Ask a doctor on the topic of Neurology

Coordination disorders, sensory disorders, circulatory problems without any current physical findings.

December 29, 2021 | 40,00 EUR | answered by Dr. med. Frauke Gehring

Good evening,
I am currently experiencing the following symptoms: fatigue, mild muscle weakness (sometimes stronger, sometimes weaker), tingling sensations in my foot and leg, and slight dizziness that worsens during exertion (similar to the tingling sensation).

The tingling sensation often spreads to the point of "falling asleep" in my left foot. Blood values are normal and a native skull X-ray with MRI shows no abnormalities except for mucosal abnormalities (cysts or polyps).

The dizziness has only recently occurred, while the other symptoms have been present for about 2 months. The tingling sensation was in my right leg/foot 2 months ago, disappeared for a few weeks, and is now more pronounced in my left side.

My question would be, what potential illnesses could be considered in this case. Would it be necessary for further diagnostic treatment to be expedited (currently being postponed for an appointment in 3 weeks)?

Dr. med. Frauke Gehring

Good evening,

I am surprised that a skull MRI is being done, but none of the lumbar spine! Tingling, weakness, and numbness in the leg are indicative of a disc herniation in the lower lumbar spine area! As long as there is no actual paralysis, you can wait for a few weeks.

The fatigue would not be explained by this, other causes will have to be excluded. In the blood, one should look for a thyroid deficiency, anemia, liver or kidney problems, you could also simply be stressed or have low blood pressure. Your family doctor is the one to consult.

Warm regards, Dr. Gehring