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What Causes Vision Problems With Poor Memory And Poor Body Balance?

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Posted on Wed, 10 Sep 2014
Question: I've been seeing a neurologist and he said he thinks that I have one of four things...Multiple Sclerosis, seizures, TIA's, or Transient Global Amnesia. I've been having problems with vision, memory, balance, and coordination. I am currently also anemic and my ferritin levels were low, so I was recently started on prescription Iron. I did have Gastric Bypass surgery about 6 years ago and I had a baby almost 4 months ago. I do have a history of Epstein Barr virus and arthritis. My brain MRI was negative, I haven't heard back from my EEG yet (correction...they just called and said I have some slowing in the left side of the brain but no seizure activity), and I am going to be scheduled for a visual EP test. Can you review my lab results and let me know what you think may be going on?
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Answered by Dr. Sudhir Kumar (53 minutes later)
Brief Answer:
Seizures are more likely.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted your symptoms and the lab reports.

Multiple sclerosis (MS) is unlikely with normal MRI of brain and negative oligoclonal bands on the CSF.

Seizures are likely to cause episodes of memory lapses and imbalance and inco-ordination. However, EEG does not show any epileptiform discharges.

Based on the CSF analysis, we should also consider a viral meningo-encephalitis (an infection of brain covering and adjacent brain), which can get better on own, and leave symptoms such as memory impairment, problems with balance and co-ordination, and visual symptoms.

TIA and transient global amnesia are unlikely at this young age, and moreover you do not have the traditional risk factors (such as diabetes, high BP or cholesterol) for the same.

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



Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6232 Questions

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What Causes Vision Problems With Poor Memory And Poor Body Balance?

Brief Answer: Seizures are more likely. Detailed Answer: Hi, Thank you for posting your query. I have noted your symptoms and the lab reports. Multiple sclerosis (MS) is unlikely with normal MRI of brain and negative oligoclonal bands on the CSF. Seizures are likely to cause episodes of memory lapses and imbalance and inco-ordination. However, EEG does not show any epileptiform discharges. Based on the CSF analysis, we should also consider a viral meningo-encephalitis (an infection of brain covering and adjacent brain), which can get better on own, and leave symptoms such as memory impairment, problems with balance and co-ordination, and visual symptoms. TIA and transient global amnesia are unlikely at this young age, and moreover you do not have the traditional risk factors (such as diabetes, high BP or cholesterol) for the same. 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