Dr. Aida Abaz Quka
Neurology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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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.
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Neurology
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