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Suggest Treatment For Dizziness, Chronic Migraine And Tinnitus

Posted on Mon, 26 Oct 2015

Question: Worsening chronic migraines numbness and tingling in all extremities dizziness balance issues and constant ringing in ears mother with hunting tons chorea and several mvas

Answered by Dr. Prasanna Heijebu (5 hours later)

Brief Answer:
Need MRI scan of brain.

Detailed Answer:
Hello, Madam.

I understand your concern.

You have not received the right kind of drug so far to treat your symptoms.

I advise you to get an MRI scan of the brain for further analysis.

The symptoms in your case are pointing to cerebellar dysfunction.

Further definitive management is based only the test result.

Post your further queries if any.
Thank you.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Prasanna Heijebu (29 hours later)

With or without contrast

Answered by Dr. Prasanna Heijebu (14 hours later)

Brief Answer:
MRI without Contrast

Detailed Answer:
Hello, Sir.

I apologize for the delayed response owing to my hectic work schedule.

I advise you to get an MRI scan without contrast.

Post your further queries if any

Thank you

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Prasanna Heijebu (8 hours later)

Awaiting appointment with a neur specialist here in XXXXXXX thank you, I hope the outcome is a fixable one as I'm just enjoying my life and my grandchildren are all still young,I cannot even bear to think I may have received a bad gene that would definitely change a long functional health, again thank you,

Answered by Dr. Prasanna Heijebu (8 hours later)

Brief Answer:
Get serum B12 levels checked.

Detailed Answer:
Hello, Madam.

I can understand your concerns.

I strongly wish everything should resolve quickly.

HD rarely presents with gait imbalances and migraine like headaches.

But nevertheless, I advise you to get a genetic screening for HD(Huntington's disease).

Genetic testing (reported as the CAG repeat number for each allele) is now commercially available.

In meanwhile, I advise you to get tested for serum Vitamin B12 levels since many cases of imbalance actually result from spinal cord posterior column dysfunction secondary to vitamin B12 deficiency.This condition can be corrected with external B12 supplementation with a prompt reversal of symptoms.

Post your further queries if any.
Thank you.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj