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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Loss Of Balance And Sleepiness

55 year old W/F with symptoms of sudden loss of balance feeling foggy, sleepy and then going into a deep sleep sometimes lasting 1-2 hours. When wake up feels better but mind not as clear for a while. MRI shows T1 and flair signal hyperintensities int he corona radiate and subcortical white matter likely mild ischemic gliotic change or possible demyelination . I never know when this is going to occur and has happened at non specific times for 4 days in a row.
Tue, 21 Apr 2020
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Internal Medicine Specialist,  's  Response
Hello,

Is there any family history of multiple sclerosis? Possible causes are like B12 deficiency or MS or multi infracts etc. Until examination is done it is difficult to say what it is. Balance problems may be due to muscle weakness or joint problems or neurodegenerative or neurovascular problems. Use bit B12 tablets once a day for one month. Please consult with your neurophysician he will examine and treat you accordingly.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist
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Suggest Treatment For Loss Of Balance And Sleepiness

Hello, Is there any family history of multiple sclerosis? Possible causes are like B12 deficiency or MS or multi infracts etc. Until examination is done it is difficult to say what it is. Balance problems may be due to muscle weakness or joint problems or neurodegenerative or neurovascular problems. Use bit B12 tablets once a day for one month. Please consult with your neurophysician he will examine and treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist