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What causes tingling and pins and needle sensation on the left side of body with normal tests?

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Posted on Sat, 8 Nov 2014
Question: About 5 months ago I started experiencing tingling, pins and needles on the left side of my body (face, arm, chest area, trunk area, and upper part of my leg), as well as heart palpitations, and chest pain. I went and saw cardiologist who did tilt table test, 24 hr monitor, stress with eco, and all came out fine. Monitor did recorded palpitation, 140 and lasted 1.38 min. She thinks that pain and palp are caused by something else, and she did put on meds.
Also, I saw neurologist who ran blood work with head MRI, EEG and evoc. Evoc and MRI came out fine, EEG showed left side "spike" and he ordered neck MRI.
All blood work came out fine except ANA, but he says its ok. He put me on Lyrica, 50mg twice a day.
Also, my GP and cardiologist did thyroid test, TSH first time 4.41 and second time 1.90, but antibodies are 4 times higher.
I'm just wondering should I stay at this or are they missing something here.
doctor
Answered by Dr. Erion Spaho (2 hours later)
Brief Answer:
Cerebral vascular and thyroid disfunction.

Detailed Answer:
Hi XXXXXXX, I think there are two separate conditions to check for, so I recomend you should discuss with your Doctor the possibility to investigate further the cause of your symptoms:
1.Angio MR of brain vessels for your sensory changes on left side of the body,
2. Full thyroid function testing.
Hope this answers your question. Wish you good health.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Erion Spaho (6 hours later)
Thanks for your answer.
Would you still recommend MRA even though I did MRI with and without the contrast?
Also, I have attached additional thyroid testing (Thyroid panel) that has been performed and my doctor said we have to watch it as I could become hypo. Which other test would you recommend, so I can go back to him?
Thanks again,
XXXXXXX
doctor
Answered by Dr. Erion Spaho (15 hours later)
Brief Answer:
MRA to rule out vasculitis.

Detailed Answer:
Hi XXXXXXXX,

Thanks for asking again.

I think you should do MRA (cerebral) to check for/ rule out vascular disease suggested by high ANA, as well as kidney function tests if you haven't already done it. MRI with contrast is sensitive for cerebral (parenchymal) lesions, MRA (vascular reconstruction) shows vascular structure and if there is vascular pathology. If these tests don't show problems, periodic follow up mainly to thyroid function, is acceptable.

Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Erion Spaho (25 minutes later)
Thank you dr. Spaho.
I will follow up with my neurologist and will discuss MRA option.

Sincerely,

XXXXXXXXX
doctor
Answered by Dr. Erion Spaho (24 hours later)
Brief Answer:
Please let me know if you have further questions.

Detailed Answer:
I would like to know the results of MRA, if you don't mind. If you have further questions I am happy to respond you. Wish you good health!
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Erion Spaho (16 minutes later)
Will keep you posted.
Thank a lot dr. Spaho
doctor
Answered by Dr. Erion Spaho (31 hours later)
Brief Answer:
Ok

Detailed Answer:
Thank You
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 3906 Questions

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What causes tingling and pins and needle sensation on the left side of body with normal tests?

Brief Answer: Cerebral vascular and thyroid disfunction. Detailed Answer: Hi XXXXXXX, I think there are two separate conditions to check for, so I recomend you should discuss with your Doctor the possibility to investigate further the cause of your symptoms: 1.Angio MR of brain vessels for your sensory changes on left side of the body, 2. Full thyroid function testing. Hope this answers your question. Wish you good health.