Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
192 Doctors are Online

Adrenal failure, migraines, short term memory, imbalance. MRI showed mild micro vascular disease. Multiple sclerosis?

User rating for this question
Very Good
Answered by

Neurologist
Practicing since : 2001
Answered : 502 Questions
Question
Hello I am a 51 yr old woman who was hospitialiZed for adrenal failure. I also blew the pupil In my life eye MRI showed mild micro vascular disease a d mild white matter disease with dsyminlation( forgive spelling) I also have chronic migraines but for the last few months I'm having extreme short term memory problem I am a disability attorney for. 20 yrs and now I forget what I'm saying in the middle of the sentence I will pick up my I pad and immediately forget what I am looking for I was hospitalized in April 2011 I am seeing a new neurologist XXXXXXX 10th my close friends and family see the memory loss I do not pretend to be a physician but 20 yrs doing disability I'm inclined to think I have MS also I failed some balance tests my new endocrinologists gave me and I do stuble and fail and lose my balance on occasssion any ideas
Posted Wed, 25 Apr 2012 in Multiple Sclerosis
 
 
Answered by Dr. Shiva Kumar R 3 hours later
Hello

Thanks for the query

Firstly, I would like to reassure you that you are not suffering from memory problems, chronic migraines, white matter signal changes with microvascular disease on the MRI and diagnosed adrenal insufficiency. Possibilities in this case include
•     CNS vasculitis
•     Leucodystrophy
•     Pseudodementia.

So I personally suggest that you schedule a visit with your neurologist for a good physical exam and detailed neuropsychological tests for confirming the diagnosis and type of memory problem and proceed further based on the evaluation and consultation. You may also require additional tests like blood tests, Cerebrospinal fluid analysis (CSF) analysis and an electroencephalogram (EEG).

I thanks again for the query. I hope you found my response to be helpful and informative. If you have any additional concerns, I would be happy to address them.

Sincerely,

Dr Shiva Kumar R
Consultant Neurologist & Epileptologist
Above answer was peer-reviewed by
 
Follow-up: Adrenal failure, migraines, short term memory, imbalance. MRI showed mild micro vascular disease. Multiple sclerosis? 39 minutes later
Ok I have no idea what the first two diagnosis mean but I'm pretty sure the third one means mental proplems did u not get the part where the MRI said white matter and microvasular now I forgot to mention I had decompression surgery for bells palsy please explain in laymens. Terms
 
 
Answered by Dr. Shiva Kumar R 5 hours later
Hello XXXXXXX

Thanks for the follow-up.

Regarding the CNS vasculitis, it is a disease of the small blood vessels of the brain which gets inflammed and affect the blood supply to the brain. Clinical features include early dementia and microvascular changes on the MRI. Leucodystrophy means disease of the white matter of the brain which can present as memory problems, visual disturbances and rarely adrenal problems.

However rarely vasculitis can present as Bell's palsy also. So I personally suggest you to get evaluated for these problems after detailed neuropsychological tests. As the list of disorders causing memory problems are many, step by step analysis is required after the above tests.

I thank you again for the query. I hope you found my response to be helpful and informative. If you have any additional concerns, I would be happy to address them.

Sincerely,

Dr Shiva Kumar R
Consultant Neurologist & Epileptologist
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+

The user accepted the expert's answer

Ask a Neurologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor