Hi Dr, My daughter, Valerie is 28yrs old she has post natal depression after delivery her first healthy new born by epidural delivery. Now she progressively shown signs of some neurological dysfunction of dysarthria, generalized spasticity (especially in her lower limbs), dystonia, choreoathetosis as well as gait ataxia but all her extensive work up including biochemistry, genetic test, imaging and neurophysiological test has no confirmatory result. I wish to know can it be due to hormonal changes/imbalance/ epidural injection that alleviated all this symptoms? Her neurologist can t do much other then putting her on tab benzhexol 1mg three time daily. I am very worried, please kindly advise. Thanks Janet Loh Email: YYYY@YYYY
HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your query, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.Sorry to hear about medical condition of your daughter.I will suggest you to start her with a potent combination of multivitamin and multimineral supplements, OMEGA 3 softgels with EPA and DHA , and Vitamin D 3  and protein supplements.Also, along with neurological treatment physiotherapy and psychological counselling at regular intervals will be of help.I will suggest that make some attempts to indulge her in recreational activity like music, watching movies, drama, sports etc.I hope my answer helps you.Thanks.Wish you great health.Dr Purushottam S Neurgaonkar