Dr. Aida Abaz Quka
Neurology
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Patient's Query
Hello doctor,
I have had miscellaneous tingling sensations in my face and left arm and leg. A couple times right leg but that is very infrequent. I have gone to the doctor and they did brain magnetic resonance imaging (MRI) which was negative. Neuro exam was fine. Carotids were fine too. I am worried about multiple sclerosis (MS). They are not doing anymore. I am scared. I am currently taking medicines for reflux and blood pressure.
Hello,
Welcome to icliniq.com. I read carefully your question and would explain that your symptoms do not seem to be related to MS (multiple sclerosis). TIA (transient ischemic attack) or epilepsy seizures may cause such clinical scenario. Other possible causes could be vitamin B12 deficiency and thyroid gland dysfunction. For this reason, it is important performing further tests to investigate the possible causes: 1. Electrocardiogram (ECG) 24 to 48 hours. ECG monitoring to investigate for possible cardiac arrhythmia which may lead to TIA. 2. Thyroid hormone levels for thyroid dysfunction. 3. Vitamin B12 levels for possible deficiency. 4. Electroencephalogram (EEG) for seizures. You should discuss with your doctor on the above tests.
Patient's Query
Thank you doctor,
I do not think transient ischemic attack (TIA) as symptoms have been both sides of the face. There is no epilepsy in the family. My heart rhythm seems regular. Why do you not think multiple sclerosis (MS)?
Hello,
Welcome back to icliniq.com. You are right to say that your symptoms are not typical of seizures. Anyway, considering that your symptoms appear in half of the body, it could be a focal seizure affecting one side of the brain. The numbness on both sides of the face is not typical of transient ischemic attack (TIA) or seizures. Regarding multiple sclerosis (MS), I think we can exclude it considering your normal MRI and your age. So, relax and do not worry about it. For this reason, I recommend checking thyroid hormone levels and vitamin B12 plasma levels. An electroencephalogram (EEG) and a Holter monitoring are necessary to completely exclude seizures and cardiac arrhythmia, which may lead to TIA, although there are no signs of stroke in your brain magnetic resonance imaging (MRI) (attachment removed to protect patient identity).
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Neurology
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