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Neurology  (Expert Forum)
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Going Crazy with Medical Roller Coaster Ride
This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Fibromyalgia, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury.

Going Crazy with Medical Roller Coaster Ride

by Jenifer-Bolton, Nov 02, 1998 12:00AM

  Hi, I'm not sure what is going on and I don't think my doctors are to sure either
  I have been through every test they can think of.  I've my been have loss of
  balance, numbness, loss of feeling in my fingers, and my legs twitch all the
  time.  At first my Nuerologist thought I might have MS after ruling that out
  he went for MD. that was ruled out. now we are going for a sleep disorder.
  Can a sleep disorder give you all these systoms. I sleep fine at night I get
  between 7 to 9 hours of sleep per night. but I find that  if left alone in
  a room I could fall right back to sleep.  I am always tired. and by the end of the day
  I haveto force myself to stay awake until 9pm.  Any info you can give. I
  would be happy to have.
  thank you,
  
  Jennifer
===========================================================================
Dear Jennifer:
Symptoms of the type you describe would indeed lead to a consideration of MS as a possible diagnosis. This diagnosis can would be rather unlikely if your physical examination, MRI and spinal fluid are normal. Numbness sensory symptoms, and imbalance are not features of muscular dystrophy (which is what you mean by MD, I guess). The symptoms of excessive daytime sleepiness you have do necessiate a diagnostic work-up (MSLT and possibly polysomnography) to diagnose some of the more common sleep problems such as obstructive sleep apnea syndrome, restless legs, and narcolepsy. These conditions can be treated relatively easily, and you may see benefits in daytime symptoms like lack of energy and fatigue. The sleep disorder, however, can not explain the imbalance and sensory symptoms.
At time, a diagnosis is not reached despite a very full workup. This is, however, a positive sign, because the prognosis is usually better.
Good luck!




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