What causes memory loss, speech disorder, severe fatigue, exhaustion and joints pain?
Is it possible to send the radiologist's report?
Thank you for posting your query.
I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.
I have noted your detailed symptoms. I agree with you that temporal lobe epilepsy and absence seizures are not typical symptoms of multiple sclerosis (MS). Seizures, if at all, are rare in MS.
The diagnosis of MS can be confidently made on the MRI. In case of doubt, additional tests such as lumbar puncture to look for oligoclonal bands should be done.
If possible, please send the radiologist's report of the MRI brain.
If more than six months have passed, MRI may be repeated to look for any new lesions (which are expected in MS).
What medications are you on now?
What is the vitamin B12 level? Any thyroid problem?
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
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I take lamotrigine and lacosamide at the moment for my absence seizures. I was diagnosed with cyclothymia many years ago so my epilepsy meds controls my mood swings as well. I find it difficult to believe that the other symptoms could be yet another medical issue. I have been on those meds for about 4/5 years and I haven't suffered side effects prior to having my daughter so I find it hard to believe I would suddenly develop loads of side effects now.
I figured if I got another mri and it shows the same white spots on my frontal lobe and there has been no changes in the past 7 years then at least I can stop worrying about it being ms.
Yes, if MRI is same, you can stop worrying about MS.
Thank you for getting back with more information.
I have noted the additional points mentioned by you.
Lamotrigine and lacosamide are excellent medicines, and you can safely continue them.
Vitamin D deficiency is common (affects about 70-80% of population in cities) and is easy to treat with weekly supplements.
Bone density study would help to detect osteoporosis, and treatment would help you get better.
Repeat MRI of brain would be very useful. On one hand, it can help in excluding MS, if there are no new lesions (white spots). On the other hand, any other problem in the brain (such as ischemia-lack of blood supply; or vasculitis- inflammation of blood vessels) can also be detected/excluded.
Dr Sudhir Kumar MD DM (Neurology)
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