hello sir/madam actually my father has DM ,htn ,psoriasis and psoriasis arthritis. now from some days he has neck stiffness, sudden severe head ache . pain usually start from back of the head or temple side . pain start anytime throungout the day . weakness in leg . hand tingling. walking weakness . sir the is suddenly occur 2 or 3 times a day. please help. gabapin 100mg ,betacap 20 mg and naxxdom 250 at sos. these three medinice are recenty prescribe by local medical. note i have latest Ct scan available.
Hello. Welcome to icliniq. The symptoms that you have mentioned in your father suggest towards brain infection or meningitis/encephalitis or cerebral vascular accident/cva which means either a bleeding from the vessels or blockage in the vessels. The good thing is that the most lethal out of the above which is bleeding in the brain has been ruled out by the CT scan. The other things still need to be ruled out by some more evaluation. Based on all this I will be able to narrow down my differential diagnosis but you still need to visit a doctor in the hospital where they would examine your father completely and will be able to come to a diagnosis. Your father might need a lumbar puncture test in which a needle is inserted into the back to take minute quantity of csf which is the fluid that circulated around the brain to come to a diagnosis and for all these things he would need to go to the hospital. Also an mri scan may be required as a CT scan only picks up gross abnormalities and some pathologies may be missed in the CT scan. Mri brain Lumbar puncture Cbc Renal function tests Liver function tests Cva Meningitis Meningoencephalitis Miagraine Meningitis To be decided after the investigations Follow up with the above reports