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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Multiple Sclerosis?

I was diagnosed with multiple sclerosis in January of 2001. I was doing well for almost 11 years. I had a seizure in January of 2012 & had a biopsy performed. I have a benign brain tumor & am now on permanent disability. My question is, I very recently have had episodes of dizziness & it only happens when I either first sit up in bed in the morning or first stand up in the morning. It only lasts a few seconds & then goes away. I just wondered what could be causing this because it just started a couple of months ago in October?
Mon, 8 Jun 2015
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Neurologist 's  Response
I read your question carefully and I understand your concern.

Those symptoms are likely due to orthostatic hypotension which means failure of the body to adapt and maintain blood pressure when changing position from supine to standing. Such phenomena is present at times in many healthy people but when marked and prolonged it can cause disabling symptoms and is pathological.
To confirm it blood pressure measurements supine and standing are necessary. If confirmed it is not typically caused by your conditions (is a feature of other neurological conditions like parkinsonian syndromes), so testing for other causes like diabetes, low cortisol etc is necessary.

I hope to have been of help.
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  User's Response
HI
Well come to HCM
I really appreciate your concern, such episode of seizure is very atypical and does not correlate with either history of brain tumor or MS, in my opinion better to get done the EEG test and MIR of brain for differential diagnosis, till the I do not think that the condition needs any medicines, hope this helps, take care.
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What Causes Multiple Sclerosis?

I read your question carefully and I understand your concern. Those symptoms are likely due to orthostatic hypotension which means failure of the body to adapt and maintain blood pressure when changing position from supine to standing. Such phenomena is present at times in many healthy people but when marked and prolonged it can cause disabling symptoms and is pathological. To confirm it blood pressure measurements supine and standing are necessary. If confirmed it is not typically caused by your conditions (is a feature of other neurological conditions like parkinsonian syndromes), so testing for other causes like diabetes, low cortisol etc is necessary. I hope to have been of help.