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Neurology (Expert Forum)
Explanation of Sensory Abnormalities
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Explanation of Sensory Abnormalities
by evansmom, Sep 05, 2005 12:00AM
I have read many confusing explanations about sensory abnormalities. Many sites say it's often the first sign of MS but do a poor job of explaining its presentation or progression. I have seen comments on this site which say sensory abnormalities can be a symptom but not a definite sign of a serious disease process.
I have experienced bilateral facial sensations - like a tight feeling but not pain for a few months that seem to be located over my sinuses. I have also had some tightness bilaterally in my shins. In both cases they are intermittent and I have no other symptoms such as weakness or loss of balance. I have a young son and stay active - swimming, skiing and whatever else I can do. I have had RA since my early 20's, primarily in my elbows and wrists, I am 42. I have had a small area of vitiligo since childhood and hypothyroidism for 8 or 9 years. My prescription was changed twice in the last six months but all other labs are normal including B12. I am currently being treated for anxiety.
There are times, especially when I am distracted that I will feel none of these sensations. I just returned from a week in Disney World where we spent 12 hour days in the humid weather running from ride to ride with four children - no sensory abnormalities. A recent CT-scan revealed no brain tumor or stroke. I am scheduled to see an ENT on Wednesday. Finally, I also have all the symptoms of chronic hyperventilation:)
If possible could you clear up the confusion on this subject?
Thank you!
I have experienced bilateral facial sensations - like a tight feeling but not pain for a few months that seem to be located over my sinuses. I have also had some tightness bilaterally in my shins. In both cases they are intermittent and I have no other symptoms such as weakness or loss of balance. I have a young son and stay active - swimming, skiing and whatever else I can do. I have had RA since my early 20's, primarily in my elbows and wrists, I am 42. I have had a small area of vitiligo since childhood and hypothyroidism for 8 or 9 years. My prescription was changed twice in the last six months but all other labs are normal including B12. I am currently being treated for anxiety.
There are times, especially when I am distracted that I will feel none of these sensations. I just returned from a week in Disney World where we spent 12 hour days in the humid weather running from ride to ride with four children - no sensory abnormalities. A recent CT-scan revealed no brain tumor or stroke. I am scheduled to see an ENT on Wednesday. Finally, I also have all the symptoms of chronic hyperventilation:)
If possible could you clear up the confusion on this subject?
Thank you!
Doctor's Answer
by CCF-Neuro-M.D.-PW, Sep 08, 2005 12:00AM
Sensory abnormalities are very non-specific and can be caused by many different disorders. MS would be a very uncommon cause overall of senosry abnormalities. It can be the first sign of MS, but unless other signs of MS appear the diagnosis is usually something else. Bilateral and symmetric face and shin numbness would be an unusual neurolgic distribution of sensation for MS also, which would tend to be more asymmetric
It is encouraging that the symptoms are intermittent and that no other neurological deficits have appeared as this would suggest a non-neurological cause. Hyperventilation can cause low carbon dixoide levels in the blood which can cause classically distal paresthesias and perioral numbness. Connective tissue disease, like RA, can also cause involvement of sensory nerves, but not in a symmetric fashion. Have any medications you take reviewed for possible side effects. A range of blood tests can be done also, as you have had done. A cannot be more specific without knowing your case more.
Good luck
It is encouraging that the symptoms are intermittent and that no other neurological deficits have appeared as this would suggest a non-neurological cause. Hyperventilation can cause low carbon dixoide levels in the blood which can cause classically distal paresthesias and perioral numbness. Connective tissue disease, like RA, can also cause involvement of sensory nerves, but not in a symmetric fashion. Have any medications you take reviewed for possible side effects. A range of blood tests can be done also, as you have had done. A cannot be more specific without knowing your case more.
Good luck
I am happy with his answer because MS scares the pajukies out of me!
Sherry
Good luck!