An Advanced Pathology of Neurofibromatosis

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[00:00:14]Very interesting case of a woman age 55.

[00:00:22]55. Yeah.

[00:00:30]You see the neurop fibram it's extensive and it has spread all it's neurop fibram isn't it? So the it's a congenital disease called neuro fibromyattosis or bone reclingousins disease.

[00:00:58]It's a it's congenital. So you can see the patient has a tendency to form multiple fibramomas. These are made of uh conjunctive tissue. Yes. And uh they are benign uh tumors.

[00:01:16]But uh the thing is that she she has them everywhere.

[00:01:21]>> The biggest is is on the back of the head but she has everywhere. So so if you want to have a look it's a differential diagnosis also with leperra or the handson disease but this is congenital.

[00:01:37]So if we ask her since the most probably She's not sure to be very honest.

[00:01:55]>> She's saying it that she had a injury in childhood.

[00:02:03]It started with this the large one she's saying in childhood. She's not sure to be very honest.

[00:02:09]>> Okay. Yes. But uh I mean all >> her son has it as well. It's a sinus standing outside.

[00:02:13]>> It's it's congenital. Yes, congenital.

[00:02:16]>> So that's that's the thing with it. And it's those are benign uh tumors, conjunctive tissue tumors. Uh someone can be taken away with surgery if they are uh interfering with life's patient, but it's a congenital disease.

[00:02:47]She she didn't want to go for surgery.

[00:02:49]She had been advised by conventional medicine for surgery for the large one.

[00:03:06]She had this this started to flare up.

[00:03:14]>> Yes. And the tumors they appear in the tip of the of the nervous uh terminations. Yes. So that's why that's a mixture of a conjunctive tissue with the tip of the neurons of the nerves. So that's why that's why it's called neurop.

[00:03:38]>> Yeah. Yeah. Sun's hasn't been so much so it's better. Sun's is getting better.

[00:03:43]But she came to her most us to us for her son mostly. But uh she said that you know I don't want others ones to be enlarged like this one you know. So that's why her major concern is she doesn't want any other fibram to be as this size as other ones. So I told her maybe we can't reduce but I will check for the progress so that you know it doesn't flare up like the one in the in the neck right >> so for her the case is fibramas you understand painless it's generally no pain with these she has occasional contraction right leg mism you understand it's crying out loud psychosis so much growth excess you have to prescribe a psychotic remedy. She has sun headaches and vertigo again from the sun the vertigo.

[00:04:38]She gets frequent cold resulting in sneezing and she has stress incontinence as well.

[00:04:45]You understand stress incontinence?

[00:04:46]Sneezing causing involuntary urination.

[00:04:54]I mentioned about the contracted feeling in the right leg.

[00:05:00]She's irritable.

[00:05:07]She likes salt, salty, spicy.

[00:05:16]She has occasional night terrors. She wakes from the sleep shouting.

[00:05:22]You understand? We always share with the management that what I can do maybe other the ones which are there will not go away but at least I can prevent further progress that's what I can promise to her you know so that was the thing which I mentioned we started in April 2019 with me at mu considering psychosis the fibramas desire for salt stiffness and contraction I want you to open Allen's Please for nature you'll see there's a line hamstrings are stiff and contracted. So there's a tendency to stiffening and contraction of the of the muscles in natural mu stiffness of the hamstring muscles contraction of the hamstring muscles.

[00:06:16]You got that? You have that in costicum nature as well. You know like at night they have extreme stiffness of the muscles they wake up you know shouting that kind of muscle cramps and stiffness >> any mention >> no because I thought it was psychotic that's why with the totality it helps you know it matches in just in that way but nowhere in no micas it mentions about fibro you got the points for atmir I repeat again desire for salt and salty stiff and contracted irritable Sun aggravation. She mentioned about the something with sun sun vertigo and the neurop fibramas are psychotic any change.

[00:07:14]She feels that the this one has reduced a little bit. I asked the son as well any any new has come up but you know you understand it's difficult for her to tell as well because it's all over the body right every time what I generally ask as a sign for followup you know a has there has there been any new growth which has increased to this extent, right? No. And B, if she she feels like a heavy feeling here, right? So, in terms of sensation, she can tell me that the heaviness is better or worse. You understand? Because of the weight of this swelling, she feels like a heavy feeling here. She says that the heaviness has reduced to a little extent. You can't obviously she hasn't measured it, >> but she says that the heaviness is a little bit better. So, those are the points for us to judge. Should I repeat or should I wait? You understand there is no emotionals. There is no definitive generals for us to understand if it's getting better or not.

[00:08:24]Science of improvement is generally judged by any new leion which has increased to this extent or the heavy feeling which he says of this. Right?

[00:08:34]We started with 200 C. I haven't repeated that much. 200 C again was repeated in June and 1 M in October.

[00:08:41]That's it.

[00:08:46]You understand? She's content with the treatment and nothing new is flaring up to this extent, right? So, we are happy because she's happy. We're boosting the same.

[00:09:11]No, not in the last generation.

[00:09:19]Both her children have it, right? Not in the previous generation, but both her children have it.

[00:09:25]>> This is also interesting, you know, because she's presenting to you a features of psychosis, right?

[00:09:32]>> Her parents may have another feature of psychosis, right? So whenever it goes to the next generation, it may come in the same form of psychosis. It may come in a varied form. So this is one of the manifestations of psychosis. If you take the detailed history of the parent, they may have any other psychotic history you know which is not reflecting in her because this kind of excess you understand with the virulence of psychosis you need to have some degree of psychosis in the previous generation maybe not in this form but in some other form it was there possibly >> probably both parents >> probably yes yes like a strong psychotic family and you understand it's transmitted to the next generation as well right so maybe in in course of time I will need to prescribe a medium or a thuya to take care of you know like the strong psychosis you understand probably because it's like a hereditary psychosis it's a con psychosis which has been transmitted to the next generation right so sometimes if you are even not getting any form of psychosis in or any form of the myasm in the previous generation if you ask about particular diseases they had you may come up with a particular myasm as well sometimes he is on tuya And he's doing better on tuya right he has a tuya constitution as well I've given him tuya so that has improved as well right I got natum features but I thought of medinum to be very honest because such a strong psychosis but natram has helped to a certain extent you know >> she's got the anger >> anger yeah sun aggravation you know there were quite a few if it was like a one-sided case no symptoms of natum maybe I would have started with medina you know considering the strong psychosis >> right bam maron boro broke chiller she I'm asking if the parents had any major disease she says I don't know the parents don't have it >> they didn't have it that's what I was sharing that maybe they don't have this form of psychosis but maybe the parents had some other form of psychosis you know which uh she doesn't know about to be very honest we're boosting today um we again follow her up in 8 weeks