46 Questions 393 Answers 0 Followers
Questions related from Omer Elsabbagh
2023 was a turning point in shunt therapy of IH, when research suggested that lumbar shunts are not more risky than VP shunts. They say also that lumbar shunts might have more benefits than VP...
18 August 2025 1,768 0 View
My above question is meant to awake those literature writers, responsible committes, and practicing neurologists, ophthalmogists and neurosugens to stop saying that up to 25 is normal. The harm is...
05 August 2025 8,056 4 View
Many IIH patients refuse and fear shunts. My plan above could be a potential alternative to be judged by controlled clinical trials. Currently 3 days drainage test is thought of as the golden...
06 May 2025 5,830 8 View
This question has come to my mind as my paper was "self observation after 8 years". My answer to this question is: a very good outcome inspite of difficulties I have faced. I am basing my answer...
25 October 2023 8,776 0 View
My question referred to above (3rd and 4th ventricles symptoms in IH) aimed to help for a better understanding of IH problems. This understanding can lead to better diagnosis, monitoring and...
17 September 2023 2,158 0 View
In an MRI, by size lateral ventricles and areas around might have taken more attention. My question above gives a notice to all smaller spaces CSF passes around. This way of consideration of CSF...
13 August 2023 2,902 6 View
I think it is a relevant question. Dual antiplatelet followed by single in acute stroke as an example. To add more anticoagulation might be needed in AF.
19 July 2023 680 0 View
This is the feeling of many medical students at all levels. We have to think of ways of improving medical education and evaluation. A fearfull doctor is not the best person to treat his patients....
18 June 2023 2,860 5 View
The question is meant to compare my own downward divisions with coming opinions. My divions are: 1) Increased CSF pressure as main target of treatment is to normalise it. 2) Residual unchangeable...
04 July 2022 6,048 0 View
Relation of CSF flow in relation to sleep and dreams is now will established. As well is the daytime flow of thoughts. By raising this question I am trying to open a discussion about another...
04 December 2021 6,416 11 View
There are different opinion: I would like to quote from the following link one: https://www.aliem.com/tips-for-interpreting-the-csf-opening-pressure/ "The normal range for CSF is reported...
14 October 2021 9,357 5 View
There are two possible factors in swimming: first could be a vigorous exercise which decreases the pressure and the second would be possible hyperventilation which ?? increases the pressure. So...
29 September 2021 4,931 1 View
I saw patients with florid symptoms in genetic diseases like thalassesemia. It looked to me like a fire affecting many members in one family. IH symptoms are much less clear and is mixed with lots...
24 August 2021 5,375 5 View
I disagree, as headache can be an important indicator in follow up. Better description of IH headache is needed. This would help it to be differentiated from other headaches. Facial pain and...
19 June 2021 5,160 0 View
Standing adjustment took most attention as it might cause serious overdrainage. Considering recovery, both standing and supine are equally important. The common supine adjustment is 5 cm H2O. It...
23 May 2021 7,610 9 View
If you said optic nerve damage causes blindness which is sometimes so fast, nobody dares to disagree. My question is another direction and is about the reasons the other 11 nerves have not gotten...
26 June 2020 9,236 0 View
Fine tuning in Pseudotumor Cerebri is very sensitive. At this stage the neurodoctor is blind as symptoms are vague headaches and psychiatric. I donot know any accepted objective test to help....
09 September 2019 8,173 6 View
Before shunt when CSF was high I had no dreams. After shunt I started to get dreams. Also before shunt I used to sleep long hours and the quality of sleep was very bad getting up in a very bad...
06 September 2019 8,725 11 View
In a previous question about shunt follow up, a respected researcher referred to the value of craniosacral therapy. At beginning I thought she is talking irrelevant until the following speaker...
24 August 2019 7,363 8 View
In cases of second shunt the first one is not working for a period of time causing reaccumulation of CSF inside brain tissue. So here 3 days drainage is not for diagnosis, but to remove this...
12 August 2019 711 0 View
The relation of increased CSF pressure and optic nerve is well known. What about other cranial nerves? Can changes in CSF pressure cause symptoms by effects on their intracranial course?
29 July 2019 4,946 43 View
Some would say I will keep proGAV at 5 at go up and down with proSA. What is your plan with explanation?
08 June 2018 1,371 3 View
What is the rationale for your choice?
06 May 2018 3,779 3 View
Alpha lipoic acid has been giving great attention over the last few years. This includes very promising results in Alzheimers management, diabetic peripheral neuropathy, heart conditions, migraine...
19 December 2017 8,906 19 View
Many neurosurgeons prefer LP shunt because of more efficacy despite more risks. Many others choose VP shunt as a more safer procedure compared with LP ( and in spite of technical difficulties and...
05 October 2017 8,070 7 View
Hypothyroidism is a lab. diagnosis. I dealt with a patient with lab. proved hypothyroidism (very high TSH and very low FT3 and T4) with positive high thyroid antibodies presenting as mentioned...
29 January 2017 4,229 14 View
Many times I thought what is the United Nations for? Their people are meeting most of the days and nights and we see political conflicts and wars are getting more and more. I began to discuss an...
20 January 2017 5,574 93 View
ّThe above question is based on my observation. I am looking for observations of other clinicians.
30 October 2016 9,502 3 View
The dynamic nature of CSF poses problems in hydrocephalus management. A shunt (CSF drainage) leads to compensatory secretion of CSF leading to escape of balance (optimal) CSF pressure point in...
30 October 2016 6,751 2 View
Usually assessments are based on gait and balance, bladder control, and neuropsychological testings. Many neurosurgeons expressed their confusion regarding worsening after initial improvement or...
16 October 2016 354 3 View
Many neurosurgeons prefer a standard valve (Gravity assisted Valve) for NPH or IIH. A sensitive indicator to be used in adjustable valves to decide the right setting is not clear in some patients....
29 September 2016 1,796 2 View
Obviously I am talking about patients with NPH or IIH. The current lack of a noninvasive sensitive indicator is having great effect on outcome of those patients. Suppose that shunt has been...
03 September 2016 10,043 10 View
The reason of raising this question is to put lights on different opinions of neurosurgeons on any possible dual relations of cervical pathology and hydrocephalus. The question stresses more on...
28 August 2016 4,566 6 View
Achieving optimal adjustment is a sensitive and difficult process which hopefully leads to significant cure. At this stage it is important to consolidate a clear plan 1) to avoid the dangerous...
31 July 2016 1,188 18 View
Any clinical trials done? Is it true that Cerebrolysin can cause hydrocephalus? http://factmed.com/study-CEREBROLYSIN-causing-HYDROCEPHALUS.php
27 May 2016 4,783 0 View
Stepping lower in valve adjustment is a fearful process. Also ventricular size would not decrease much after shunting with a G valve. Any reassuring measures in CT showing that we are little above...
25 September 2014 390 5 View
“In some patients, however, the initial improvements of cognitive function and bladder control subside again over the next few years (e68). This secondary deterioration is presumed to reflect the...
15 August 2014 9,001 2 View
Your comments can be useful to many patients. It helps to justify the very difficult and the repeated trials to get a correct shunt.
12 August 2014 6,619 6 View
As I got no single response on my contribution on anti-siphoning; I am trying to trigger the discussion in an opposite way. Hydrocephalus is a potentially curable disease, but results are only...
08 June 2014 8,296 2 View
There are increasing international responses to send all responsibles for Gaza current Atrocity to the International Criminal Court. It is well accepted by all sane humans that criminals...
01 January 1970 9,927 15 View
A man occasionally can be upset of noises of their own children and babies in case returning home tired needing some sleep. But what Nitten Yahoo and Biden are doing in this horrible war are...
01 January 1970 2,394 33 View
How do you feel when United Nations Security Council fails to cease fire in a war when 12000 civilians or more are killed "mostly children, babies and women" in 40 days?
01 January 1970 9,728 21 View
Nobody knows if Hitler and Mossilini were sane or not when caused the disaster world the second world war. No report of any autopsy was done. After execution of Mossulini and his allies; the rage...
01 January 1970 3,953 100 View
Geneva agreement differentiates between killing or injuring a military person versus a civilian in wars. So leaders outside Israel who are giving green lights or openly agree on Israel actions...
01 January 1970 5,566 63 View
It is a TV watched very bad incidents in front of the whole world. It shows Israel a winner in bombing Palestinian houses killing babies, children and their mothers (some are pregnant). Oppositely...
01 January 1970 963 46 View
Do you agree with me that a cornerstone in improving IH management is the lecture presented by Professor Ricardo J. Komotar on IIH hub: https://youtu.be/iJrSQJr6fwk?si=Ccq4PPFsmHOv8dMB I am not...
01 January 1970 2,493 0 View
