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Numbness in fingers due to demyelination - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3357 Questions
User :   After 2 MRI's the Doctor has found that the blood vessels at the very base of my brain are very narrowed and I am not getting enough oxygen to my brain, they also said something about the insulation around my cells are deteriorated. I go to see a Neurologist tomorrow but would like to know what kind of things they will be looking at.
Doctor :   Hi
User :   Hello
Doctor :   May I know your age and gender?
User :   50 Female
Doctor :   Can you briefly describe your symptoms and why the MRI's were done?
User :   I had numbness in my left pinky finger they did the testing for carple tunnel with no results said I may have a neck problem so did an MRI found 2 bulging discs and the narrowing vessels then did an MRI with contrast finding the rest. I also have episodes where I just fall asleep at the snap of a finger sitting up here lately
Doctor :   Ok
Doctor :   Let me brief you.
User :   ok ty
Doctor :   deterioration of the insulation around the nerve cells is termed medically as demyelination.
User :   what does that mean I can not even pronounce that sorry
Doctor :   I'll ep
Doctor :   *explain that.
User :   k
Doctor :   Myelin is the insulation around the nerve cells.
User :   oh ok
User :   i see
Doctor :   This can get damaged due to ischemia(lack of proper blood supply,
Doctor :   or due to infection/inflammation
User :   ok
Doctor :   This can also occur due to vitamin deficiencies.
Doctor :   Since the artery is narrowed, that may be the cause.
Doctor :   However other causes as explained may be seen.
Doctor :   Hence, the evaluation that you can look for are
Doctor :   MR angiogram, to look at the artery and blood vessels,
Doctor :   Along with this, the neurologist will perform few blood tests.
Doctor :   Lumbar Puncture with CSF analysis may be part of this evaluation.
User :   what is a lumbar puncture
Doctor :   Limbar puncture is a procedure
Doctor :   in which a needle will be placed in between the spinal bones
Doctor :   and CSF(fluid) will be drained.
User :   oh ok
Doctor :   The study of this sample can be helpful in diagnosis of inflammatory conditions.
User :   is this all typically done pretty quickly it is scaring me the length of time I am going with out the proper oxygen supply to my brain
Doctor :   Yes,
Doctor :   this process of evaluation should be complete in a few days.
Doctor :   Based on these tests and the physical examination findings,
Doctor :   a proper treatment will be planned.
User :   ok so this does not necessarily mean anything real serious? Or do I indeed have reason for concern
Doctor :   Since, I don't have the access to the scan's that you got.
Doctor :   I really can't predict the seriousness of the condition.
Doctor :   However, since you have had symptoms of numbness
User :   I understand that
Doctor :   I wouldn't suggest you to wait for a long time
Doctor :   to get the evaluation.
User :   I see the Neurologist tomorrow
Doctor :   Do you have any other query?
Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
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