How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask KarayanMD Your Own Question

KarayanMD
KarayanMD, Neurologist (MD)
Category: Neurology
Satisfied Customers: 830
Experience:  Board Certified Neurologist with Subspecialty in Clinical Neurophysiology. Private Practice.
22767285
Type Your Neurology Question Here...
KarayanMD is online now

I have been suffering with extreme head pressure over the last

Resolved Question:

I have been suffering with extreme head pressure over the last few months not only headaches but as though someone was trying to squeeze my skull . ,I have also had these other symptoms . I have numbness in my left leg and arm ,tingling face and lips .I have also suffered from continual vertigo and dizziness for years .I caught a glimpse of the scan and saw loads of lesions ,could this be MS .What would the next steps be .
Submitted: 2 years ago.
Category: Neurology
Expert:  KarayanMD replied 2 years ago.

Hi. Thank you very much for your question.

I am a board certified neurologist in the U.S. I will be happy to help.

Given the fact that you have the symptoms of numbness and tingling on your left side, vertigo, and many lesions on a brain MRI, certainly MS would be a possibility. However, there are other conditions that can also produce neurological symptoms and lesions on an MRI, which could include small strokes, infectious disorders, and other autoimmune diseases, to name a few. Hypertension if uncontrolled can also produce brain lesions that may accumulate over time.

The point here is that you definitely will need further workup by a neurologist to figure out exactly what is going on, and to determine the best treatment for you.

If the diagnosis does end up being MS, there are currently about 8 or 9 FDA approved therapies to slow the progression and lessen relapses that occur in this disorder, and therefore it becomes essential to establish a diagnosis if possible.

The next step in evaluation likely would be more blood work to rule out various causes for such lesions, as well as possibly an MRI of the Neck portion of the spine (Cervical Spine), and possibly even a lumbar puncture or spinal tap to analyze the fluid from the spinal canal.

I would strongly encourage following up with a neurologist to get the proper treatment. Best of luck.

KarayanMD, Neurologist (MD)
Category: Neurology
Satisfied Customers: 830
Experience: Board Certified Neurologist with Subspecialty in Clinical Neurophysiology. Private Practice.
KarayanMD and other Neurology Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Dr. F

    Dr. F

    Board Certified MD

    Satisfied Customers:

    266
    Neurosurgeon with more than 20 years experience in practice and teaching.
< Previous | Next >
  • http://ww2.justanswer.co.uk/uploads/BrainLifeDoc/2010-10-04_004701_AMF_2008_2_pix.jpg Dr. F's Avatar

    Dr. F

    Board Certified MD

    Satisfied Customers:

    266
    Neurosurgeon with more than 20 years experience in practice and teaching.
  • http://ww2.justanswer.co.uk/uploads/TO/TOHfan1/2012-3-3_11610_strokedoc.64x64.jpg Stroke Doc's Avatar

    Stroke Doc

    Board Certified Physician

    Satisfied Customers:

    41
    I am board-certified in Neurology and the subspecialty Vascular Neurology.
  • http://ww2.justanswer.co.uk/uploads/PR/pradocs/2012-7-23_23649_201272323220JApicture105x113.64x64.jpg Dr. Bob's Avatar

    Dr. Bob

    Neurologist (MD)

    Satisfied Customers:

    1501
    Neurology & Int Medicine (US Trained): 20 yrs experience
  • http://ww2.justanswer.co.uk/uploads/HE/healthydoc/2011-7-22_193154_LevGrinman2.64x64.jpg healthydoc's Avatar

    healthydoc

    Board Certified Physician

    Satisfied Customers:

    325
    Board Certified U.S. Neurologist
  • /img/opt/shirt.png RH's Avatar

    RH

    Board Certified Neurologist

    Satisfied Customers:

    1944
    Expert in various areas of Neurology
  • /img/opt/shirt.png Brainmaster's Avatar

    Brainmaster

    Board Certified MD

    Satisfied Customers:

    58
    ABPN certified. 6 years of outpatient general neurology practice experience. No malpractice cases
  • /img/opt/shirt.png braindr11's Avatar

    braindr11

    Board Certified Physician

    Satisfied Customers:

    43
    Neurologist with outstanding expertise