As many of you know, I'm a resident of Limboland. I have researched, and researched, trying to find out what the heck I have, and it all comes back to MS. Several of my doctors believe I have it, but so far I have no neuro standing beside me on this one. Recently, I started to research Parkinson's Disease because my aunt was just diagnosed. I thought maybe, I could have this, since some of the symptoms overlap. Comparing the 2 diseases, MS was a closure match, at least from my perspective, but I'm no doctor.
I went on another forum to get a perspective from a doctor that deals with Parkinson's Disease and neurological disorders. I gave him the run down of some of my symptoms, and this is when my temper flared, the horns came out, and I guess the little devil in me still exist. Here is the back in forth conversation...This is the reason why us limbolanders can't get a break. This is what they teach, rather than listening. What do you think?
"Anon_7154 posted:
I am a 36 year old female. I am a mother of 3 and I have been happily married for almost 14 years now. The problem is, I have what the doctors are calling a neurological condition, but they do not, or can not give me a name to what is going with me.
It started in 2007 and I have gradually gotten worse. My left side is mostly effected. My symptoms are left side spasticity, left sided weakness, on & off symptoms of left sided eye muscle weakness (which sometimes cause double vision and a noticeably deviation), bladder incontinence issues, bladder spasms, a slight tremor in my hands when doing things, sexual disfunctions..etc.
I walk with a limp, because my left ankle will no longer bend completely up or completely down. I sometimes have to use a cane because my muscles will give out quickly with long use. My GP believes I have MS, and so does several other doctors. I have been tested and re-tested for MS mimics, heavy metals, vitamin deficiencies, and nothing has came up.
I have an abnormal neuro exam (hyper-reflexes), numbness, etc..The only thing that the doctors have found were 4-5 non specific lesions in the white matter of my brain and a vitamin D deficiency. My neuros are at a loss. They are right now just treating my symptoms. I'm on Baclofen for the spasticity, and Neurotin for the pain, and vitamin D.
What should I do when my doctors can't find the answers and I see a decline in my health? I went from walking normally in 2007, to walking with a limp in 2008, to needing a cane. I went from eye muscle weakness in 2008 that I could only see, to eye muscle weakness that everyone could see.
I would like any suggestions that you could give me on this matter. I did go to an MS specialist, but he said he could not diagnose based on my MRIs. I always thought that MS was a clinically diagnosed disease and not based off of MRIs since they can not see everything. All I want is a diagnosis, and maybe some treatment, for whatever this is. "
His Answer: A Duke Neurologist
Dear Anon_7154,
I am sorry to read of your difficulties. Please know that, while not finding any abnormalities is frustrating, it suggests that it is possible for you to recover.
Neurology is a medical specialty that concentrates on finding a location in the nervous system to explain medical symptoms. Determining one anatomic location to explain all of your symptoms is difficult. In these instances trying to localize one major symptom is a reasonable step. Left sided weakness in the leg (only) may be from a problem in the spinal nerve root, spinal cord, brainstem or brain. Imaging with MRI and a test called an EMG/NCV will help. If your weakness also involves the arm, an EMG/NCV and spinal imaging below the neck is not needed. Spasticity suggests an increase tone in the limbs, and is associated with what we call an "upper motor neuron" problem. These tests will also help with that. I do not put much importance on the increased reflexes - unless they are greater on one side than the other, and numbness is not something that really helps with a work-up. Your doctors may wish to do a spinal tap.
The bladder dysfunction you describe usually requires both sides of the brain to be involved, so successful treatment is more likely to be found with a urologist. Ask for a referral.
Sexual dysfunction and a slight tremor are more likely to be a result of stress from your medical problems or other factors.
Intermittent double vision would occur from a rare disorder that does not fit with your other symptoms. Ask your neurologists if they have ruled out Myasthenia Gravis. I am confident they have done so.
Please know, that if all of this has been done, it is likely that there will not be an easy diagnosis. Also, please know that I do not wish to offend you or any other reader, but in some cases these multiple, unexplainable neurological symptoms stem from childhood abuse. If this is the case I am sorry, but it is important to discuss this with your family and your doctors. You have no blame for those incidents. If there are none of these issues, it may still be a stress related illness, and it is important to ask your doctors if they think this is the case
My Reply:
My doctors have ran the test you have suggested, and they have ruled out MG.
My sexual dysfunction and tremor, in my opinion, is not due to stress from my medical problems. When I get a tremor in my hand, it is when I am reaching for an object, or putting on make-up, playing guitar, etc..This is when the tremor happens.
My sexual dysfunction consist of, lack of sensation, or less intensity when having the big "O". This has in turn, given me a lack of interest, but I still make love to my husband because I want to make him happy.
I assure you that I had a happy childhood, and I am currently happy , despite my health conditions. The problem with dealing with doctors over these last 3 years is, if they can't find the hard evidence through MRIs, LPs, etc..they then tend to blame your mental status. They want to say that there must be something wrong with you mentally, or you have stress. They do this, or assume this, without even knowing your history(mentally). To me, this is wrong.
I'm not saying that stress can't cause things to go wrong in ones body. Everyone, to me, has certain levels of stress in everyday life, but I assure you that my stress levels are controlled and I am a happy-go-lucky person. Life is too short to stress over things you can't control.
My problem is, that I have several doctors, my GP, opthamologist, urologist, that say that my symptoms do fit with MS. My local neuro has said the same thing. My local neuro has perform an EMG and said that my slight foot drop must be coming from the central nervous system since I passed the EMG with flying colors.
My understanding of MS, according to the MS society, is that it is a clinically diagnosed disease and not everyone has a positive MRI, but they still can be diagnosed. 5% can present without a positive MRI. Why couldn't I be that 5%? In the meantime, while my doctors are debating, my health status is declining, without treatment.
My doctors have already cleared me as far as my mental status, by the way. I'm not offended by your suggestions, but I think too many doctors are thinking this way, rather than listening to their patients. To me, all this does is confuse the patient, and delay a diagnosis when a neurologist plays psychiatrist.