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any expert of neuroliogical...

 
DrPhilMD's Avatar
  • Answered by:DrPhilMD
  • Medical Doctor (MD)
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Customer Question

any expert of neuroliogical...

 

Optional Information:
Person's Gender: Female
Person's Age: 49

Already Tried:
had a visit to house doctor and an irm it is not me,,,,

Submitted: 281 days and 15 hours ago.
Category: Medical
Value: 80 €
Status: CLOSED
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Expert:  DrPhilMD replied 281 days and 15 hours ago.

Answers are for informational purposes only. Please confirm any information given with your own doctor.

 

I am an internist well trained in neurological disorders.

 

Would you like my help?

Customer replied 281 days and 15 hours ago.

what is it yiu want okease thanks regards s, m patiet s father ,

Customer replied 281 days and 15 hours ago.

what is it you want okease thanks regards s, m patiet s father ,

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Expert:  DrPhilMD replied 281 days and 15 hours ago.

I need to know what the MRI showed

 

and what your main question is?

Customer replied 281 days and 15 hours ago.

what do you think my daughter of 49 has ???? thanks regards

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Expert:  DrPhilMD replied 281 days and 15 hours ago.

What are the symptoms and what did the MRI show?

Customer replied 281 days and 15 hours ago.

what is your answer,,, if no answer l cancel everthing

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Expert:  DrPhilMD replied 281 days and 15 hours ago.

Okay. All I have to go on is age and Female.

 

As well as an abnormal MRI I am assuming.

 

My guess would be multiple sclerosis just based on this information.

 

If you provide me with more information like MRI findings and symptoms I can help more.

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Expert:  DrPhilMD replied 281 days and 14 hours ago.

I noticed you left negative feedback.

 

Please provide me information so I can help

 

What did the MRI show and what are the symptoms?

Customer replied 281 days and 12 hours ago.

Hello there: It is me who apologises. If I were the patient I could give precise information. So I should not have asked,,, about my daughter who is far away... and I am telling her that I am contacting you.


 


NOW:


 


She is 49. Her symptoms since 20 days is in her jaw I guess... A Feeling like she has had anestesia to jave a tooth removed,,, !!!!!


 


Her generalist suggested Lyme disease and to that effecta blood test was made with o,99 (meabing DUBIOUS) She will gave another test in a week. Meqanwhile sje was asked tp have an MRI. She did , The result ... I do not lnow in detail... except that in grench in anomalie dans la sunstance blanche. A neurologist saw the result and said she should have a PUNCYURE OF Lombare. Jer movements are ok... her eyes ok,,,, the only thinh is that feeling in the jaw I guess.... and a feeling of a ballish... thing. SORRU I DO NOT KNOW... SHE IS FINE OTHERWISE>>> LEGS>>> ARMS>>>>SIGHT.. MOVEMENTS ETC


 


SHE DOES NOT KNOW I AM SENDING YOU THIS>>> SHE SHOULD NOT...


 


She will see her own NEUROLOGIST ON TUESDAY in SWITZERLAND... he was on vacation so she saw a mew one who suggested THE LOMBERE>>>>>>>


 


She is going to GREECE with the children and then To Russia she works with the UN..( I did too)


 


i am suggesting not to do so.... except this jaw.... anestesia type of geeling all seems to be allright... i do not have theMIR REPORT nor does she... the neurologist she is seein on tuesday 24 has it... she cannot have it..


 


your views please... ofcourse i am very very worried..


 


regards thanks

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Expert:  DrPhilMD replied 281 days and 11 hours ago.

No problem.

 

I am happy to help.

 

This sounds like possibly something called trigeminal neuralgia. This is a disorder of a nerve in the face that causes pain and numbness. It can affect chewing. and chewing sometimes brings it on

 

This could also be bell's palsy which is a viral infection of a nerve in the face that can cause numbness.

 

Those would be my two guesses.

 

Please don't click "bad" or "poor" service as this leaves me negative feedback. If you aren't 100% satisfied, just click "reply."

 

 

 

Customer replied 281 days and 11 hours ago.

i have nit repeat not told her that i am contacting you.... i missed the word NOT in my previous e mail...


 


but the issue is.... why is there in the MRI an abnormality in the white MATTER... why is there going to be LAMBERE..... is it to elliminate x y z type of defects... the only symptom pf nimmess .... hets you to think that it is or it is not MS !!!!


 


thanks


 


regards

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Expert:  DrPhilMD replied 281 days and 11 hours ago.

OKay

 

A white matter lesion could indicate MS

 

The lumbar puncture is to rule out MS

 

However, white matter lesions can be non specific and not mean anything.

Customer replied 281 days and 11 hours ago.

I will get back to you later it is 20.00 jours here


 


from symptoms what is your opinion ... in the last e mails you mentioned other possibilities than MS,,,,,, the fact of having ;ombere...i understand is to rule out or confirm an MS... Am I right..


 


You are good.... but very straight..and short i am a latin... not a dutchman !. and somewhat ,,,,,, for me.... as girst yoy said your guess was MS... and now..... why hope all will be well


 


regards

Accepted Answer

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Expert:  DrPhilMD replied 281 days and 11 hours ago.

From symptoms alone my guess would be trigeminal neuralgia or bell's palsy

 

Doesn't sound like MS just based on symptoms.

Expert TypeMedical Doctor (MD)
Category: Medical
Pos. Feedback: 98.3 %
Accepts: 10861
Answered: 7/20/2012

Experience: Medical Doctor Trained at a Top Academic Institution

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Customer replied 280 days and 11 hours ago.

what is it then..... the issue is nimness,,,, hope not ms... but we shall see any other possibility than what you mentioned... is the kunber test obligatory...


 


what do you think


 


when i sai i am a latin not a dutchman i meant that i am not for few words like you send .... dry and to the point... you must be busy... but i need a human medical advise... regards

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Expert:  DrPhilMD replied 280 days and 11 hours ago.

What additional info do you seek?

Customer replied 280 days and 9 hours ago.

i think i am c lear


 


what does my daughter have.... lime no......she has no pain in the mouth jaw... only antestia type of feeling..... she does not have any other symptoms the mri shows white sunstance... then what...


 


when i say i am latiim and not dutch from where i write... i say so as i need a juman answer in detauil and not a cold one .... like yours smutal

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Expert:  DrPhilMD replied 280 days and 3 hours ago.

Okay. It's either Bell's palsy, an isolated nerve palsy or MS.

I don't think it is MS. I suspect a nerve palsy.

Customer replied 279 days and 9 hours ago.

the smptoms ...... sprt pf paralysed jaw... half mouth feeling like an anestesia after tooth extraction !!!!!!

no other complaint

MRI shows a white matter.... anomalie ... supposedly on area which looks [feels paralysed

my daughter is in switzerlandtzerland she is 49 two years ago she saw a neurologist in view of ant=feelings a sort of itching like ANTS all over the body/// itdisappered after some weeks/// she was told that is was stress and pyscholigical tension...( ask me she is tense )

is she tense.... i guesws so... work,... children//// and not a very understanding husband

she is told to have a lombere puncture... what for do discard MS

what can she have now
she is to see a neurologist the same as in 2010 ... early in the week.


please send me some possible clues.....

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Expert:  DrPhilMD replied 279 days and 3 hours ago.

MS can be treated.

Nerve palsy cannot.

There are many drugs for MS including steroids.

Hope this helps.

 
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