Symptoms of Imbalance and Abnormal Sensations: A Neurology Perspective

Feeling of foot drop, imbalance, and abnormal sensations in the brain?

Hello, Dr.
Gao.
Based on your response, I still have some questions.
(Symptoms can be side effects of medication or may indicate a sensory disturbance.
It would be advisable to have a neurologist perform a detailed neurological examination to assess this function.
If any abnormalities are found, further tests may be arranged for the spinal nerves or peripheral nerves.) What specific tests should be conducted? Are there detailed names for these tests? Additionally, I have appointments with other doctors at Taichung Hospital.
Can I still schedule an appointment with you again? Thank you, doctor.

Wang Wang, 30~39 year old female. Ask Date: 2013/05/24

Dr. Gao Chunde reply Neurology

Neurological examination determines whether there is a dysfunction in the sensory nervous system, and based on the findings of the neurological assessment, the next laboratory or imaging tests will be decided.
Any neurologist at Taichung Hospital can assist you.
After the examination, the physician will discuss with you whether additional tests are necessary based on your condition, as it is possible that there is no impairment in proprioception.
Therefore, the physician you consult will make a professional judgment on-site.

Reply Date: 2013/05/24

More Info

Understanding the symptoms of imbalance and abnormal sensations from a neurology perspective is crucial for diagnosing and managing various neurological conditions. Symptoms such as dizziness, imbalance, and abnormal sensations can arise from a multitude of causes, including peripheral neuropathy, central nervous system disorders, medication side effects, and vestibular dysfunction.

When a patient presents with symptoms of imbalance and abnormal sensations, a thorough neurological examination is essential. This examination typically includes a detailed medical history, a physical examination, and specific neurological tests. The following are some of the key assessments and diagnostic tests that may be performed:
1. Neurological Examination: This includes assessing motor function, sensory function, reflexes, coordination, and balance. The physician may conduct tests such as the Romberg test, which evaluates balance when standing with eyes closed, and the finger-to-nose test to assess coordination.

2. Electromyography (EMG) and Nerve Conduction Studies (NCS): These tests are used to evaluate the electrical activity of muscles and the speed of nerve conduction. They can help identify peripheral neuropathies or other nerve-related issues.

3. Magnetic Resonance Imaging (MRI): An MRI of the brain and spinal cord can help identify structural abnormalities, such as lesions, tumors, or signs of multiple sclerosis, which could be contributing to the symptoms.

4. Computed Tomography (CT) Scan: A CT scan may be used to rule out any acute intracranial issues, such as hemorrhages or strokes.

5. Vestibular Testing: If vestibular dysfunction is suspected, tests such as videonystagmography (VNG) or electronystagmography (ENG) may be performed to assess the function of the inner ear and its role in balance.

6. Blood Tests: These may be ordered to check for metabolic or autoimmune conditions that could affect nerve function, such as vitamin deficiencies, thyroid dysfunction, or diabetes.

7. Cerebrospinal Fluid (CSF) Analysis: In certain cases, a lumbar puncture may be performed to analyze the CSF for signs of infection, inflammation, or other neurological conditions.

Regarding your question about seeing multiple doctors, it is generally acceptable to seek opinions from different specialists. However, it is important to communicate with your healthcare providers about your consultations to ensure coordinated care. If you have already seen another physician at Taichung Hospital, you can still seek a second opinion from Dr. Gao, but it is advisable to inform both doctors about your consultations to avoid duplication of tests and to ensure that all aspects of your health are being considered.

In summary, the symptoms of imbalance and abnormal sensations can stem from various neurological issues, and a comprehensive evaluation is necessary to determine the underlying cause. The tests mentioned above are commonly used in neurology to diagnose and manage these symptoms effectively. Always consult with your healthcare provider to discuss your symptoms and the appropriate next steps for evaluation and treatment.

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