Neurology

Ask a Neurologist. Get Answers to Your Neurology Questions.

Ask a Doctor,
Get an Answer ASAP!

Neurology

I am a 4th year medical student in the UK. I have had a

Customer Question
Hi, I am a 4th...
Hi, I am a 4th year medical student in the UK. I have had a report back from an MRI that I had: "On the T2 weighted images there is an area of increased signal anterior to the right temporal pole 3cm x 1cm representing an arachnoid cyst." I managed to get an MRI done due to a study I participated in, not from my general practitioner. I have had some symptoms that have increased significantly after a fall to my head 2 years ago ( site of trauma was my nose to the floor). These include decreased levels of concentration, inability to get words out and have a flowing conversation, lack of thoughts in my head, "foggy brain", reduced emotional responsiveness (more apathetic these days), fine resting tremor bilaterally in hands and sometimes feet, find it more difficult to read aloud and follow conversations. Friends refer to me as more "dopey" and "less with it". I feel the same way.
Past medical history - Nasal fracture - 2011, Mumps - 2011, Otitis media requiring grommets - child, Tinnitus - started as a child. Full blood count, urea and electrolytes and TSH,T4 all normal ( done 6 months ago)
DHx - have tried citalopram and sertraline to no effect.
FHx - hypothyroidism, diabetes - mum. Primary immunodeficiency, immunothrombocytopenia purpura, organising pneumonia - dad. hypothyroidism - sister.
SHx - stopped alcohol/smoking cigarettes in 2012 to try and help these symptoms (no effect). Diet - 2000 calories a day, healthy. no recreational drugs.
In essense, do you think the lesion could be causing these symptoms, if not what neurological/general workup do you think I should ask my doctor. I have read literature and I would perhaps suggest FSH/LH, testosterone, B12, serum copper. Is there anything else? Thankyou for your help. I really do need some! I have the MRI on my computer if your able to take a look at it.
Submitted: 2 years ago.Category: Neurology
Show More
Show Less
Ask Your Own Neurology Question
Answered in 3 hours by:
6/17/2015
Neurologist: Dr. D. Love, Doctor replied 2 years ago
Dr. D. Love
Dr. D. Love, Doctor
Category: Neurology
Satisfied Customers: 19,118
Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.
Verified
Has there been any discussion of a trial of other antidepressants?
Ask Your Own Neurology Question
Customer reply replied 2 years ago
No i find they adversely effect my cognition and become more 'spaced out'. I feel nowadays that the triad of low mood anhedonia and anergia dont apply, which is why i dont consider depression as part of the differential diagnosis.
Neurologist: Dr. D. Love, Doctor replied 2 years ago
Thank you for the additional information.
An arachnoid cyst of this size usually does not cause symptoms. As an arachnoid cyst gets large, it can compress the surrounding brain, but that is unusual for an arachnoid cyst of this size and there is no comment on any effect on the surrounding tissue on the MRI.
As for an evaluation, another consideration when there are symptoms that develop after head trauma would be formalized neuropsychiatric testing. These are a series of tests that can more formally assess brain function. For someone with persistent symptoms after head trauma, these tests are increasingly being used to characterize the effect of the trauma on the brain.
You are correct that a certain amount of metabolic evaluation would still be appropriate. I would assume that a general chemistry profile has already been done, including electrolytes,and liver and kidney function tests. A magnesium level should also be checked and frequently is not included in a general chemistry profile. Other endocrine evaluation beyond the testosterone and FSH/LH should include thyroid function and cortisol. Folate levels are also routinely checked with the vitamin B12 level.
I ask about the antidepressants because it is unusual to only try two antidepressants, and that the two are both SSRIs. I would note that antidepressants are used for more conditions than just depression, and your doctors may have been trying to use them to help with relief of other symptoms. But regardless of the reason for use, no antidepressant class works 100% of the time, so it is reasonable to consider a second antidepressant when the first does not work, but the selection of a second would usually be in a different chemical class.
If I can provide any further information, please let me know.
Ask Your Own Neurology Question
Ask Dr. D. Love Your Own Question
Dr. D. Love
Dr. D. Love
Dr. D. Love, Doctor
Category: Neurology
Satisfied Customers: 19,118
19,118 Satisfied Customers
Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr. D. Love is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Mark

Dr. Mark

Neurologist (MD)

1,985 satisfied customers

Neurosurgeon - Brain, spine, and peripheral nerve surgery

Jack Scariano Jr

Jack Scariano Jr

Neurologist (MD)

1,056 satisfied customers

Board Certified Neurology 1982 30 years experince. Also expert in Pain Medicine

Dr. Bob

Dr. Bob

Neurologist (MD)

3,731 satisfied customers

Neurology & Int Medicine (US Trained): 20 yrs experience

healthydoc

healthydoc

Board Certified Physician

1,851 satisfied customers

Board Certified U.S. Neurologist

Dr. F

Dr. F

Board Certified MD

266 satisfied customers

Neurosurgeon with more than 20 years experience in practice and teaching.

Phytube.com

Phytube.com

Neurologist (MD)

86 satisfied customers

Pediatric Neurology and Developmental Medicine with Special Research In Pain Medicine/Medications

Stroke Doc

Stroke Doc

Board Certified Physician

51 satisfied customers

I am board-certified in Neurology and the subspecialty Vascular Neurology.

< Previous | Next >

Related Neurology Questions
I have been having a lot of upper arm and legs muscle
I have been having a lot of upper arm and legs muscle weakness, extreme fatigue and body fever. I just recently found out my Ana results came back 1:1280, what could this mean? … read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
Soar throat for 3 weeks now. No cough or fever. Very dry in
Soar throat for 3 weeks now. No cough or fever. Very dry in the morning hurts to swallow. Started of as a bad cough with lots of phlegm.… read more
Dr.M.D.Mazumdar
Dr.M.D.Mazumdar
Consultant Gynecologist
MBBS. MD (Obstetrics and Gynecology
3,688 satisfied customers
Had brain MRI two weeks ago due to balance, head pressure,
Had brain MRI two weeks ago due to balance, head pressure, history of same previously diagnosed as anxiety. Recent shingles seems to have triggered some side effects from lisinopril previously well to… read more
Dr. Bob
Dr. Bob
Neurologist (MD)
Doctoral Degree
3,731 satisfied customers
I have a question about sudden short term memory loss I'm
Hi, I have a question about sudden short term memory loss I'm experiencing … read more
Dr. Mo
Dr. Mo
Board Certified Physician
MD
1,777 satisfied customers
I have had daily headaches for the past three years.
I have had daily headaches for the past three years. Mitigation of the pain has been unsuccessful regardless of medication used (including opoids). Aches have been accompanied by severe weight loss (1… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I have been experiencing an odd taste in my mouth which is
I have been experiencing an odd taste in my mouth which is immediately followed a tingling sensation/numbness that starts below my navel and proceeds up to the level of my upper chest. Occasionally, I… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,910 satisfied customers
Concern regarding complex insomnia;inability to induce sleep
concern regarding complex insomnia;inability to induce sleep even with medicaton and anxiety disorder. recent weight loss,blood work and physical normal … read more
Dr. Vikas
Dr. Vikas
Associate Professor
M.D (Psychiatry)
33 satisfied customers
I am experiencing pain in my right buttock & numbness in my
I am experiencing pain in my right buttock & numbness in my right foot. I am doing daily stretching exercises that do take away the pain & numbness for a short period of time. However, it always comes… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
Feels like pins and needles throughout my body fingertips
Feels like pins and needles throughout my body fingertips feel numb and hands get really hot but no insurance for 2 months started new job… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,910 satisfied customers
Out of the blue the muscle in between bicep/tricep started
Out of the blue the muscle in between bicep/tricep started hurting and would feel a deep pulling when I would raise arm. Progressively got worse and swelling now lumpy as thought there is something un… read more
Dr Anil Kumar
Dr Anil Kumar
M.B.B.S
2,722 satisfied customers
After I wake up from sleeping I get this pain as I walk
After I wake up from sleeping I get this pain as I walk around in my head … read more
Dr. Bob
Dr. Bob
Neurologist (MD)
Doctoral Degree
3,731 satisfied customers
Thank you for taking my message. I have episodes of
Good evening. Thank you for taking my message. I have episodes of confusion and difficulty with my ability to find words and stuttering. Last week, it was bad enough that I went to the ER. CAT scan, E… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
I had a pre-eclamptic pregnancy 6 months ago that has left
I had a pre-eclamptic pregnancy 6 months ago that has left me with symptoms I have never experienced before and severe anxiety. I am 27 years old, female and severely anemic, I have GERD and IBS as we… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,277 satisfied customers
After 2 dental procedures last week, I had the following
After 2 dental procedures last week, I had the following reactions … read more
Dr. Mo
Dr. Mo
Board Certified Physician
MD
1,777 satisfied customers
I have a concern about muscle twitching, and I am not sure
I have a concern about muscle twitching, and I am not sure about what to do or how concerned I should be. I will say that I have high anxiety when I have new symptoms, and I am sure that that is not h… read more
Neuro Doctor
Neuro Doctor
Full Time Neurologist
Neurologist MD (USA Board Certified
2,534 satisfied customers
At night I get this nerve pain on the front of my right
At night I get this nerve pain on the front of my right thigh. which prevents me from sleeping. It is very sensitive to any light touch. What can I do to ease the pain? I tried Advil, but I hate to ta… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,277 satisfied customers
I've had medical things going on that I just can't seem to
I've had medical things going on that I just can't seem to pinpoint a problem. This all started probably around February or March of 2017. I would wake up with stiff feeling and aching around my knees… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,910 satisfied customers
For the past month I have had tingling/numbness that comes
For the past month I have had facial tingling/numbness that comes and goes. It is mostly on my left cheek but can spread around the face. One evening it was particularly bad near by left eye. I have n… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
32,910 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x