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Neurology (Expert Forum)
increasing neurological symptoms (tinnitus, burning, weakness)
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increasing neurological symptoms (tinnitus, burning, weakness)
by joeybubbles, Dec 31, 2005 12:00AM
Hi
Thank you in advance for taking the time to answer my question.
One day 14 months ago I woke up with bilateral high pitched ringing in my head. Hasn't gone away since (not even for 5 minutes). One year ago I had an episode where I woke up and couldn't walk. I kept falling to my left side and that lasted about 18 hours. Past 6 months I've had on and off again burning sensation on my skin. Mostly jaw and upper arms, but sometimes all over. Most days I have a motion sickness type feeling in my head. It's worse if I am around busy areas or go shopping (bummer). One week ago I thought my left leg would buckle under me. Its felt weird since. I get cold sores on my lip monthly and am taking valtrex 1000mg per day to prevent them.
mri of brain, ana, sed rate, serum immunoglobin electrophoresis normal. b12 311, cholesterol 110, triglycerides 39. It's been a year since I had a cbc anc cmp but they were normal at that time. thyroid studies normal.
Any thoughts. Should I have mri of spine, should I be checked for celiac disease or paraneoplastic syndrome. My neurologist said my neuro exam is abnormal but he can't find out what is causing it.
thank you
Thank you in advance for taking the time to answer my question.
One day 14 months ago I woke up with bilateral high pitched ringing in my head. Hasn't gone away since (not even for 5 minutes). One year ago I had an episode where I woke up and couldn't walk. I kept falling to my left side and that lasted about 18 hours. Past 6 months I've had on and off again burning sensation on my skin. Mostly jaw and upper arms, but sometimes all over. Most days I have a motion sickness type feeling in my head. It's worse if I am around busy areas or go shopping (bummer). One week ago I thought my left leg would buckle under me. Its felt weird since. I get cold sores on my lip monthly and am taking valtrex 1000mg per day to prevent them.
mri of brain, ana, sed rate, serum immunoglobin electrophoresis normal. b12 311, cholesterol 110, triglycerides 39. It's been a year since I had a cbc anc cmp but they were normal at that time. thyroid studies normal.
Any thoughts. Should I have mri of spine, should I be checked for celiac disease or paraneoplastic syndrome. My neurologist said my neuro exam is abnormal but he can't find out what is causing it.
thank you
Doctor's Answer
by CCF-Neuro-M.D.-PW, Jan 02, 2006 12:00AM
I cannot give you a clinical diagnosis over the internet, unfortunately, and this post is not a formal medical opinion
One of the possibiliites is dysfunction of the middle or inner ear. This can cause tinninus, hearing loss, and episodic vertogo or loss of balance. More tarely it can be from central nervous system dysfunction such as an acoustic nerve tumor or other growths, stroke or demyelinating disease, but this is evaluated with MRI as you have done.
An oto-neurologist is an expert at differentiating and diagnosing peripheral and central hearing/balance disorder, with some specialized testing such as videonystagmogrpahy. An audiogram to check your hearing should be done if not already also. The sensory symptoms are not clear, other tests might include HIV, Lyme, thyroid, B6 levels, and perhaps some heavy metal screening. PAraneoplastc syndromes are rare, and the tests expensive. Choice of these tests needs to be made by your physicaina given your full clinical picture.
Good luck
One of the possibiliites is dysfunction of the middle or inner ear. This can cause tinninus, hearing loss, and episodic vertogo or loss of balance. More tarely it can be from central nervous system dysfunction such as an acoustic nerve tumor or other growths, stroke or demyelinating disease, but this is evaluated with MRI as you have done.
An oto-neurologist is an expert at differentiating and diagnosing peripheral and central hearing/balance disorder, with some specialized testing such as videonystagmogrpahy. An audiogram to check your hearing should be done if not already also. The sensory symptoms are not clear, other tests might include HIV, Lyme, thyroid, B6 levels, and perhaps some heavy metal screening. PAraneoplastc syndromes are rare, and the tests expensive. Choice of these tests needs to be made by your physicaina given your full clinical picture.
Good luck
thank you
MS lesions are found in brain and cervical spine. So, to rule it out the MRI isn't a bad idea. At least for piece of mind, anyway.
There's a test called evoked potentials that looks for demyelinating problems too. I'm having that one in a couple of weeks.
I agree with Carol regarding lyme. It causes all sorts of weird neuro problems. I think it might be my problem as well since I had 3 bullseye rashes back in the early 90'S.
Good Luck. I definitely know what you are going through.
I have so many symptons simmilar to what I am reading with the same results..no dx. maybe axiety. the vertigo is disabling.
I am empathetic to all
I still feel "out of balance" often. The part about you going sideways instead of straight sure sounds like inner ear problems, and might be Menier's. (I might be spelling this wrong)