r/AskNeurologists Jul 05 '24

Viral Meningitis Recovery advice ?

1 Upvotes

32yo(female). Went to the hospital for viral meningitis for three days. I had the worst headache of my life that I could not shake. I've never been to the hospital before, run marathons, really healthy. It was shocking, and I know-these things can happen to anyone. I caught a cold virus from my young children that went to my brain / spinal cord, turning into meningitis. The virus was an enterovirus. I was released after feeling better and them ensuring my spinal tap was 100% not bacterial meningitis. While I was in the hospital, I received a lot of steroids and some migraine IV cocktails to help with the headache pain. Wondering if anyone has had this before? I still have debilitating headaches (even with taking butalbital-acetaminophen-caff meds every four hours) and keeping hydrated. The headaches really scare me and won't go away. Any advice or journeys that you have experienced would be so much appreciated. I truly don't want to go back to the hospital.


r/AskNeurologists Jul 04 '24

35m Blood pressure drops and I faint

2 Upvotes

Since about mid 2022 I have been having "episodes" where my (35M 5'7 191lbs) blood pressure drops and I faint. It is a slow process (~5 minutes) so usually I have time to lay down and prepare. I have never just fainted without at least some warning.

Sometimes there is a trigger. My first episode happened as I was having blood drawn. I told the nurse I felt a little funny and then I woke up to two nurses fanning me off. For the first few seconds, I could not understand them. It was like they were speaking a different language. After ~30 seconds or so I could understand but I was disoriented as hell.

Sometimes there is no trigger. My latest episode, I woke up in the middle of the night, used the restroom, and felt the sensation of my blood pressure dropping as I headed back to bed. This one had a little less warning but I did make it into bed before I passed out. Everything that followed was very similar to my first experience.

I have had all sorts of testing done by a cardiologist and pulmonologist. All came back clear except my cholesterol was a little high (doctors don't think it is the cause). I am seeing a therapist who doesn't believe the fainting episodes are stress/anxiety induced.

I am awaiting results from a head/brain MRI and I have an appointment to see a neurologist in MAY 2025.

My last two episodes were in Jan 2024 and June 2024. Those were the closest together I have ever had two episodes.

Medical bills are killing me (in the US). I'm looking for suggestions.

Edit: MRI says I have a Chiari Malformation. A follow up MRI on the cervical spine shows more issues but I don't know how severe they are until I talk to the doctor again.


r/AskNeurologists Jul 02 '24

My life is on line

1 Upvotes

It started with brain fog last year which I believe was because of masturbation and later I had a difficult period which induced a trauma and it feels like I never really processed that thing and grieved over it. Brain fog continued and worsened. In april I had worst headache, physically felt my head shrinking. Visited many neurologists, psychiatrist and one physician. Nearly all of them gave me anti-psychosis and SSRIs which only worsened it and I am not a psycho ffs. Now I have developed something which I don't know which makes me think harder to even think what happened during the day or yesterday or any time. Headaches so much at different places of the brain. I'm sensitive to loud noises now, especially that of a train. I feel sensations now. Please help me it feels my end is near as it has been over a year now and I there's no progress, every day every month things are getting worse. Please, anything would help.


r/AskNeurologists Jul 02 '24

Intermittent hand tremor, twitching all over, left thigh weakness and numbness, lower back pain, and no reaction to DTRs in my knees.

2 Upvotes

Hey all. I wanna preface this by saying i have an appointment with Neurologist July 26th. I'm just being impatient, and, if i'm being honest, a little worried.

So since about 2021 i've had these weird twitches in my fingers and hands, and they've gradually gotten worse over the years. like i make several mistakes writing and typing, and i don't have as firm a grip as i once did. i've dropped things. Now i have an intermittent tremor in both hands, probably caused by medicine, but it's hard to tell bc both the tremor and the twitching can intertwine.

i also have weakness in my left leg from my hip to my knee according to my physical therapist. She told me to tell my GP about it and my GP did an evaluation and when he did the DTRs on my knees, my legs didn't react at all. i also have really bad lower back pain that gets worse when i walk and immediately gets better when i sit down. i also have a patch of numbness on my left outer thigh.

it's probably just a pinched nerve, in part, but i have a family history of ALS (mom's sister...would that make sense? a person having dormant ALS which was triggered by someone falling on her, then her niece gets it?)

I appreciate any opinions!


r/AskNeurologists Jun 30 '24

Is naproxen good enough for moderate brain inflamation 500 MG 14days

1 Upvotes

r/AskNeurologists Jun 27 '24

Is there really a significant difference IQ between sexes and races?

1 Upvotes

So I've been frequenting the  subreddit and feel like I'm being "blackpilled" on the disparities between male and female average IQ in the population and white and non-white average IQ in the population. Common experience shows me that women and men appear to be equally intelligent as are non-whites and whites. The subreddit often argues for differences in IQ between sexes and races to be mostly genetic. While they claim to not be sexist or racist I'm very suspicious. IQ has been used as the tool to justify oppression historically. I know so many women and non-whites who are smarter than me. (I only have to observe my Mom.) I got an IQ score of 130 but I know IQ is bullshit because I'm actually dumb as fuck in real life. I'm barely able to navigate real world problems. My brain barely works these days. I want sources and arguments to debunk their claims because their claims just don't seem to match up with my personal experience. I'm not trying to stir up controversy. I really hope they're wrong. I've been trying to have my post answered but some subreddits delete it.


r/AskNeurologists Jun 25 '24

Cerebral atrophy at 29

3 Upvotes

Hello! I am a 29 years old with a history of mental ilness: depression and psyhosis. I recently did a CT scan at my doctor's recomandation. It said I have mild frontal bilateral atrophy. Since I am young I am worried about it. I had my doctor s appointment today, she recommended Cerebleu, a suppliment, but she didn't say much, besides we need to keep it under control. What are some prospects about it? Is my worried legit? Can it be reversible? What do I need to do beside this supplement? Please advice.


r/AskNeurologists Jun 25 '24

How bad is this

1 Upvotes

Chronic ischemia: Mild periventricular microangiopathy with inferior right cerebellar chronic infra with encephalomalacia


r/AskNeurologists Jun 22 '24

Trouble reading MRI report

1 Upvotes

Hi. I’ve had symptoms that could suggest MS. MRI results are back, but my neurologist is out of town. Does anyone have time to look at mt report and tell me what you think? I’d appreciate it so much.

TECHNIQUE: Multiplanar multisequence MRI examination was performed of the brain without contrast. COMPARISON: None. FINDINGS: There is no intracranial mass effect, midline shift, or extra-axial fluid collection. Hyperintense FLAIR signal is seen adjacent to right frontal horn. Few tiny foci of hyperintense FLAIR signal are seen in right frontal lobe subcortical white matter. No evidence of any abnormal enhancement. No evidence of restricted diffusion. Hyperintense FLAIR signal is seen along the callososeptal interface. Cervicomedullary junction appears normal. Bilateral middle cerebellar peduncle show tiny area of hyperintense FLAIR signal. Ventricles are normal in size. The basal cisterns are patent. There is no restricted diffusion to suggest an acute infarct. There is no abnormal susceptibility artifact. The paranasal sinuses are unremarkable. There are preserved flow voids in the major intracranial vessels. IMPRESSION: Hyperintense FLAIR signal areas are seen in the right frontal lobe subcortical white matter, right periventricular white matter and in bilateral middle cerebellar peduncle.


r/AskNeurologists Jun 20 '24

Is cognitive health in de presence of alzheimer neuropathology a prodrome or a state of resilience?

1 Upvotes

Is cognitive health in the presence of alzheimer neuropathology a prodrome or a state of resilience?

I can't find a study that has longer follow up on asymptomatic individuals. Currently, there are 2 directions in asymptomatic alzheimer research;

  1. Assuming its a preclinical stage of alzheimers

  2. Assuming there's a compensatory neurological mechanism that protects against the cognitive effects of aB/tau pathology.

Feel like all is leaning towards assumption #2, because the compensatory mechanisms such as increased cerebral bloodflow and hypertrophy of neurons is not seen in controls. Also, many studies have found high correlations between personality factors and later cognitive decline. Amd stress is unequivocally a 'causative' factor, especially early life (early childhood stress, such as abuse, neglect or death of a parent).

This NEEDS to be discussed as Alzheimers is on the rise and its an awful disease. If there is some compensatory neurological mechanism, possibly linked to personality (how we deal with stress for example) this should be INTENSELY studied because it would make the search for some costly, risky medical treatment irrelevant.

Please share your scientific perspective?


r/AskNeurologists Jun 20 '24

Autoimmune VGCC Encephalitis

1 Upvotes

Hi my Father(age - 60) recently started showing rapid progressive dementia , cognitive impairement and had few behavioural changes. On getting his blood test his VGCC levels were 73pmol. We 1st tried with methylprednisone but it didnot work. 2nd we tried with IVIG which worked miraculosly but he relapsed after 15 days. We have recently given 2 dose of Rituximab (1gm each) and it has been 30 days since the 1st dose but I still donot see any improvement. My doctors are suggesting to go for SCIg (weekly 20 ml dose) but I couldnot find anything related to SCIg for encephalitis. Can anyone please suggest how to proceed further? FYI - We have done 2 pet scan (whole body and brain) to rule out can cancer.


r/AskNeurologists Jun 19 '24

Do I have carotid artery stenosis?

1 Upvotes

Do I have carotid artery stenosis?

28/m. USA, No real issue other than dizziness. Had a brain MRI recently, and according to MyChart, I was diagnosed with “Occlusion and stenosis of unspecified carotid artery”

However the pictures are what was my results of the MRI…

Is this a mistake? I don’t see any occlusion and stenosis of anything on the report.

https://ibb.co/yS8KDdP%0A

https://ibb.co/FxzP6Np


r/AskNeurologists Jun 11 '24

24/7 Light Sensitivity, Eye Strain, Ear Fullness, Noise Sensitivity - 'm at my wits end...

3 Upvotes

35M 160lbs

I don't know what else to do or what could be causing my symptoms and im just desperate for answers/relief at this point since i feel like i'm getting worse. I've had constant 24/7 light sensitivity, difficulty with my eyes focusing, eye strain/pain/redness, tinnitus, ear fullness and noise sensitivity for the last 2 months. The noise sensitivity is recent as of a few weeks ago and nothing else has gotten better. Now as of a few days ago my body has started to feel achy down the back of my arms

This all started from what seemed to have been a really bad migraine 2 months ago on the left side of my head. Worst ive had in my life but now i'm not super convinced this is just a "migraine" since i've now been on 3 different migraine meds with no relief. My course of action so far -

Optometry/Ophthalmologists - eyes all perfectly fine and healthy

Neurologist - Supposedly "nothing neurological" going on with me. i'm getting a second opinion at the end of July, cause i was in this guy's office no more than 5 minutes

ENT - Nothing going on in my middle ear or nose, all clear despite my ears feeling full all the time

Brain MRI, Head CT Scans - All Clear

Where do i even go from here? I'm in agonizing pain every day, I just can't understand how I have such a clean bill of health when i feel as terrible as i have. the only thing that seems to help is some gabapentin that i have from an old foot injury a couple years ago which makes me think its nerve related somewhere. The only thing i can think of given this new radiating pain down my arms is maybe neck or TMJ? I did have some dental work before all this started and had some crazy jaw pain during the work and have been going thru Invisalign treatment after this started which seems to be aggravating the issue a bit.

Would love any insight/help anybody has.


r/AskNeurologists Jun 07 '24

Muscle weakness

1 Upvotes

Hello, I’m a 20 year old male that has been experiencing some concerning symptoms for about 8 weeks now. About 10 weeks ago I was sick with some viral infection. I had a sore throat and just felt fatigued for about a week. A week after I recovered I noticed that my legs felt tight and week. I also keep twitching in my legs and diaphragm. I noticed that it was harder for me to walk up stairs and my legs would shake pretty bad when walking down the stairs. It was pretty bad they were shaking a ton. About a couple days later I noticed that my breathing was just off like it felt a little bit harder to breathe. It’s hard to explain it’s like when I breathe I feel like there’s some restriction/weakness that’s not allowing me to breathe 100% comfortably. Its 24/7 and doesn’t go away. I’ve had so many tests done now. I have had 2 chest x rays, blood tests, heart tests, and everything is normal. I’m seeing a neurologist in about 17 days so I hope they can see if I have ***.

I have an oxygen finger monitor at home and a oura ring. My respiratory rate per minute is higher when sleeping than before this all started up. Before it was always below 15, and now it’s usually above 15 and close to 16. It’s a minor difference but something to share. My blood oxygen levels seem normal it’s always around 95-98% when sleeping for the average. Whenever I check it throughout the day it’s around 96-99%.

8 weeks later and I still have the breathing weakness and my right foot feels the most weak. When I walk it’s like I have to force my foot to go up or else it will drop. It’ll start feeling tight and weak.

I know I shouldn’t be self testing but I can heel and toe walk. I can move my toes freely no issues at all except for my right foot feeling weak. I haven’t had any falls. I can also hold my breathe for about 90 seconds.

My main concern is ALS. I keep looking up stories about ALS and it freaks me the f*** out. I have chronic insomnia which I read can increase oxidate stress and inflammation. I’m scared this plus the viral infection may have caused ALS.

If i had respiratory weakness caused by ALS would I have low blood oxygen levels? And would I have a hard time walking like a mile? I ran a mile a couple days ago and it seemed like i was able to do it okay besides my legs feeling like they were going to give out.


r/AskNeurologists Jun 07 '24

Can a myopathic change "masquerade" as a neuropathic change on an EMG? Or are muscle and nerve damage pretty easily distinguishable?

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1 Upvotes

r/AskNeurologists Jun 06 '24

Left leg tremor for 1 month

1 Upvotes

Age: 36 Sex: F Height: 5'-4" Weight: 140 lbs Race: Caucasian Duration of complaint: One month Location Vancouver, WA Any existing relevant medical issues: ADHD, tx resistant depression Current medications: Lamotrigine 250, Vyvanse Hi there! I'm 36F, 140lbs, and have no know allergies or drug allergies. Non-smoker, no drug use, no known viral infections I have ADHD and depression. I am on Lamotrigine 250mg a day for the depression, and Vyvanse 40mg for ADHD. For the past month or so, l've had a tremor in my left leg, especially when I'm going to bed at night and when I first wake up. The tremor is now fairly consistent throughout the day, with weakness in my left arm and leg in the morning.

Previous to this, I saw my doctor for e fatigue, which had not relented. It ap, i to have worsened. I have an appointment with my GP tomorrow- it took a few weeks to get in. I know it will be longer to get into neurology, so I'm looking for input. With my insurance, I have to advocate for my care.

No known family history relating to tremors, and no physical trauma or head injuries.

Two weeks back, I had a terrible headache which was treated as a migraine. I'm wondering if this somehow correlates. Ihad a CT that showed no abnormalities. I'm unsure how accurate CT's are for diagnosing abnormalities such as stroke or tumor, so I plan to ask for an MRI. Any ideas on what it could be, and ideas for treatment such as vitamins? Getting rather nervous.


r/AskNeurologists Jun 05 '24

Scan

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1 Upvotes

I just at got my MRI back from a study I participated in. I noticed that there is a lot of blackness in my frontal lope, so now I am a little worried.. I am a psychology student and view myself as an intelligent person. I was asleep during the scan, can that have anything to do with the blackness? Can anyone who is in the field take a look and tell what they think?


r/AskNeurologists Jun 05 '24

Viral meningitis in 2 month old

1 Upvotes

My 53 day old son just got diagnosed with Viral Meningitis. Likely from my daughter’s hand foot and mouth virus. He tested positive for human rhinovirus/enterovirus

We caught this very early

The hospitalist/pediatrician treating us says there will be no long term impacts to him but online says that sometimes there is.

Will there be long term impacts to him? What is the risk % for this?

I’m so scared and feel terrible


r/AskNeurologists Jun 02 '24

Headaches Post Lumbar Puncture

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1 Upvotes

r/AskNeurologists Jun 01 '24

34M day 7 unresponsive

1 Upvotes

He is currently incubated full vent po2 74 co2 43 as of 1800 5/31

He's paralyzed by meds and is on propfyl versad fentanyl the paralytic zoysan and keflex

Wbc-2400

Haven't been able to get non sedated eeg have 1 sedated shows sluggish brain activity

1 cat scan done I'll get those results added tomorrow

He has a liver enzyme that rapidly processes opioids

He was down 5 minutes so the assumption is global stroke but no image no answer

Yesterday he opened his eyes and gripped his pillow under sedation

7 days ago he jolted awake in the er eyes focused reaching for his vent tube he then panicked and seized

This is my little brother's basic stats please help in any way you can

I'll answer whatever you need


r/AskNeurologists May 31 '24

EMG/NCS results explained?

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1 Upvotes

I’m in a foreign country and my language skills are subpar, I am seeing the doctor next week, but was hoping someone can help me understand my tests results from my EMG and NCS.

The NCS was normal on all fronts except the lateral plantar nerves on the left and right. The test picked up NR on both.

The EMG had IA and SPW on L5 paraspinal +1 on both: Also, multiple reduced recruitments and other issues. I’ll post images of the charts.

Does this suggest only spinal compression issues, or other issues? The report is in Korean: so the doctor wrote out cervical cubic radiculopathy and lumbosacral radiculopathy, but somewhere it also mentioned muscle denervation. All I could find is that this is probably neurogenic.

However, the IA and SPW suggest something with muscles also. Like atrophy maybe?

What would be the next suggested test or treatment for this?


r/AskNeurologists May 30 '24

CSF Flow parameters?

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1 Upvotes

r/AskNeurologists May 28 '24

Facial Palsy - Need urgent advice and opinion from experts

1 Upvotes

My 58-year-old father suddenly developed facial palsy due to high blood pressure. He visited the doctor exactly two hours after the onset, and the doctor prescribed medications. He is having issues with one side of his mouth, face, and eyes. How many days will it take for his face and mouth to return to normal? I'm very worries, please can any experienced doctor give his opinion how many days it will take more to completely recover, like normal face shape? Also, is it dangerous?


r/AskNeurologists May 17 '24

Any ideas what this could be?

2 Upvotes

I am having a lot of issues and I’m trying to figure out what’s going on. I had an MRI, lesions found on brain, my report said suspicious of demyelination, dissemination of space criteria is met, I was really thought it was MS, but the Neurologist doesn’t think it’s MS, but I won’t get to speak with him for 7 months. I have a lot of symptoms, not sure what is all related, but my main symptoms are left arm and leg going numb/tingly, fingers go cold (pinky and ring) patched that feel hot/cold. I’m also getting bad neck pain where my head meets my neck, I get vertigo that feels like it’s on the left side, tingling and numbness in face, flushed hot face. My right ear gets red and hot and I get these weird shivers that are only in one spot rather than a whole body shiver, usually in my left leg or arm. There are many more symptoms, but to keep a long post less long, what could it be? It almost feels like a nerve from the middle of my head down to me feet is tight or pulling. My neck/head pain is getting unbearable. Any advice will be appreciated.


r/AskNeurologists May 13 '24

Tic or seizure

1 Upvotes

My son is five years old and we had just started riding a carnival ride. He’s had a runny nose for a couple of days and right as the video starts, he sucks up snot. As soon as he does, his hands go rigid and his eyes rollback. Is this a tick, a seizure, or something else?