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Suggest Remedies For Facial Numbness And Difficulty In Breathing

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Posted on Fri, 27 Jan 2017
Question: PT 39 YO FEMALE W NUMBNESS BOTH SIDE OF FACE, DIPLOPIA L>R
EXPLANATIONS BELOW.

I HAVE NO RECORD FROM THE HOSPITAL. I ORDERED ALL LABS, CBC,CMP,LIPID,THYROID,HORMONS , HERPES AND LYME ANTIBODY TITER, ANA, RF, ACRh-Ab
WHAT DO U THINK THE CAUSE IS ?

TX SO MUCH
DR. TORABI
doctor
Answered by Dr. Olsi Taka (2 hours later)
Brief Answer:
Read below

Detailed Answer:
I read your question carefully and I understand your concern as this seems to be a difficult case.

The symptoms you describe indicate that there was an involvement of the brainstem, given the diplopia, bilateral facial numbness, slurred speech, swallowing problems etc all indicate a brainstem involvement.

The differential diagnosis is really vast though. It includes stroke, infections (Lyme, tuberculosis, herpes, botulism etc), autoimmune conditions (connective tissue diseases, vasculitis, polyradiculoneuritis variants etc), malignant conditions (either by direct infiltration like lymphoma or paraneoplastic syndromes).

For that reason it is hard to express an opinion without having the reports, including the diagnostic tests which have been performed. Simply saying that an MRI and spinal tap were done is not sufficient as without knowing the imaging protocol used and what tests of the cerebrospinal fluid were done it is hard to confidently exclude diagnostic possibilities and restrict the list of possible diagnoses.

I remain at your disposal or further questions, but possibly with the reports.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (1 hour later)
Thank you so much,

I will F/U with you when I get the results.
doctor
Answered by Dr. Olsi Taka (1 hour later)
Brief Answer:
You're welcome.

Detailed Answer:
Looking forward to hearing from you again.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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Suggest Remedies For Facial Numbness And Difficulty In Breathing

Brief Answer: Read below Detailed Answer: I read your question carefully and I understand your concern as this seems to be a difficult case. The symptoms you describe indicate that there was an involvement of the brainstem, given the diplopia, bilateral facial numbness, slurred speech, swallowing problems etc all indicate a brainstem involvement. The differential diagnosis is really vast though. It includes stroke, infections (Lyme, tuberculosis, herpes, botulism etc), autoimmune conditions (connective tissue diseases, vasculitis, polyradiculoneuritis variants etc), malignant conditions (either by direct infiltration like lymphoma or paraneoplastic syndromes). For that reason it is hard to express an opinion without having the reports, including the diagnostic tests which have been performed. Simply saying that an MRI and spinal tap were done is not sufficient as without knowing the imaging protocol used and what tests of the cerebrospinal fluid were done it is hard to confidently exclude diagnostic possibilities and restrict the list of possible diagnoses. I remain at your disposal or further questions, but possibly with the reports.