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Neurology (Expert Forum)
Doc, is this a stumper?
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Doc, is this a stumper?
by rionews, Aug 29, 2003 12:00AM
Thank you for your time. I am wondering about MS or another neurological disease. I'm a 28-yr-old male. Current symptoms are coarse muscle twitches throughout body, especially thighs and arms, urinary freq., hesitation and very weak stream with post-void dribble, creeping pins and needles especially in hands and legs and burning or cold sensations on skin (I can normally ''shake-off'' the numbnesses and tingling, or they are alleviated by a warm bath), often freezing cold extremities alternating with profuse sweats when I get hot, muscle aches often in feet, and floaters in my vision. The symptoms wax and wane. They first appeared in March, two months after an acute VIRAL infection which I'd been prescribed heavy anti-biotics for. In March I was DX'd with prostatitis due to urinary symptoms and pain sitting. Concurrent with 8 weeks of Cipro treatment, the numbnesses began. With Cipro I developed more fasciculations, headache with eye pains and an electric zing feeling LIMITED to my right abdomen when I would bend my neck forward. This all passed in a few weeks, and neuro exam, emgs were clear, MRI of head and spine with gadolinium were clear except for a large intracranial lesion atop the pineal gland (1 inch), which neurosurgeon thought to be an arachnoid or pineal cyst. Symptoms all came back at once about two weeks ago. Is this consistent with MS, pineal tumor, post-viral syndromes, bad reaction to huge doses of Cipro? To recap, fasciculations, urinary symptoms and paresthesias are my top three. Thanks kindly!
Doctor's Answer
by CCF-Neuro-M.D.-CS, Aug 29, 2003 12:00AM
The sensory symptoms and urinary symptoms coul dbe consistent with MS, but your description of the msucle symptoms would not. Also, the normal MRI was normal except for the pineal mass, which makes MS less likely. If your symptoms have recurred it is time to be re-evalauted. A repeat MRI of the brain and spine would be reasonable. Also an analysis of your spinal fluid to exclude inflammation would also be reasonable. Other markers of inflammation within your blood could be checked.
I am not aware of Cipro causing a reaction like this. I doubt that the local pineal mass is causing your symptoms, but I am limited since I have not seen your films.
If after talking with your neurologist you still do not have an answer a second opinion with an academic neurologist would be reasonable.
I am not aware of Cipro causing a reaction like this. I doubt that the local pineal mass is causing your symptoms, but I am limited since I have not seen your films.
If after talking with your neurologist you still do not have an answer a second opinion with an academic neurologist would be reasonable.
