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What Causes Tingling In Arm While Suffering From Acoustic Neuroma In Ear?

Posted on Fri, 18 Sep 2015

Question: Hello,
I have an acoustic neuroma on my left ear. The size is 14.3 mm X 9.5 mm X 9.0 mm. This condition did not impact so far my hearing or else except for tinnitus . it has been stable in growth since at least 5 years. I am 55 years old.
Last saturday, a significant increase in tinnitus was observed with the following symptoms: whenever my head was moving, there was a sensation around my head like a movement delay and some tingling in my right arm. Since then, these symptoms come and go.

Answered by Dr. Ajay Panwar (1 hour later)

Brief Answer:
Brain MRI to reassess the size of tumor

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

If you would have presented to me as an outpatient,I would have asked you to get a fresh MRI of brain with contrast done to reassess the size of tumor.
Tingling in right arm can occur if the acoustic neuroma affects the neural tracts nearby.This is a new symptom,so we expect some change in the tumor morphology.

Please upload the fresh MRI and old MRI,so that I can compare the two and advise you accordingly.

Please feel free to ask follow-up questions.

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

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

Follow up: Dr. Ajay Panwar (17 minutes later)

Hello Dr Panwar,

thank you for your opinion.

My latest MRI was taken on July 28 2015.

I am trying to upload but it is difficult. It has a viewer and all the files are on that cd rom.

Answered by Dr. Ajay Panwar (23 minutes later)

Brief Answer:
Please upload the CD-ROM.

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

Please zip the entire CD-ROM as a file.Upload the zipped file on google drive.Get the google drive link and paste it here in the follow-up query.

I shall download the CD-ROM and view it with my default .dicom viewer.Please upload the previous MRI also, if any.

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

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

Follow up: Dr. Ajay Panwar (30 minutes later)

Hello Dr Panwar,

Please find:

1- MRI July 28 2015
https://drive.google.com/folderview?id=0B9YJLUsRRZSUfkxFRzBCY00xbHk5LVFBS1ZqUEo5ZjFGSVVnNmdzTkdTY19yY1NENHVGUDg&usp=sharing

2- MRI August 26 2014
https://drive.google.com/folderview?id=0B9YJLUsRRZSUfnVERFVrMldsaVlvYmRtUmFLZnFSY2UzVHBoRUJubjMxNktUNHZ0Zy16akE&usp=sharing

I hope these links will work.

Thank you

Answered by Dr. Ajay Panwar (3 hours later)

Brief Answer:
There does not appear to be significant increase in size.

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

I have gone through both the MRI's.There does not appear to be a significant increase in size of the tumor,not significant enough to cause new symptoms.

What is the radiologist's report,while comparing the two MRI's?

I think in this scenario,you should get physically examined yourself by a neurologist,including funduscopic evaluation.

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

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

Follow up: Dr. Ajay Panwar (19 hours later)

Thank you

Answered by Dr. Ajay Panwar (8 hours later)

Brief Answer:
Welcome

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

You are most welcome.

Please get back to me in case of any further queries.If you wish,you can ask a query directly to me at my HCM address-

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=69273

Meanwhile,please close the thread,rate it and write a review as your rating will be of help to me.

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

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