Brief Answer:
Possible dyspraxia of some point in the brain

Detailed Answer:
Good evening. I am very sorry that you're experiencing symptoms which are consistent with a condition known in neurology as a DYSPRAXIC or DYSPRACTIC MOVEMENT DISORDER. You may also have DYSPRAXIA OF SPEECH in association with other things. This means that one set of movements or actions by the body are contingent or dependent upon the movement of another part of the body. This is termed DYSPRAXIA.

Apraxia on the other hand, is when a certain set of movements or actions whether it be speech or motor coordination are either clumsy or incoordinated to the point of not being able to be initiated or completed without difficulty.

The difference is essentially in the location of the problem within the brain. APRAXIAS for the most part are located in origin within a part of the brain called the cerebellum which is in the back of the head (the 2 "grapefruit looking" masses that hang off the back of the brain) as opposed to DYSPRAXIA which is often seen as a result of STROKE in some area of the brain.

If stroke isn't the cause of a DYSPRAXIC state then, it can also be caused by infection, medication, or trauma to a specific area of the brain such as what may happen after a bleed, a fall, or a blow to the head from a fight, an object such as a high velocity missile or object striking the head, car accident, etc. In the case of a traumatic injury symptoms may not show up for days, weeks, or months after the incident which is why many people may not think of connecting the 2 events. The condition would not likely occur after YEARS from the incident...that's probably too long for it to be related but those would be some possible things to think about.

You say they've done "xrays" but I doubt you mean X-rays of the head since almost nobody gets X-rays anymore of the skull since we have CT and MRI scans. Now, if they got a CT of the brain and didn't see much or thought it was normal I might send you back to get an MRI of the brain simply because that is a much more sensitive study. If the MRI was already obtained and didn't show anything then, I would seek out the opinion and EXAMINATION criteria of a good and dedicated neurologist who would be willing to look under every rock and stone for an explanation.

As I said sometimes the cause may not be as obvious as the textbooks would make it seem but what you're describing certainly rings true toward a DYSPRAXIA, possibly an APRAXIA but whatever it is I believe the problem is based in the brain. The fact that you've had it for 3 years means that either you haven't had the proper testing done or haven't had the right people looking. There are also blood tests I might recommend such as thyroid, Vit. B12, and some others I would send you for as well as reviewing any and all of your medications in order to clarify things before chalking the condition up to a non-organic entity.

I hope these answers satisfactorily addresses your question and give some you some additional and information that you can discuss with your doctor for consideration. If so, may I ask your favor of a HIGH STAR RATING with some written feedback?

Also, if there are no other comments, may I ask you not forget to CLOSE THE QUERY on your end so the question can be transacted and archived for further reference by colleagues as necessary?

You are invited to direct more comments or inquiries to me in the future by going to my web address at:

bit.ly/drdariushsaghafi

I would be honored to answer you quickly and comprehensively.

Please keep me informed as to the outcome of your situation.

The query has required a total of 22 minutes of physician specific time to read, research, and compile a return envoy to the patient.

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Brief Answer:
I am in the State of Ohio

Detailed Answer:
Thanks for your update. Just a quick comment for your information. The brain itself is not believed to "feel" pain. If you were to actually take a knife and cut into the brain there is no sensation of pain. Therefore, "brain pain" is not something that is really known. If you've had headaches as a child then, there is certainly the possibility that your headaches have "morphed" into something else....or it is possible that what you're feeling is really not as a result of any headache and as I had previously said..perhaps it is a pinched nerve coming from the spinal cord....reason it got pinched would remain a bit difficult to explain based on your history.

Sounds as if you might be getting a bit better? I might still recommend that you undergo the basic bloodwork I mentioned just to see what you've got as a baseline.

Not sure which email you're looking at that you've copied...but please be aware that I am unable to converse with patients through email about medical conditions since it must always be through an encrypted and HIPAA compliant network. If, however, you are referring to the WEB ADDRESS on this network of:

bit.ly/drdariushsaghafi then, by all means please use that address to write me questions or comments in the future and I'll be very honored to answer your questions to the best of my ability.

Be well and continue to be patient. Things should continue to improve but it may be a slow process.

May I ask you not forget to CLOSE THE QUERY on your end so the question can be transacted and archived for further reference by colleagues as necessary?

Please keep me informed as to the outcome of your situation.

The query has required a total of 36 minutes of physician specific time to read, research, and compile a return envoy to the patient.

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