Doctor insights on:
Tingling Tongue Multiple Sclerosis
Nonspecific: Jerky arm movements could be a sign of cerebellar ataxia, but could also represent a variety of tremors, chorea, myoclonus, and even focal seizure activity. Sure, some pts might have ms, but others might have essential tremor, parkinson's, huntington's, brain tumors or bleeds, etc. An expert neurologist can sort all of this out and pinpoint the diagnosis. ...Read more
Mouth (mouth) " n. Pl. Mouths 1. A. The body opening through which an animal takes in food. B. The cavity lying at the upper end of the alimentary canal, bounded on the outside by the lips and inside by the oropharynx and containing in higher vertebrates the tongue, gums, and teeth. C. This cavity regarded as the source of sounds and speech. D. The opening to any cavity or canal ...Read more
Face/eyelids/temple& tricep Twitching, face tingling, nose burning&eyeballs tingle occasionally, & chest pain. Multiple Sclerosis or Anxiety?
See neuro: You need to consult a neurologist to find out. ...Read more
Not similar diseases: Als is very different, and is a disease of "mis-folded proteins" like alzheimers and parkinson's, and all of these affect older people. Ms is an autoimmune disease afflicting younger patients who have hereditary susceptibilities and environmental exposures. Ms can be successfully treated and controlled, but ALS does not respond well to current therapies. ...Read more
Say what???: This question is confusing! optic neuritis (abbreviated on) is one of many symptoms of ms and results from inflammation in one or both optic nerves. It is one of the most common symptoms of ms and typically causes eye pain and decreased vision in one eye. It does not typically cause complete blindness. Multiple sclerosis (ms) is an autoimmune disorder of the center nervous system. See below. ...Read moreSee 1 more doctor answer
No, trauma does not : Cause ms. Rather it is a disease in those who possess a genetic susceptibility, brought to clinical attention by environmental causes, and this sequence evolves into an autoimmune process. Injury may seem to worsen ms, but this represents an additive damage, not a cause. ...Read more
Varies, but often: The disease can present with loss of vision in one eye, electrical tingling on bending the neck, unexplained imbalance or falling, leg weakness and/or spasticity, bladder incontinence, fatigue, double vision, and problems with intellectual function. This can be isolated or grouped, and in 85% if pts symptoms come on rapidly and slowly remit, i.e., relapsing-remitting ms. Start rx asap. ...Read more
Mixed motor sensory peripheral neuropathy in both legs. ncs also found ulnar neuropathy both elbows. what disease can cause this?
An approach: We approach peripheral neuropathy etiology by blood and urine testing, but can focus our tests based on whether this is an axonal or Schwann cell involvement, which your EMG-NCS should have indicated if done properly. Most common causes in USA are diabetes, and nutritional deficiency, associated with alcohol. Worldwide, may well be leprosy or HIV. ?Concierge? ...Read more
Numbness, postural tremors weakness fatigue. Is this multiple sclerosis? Mri of brain and spine normal, hyperreflexia. Low B12 and sjogren's syndrome.
Explanation: You mention two issues, and at age 23, am surprised at this combination, but b-12 deficiency can result in peripheral nerve and spinal cord problems which may explain many of your symptoms. Sjogren's can mimic ms and also cause a small fibre neuropathy which could explain additional issues. Do not need an ms explanation here, as doubtful you have that also. Suggest neurology eval. ...Read more
What is axonal polyneuropathy? Had emg. Showed that and some carpal tunnel in arms. Have tingling numb in hands feet , chin, lips.Going to dentist
Injury to axons: Catnix, an axonal polyneuropathy is a neuropathy involving multiple nerves that occurs from injury to the axons. If your ncv/emg showed this, it is important to be certain that it is worked up completely to rule out B12 deficiency, hypo/hyperthyroidism, diabetes, rheumatoid arthritis, syphillis/hiv, and sarcoidosis. I would discuss further workup with your neurologist. ...Read moreSee 2 more doctor answers
Possibly: Trigeminal neuralgia in a younger adult may be caused by multiple sclerosis. However, there must be more than just trigeminal neuralgia to define definite ms. History of other suspicious symptoms, abnormalities on neuro exam other than just trigeminal neuralgia and supplemental diagnostic studies will better define the suspicion for ms. ...Read moreSee 2 more doctor answers
I've tongue twitches since 01/2015. Several clean neuro exams, 2 clean EMG (02 : limbs and tongue, 05 : tongue). Just a multiplet after speaking. ALS?
No BUT....: By all means gear up for the August 2015 Ice Bucket Challenge that the ALS Foundation of America is going to hold again. But in your case tongue twitches with normal neurological exams and no abnormal EMG's cannot be ALS...not here...not in France...and not even on PLANET ALS....if such a planet existed. ...Read more
Significant at times: Main issue is evolution of progressive cognitive loss, which likely is present in at least 60% and creates an early disability. Lack of emotional control, such as crying or laughing without reason, or more persistent euphoria or depression gets even more challenging. Although delusions and hallucinations may be rarely seen, usually not an issue. ...Read moreSee 1 more doctor answer
Hx of bell's palsy and trigeminal neuralgia. Mult episodes of facial weakness w/ right sided weakness. Neg for ms. Hyper reflexes right side. Help?
Some thoughts: What kind of help do you need? It is good if you do not have MS. Stroke and MS are the most likely to cause symptoms of weakness of the right face, arm and leg. Proper evaluation for these conditions and their risk factors should be done by a physician in a clinic or a hospital. A rare cause of these could also be hemiplegic migraine. Do you get headaches with these? ...Read moreSee 2 more doctor answers
Could I have multiple sclerosis even if my MRI was normal? I have a lot of the symptoms (muscle spasm, weakness, tingling down my back and legs), but my MRI didn’t show anything. Can an MRI miss ms?
Typically not: Mri is the most sensitive test available to aid in the diagnosis of ms. While there are rare cases of MRI negative ms, the vast, vast, vast majority of patients with ms have MRI abnormalities. Having said that, given your symptoms it would be important to know if the cervical and thoracic spinal cord were imaged. If brain and spinal cord imaging negative then not likely to be ms. ...Read moreSee 4 more doctor answers
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