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    Another limbo-lander seeking suggestions

    Hi All...I haven't ever posted here but have been lurking for several weeks. I guess I need a little advice, and don't know who else would better understand this whole nightmare of the diagnosing fiasco! I'll try to keep my story brief (you know how THAT goes!)

    About 5 months ago, I started having severe migraine headaches, with a strange kind of aura...no flashes or patterns, but just a kind of darkness and "dreamy" feeling (kind of felt like I was drunk). I've had migraines before, but these started coming every day, or lasting for days. When I get a migraine, I get pain down my neck, back and into my legs. It almost feels like my entire spine is inflamed, and I just ache all over.

    Along with the migraines, I noticed that my left leg is completely numb below the knee, down my shin and some into the top of my foot. I do not have foot drop, as I can still walk just fine, it's just numb. My left big toe is numb, too, but has been numb for years. (My right big toe is a little numb, too). I also started waking up several times at night with one arm or both arms numb, and would have to shake or move them to wake up. Occasionally, the 4th toe on my right foot goes numb for a few minutes (weird, I know) and the pinky fingers of my left hand are always tingly, as if they are going to go numb. I also have neck, back, calf and foot cramps quite frequently. I have other sensory symptoms, but I won't list them all here.

    Primary care doc suspected MS and did a C-spine MRI without contrast, which was normal, and then sent me to a neurologist, who did a brain MRI without contrast. He also scheduled an appointment for me to come back in and do an EMG for the leg/toe numbness and arm numbness at night. He also sent me to physical therapy and gave me a rx for lyrica.

    The brain MRI showed "couple of white matter abnormalities", which the neuro said were from migraines, so no MS. Today I went in to have the EMG done. He did the electrical shocks on my left arm and leg, and the result was mild sensory nerve damage in both my ulnar nerve and peroneal nerve. (My response was "does completely numb leg and toes really suggest "mild"???) He did the motor test (where they stick a long needle in your muscles) and said I didn't have any muscle weakness, so therefore, again, I do not have MS. (MAN, did that test hurt!!)

    When I went to PT, the therapist said that my neck and back muscles are incredibly spasmed (is that a word?). She has worked on me 4 times and says that my muscles just keep spasming and messing up all the progress that she made the time before. (I honestly think that my migraines are caused by the muscles spasming in my neck and triggering the migraine, or "funny" vision).

    The neurologist said MS would present with different symptoms, so it is not MS (he seemed pretty adamant to make sure that I did not think it was MS). When I told him the lyrica helped, he said quickly "well, then, you have Fibromyalgia!" (blah!) I questioned that diagnoses, so then he just said he didn't know what was wrong, and that I'm too sensitive, that most people have numbness and don't pay that much attention to it. (!) I wish I would have asked him "Would you?", but I never think of these things.

    He mentioned blood testing, but at the same time seemed to really be trying to discourage me from getting it done, saying that it is very expensive and a lot of paper work for his staff to do. So, I opted out of that, feeling like I was being a bother. *&$%(#

    Now, I should mention that I had many of these same symptoms 9 years ago (migraines, numbness, dizziness, drunk feeling). After testing and docs and being diagnosed with everything under the sun, and then undiagnosed, for about 4 months, I gave up and all of my sx's eventually went away. Until about 5 months ago!

    My Dad had MS for over 30 years and died from complications of it. I don't know what kind he had, but I think it was probably the progressive kind, as he always had lasting damage, and seemed to consistently just get worse.

    I also have autoimmune thyroid disease, and had my thyroid removed last year (which also showed a small cancer).

    So, after that big long story, my questions are... Should I ask the neuro to do a brain MRI WITH contrast? Should I call back and say that I want to get the blood testing done? (he said it was some special testing that looks for genetic autoimmune issues). Do my sx's sound anything like MS, or am I looking in the entirely wrong direction?? Should I go with what the neuro said and just ignore it and hope nothing else shows up?

    Thanks for any advice or insight anyone can give me!

    #2
    Any abnormality in your MRI suggests something neurological, whether it is MS or not, I couldn't tell you. Paper work or not, you are obviously experiencing the sx of something, so it's rather unfair for your doc to suggest putting off blood tests just because of that.

    Seek a second opinion, get blood tests. You could just have chronic migraines, or the migraines could be coming from something much worse. Based on your family history it's important for them to look more in depth. Find a doctor that likes a challenge. It's my opinion that they all should, but all too much it happens that they just don't want to do the work.

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      #3
      I agree, get another opinion. The neuro you have seems to have made up his mind already and doesn't want to explore more and figure out what is wrong. It may or may not be MS but whatever it is you deserve to know it and be able to treat it the best way possible.
      What if trials of this life
      Are Your mercies in disguise?
      "Blessings; Laura Story"

      Comment


        #4
        similar story as mine

        I only have a couple of lesions and have a history of migraines too.Your sx's sound similiar to mine except I have others aside from those too.The initial consult said migraines caused the lesions but the sx's kept coming and got worse.I am now at the stage where they say I have a demylienating disease but still no Ms dx's.I also have complex partial seizures which often show nothing on the EEG according to my nuero.The dream feeling that you are talking about is part of that for me don't know if that possibility has been explored for you.I went to a MS specialist at the advice of my regular nuero just to be sure that was not what was going on and he is the one who said dx was demylienating disease.That might be a good idea too see a MS specialist and the blood tests would rule out alot of mimics such as vitamin defiscincies(maybe misspelled)or even other autoimmune diseases or lyme disease ect.

        My first MRI said1 lesion that look liked demylienating disease such as ms,next said totally normal next said 2 lesions indicating demyleinating disease.You get my point though.

        It is a frustating and apparently long ordeal to dx I have been going to docs for over a yr now and still at this point.

        Apparently it is difficult to dx if it is MS anyway.My sister has MS and she had foot drop and many other sx's that should have been an obvious dx but her LP was neg.She did eventually get dx'd but only because she had cancer and they just happen to find the MS by accident.She did not even know she had it until she had to pick up her records and take to the cancer center for followup and it said MS on her paper work and she was like MS what MS???!!!??? so it is a crazy roller coaster ride no matter what the outcome.I wish you all the luck in the world and hope you find anwers.God bless!

        btw if you honestly feel you have something going on get 2nd 3rd or whatever until you have an answer you can find peace with.

        Comment


          #5
          Get the blood tests, lots f blood tests. It is absolutely unacceptable that the doctor suggested not doing them because of cost and paperwork. I'm assuming that the cost won't affect him since most doctors don't pay for their patient's bloodwork.

          I've been told the same thing before..."I'd like to do these tests, but we won't because they are expensive." I told him to do them and promised that I wouldn't ask him to pay for them. He didn't think it was funny, but did some of the blood tests.

          It was the 5th general practitioner that finally ran all the blood tests that should have been done. After almost 9 years, finally they found a B12 deficiency. They still are not completely ruling out MS, but finding the B12 was important.

          B12 deficiency causes demeylination of the nerves which in turn causes many of the same symptoms as MS if it is low enough long enough. How can they not check this????? My MS specialist said he sees patients every week who've been told they may have MS and he finds B12 deficiency as the real problem. He even had a lady who came to him in a wheelchair due to B12 deficiency.

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