Hi, Dr. Deshmukh:
I've got a lot of actual, identified things that don't seem to form any comprehensible clinical picture, and I was wondering about your opinion. I'm 39, employed academic (science), three children, generally healthy, healthy lifestyle. B12, Sed rate, ANA, CNS analysis, all normal (borderline IgG ratio in CNS).
1. Brain lesions (see my avatar), per MRI
2. Paresthesias/numbness, right foot, right hand, not stocking glove
3. Paresthesias, left foot, kind of stocking distribution
4. EMG/NCT shows 50% or greater reduction in CMAP and SNAP amplitudes in right hand vs. left hand, medial and radial, slight increase in right hand vs. left in ulnar (forearm). All else (latencies, etc.) normal. Right leg, all normal.
5. Have two thoracic disc herniations (T6 and T8), compressing cord somewhat. Per MRI/CT.
6. Have one apparent arachnoid cyst compressing dorsal cord at T8, also, per MRI/CT. CT myelogram normal.
7. Have shocks across mandibular portion of trigeminal nerve.
8. Hyperrflexia in right lower extremity (4+) and upper right (3+, greater than left)
9. + Rombergs
10. Reduced two-pt discrmination right upper and lower; reduced vibration and positional sense, lower right extremity.
11. Notable weakness on right side (up and down).
I'm really confounding my neurologist, who has referred me to a neurosurgeon for the t-spine things.
What do you think?