Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Ocular Migraine, Recurrent Bell's Palsy, Tinnitus And Neck Stiffness
Question: Late July 2016 had left sided bells palsy that was very mild. Had ct of brain without contrast (negative) and MRI with contrast (negative) with dx due to viral infection. About same time had right eye flashes. Been to several eye and retinal doctors. They attribute to ocular migraines.
Early September 2016 had right sided Bell's palsy. It appeared to have resulted and it too was very mild. No known cause. Did have strong right tmj pain. Still have uneven smile and droop in right corner of lips.
Mid October 2016 awoke to pulsating in ear and still have it. ENT said will order Mri if not resolved by mid December. No hearing loss per testing. 2 small left side posterior cervical nodes are palpable and me right side posterior cervical. ENT said nothing to worry about, so did PCP.
late November 2016 had CBC with 11,200 on abc count but all other items were in middle of ranges. No diff was ordered. PCP felt no issues.
no fevers or chills since mid July except one random couple hour one in mid September.
no weight loss
some headaches recently but attribute that to poor sleep from sick kids
blood pressure is around 125/75 with 90 for pulse throughout these months
a stiff neck at times. Chiropractor says muscles are tight.
should I be concerned about cancer, brain tumors, infection in brain blood tumors in brain or sarcadodis in brain ?
Early September 2016 had right sided Bell's palsy. It appeared to have resulted and it too was very mild. No known cause. Did have strong right tmj pain. Still have uneven smile and droop in right corner of lips.
Mid October 2016 awoke to pulsating in ear and still have it. ENT said will order Mri if not resolved by mid December. No hearing loss per testing. 2 small left side posterior cervical nodes are palpable and me right side posterior cervical. ENT said nothing to worry about, so did PCP.
late November 2016 had CBC with 11,200 on abc count but all other items were in middle of ranges. No diff was ordered. PCP felt no issues.
no fevers or chills since mid July except one random couple hour one in mid September.
no weight loss
some headaches recently but attribute that to poor sleep from sick kids
blood pressure is around 125/75 with 90 for pulse throughout these months
a stiff neck at times. Chiropractor says muscles are tight.
should I be concerned about cancer, brain tumors, infection in brain blood tumors in brain or sarcadodis in brain ?
Brief Answer:
No acute findings in MRI, follow up scans suggested if symptoms persist
Detailed Answer:
Hi,
Thanks for writing in to us.
MRI brain scan is a detailed test which would help to confirm any acute infection or significant condition like cancer, blood brain barrier infection and sarcoidosis. Since your result is negative therefore there was no acute condition in the scan.
However it is important to do a follow up MRI brain scan in 6 months to a year if the symptoms are recurrent or if there are any new symptoms. Depending on your stiff neck symptoms, a screening MRI of the spine can also be recommended.
The small posterior cervical lymph nodes are non specific.
Hope your query is answered.
Please do write back if you have any doubts.
Regards,
No acute findings in MRI, follow up scans suggested if symptoms persist
Detailed Answer:
Hi,
Thanks for writing in to us.
MRI brain scan is a detailed test which would help to confirm any acute infection or significant condition like cancer, blood brain barrier infection and sarcoidosis. Since your result is negative therefore there was no acute condition in the scan.
However it is important to do a follow up MRI brain scan in 6 months to a year if the symptoms are recurrent or if there are any new symptoms. Depending on your stiff neck symptoms, a screening MRI of the spine can also be recommended.
The small posterior cervical lymph nodes are non specific.
Hope your query is answered.
Please do write back if you have any doubts.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
since some of my symptoms were after MRI would it have still been caught or would new MRI be needed?
Odds the reading radiologist missed those potential issues?
Odds the reading radiologist missed those potential issues?
Brief Answer:
Usually nothing has been missed but I can give you a second opinion on scan
Detailed Answer:
Hi,
Thanks for writing back with an update.
It is unlikely that the radiologist missed any obvious findings. However if you want me to have a second look at your scans then please upload the complete CD of your scans to Dropbox or google drive and send me the download link. I will have a look and get back to you.
There is a requirement of a new MRI if the symptoms are persisting or new symptoms have been noticed. For this you need to discuss with a neurologist and get a clinical examination done.
Hope your query is answered.
Please do write back if you have any doubts.
Regards,
Usually nothing has been missed but I can give you a second opinion on scan
Detailed Answer:
Hi,
Thanks for writing back with an update.
It is unlikely that the radiologist missed any obvious findings. However if you want me to have a second look at your scans then please upload the complete CD of your scans to Dropbox or google drive and send me the download link. I will have a look and get back to you.
There is a requirement of a new MRI if the symptoms are persisting or new symptoms have been noticed. For this you need to discuss with a neurologist and get a clinical examination done.
Hope your query is answered.
Please do write back if you have any doubts.
Regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
