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What Causes Tinnitus, Eyelid Drooping And Headache?
Question: Have lost lower 1/2 of visual field with edema and swelling of optic nerve. Tinnitus to right ear and right eyelid drooping with headache today. CT neg, MRI negative. Elevated ACE and sed rate. Also elevations of BUN creatinine. Negative carotid doppler study. Have had previous lung involvement of unknown origin. Is sarcoidosis a possibility? Currently seeing a neurosurgeon Lami/disc. post op two opthalmologists and referred today to a Dr. for possible temporal arteritis. Also have an appointment with a nephrologist on the 14th.
Brief Answer:
Most likely sarcoidosis
Detailed Answer:
Hi,
Thank you for posting your query.
I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.
I have noted the clinical details and reports of investigations. Based on reports, the most likely diagnosis is sarcoidosis. The points in favor are: elevated ACE level, elevated ESR and past history of lung disease, in addition to neurological involvement.
You should also consult a rheumatologist to decide the immunosuppressive therapy.
I sincerely hope my reply has helped you.
I would be pleased to answer, if you have any follow up queries or if you require any further information.
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/
Most likely sarcoidosis
Detailed Answer:
Hi,
Thank you for posting your query.
I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.
I have noted the clinical details and reports of investigations. Based on reports, the most likely diagnosis is sarcoidosis. The points in favor are: elevated ACE level, elevated ESR and past history of lung disease, in addition to neurological involvement.
You should also consult a rheumatologist to decide the immunosuppressive therapy.
I sincerely hope my reply has helped you.
I would be pleased to answer, if you have any follow up queries or if you require any further information.
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/
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Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar
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