1775026 tn?1314272193


facial paralism , left side of body numb, dry eye, pins and needles fingers neck pain and shoulder pain , my doctors have not got a clue
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1775026 tn?1314272193
hi there i have had a mri scan today for my head and neck which i had a scan before which came back clear. but after the first scan i have had a fall on my back .which all these sympton started after the fall .been having physio on my back and neck and physio say my sacriol joint is not moving and discomfort in my neck where if i tried to put my chin down to my chest the shooting pain goes down my shoulder and my arm . im having facial paralism everyday but will come and go . been to see an ent specialist and neurologist they says its not bells palsy and so its not life threatening which dishearten me , my doctors are doing blood tests but all of them are baffled and now im having tinglng and numbess in both hands . i just want answers and want to feel better . im on medication pregabin 150mg 3 times a day and amptrytiline 30mg at night which helps the pain slightly on my face but does not stop the paralism or the shooting pain  down my arm , thank you for your reply dr sharma
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Hi there. Your doctor should investigate you for multiple sclerosis since you have multiple neurological symptoms. MS is a chronic demyelinating disorder where the disease phase is characterized by active phase and remissions. It has multiple symptoms and signs and is a diagnosis of exclusion. The symptoms of multiple sclerosis are loss of balance, muscle spasms, numbness in any area, problems with walking and coordination, tremors in one or more arms and legs. Bowel and bladder symptoms include frequency of micturition, urine leakage, eye symptoms like double vision uncontrollable rapid eye movements, facial pain, painful muscle spasms, tingling, burning in arms or legs, depression, dizziness, hearing loss, fatigue etc. The treatment is essentially limited to symptomatic therapy so the course of action would not change much whether MS has been diagnosed or not. Apart from clinical neurological examination, MRI shows MS as paler areas of demyelination, two different episodes of demyelination separated by one month in at least two different brain locations. Spinal tap is done and CSF electrophoresis reveals oligoclonal bands suggestive of immune activity, which is suggestive but not diagnostic of MS. Demyelinating neurons, transmit nerve signals slower than non-demyelinated ones and can be detected with EP tests. These are visual evoked potentials, brain stem auditory evoked response, and somatosensory evoked potential. Slower nerve responses in any one of these is not confirmatory of MS but can be used to complement diagnosis along with a neurological examination, medical history and an MRI in addition, a spinal tap. You also need to be checked for small vessel ischemic disease, cerebral ischemia etc for these MRI lesions. Therefore, it would be prudent to consult your neurologist with these concerns. Hope this helps. Take care.
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