I am a 40 yr old female, in good health until this past Aug. At that time I had a large central disc herniation at L4-L5. Due to progressive loss of function in legs and recommendation by 2 neurosurgeons, had a discectomy & laminotomy on Sept. 27 - surgery went well. Initial recovery also good.
During the time I was experiencing the disc problems, I also had the sensation of feeling weak and that I would pass out if I did not lie down. I thought this would go away after surgery, but it did not. Examination revealed othrostatic hypotension. Tilt test results abnormal - normal during 1st phase and abnormal after administration of nitroglycerin. Heart rate first raced then dropped and blood pressure dropped to 70/40 in about 3 min. (Passed out). Symptoms improved can now stay upright longer but get headache on top of head if up too long. Occais. sharp shooting pains in head.
Started experienceing pain in arms, esp. after standing for long. Now I have an intention tremor in arms. Present in both arms and hands, more pronounced on left.
Problems walking, stumbling at times and legs cramping. Also burning pain in toes and feet - not sure if this is still from disk herniation or new. Feel that I have trouble concentrating, remembering, and some trouble with using wrong words or finding words.
Previously (this spring/summer) intermittent problems with blurry vision.
Is this likely MS or possibly MSA / something else?? What tests should I have done next? I am very scared, esp. of cognitive issues. Any advice appreciated.