Suggest Treatment For Ptosis And Headache While Having Schizophrenia And Bipolar Disorder

Posted on Sat, 2 Jan 2016

Question: Hi I am having drooping Eyes also sometimes I have pain in left side of the head brain occasionally.
I am also victim of schizophrenia and bipolar disorder for that I am taking daily medicine from fast 10 years. Amisulpride 300 mg and qutipin 50 mg please let me know if I am suffering from stroke.
Let me know if I have I have to go for any diagnosis like CT scanning. Please advise thank you

Answered by Dr. Ajay Panwar (1 hour later)

Brief Answer:
Please tell some details.

Detailed Answer:
Hi XXXX XXXXXXX
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

I understand your concerns well and I shall try to address them at best, but I need to know a few details beforehand-
1)Since when you are having drooping of eyes?
2)Was this drooping sudden(acute) in onset or gradually developed?Has it ramained static,improved or worsened over the time?
3)Does this drooping remain same throughout the day or improving at some times, and worsening at others?
4)Does it have any effect on vision?
5)Are your limbs normal?Any deficit in extremities?

I shall be glad to have you in follow-up with the above details,so that I can answer this well.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (45 minutes later)

1)
I noticed this from last 3 years

2)
It happened to be gradually development
Not worsened
Looking static but when we take photos with flash..left eye looking like closed.

3)
After fresh from sleep improve

4)
No I can see...there is no issue with visions

5)
Limbs are thick at the edges (ends) consulted eye specialist they said it is due to ptosys.

I smoke little bit 5 cigarettes per day
Is due to the medicines I am taking or there my be any cause like stroke, brain tumor etc..
I regularly visit neurosychologist every 3months once.
I don't have any problems while speaking, walking I am absolutely fine

Answered by Dr. Ajay Panwar (10 hours later)

Brief Answer:
Its not stroke.

Detailed Answer:
Hi XXXX XXXXXXX
Thanks for being in follow-up and providing further details.

Your clinical history is not that of stroke. However,if you are having definite ptosis on both sides,then the cause must be looked for and a dedicated neurological examination is the initial step towards that. If ptosis fluctuates in severity(as you said that it is improved just after sleep in the morning),something like myasthenia gravis must be ruled out. However,no progression in 3 years is slightly against it.

Anyway,neurological examination is the key to diagnosis.So,I suggest you to visit a neurologist and get yourself physically examined.

Hope that I have answered your query.If you have some further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (9 hours later)

Thanks for the valuable feedback doctor..
I will surely consult my regular neurosychologist as per his advise I will consult neurologist.
To confirm I am safe from stroke or brain tumors do you advise me to go for any diagnosis tests. Please let me know.. Thanks in advance. Your experience is much appreciated...

Answered by Dr. Ajay Panwar (15 hours later)

Brief Answer:
Neurological examination will guide the investigations.

Detailed Answer:
Hi XXXX XXXXXXX
Thanks for being in follow-up.

Thanks for appreciating. I'm not suggesting any investigations at present because I don't want to do it at random.Actually,Neurological examination will act as a guide for further investigations.

Hope that I have answered your query.If you have some further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review.

Please get back to me if you have a query anytime in future.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar