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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Numb Spot In Head, Headache And Progressive Numbness?

Here are the symptoms I have had/have been having:
Around time of initial appointment with Dr. Caulkins (over two weeks ago) numb spot in back of head. Left eye stabbing pain, severe headache (for me atypical migraine does NOT include actual headache).
Progressive numbness/tingling to pins and needles feeling. Started in left hand and back of head and face. Moved to right hand, feet. It is not always in the same place but consistently in my hands and back of head. Also has been in or is in hands, arms, feet, legs, back, chest, lips, face, back of head, top of head, never in stomach/core of body.
Pain in finger tips, pain in toes, pain in lips, comes and goes inconsistent
Several episodes where holding glass of water and feels like it weighs over 25lbs
After working out the tingling, numbness is much much worse
Warm water sort of takes it away and then after the warm water it increases sharply
Trouble breathing, inhale not exactly painful maybe tight sensation hard to explain but can make me cough also not consistnet chest pain last two days comes and goes
Light sensitive at times
Visual issue worse again comes and goes but worse now
Dizzy at times waking up with room not spinning full but skipping
Incident bouncing with son on yoga ball stood up walked to another room and disoriented/dizzy walked into wall almost fell over had to sit down visual issues odd appearance too room hard to explain appearance
Light headed fatigue
Weighted limbs at times, like not attached to body or heavy hard to explain sensation
Fells like body pulling to one side or other especially in mornings on a few occasions off balance like again sensation hard to explain unsteady on feet
Headached almost constant for last few weeks almost like pressure in head with the tingling now

I would like to know which of the following you think is most likely and if this require an ER visit due to the chest/breath thing. I have an appointment with a GP monday and a neurologist appointment to be schedule high priority. THey have rules out diabetes, MRI was clear, metabolic panel fine, blood work fine, cholesterol is fine, thyroid fine:

Which of these do you think:

1)      Lyme- tick bite this would be late stage it was when steven was small on my head
a.     Lyme myopericarditis can cause chest discomfort and difficulty breathing- can you have this late stage? yes
2)     Chronic Inflammatory Demyelinating Polyneuropathy- difficulty breathing but not the same type of difficulty as mine
3)     Systemic Lupus Erythematosus (Lupus) (no rash?? Have raynauds: breathing/cough fits
4)     Sjögren's Syndrome: DR SKIDD THOUGHT THIS raynauds dry eyes- breathing maybe pericaridits really?? Is worse when I breath deep unsure about position change
a.     Polymyositis caused by sjogrens- difficulty breath…pulmonary involvement in primary Sjögren’s syndrome is usually mild and very slowly progressive (seems like doesn’t fit!!!)
5)     Multifocal Motor Neuropathy (MNN)- rare to cause issue breathing IS THIS CORRECT??
6)     Amyloidosis
a.     Can cause breathing issue but mine is not worse lying down more like worse leaning forward
7)     POEMS Syndrome (very rare unlikely)- not this rules this out cough breathing issue not likely

Wed, 12 Feb 2014
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Neurologist 's  Response
Hi,

Thank you for posting your query.

I appreciate the detailed description of symptoms.

The next step would be to do a detailed neurological examination, to find out the structures affected, such as brain, spinal cord, nerves, etc.

Only then, we can think of the possible etiology or cause.

After clinical examination, you would require MRI of brain and spine, nerve conduction studies, blood tests for ANA, etc, and lumbar puncture.

This would confirm the diagnosis and an appropriate treatment can be started.

I hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/
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What Causes Numb Spot In Head, Headache And Progressive Numbness?

Hi, Thank you for posting your query. I appreciate the detailed description of symptoms. The next step would be to do a detailed neurological examination, to find out the structures affected, such as brain, spinal cord, nerves, etc. Only then, we can think of the possible etiology or cause. After clinical examination, you would require MRI of brain and spine, nerve conduction studies, blood tests for ANA, etc, and lumbar puncture. This would confirm the diagnosis and an appropriate treatment can be started. I hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/