What causes numbness of jaw and wrist and migraine?
Those were not the "weird" symptoms in my mind. A few days prior to that ER encounter, my left thumb and finger and wrist went numb. Then my lower left jaw, tongue, and up to my left nostril went numb, as though I had just returned from dental work. When I went to swallow my soup, it felt as though my swallowing was uncoordinated. (The swallowing quickly returned to normal, but the numbness remained.) A neurologist ordered a MRI with contrast to explore MS. It returned with 7-8 T2 hyperintensities (nonspecific) in various areas, but he said they don't "light up" on the images with contrast. I also have started having issues when I pick up cold (iced) glasses, as it hurts a bit. I have had issues with the bottom of my left foot being painful when I walk, though this has improved. So the neurologist has told me that this MRI was not normal, but that he does not recommend the spinal tap because even if I do have MS, only 2% or so of people actually show up positive on this test. He said we hould just wait a year and repeat the MRI. He said there is some eye test that he finds worthless too. So, would you advise a second opinion by a MS specialist or is this advise a good as it gets? I just want these symptoms to stop.
Would agree that it does not sound like MS
Thank you for posting your query.
I have noted the detailed description of your symptoms and past history.
I agree that your symptoms and MRI brain findings do not suggest a diagnosis of multiple sclerosis (MS) and as of now, you do not need to see a MS specialist for second opinion.
A clinical episode in MS should last for at least 24 hours, however, in your case, it seems to have improved quite fast.
Also, the MRI in a case of MS should show lesions of varying ages, and a few should enhance with contrast (which indicate an active MS disease).
Also, there is no need to do the visual evoked potential (VEP, eye test) and spinal tap (to look for oligoclonal bands) as the chances of them coming positive in absence of typical MRI lesions are very low.
Your symptoms and MRI lesions could be related to migraines. However, we also need to exclude ischemia (lack of blood supply to brain) in view of history of high blood pressure. Please discuss about this possibility with your doctor.
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
My BLOG: http://bestneurodoctor.blogspot.in
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