Frag-Einen

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Brain tumor-MS-Cervical spine Need competent advice.

Dear Sir or Madam,

I am looking for a competent opinion here. I am aware that a remote diagnosis is not possible.

Regarding my history:

I have been experiencing continuous vision problems and a sense of unsteadiness for several weeks now.
I cannot describe my vision problems in detail. It is not double vision, and I can see everything clearly. There are no visual field defects.
Rather, I feel like everything looks strange when I am outside. I also find typing on the keyboard somewhat difficult.
Although I can quickly hit all the keys and don't make mistakes, everything still looks a bit "far away" to me.

The problem becomes more pronounced in large spaces like supermarkets, for example.
Even outdoors in the fresh air, everything feels somehow "different." I would describe it as a problem with "spatial vision."
I also find bright light disturbing.
Furthermore, I feel completely scattered, have trouble concentrating, and feel mildly depressed.

Additionally, I have a certain sense of unsteadiness when walking.
Everything feels somewhat fuzzy to me. I feel like carrying something on my arm (~10 kg) makes it better. But I am not sure.

I am currently undergoing treatment for CMD (craniomandibular disorder) and have been given a bite splint for it. It hasn't helped.
I feel like my spine in the upper area is "protruding." I have a strange feeling in my ears, constantly tense neck muscles, my shoulder joints crack when moving, as does my neck. Everything cracks and crunches, especially in the morning. I also have tense chest muscles and muscles between my shoulder blades.

Another problem is a tingling sensation in my right leg. It is present when lying down (waking up) in the morning.
Sometimes it also happens when I stand and lean against something with my buttocks or in the shower.
It goes away with movement.
I also have a strange feeling in the pelvic/hip area. It feels slightly tilted.

Of course, I am terrified of a brain tumor/MS, or something similar.
My general practitioner took blood samples and checked my thyroid - everything is normal.
My doctor says I should take "Citalopram." My symptoms are too diffuse to pinpoint anything specific.

I have seen two neurologists after that.
The first one found the following:
"No deficits in neurological examination"
"No abnormalities in neurophysiological examination (EEG/SEP/AEP)"
Original statement: "There is no reason for an MRI. If there were inflammations or tumors there, we would have seen them in the examinations."

The second neurologist attributes it to the psyche.
Original statement: I don't see where a tumor could be based on the examinations you have done. -> Psyche/anxiety disorder.
Physical causes ruled out.

I have spent a lot of time in front of the computer. Sometimes very tense (work and leisure).

Now to my questions:
- Are the statements of the neurologists correct in that a tumor/MS can be ruled out with such examinations?
- Can back/spinal problems trigger such symptoms?
- Who/what else should I turn to?

This issue is almost robbing me of all my quality of life. Unfortunately, I am almost at my wit's end and urgently need a competent opinion.

Dr. med. Frauke Gehring

Good evening,

I am happy to respond to you. Reading your description, I initially thought of severe tension. Your symptoms seem to fit best with that, along with psychological stress.

To your questions: It is not possible to completely rule out multiple sclerosis or a tumor in this way, but on the other hand, these conditions almost always cause neurological changes that would be noticeable during an examination. And your symptoms are not typical of those conditions.

Tension could be the cause of your symptoms. That is why those were my initial thoughts.

I would recommend seeing an orthopedist, doing physiotherapy, and learning relaxation techniques such as autogenic training.

All the best!

Warm regards,
Dr. Höllering

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Experte für Neurology

Dr. med. Frauke Gehring

Dr. med. Frauke Gehring

Arnsberg

Staatsexamen 1984 in Kiel, seit 1992 in eigener Praxis niedergelassen. Onlineberatung seit 2001 bei Almeda, Focus (als ärztliche Leiterin), Onmeda, Bild der Frau. Moderatorin, Dozentin für medizinische Themen.

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