Pain below neck and tremor-oscillation(to and fro)

  : : My Dad is visiting Neurologist past four year.
  : : His complaint is
  : :       1.   He has a problem walking , he fells like he has pushed back and fro.
  : : I think its a tremor & also his has a pain just below the neck.
  : : Because of this he is unable to take a long walk and most of the time he is in bed.
  : : The trmor is on and off. Some time he feels OK next day or a hours time he
  : : feels the tremore.
  : :        2.  Two days back he has got a minor storke ( paralysis ).
  : : suddenly his movements of left side of body ( hand , leg ) stooped.
  : : After a minor improvement suddenly ( one evening) he relised about the tremor.
  : : Tremor is on and of.
  : : CT scan report is OK. Neurologist says "His shoud change his mind set that
  : : everything is allright"
  : : Help what should be done.
  :

[CCF NEUROLOGY MD/ IN]

  : Dear Raj
  : Although you did not mention in your message the age of your father and the way his symptoms started and progressed, it seems that the likely cause(s)of his problems are neurological in nature.
  : Based on the little information you gave, the possibilities are the following:
  : 1. The tremor and the trouble walking could be part of the manifestations of Parkinson disease.
  : 2. The neck pain and the walking difficulties may be due to compression of the spine cord in the neck area.
  : 3. The "paralysis" in the left side of the body, although transient, may be due small stroke or so called transient ischemic attack (TIA). This is ussually due to a decrease in blood flow to small area of the brain, and may lead at times to more permanent paralysis.
  : Based on the above, I would suggest the following:
  : 1. A complete neurological reevaluation. This could be arranged at the Cleveland Clinic, Department of Neurology (216-444-5449)
  : 2. MRI of the brain and especially of the cervical spine.
  : I hope this helps.
  : Good luck
  Hi,
      My dad is 55 Years old & is in India  ( Asia pacific region )
  Consulted the Neurologist, He says it's definatly not a parkinson disease.
  Can we dig out from the recent happenings.
            i.e A Sudden weakness in his left arm and Left leg. ( Couple of week back)
                Why so ?
     He had a CerebroVasular Disease and a Hypertention before  1995.
  Please help using above information.
  Thanks in advance
  Raj
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Dear Raj
The sudden weakness in the left side of body could be due to recent stroke as I mentioned in my previous reply. The only and best way to image it is through MRI. But if MRI is not available, a CT scan may be helpful.
If his hypertension is not controlled, I would strongly suggest  that your Internist start him on High Blood Pressure medication, because hypertension is an important cause of strokes.
Another possibility to explain the tremor is what it is called Essential tremor that can be aggravated with age. Ask your Neurologist about it and about its possible treatment.
I hope that these answers would prove helpful to your dad.
Good luck