I am a double board certified US doctor.
One of my board certifications in internal medicine.
We are required to train and test in neurology. Internists are specialists in adult medicine with training and testing in all of the adult subspecialties, and we take care of the patients.
Your question covers several areas of internal medicine, not just neurology.
Infection of the mastoid would be fairly characteristic on imaging. If there is this question, an internist or infectious disease internist would evaluate this for the correct treatment.
However, the report states this is secondary to trauma.
Cancer treatment itself can contribute to her symptoms.
A clotted cerebral vein can contribute to headache.
An MRA rather than an MRI alone can look at arterial vessels in the brain and this should be done.
An EMG/NCS needs to be done regarding the muscle atrophy, as this can be muscle disease and/or neuropathy.
A blood test, CPK should be done to look for muscle inflammation.
These are the starters.
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OK, so that is an initial answer….
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