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What causes double vision, slurred speech and constant falling? - Online Doctor Chats

Date : 21-Apr-2014
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1503 Questions
User:I am 58 years old (female). Diagnosed with spinal stenosis 3 years ago. I now have double vision, slurred speech (comes & goes) and I fall constantly. My hips are like a fishing boppin bouncing all over the place. My orthopedic dr. cannot find anything wrong nor can my neurologist. I am so distraught. Blood work indicates mild anemia, which I'm taking iron. Everyone can see drastic changes however doctors cannot see anything on MRI's or xrays/. I am so desperate. Help, please.
Doctor:Hello
User:Hi, Dr.
Doctor:Did you get an MRI of the brain?
User:I am out of answers but, my hips are so painful and my balance is awful. I live alone and fall constantly.
User:Yes, I got an MRI about 8 months ago... shows nothing.
Doctor:Oh okay
Doctor:was it of the brain or spine?
User:Both. I relocated to FL one year ago so I don't have any history with these doctors. All of them, except my neurologist recommend PT, which doesn't help the slurred speech, double vision & frequent falling.
Doctor:Your symptoms are suggestive of brain issue
Doctor:Slurred speech and double vision are specific to brain
Doctor:frequent falling could be either to cerebellar problem or spinal problem
Doctor:but given your symptoms, I would think it is brain related
Doctor:what were the clinical examination findings of your neurologist
User:I agree. I have an appointment with my neurologist this coming Monday. He is new to me and this will be my second visit. My first visit last month, he said there is clearly something wrong. I walk and talk as if I am intoxicated.
Doctor:Oh okay
Doctor:sounds like a cerebellar problem
User:Last month, he ordered blood work to eliminate possibilities. My blood work indicates anemia.
Doctor:Anemia wouldn't cause such symptoms
User:What??? "cerebellar problem"?
Doctor:I can't tell you for certain what exactly is going on
Doctor:cerebellum is responsible for maintaining coordination
User:OK.
Doctor:so any disease affecting that part of the brain would cause problems with walking
Doctor:and may also affect the speech to some degree
User:Who and what should I be doing?
Doctor:You should consult with your neurologist
Doctor:and probably get a functional MRI of the brain
Doctor:or a repeat MRI might also be useful
User:I will. As I said, I'll see him this Monday. I will also ask for a repeat MRI. Thanks.
Doctor:If it is possible, ask him to order the fMRI
Doctor:that would give much more information than plain MRI
Doctor:Is there anything else I can help you with?
User:OK... whatever the fMRI is, I'll ask for it. No, you've answered my questions. I am pleased. Thanks
Doctor:have a good day ahead
Doctor:Thanks for consulting me here
Doctor:you are welcome
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