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

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 : 3622 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.
Question is related to
Medical Procedures
Medical Topics
© 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