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Test Results? What could this be?

by Tommy757, Feb 03, 2008 06:40PM
EMG & NCV Findings:  December 2007

Evaluation of the left Peroneal nerve showed prolonged distal onset latency (6.6 ms). The right peroneal motor nerve showed prolonged distal onset latency (5.8 ms). The left Saphenous Anti Sensory nerve showed reduced amplitude (2.5 uV). The right Saphenous Anti Sensory nerve showed peak latency (3.7 ms).  The left Sup Peroneal Anti Sensory nerve showed reduced amplitude (4.7 uV).  All remaining nerves were within normal limits.

All F wave latencies were within normal limits.  All H Reflex left vs. right side latency differences were within normal limits.

All examined muscles showed no evidence of electrical instability.

Impression: No evidence of lumber radiculopathy, peripheral neuropathy, or peripheral nerve entrapment.  There is a mild Peroneal neuropathy seen bilaterally, etiology unknown.  Patient will be going for a lumber MRI in January, which may be helpful.  His symptoms are consistent with lumber stenos is.

I had the MRI today and the orthopedic doctor told me there was nothing there causing my symptoms.  What does all this mean

I began having balance problems (walking but feeling like I might fall down) last August 2006 - went to my primary care Dr. he told me I had fluid in my ear and gave me some meds, that went away and then I began to have headaches daily for 3 months and then they went away.  I was fine for about a month but then in February 2007 I started feeling weakness and stiffness in my legs and when I walked almost a feeling of un-coordination and that my foot would hit the ground but it would take a second before my leg would be stable and I've had a stiff neck, lower back burning and discomfort and some mild balance problems and fatigue.

Since February I have been to an ENT who tested me for allergies and told me I have level 3 allergies to dust and mold and gave me allergy drops.  ENT also tested me for sleep apnea - said I had a mild case and gave me a mouth piece to wear at night.  I've had 2 sinus CT scans which revealed a deviated septum with a nasal bone spur.  In March I had a brain MRI which came back "clean"/"unremarkable".  I have also been to a chiropractor would told be I have subluxation in my neck and lower back - have been seeing him for 5 months and still have symptoms.

I have had an MRI of my neck and lower back – came back ok.

Went to the Neurologist and he examined me and said I was fine.  I had a nerve conductivity study done and it said the return of electricity back was slow in the peroneal nerve  in both legs, everything else was fine no nerve damage.  What could this be?  What other tests should I have done?
Member Comments (1)

by chochmeh, Feb 07, 2008 09:56PM
To: Tommy
Are you having foot drop?   Did the neuro who did the EMG specialize in neuromuscular disorders?  Obviously, you have some sort of nerve damage going on according to your EMG...you need to investigate this further...i would start over with a good neuromuscular neurologist at a major teaching hospital...i wouldn';t even mention seeing anyone else...start over fresh  if your insurance allows it, so you can find out and get better.  MDA has a list of doctors state by state...please, don't get me wrong, i don't know if what you have is serious or a just a past injury, but obviously it is bothering you and i say get it checked out by someone who is qualified in a neuromuscular specialty.
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