Latest / NO FILTER / Dr. Gupta breaks down Billy Joel_s neurological diagnosis(M4A_128K)

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Dr. Gupta breaks down Billy Joel_s neurological diagnosis(M4A_128K) · NO FILTER

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  Speaker 1: The Piano Man. Legendary musician Billy Joel is taking a break,
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  Speaker 1: canceling all upcoming tour dates because of a neurological disorder.
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  Speaker 1: A statement on the singer's Instagram page today says, quote,
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  Speaker 1: under his doctor's instructions, Billy is undergoing specific physical therapy
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  Speaker 1: and has been advised to refrain from performing during this
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  Speaker 1: recovery period. And the statement Billy Joel says, quote, I'm
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  Speaker 1: sincerely storry to disappoint our audience. C in chief medical
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  Speaker 1: correspondent in practicing neurosurgeon, doctor Sanjay Gupta joins us now
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  Speaker 1: Sunday walk people through the diagnosis here.
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  Speaker 2: Yeah, I'm no one likes to hear news like this,
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  Speaker 2: but let me talk you through it. There may be
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  Speaker 2: some potential treatments for him. This is something known as
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  Speaker 2: normal pressure hydrocephalus. Now hydrocephalus maybe a term people are
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  Speaker 2: familiar with. They think about water on the brain. Typically
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  Speaker 2: think about that happening in babies, but it can happen
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  Speaker 2: in adults as well. And Phil, let me show you
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  Speaker 2: these images here you get an idea of what this
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  Speaker 2: looks like in an adult brint. You have normal fluid
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  Speaker 2: filled spaces, so on the left, that's what the brain
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  Speaker 2: should look like. That's normal. On the right, you can
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  Speaker 2: see those black areas in the middle fill Those are
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  Speaker 2: the ventricles, and they carry cerebral spinal fluid, and you
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  Speaker 2: can see that they're much larger in the scan. On
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  Speaker 2: the right, that is normal pressure hydrocephalous. And so that
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  Speaker 2: is something that happens typically in people over the age
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  Speaker 2: of sixty five, and it can cause all sorts of
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  Speaker 2: different symptoms that I'm sure have led to him canceling
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  Speaker 2: the tour.
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  Speaker 1: How common is.
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  Speaker 2: This This is not that common, but it is one
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  Speaker 2: of those things I'll tell you interestingly, just because this
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  Speaker 2: is my area of expertise. Patients oftentimes will come in
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  Speaker 2: with symptoms such as difficulty with walking, balanced difficulties, They
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  Speaker 2: may have difficulty with their bladder control, they may have
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  Speaker 2: difficulty with cognition. Oftentimes it's confused for things like Alzheimer's disease,
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  Speaker 2: for example, or even Parkinson's disease. Patient comes in like that,
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  Speaker 2: they get a scan and all of a sudden they
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  Speaker 2: see this normal pressure hydrocephalus, which again you don't want
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  Speaker 2: to get any of these diagnoses, but this is potentially
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  Speaker 2: a treatable problem. So it's not common, but it can
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  Speaker 2: be a mimic of a lot of other neuro sort
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  Speaker 2: of diseases out there.
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  Speaker 1: Phil you mentioned area of expertise. You operate on patients
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  Speaker 1: with this kind of caition. Tell us about the treatment.
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  Speaker 2: Yeah, so it's interesting. So think about that fluid again.
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  Speaker 2: That fluid is circulating around the brain, around the spinal cord.
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  Speaker 2: First of all, you can actually take a needle and
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  Speaker 2: do what's called a lumbar puncture, which is a needle
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  Speaker 2: in the lower back, and drain some of that fluid.
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  Speaker 2: When you drain some of that fluid, the patient might
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  Speaker 2: pretty rapidly feel better, improve in their gait, improve in
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  Speaker 2: their walking, improve in their cognition. If that happens, and
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  Speaker 2: it does happen a fair number of times, then you
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  Speaker 2: can do something that's a bit more permanent. So this
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  Speaker 2: is this is the brain. You basically would put a
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  Speaker 2: catheter sort of threw the brain into one of those
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  Speaker 2: fluid filled spaces I mentioned, and then using a catheter
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  Speaker 2: sort of drain that fluid into the abdomen. For example,
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  Speaker 2: that's called the shunt. Something else that people may have
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  Speaker 2: heard oft I to tell you this is rare, but
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  Speaker 2: when it comes to someone with what Billy Joel is describing,
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  Speaker 2: it could potentially be a very treatable problem. I think
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  Speaker 2: that's what they're hoping for. I'm sure he's having those
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  Speaker 2: discussions with his doctors right now.
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  Speaker 1: Yeah, I think we're all hoping for that, Doctor Sanjia Gupta,
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  Speaker 1: always always grateful for your expertise.
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  Speaker 2: Thanks so much,