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I have presyncope episodes for the past three years. Is it a tumor or MS?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

Over the past three years, I have random and progressively worsening presyncope episode, and I just feel lightheaded in general. I have had a normal EEG and a normal 14 day Holter monitor. An electrophysiologist said I have dysautonomia. Is it possible to have missed a tumor or MS? Please give your opinion.

Hello,

Welcome to icliniq.com.

I understand your concern and would explain that it is less likely that your symptoms are caused by MS (multiple sclerosis) or a tumor. I agree with what your doctor said. Low blood pressure or orthostatic hypotension can cause such a clinical situation. For this reason, I recommend performing a head-up tilt test. I would also recommend performing a brain MRI (magnetic resonance imaging) to put your mind at peace about MS. I am sure that the result will be normal. I recommend you closely monitor your blood pressure values. Please get back if you have further doubts.

Medically reviewed byiCliniq medical review team

Published At May 25, 2021
Reviewed AtMay 25, 2021

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