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Approximately Two Months Ago, I Woke Up One Morning And

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Posted on Fri, 19 Jun 2020
Question: Approximately two months ago, I woke up one morning and noticed that I had a weakness in both legs that made walking difficult, to the extent that I had difficulty getting up and down my basement steps. The best way to describe the feeling would be like I had magnets in my feet that made lifting my legs a challenge. This walking issue persisted for a few days before mysteriously just disappearing. I should note that I was going through a very stressful time due to a relationship issue. A few days later, I noticed that I was having some double vision and a head pressure that made closing my eyes difficult. Concerned about my symptoms, I made an appointment with my family doctor and an MRI of my brain was ordered. The results of my MRI showed the following: 1) A distention of the optic nerve sheath due to fluid intensity material (7mm) that could be indicative of increased intracranial pressure 2) A single T2 hyperintensity on the posterior aspect of my left ventricle that is likely a reactive gliosis. Although this was described as "nonspecific" and "normal" for my age by the radiologist. Since getting the results of my MRI about a week ago, I've developed some new issues with my ribs and upper-back. Although the symptom comes and goes, there are times where I feel there is a pressure in my ribs and it is difficult to take a nice deep breath. I also notice a strange jarring or thumping sensation in my upper body when I attempt to run. I have some minor rib pain, but no upper-back pain. So my question is the following: Can any issues in the thoracic part of your body cause increased intracranial pressure? If so, any ideas what those issues could be? My family doctor seems to be hesitant to order an MRI of my thoracic spine. I should note that I'm 36/m, 5'8", 190 pounds. I do have high cholesterol, borderline high blood sugar, and borderline high blood pressure. Thanks for any advice you can provide. Also, my doctor has still not referred me to a neurologist? Should I see a neurologist?
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Answered by Dr. Prof. Kunal Saha (6 hours later)
Brief Answer:
You definitely need to see a neurologist

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone carefully through the details provided by you. The initial presentation could be due to transient ichaemic attacks (TIAs) which are like very minute strokes in the brain and since they resolve rapidly nothing definite might show up in the MRI. Your subsequent symptoms too could be associated with the same. I do not think that an MRI of the thorax would be of any help but neurological referral should definitely be sought. Furthermore, a cardiac evaluation including echocardiography would be needed to ascertain that there is no source of micro-clots that after getting dislodged from the heart can cause micro-blockages in the brain, thus leading to your symptoms.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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Approximately Two Months Ago, I Woke Up One Morning And

Brief Answer: You definitely need to see a neurologist Detailed Answer: Thanks for using the Ask a Doctor service. I have gone carefully through the details provided by you. The initial presentation could be due to transient ichaemic attacks (TIAs) which are like very minute strokes in the brain and since they resolve rapidly nothing definite might show up in the MRI. Your subsequent symptoms too could be associated with the same. I do not think that an MRI of the thorax would be of any help but neurological referral should definitely be sought. Furthermore, a cardiac evaluation including echocardiography would be needed to ascertain that there is no source of micro-clots that after getting dislodged from the heart can cause micro-blockages in the brain, thus leading to your symptoms. Regards