discs, tumors, fractures, and spinal deformities, among many others.
Dr. Paul Kaloostian, MD
- Baltimore, MD
- David Geffen School of Medicine at UCLA
- Accepting new patients
No results found
Posterior laminectomy and fusion
Hello C5 palsy can occur after posterior approach and almost always resolves on its own in 6 weeks. Oral medrol dose pak steroids can be tried. Unlikely anterior approach needed READ MORE
Hello
C5 palsy can occur after posterior approach and almost always resolves on its own in 6 weeks. Oral medrol dose pak steroids can be tried. Unlikely anterior approach needed but I have not seen your films to know for sure
C5 palsy can occur after posterior approach and almost always resolves on its own in 6 weeks. Oral medrol dose pak steroids can be tried. Unlikely anterior approach needed but I have not seen your films to know for sure
Brain is damaged
I would get an mri. Unlikely that you would be brain dead and write this great question. Let’s get mri and see what it shows
Surgery duration
At most 2-3 hours
spinal fusion surgery
The incontinrnce worries me a bit. Can you please let your provider know tonight. If you have numbness in your groin or weakness in your feet with Incontinence this may be something READ MORE
The incontinrnce worries me a bit. Can you please let your provider know tonight. If you have numbness in your groin or weakness in your feet with Incontinence this may be something that you need an mri of your lumbar spine for tonight. Just want you well. Sorry to give bad news but please do this to make sure your ok and don’t need further treatment
HEAD HIT WITH A COUNTER
You had a brief concussion. That explains your altered mental status after the injury and your post concussive symptoms thereafter This is very common and will resolve over 6 months READ MORE
You had a brief concussion. That explains your altered mental status after the injury and your post concussive symptoms thereafter This is very common and will resolve over 6 months to 1 year. If worsens I would recommend ct or mri brain just to make sure.
Paul E Kaloostian MD, FAANS, FACS
Diplomat, American Board of Neurological Surgery
Fellow, American Association of Neurological Surgery
Fellow, American College of Surgeons
For appointments: https://www.paulkaloostian.com/
Paul E Kaloostian MD, FAANS, FACS
Diplomat, American Board of Neurological Surgery
Fellow, American Association of Neurological Surgery
Fellow, American College of Surgeons
For appointments: https://www.paulkaloostian.com/
Advice
Thank you for the question. The imaging does show arthritis in your neck region of your spine. I would expect certainly Right sided arm symptoms as the arthritis is more on the READ MORE
Thank you for the question. The imaging does show arthritis in your neck region of your spine. I would expect certainly Right sided arm symptoms as the arthritis is more on the right side. There is moderate central narrowing but the cord is not severely compressed. But it is getting there and given your young age, this could progress over time
If your right sided weakness is worsening in your arm, then you could try a cervical epidural injection to see if that works. If not, then likely a C4-7 acdf or posterior c4-7 fusion or posterior c4-7 decompression alone without fusion may be best
If your right sided weakness is worsening in your arm, then you could try a cervical epidural injection to see if that works. If not, then likely a C4-7 acdf or posterior c4-7 fusion or posterior c4-7 decompression alone without fusion may be best
MRI of brain?
No mass means no tumor or lesion that should not be there such as a tumor, blood vessel lesion, etc.
Do I need help?
I would recommend you to ED today and have a CT head and potentially an MRI brain to rule out any abnormalities in the brain. That is the most prudent thing to do right now. If READ MORE
I would recommend you to ED today and have a CT head and potentially an MRI brain to rule out any abnormalities in the brain. That is the most prudent thing to do right now. If those are negative, then perhaps alternative diagnoses can be entertained thx.
About a neurologic question?
Thank you for the question. You need to treat each of these symptoms separately and always remain positive. There are various medications for nausea and vertigo as well as depression. READ MORE
Thank you for the question. You need to treat each of these symptoms separately and always remain positive. There are various medications for nausea and vertigo as well as depression. Just need to keep ahead of these by managing your stress and taking medications as needed. You will do fine as long as you stay focused and stay positive.
Do I have a concussion?
I don't think you had a concussion. You did not lose consciousness but were shaken, and you don't have neurological deficits. Your headaches are likely from the direct impact to READ MORE
I don't think you had a concussion. You did not lose consciousness but were shaken, and you don't have neurological deficits. Your headaches are likely from the direct impact to the head and should resolve over 3 months but flare-ups may occur I think you will be fine but if you have any severe worsening of any symptoms, can go to ER to get a CT head to make sure.
Do I have a brain tumor?
Interesting case. I believe that most of your symptoms are migrainous in nature. But certainly, a CT head is warranted to make sure no intracranial pathology is present. I would READ MORE
Interesting case. I believe that most of your symptoms are migrainous in nature. But certainly, a CT head is warranted to make sure no intracranial pathology is present. I would have you evaluated by a neurologist first, then plan treatment thereafter.
