Questions posted in the Neurology and Neurosurgery Forum have been answered by doctors from The Cleveland Clinic Foundation.

Question Title: A Myriad of symptons no diagnosos...

Forum: Neurology Forum
Topic: Multiple Sclerosis


I am a 22 yr. old female, 6 months ago, my legs started "falling" a sleep alot. Often when I was walking or doing other activities. This tingling feeling was more of a nusience than bothersome but recently,I have been plauged with headaches that orginate in my neck and spread, severe back and neck pain, blurred vision when reading or doing any type of work that must have my full concentration, also I have been trembeling uncontrollably. My hands have not stoped shaking in almost 2 weeks. It may be months before I can get an appt. with a nueroligst. I have no idea what these symptoms could mean and the 2 times I was taken to the ER I was told it was all in my head. I don't know what's wrong with me...if you have any suggestions they would be most appreciated.

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I understand your concern about the possibility of MS, since you are in an appropriate age range and the symptoms are somewhat mysterious. I hope this answer helps you while you wait to see a neurologist.

The sensation of falling asleep is called paresthesia, and can be related to many causes. Sometimes there is a structural problem, as with compression of a nerve or spinal cord. Sometimes it is related to metabolic problems, such as certain vitamin deficiency (vitamin B12 comes to mind, and it can be tested). There are many more causes, so by itself your symptom of paresthesia in your legs is hard to interpret.

The most common form of headache is the tension type. From your description, I'd say that's what is happening but your doctor will look into the possibility of migraines or other causes.

Tremor is another symptom that has many possible causes. However, without direct examination it is not possible to say why you have tremor.

I don't get a sense of MS from any of the above. But you shouldn't take my word for it. I think the safest approach for you is to be seen by a neurologist who can give you a thorough neurologic examination. If any specific structural problem can be found, I'd suspect it would be uncovered at that time. Many times we find no specific cause which explains symptoms on an anatomic or physiologic basis. In that case, we turn our attention to treating your symptoms directly.

This information is provided for your general medical education only. Any specific comment regarding your diagnosis, prognosis, or treatment options must come from your doctor after appropriate evaluation. Hope this helps. CCF MD mdf.




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