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What Causes Double Vision, Speech Problem And Left Hand Cramps?
Question: I am having progressive worsening in my processing, organization, double vision, louder sounds, face with a flat affect, speech and jumbling of words, walking with my left foot turned in and my left hand in a cramp. I am also having fine motor skill changes where I had to take myself off of surgical cases. I am not sure what is happening. Can you help give me some direction?
Brief Answer:
Need to evaluate in detail
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your symptoms. These are suggestive of involvement of different parts of brain, such as frontal lobe (concentration), brain stem (double vision), left frontal/temporal lobe (speech problem), right side of brain (left hand and leg problem).
So, I would do a brain MRI first to exclude any structural lesions, such as ischemia (lack of blood flow) or demyelination (such as multiple sclerosis).
Vitamin B12 and D deficiency should also be excluded.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Need to evaluate in detail
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your symptoms. These are suggestive of involvement of different parts of brain, such as frontal lobe (concentration), brain stem (double vision), left frontal/temporal lobe (speech problem), right side of brain (left hand and leg problem).
So, I would do a brain MRI first to exclude any structural lesions, such as ischemia (lack of blood flow) or demyelination (such as multiple sclerosis).
Vitamin B12 and D deficiency should also be excluded.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
The mri was negative. Do u think this could be something like a movement disorder in the Parkinsonism family? I forgot to mention balance issues and proprioception issues. I thought the conventration was just ADD for the last 2 years, and I have been making little mistakes that I brushed off as stress, but the symptoms have worsened. What test would they do for MS? Also, what tests do they do for parkinsons or a syndrome similar? I really thank u.
Brief Answer:
Normal MRI usually excludes MS.
Detailed Answer:
Thank you for getting back and providing more information.
Normal MRI usually excludes MS. MRI of brain and spine would show lesions in MS.
Yes, it is possible to be a movement disorder, such as dystonia, which can explain the turning in of left foot and hand while walking. The diagnosis requires a keen observation of your hands and feet by a neurologist, when you walk.
In terms of diagnostic tests, PET CT scan of brain could help; however, it is not mandatory for diagnosis.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Normal MRI usually excludes MS.
Detailed Answer:
Thank you for getting back and providing more information.
Normal MRI usually excludes MS. MRI of brain and spine would show lesions in MS.
Yes, it is possible to be a movement disorder, such as dystonia, which can explain the turning in of left foot and hand while walking. The diagnosis requires a keen observation of your hands and feet by a neurologist, when you walk.
In terms of diagnostic tests, PET CT scan of brain could help; however, it is not mandatory for diagnosis.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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