Injected crystal meth. Noticed tingling, numbness and swelling in cranial nerve. Any advice?
Thank you for posting your query.
First of all, I would like to reassure you that the nerve involvement is a minor one, and it should improve over time.
Cranial nerve damage is rare with crystal meth, and in most cases, it is not a permanent one. In your case, there seems to be the involvement of trigeminal nerve, which supplies sensation to the face.
It would be useful to get an MRI and MR angiogram of the brain done to establish the reasons for your symptoms.
I would agree with your doctor's choice of steroid treatment.
There is no risk of increased stroke risk in you.
I hope it helps. Please get abck if you have more queries.
Wishing you good health,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
I was wondering if I hold off on getting a scan to see whether it comes good - is that likely to result in further damage if in fact there has been damage done ATM.
would you recommend getting a scan ASAP as, if there is something physically damaged it is likely to result in further damage if left unattended - rather than picked up in a scan and treated.
if something is actually picked up in a scan is it likely to be treatable or will be a case of just have to wait if it to see if it heals over time.
thank you for your advice appreciate it XXXXXXX
ps the numbness is still present after 4 days of steroids.
You can wait for MRI brain study, and there is no urgency at the moment. This approach would be fine, as your symptoms have been static, and there is no worsening of symptoms.
If your numbness increases, or if you develop any new symptoms (such as facial pain, facial weakness, double vision, etc), then you should get an early MRI.
If the damage is due to crystal meth, we do not expect it to worsen over time. However, if and when we do MRI, in addition to seeing any effect of crystal meth, we are also interested in finding out any unrelated cause for your symptoms such as a small blood clot or demyelination, etc (which seem unlikely at the moment).
I hope it clarifies. Please get back if you have any more queries.
Dr Sudhir Kumar MD DM (Neurology)
one last question please.
I have been given a gift card for some Botox which I am thinking of getting done on my crows feet :) including the side that is affected ATM.
I was wondering whether this is a bad idea and whether it could have a detrimental affect, and i should wait or should be ok.
would it interact with the prednisone
thank you for your quick help
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