In the absence of data, reduction in IFN dose and/or G-CSF dose for those who develop neutropenia while undergoing IFN-based therapy for HCV infection are often initiated in clinical practice, as suggested in treatment guidelines [6] and mandated in most clinical trials [15]. Reduction of IFN dose is well accepted to have a detrimental effect on the rate of sustained virological response [2].
Hello and welcome! You have been diagnosed with Chiari as you can see. What you will find out is the size of the herniation is not as important as whether or not there is csf blockage and crowding of the brainstem.
There are several reasons your tonsils maybe herniated: trauma, acquired, congenital. What I recommend is finding a Chiari specialist and taking your scans to see them. There is a list here in the forum of docs members have used and liked.
I talked to my doc today and they said they were told by Barrow to be referred to Dr. Refai at Emory. Is this common practice? Also Refai's areas of clinical interest on the Emory website does not list chiari. Is there a way I can check if he even does that type of surgery or knows anything about it?
Neulasta® (pegfilgrastim) or NEUPOGEN® (Filgrastim) may reduce your chance of getting an infection, but it does not prevent all infections. An infection can happen anytime your neutrophil counts are low. Look for signs of infection, such as fever, chills, rash, sore throat, diarrhea, or redness, swelling, or pain around a cut or sore. If you have any of these signs, contact your health care professional immediately.
http://www.neulasta.com/starting-chemo-with-neulasta/about-neulasta-neupogen.
Dear Suzi, welcome to the medhelp forum. Your MRI shows non-specific lesions or foci, less than a centimeter in size in the white matter, which need to be correlated with your clinical presentation. your neurologist needs to evaluate you clinically and if there is an MS suspicion, there are radiological criteria like no. of lesions, their location and size, an diagnostic criteria for MS. there should be a clinical history of previous attacks, CSF examination and MRI findings should substantiate.
there r articles on spontanious CSF leaks...if she has ne disks that r bulging with a node on them ...that could be a cause.
Has ur mother had an MRI of her thoracic,and lumbar spine?
Also have her BP checked if not already.
http://www.ncbi.nlm.nih.gov/pubmed/18503841
http://www.dizziness-and-balance.com/disorders/central/csf-leak.html
Both links have info that u may find helpful.
Good luck...please post an update!!
hi, All i was told is its 5mm and a mri was done.
Im 35 weeks and i havent had any practice contractions/ pains is this normal ??? Everything i read says you should start having them at 34 weeks + ....
To distinguish between oligoclonal bands in the CSF due to a peripheral gammopathy and oligoclonal bands due to local production in the CNS, serum and CSF should be tested simultaneously. Oligoclonal bands can however be observed in a variety of other diseases, e.g., subacute sclerosing panencephalitis, inflammatory polyneuropathy, CNS lupus, and brain tumors and infarctions.
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