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Doctors Lounge - Neurology Answers
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| Katt1116
- Fri Sep 10, 2004 10:03 am |
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Hello-
I am a 22 year old Admin Assistant. For the past 3-4 months, I have been experiencing a variety of symptoms that have brought me to many doctors and even a neurologist to get answers. None have been found though.. My hands and arms feel very shaky, my hands tremble all day and it even feels like my whole arm is shaky, from my shoulder down.. I have a dull ache under my left arm, and sometimes experience shooting pains down my arms and in my shoulders.. I have very bad tension headaches, that make me feel like my scalp is shrinking. When I go to bed at night, it feels like my face is going numb and my arms and hands get very tingly.. While nothing ever goes totally numb, there is definetely a decrease in feeling in the area.. Also, my arm and hand muscles get very weak and making a strong fist is difficult. Eventually, i fall asleep, and when I wake up, I am just as shaky, and lately my hands have been swollen and stiff in the mornings. I am really frustrated with what is going on, the neurologist did an MRI and found nothing and didn't address any of my problems whatsoever . No one can figure it out, I am very healthy otherwise, no obvious heart problems that anyone has found or no obvious neurological problems. I recently went to an acupuncturist to see if that would help and she said I had a low supply of blood in my body.. Could that explain the swelling? Do you have any idea what could be going on? I would like to feel like myself again someday.. :) Thanks for your time!
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| Dr. Russell M
- Fri Sep 10, 2004 6:17 pm |
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 Hi!
Apart from the MRI, has any other workup been done on you? A thryoid function test, a blood count, a rheumatoid factor, an ESR, a blood glucose test, and a trial of vitamin B complex would be some of the things I'd like seen.
Hope this helps.
bill
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| veryperry
- Wed Sep 14, 2005 3:37 am |
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Hi,
I am 32 year old stay at home mom who this last year has experience similar symptoms to yours. I also had MRI's that showed nothing wrong. I have recently been diagnosed with POTS (Postural Tachycardia Syndrome). For me, my originating symptoms started like so... I woke one morning feeling heaviness in my right arm and face especially accompanied by a tension like headache. Then a couple days later I awoke with numbness in my arm and face and leg on the right side. Which after the numbness started to disapate sharp shooting pains followed the areas the numbness had resided. Weeks after that while waiting for a neurologist appt. I experienced exstreme dizziness. When I saw my neurologist the dizziness was my main concern. All through this experience my right hand felt very swollen compared to my right hand and I often felt shaky. Even the right side of my face felt swollen. My neurologist tested my pulse while I was laying down, then while I was sitting then while I was standing. My pulse would go from 63 lying down to 106 standing up. My Dr explained that my blood vessels weren't helping my heart pump blood to parts of my body. Which he thought was causing my numbness and neuralgia and dizziness. Now I have days when my right arm and hand are increasingly shakey, but thanks to a Dr. who put me on florinef and helped me know what would help, I am feeling like my old self most of the time. You might do a simple pulse test on your self and take that info to your doctor. There is also an extrememely interesting and encouraging forum site called DINET(Dysautonimia Information Network Forums). There is also a website called POTS Place (potsplace.com), that might offer you more information. I like you had MRI's that revealed nothing about what was going on when something terrible was definitely happening. It is hard to find a Dr who is familiar with POTS. I was very lucky. Here are some more POTS symptoms. Good luck in you search to find out a name and what help you can get for your condition. I hope I've been helpful.
* Tachycardia (Grubb, 2000)
* Lightheadedness (Grubb, 2000)
* Dizziness (Grubb, 2000)
* Palpitations (Grubb, 2000)
* Exercise intolerance (Grubb, 2000)
* Blurred Vision (Grubb, 2000)
* Chest discomfort and/or pain (Grubb, 2000)
* Clamminess (Grubb, 2000)
* Fainting or near fainting (Grubb, 2000)
* Anxiety (Grubb, 2000)
* Flushing (Grubb, 2000)
* Fatigue (Grubb, 2000) (which can be disabling)
* Headache/migraine (Grubb, 2000)
* Shortness of breath (Grubb, 2000)
* Postprandial hypotension (Grubb, 2000) (low blood pressure after meals)
* Blood pooling in limbs (Grubb, 2000) (can make legs feel heavy and appear mottled and purple in color)
* Intolerance to heat (Grubb & Karas, 1999)
* Feeling cold all over (Grubb & Karas, 1999)
* Low blood pressure upon standing (Grubb, Kosinski, Boehm & Kip, 1997) (Some physicians feel orthostatic hypotension is a separate entity from POTS)
* Bloating after meals (Grubb et al., 1997)
* Cognitive impairment (Grubb et al., 1997) (may include difficulties with concentration, brain fog, memory and/or word recall)
* Delayed gastric emptying (Grubb et al., 1997)
* Polyuria (Jacob & Biaggioni, 1999) (excessive urination)
* Diarrhea (Jacob & Biaggioni, 1999) (sometimes with alternating constipation)
* Narrowing of upright pulse pressure (Jacob & Biaggioni, 1999)
* Tremulousness (Low, Opffer-Gehrking, Textor, Benarroch, Shen, Schondorf, Suarez & Rummans, 1995)
* Tunnel vision (Low et al.)
* Sleep disorders (Low et al.) (can cause unrefreshing sleep and an increased need for sleep)
* Cold hands (Low et al.) (and often feet & nose)
* Loss of sweating (Low et al.)
* Hypovolemia (Low et al.) (low blood volume)
* Chills (Low et al.)
* High blood pressure (Low et al.)
* Hyperventilation (Low et al.)
* Numbness or tingling sensations (Low et al.)
* Generalized weakness (Low et al.)
* Reduced pulse pressure upon standing (Low et al.)
* Low back pain (Mathias, 2000)
* Aching neck and shoulders (Mathias, 2000)
* Excessive sweating (Robertson, 2000)
* Nausea (Robertson, 2000)
* Noise sensitivity (Stewart, 2001)
* Light Sensitivity (Stewart, 2001)
* Disequalibrium (Sandroni, Opfer-Gehrking, McPhee & Low, 1999)
Best Wishes
Veryperry
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