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Multiple Sclerosis ?

Hi everyone
Need ur help
I suffered with vertigo a year ago and the medicine ( Anti-Depressant) which caused tremors, anxiety and depression (Insomnia) ( Left them after a week). Anxiety and depression subsided after 8 months ( took Lexotanil 3mg for 1 week nothing else)  now currently i do not feel any numbness but i feel fatigue  ( especially in limbs)   and muscle tingling frequency is increased too through out hte body. I went to Neurologist and Neuro physician during that period. One of them said it is all due to ur anxiety ( Cause i do not have any bladder problems and dizziness, numbness tingling all is due to anxiety) but one said its Multiple Sclerosis+ anxiety. My MRI and EEG were clear.
Currently i have high frequency of muscle tingling through out my body only when i am lying on bed plus i see double vision of any statement especially ( white in colour) on TV and laptop. Is it MS? Should I start taking Med for MS or just let it be and hope it will go away?

My stages
1- Vertigo
2- Tremors
3- Insomnia
4- Anxiety
5- Numbness ( after 2 months of first 4)
6- Tingling ( Started along with point 5)
7- Dizziness ( 2 months after point 5 and 6)
8- Double vision ( Started about 1 month a ago)
and Sorry for bad english in advance :D  
Best Answer
987762 tn?1331027953
COMMUNITY LEADER
Hi Sulu,

I think there might be some confusion, usually an EEG (Electroencephalography) entails around 20 electrodes being attached to your scalp with a sticky glue or gel, with 1 more attached to each earlobe and another 1 on your forehead......If this medical person "took a needle and swapped it across around my arms i felt slight different sensation right at the end" but if a needle was involved it actually sounds like you probably had an EMG, a very poorly performed EMG though.

An EMG usually takes anywhere upto 60 minutes depending how many muscles are involved, a needle electrode (which is attached to a recording machine by wires) is suppose to be 'inserted' into the muscle. The electrical activity in different  muscles (one at a time) are then recorded while the muscle is at rest and then contracted.

Bilateral ("both sides of the body") and symmetrical ("even") symptoms are typically inconsistent with a neurological condition like MS. If your double vision only appears when looking at a "TV or mobile texts" it might not actually be true double vision because it's very situation specific. Some alternatives would be computer vision syndrome, eye strain, blurred vision (near and distance visual issues), dry or Irritated eyes, neck and/or Backaches etc you probably should see an optomitrist or ophthalmologist and get an official diagnosis for your visual issues.

A 'Neuro Physician' is another name for a 'neurologist' but the person who performs EMG tests is usually either an EMG 'technologist' or a general doctor. Unless the person who told you you had MS was actually a neurologist, and performed a detailed neurological clinical exam, MRI's etc he would not be able to appropriately form an opinion and or be qualified to even diagnose MS.

The neurologist who did appropriately assess you for MS and found nothing abnormal in any of your testing, would be the professional more qualified to form an opinion. From what you have mentioned, there would be no medical abnormality to suggest what you have been experiencing could be caused by a neurological condition like MS.

Hope that helps........JJ
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Avatar universal
Sorry for my mistake. Its twitching not tingling ( tingling would be having needle feeling right?) but i feel muscle twitching
Helpful - 0
667078 tn?1316000935
You have alot going on it must be frustrating not having an answer. Did the neurologist say MS or the neuro surgeon? It has to be a neurologist who diagnosis MS. Does your double vision come and go or is it all the time? What about your neurological exam, that is reflexes and such. Is it abnormal? That is the most important part of a diagnosis of MS. Are your symptoms on one side of the body, asymetrically or on both sides of the body evenly? How long have you been going to the neurologist? Are you scheduled for a follow up? Was your MRI looking specifically MS or was it a general one? Was it with contrast? If a MRI does not show MS they will not diagnose MS and put you on the drugs to slow MS.

Alex


Alex
Helpful - 0
987762 tn?1331027953
COMMUNITY LEADER
Hi Salu and welcome,

I would strongly suggest you consider getting a second neurological opinion! Pakistan is one of the countries where the incidence rate of MS is quite low within Pakistan's vast population. There would probably be neurologists in your country who've never diagnosed a patient with MS, approx 50 MSers per million.....

Q: Is it MS?
A: The 'symptoms' you mention could be caused by many different things, there is a much higher possibility for the causation not to be a neurological condition like MS when you don't have any abnormal neurological evidence eg clear MRI's, normal VEP's, normal clinical exam etc

It might be helpful to contact the Pakistan MS society and see if they will provide you with the names of any MS specialising neurologists in your area. It would probably be better for your mental health to get a second MS opinion, and know for sure  that you actually do have MS before even thinking about MS disease modifying drugs.  
  
Cheers.........JJ
PS. Your English is very good :D
Helpful - 0
Avatar universal
Well it was Neuro Physician who said MS and Neurolgist said its Anxiety. Well reflexes were fine and i walked properly as well these tests were taken by neurologist. The physician did not even bother to see my Reports he took a needle and swapped it across around my arms i felt slight different sensation right at the end and i have back pain issue from past 10 years and he said its MS. About vision its there permanently. and only on TV or mobile texts. MRI was General. Symptoms are on both sides of the body even. Well i last went 3 months a ago as he said its anxiety u deal with it through vitamins and exercises at ur age i do not want u to become a drug addict.
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Avatar universal
Thanx alot :D
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Avatar universal
About scheduling thats why i came here that should i again go to nerologist because he is the best i have got in Pakistan rest are not very good because it all started with a neurologist who gave me anti depressant for treatment of vertigo and i went nuts. He told me ur vertigo is due to stress and i was like i have no stress he said take these and i took those tablets and after shocks are in front of you.  
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Avatar universal
Thanx again it clarifies things a lot :D so first target ophthalmologist.
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Avatar universal
EEG was performed like u said. Recommended by the neurologists to check up for my tremors. But it was the surgeon then not neurologist who checked it with needles and said it. Neurologist on the other hand said its all due to anxiety as he checked my MRI ECG and EEG reports all were clear. But the problem is i took MRI when i had vertigo and these symptoms came after the vertigo. should i go for MRI again?
Helpful - 0
987762 tn?1331027953
COMMUNITY LEADER
In regards to MS.....what you've mentioned experiencing would generally 'not' be consistent, you didn't have any neurologically abnormal test evidence and all the issues you've mentioned are also associated with many non neurological conditions.......rather than another MRI, I would think you would be much better off seeing a general doctor instead.

Discussing and getting tested for all the alternative explanations (eg mental health, vit B / Iron etc deficientcy, side effects- medication/ supplements/ natural etc, spine etc etc  ) and having all the possibilities ruled out by your general doctor, may actually indicate the more likely cause or at least point towards what it could be...      

Cheers........JJ
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