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Hi,I Am A 64 Yr Old Woman Past Hx.of Breast

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Posted on Wed, 5 Feb 2020
Question: Hi,I am a 64 yr old woman past hx.of breast cancer. 5yrs ago. Recent mri for left leg tingling/loss of sesation knee to toes showed benign haemangioma at t10. Several bulging discs no cord compression. Transient dizziness/nausea getting out of bed.blood sugar normal.
Bloods ok apart from raised serum folate. Raised alk. Phosphate. ??due to aromasin which I completed.in Sept 2019.
I was taking vital. Supplements stopped now.

doctor
Answered by Dr. Olgeta Xhufka (1 hour later)
Brief Answer:
Benign Paroxismal vertigo is possible.

Detailed Answer:
Hello dear, welcome to Ask a doctor's service.
I read your query and here is my advice.

I don't think that nausea and dizziness may be related to haemangioma of T10 and bulking disc. They can cause tingling sensation,pain but not nausea and dizziness.
Also elevated alkaline phosphatase can't cause nause and dizziness.
The problem of dizziness and nausea mainly when getting out of bed may be related to inner ear issues possibly benign paroxismal vertigo. It is caused by movement in different directions of calcum particles in middle ear.
It would be better if you visit a ENT doctor.
Taking betahistine may ease it.
It can go by itself itself for weeks and then come again.

Hope I have answered the question.
Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Olgeta Xhufka (27 minutes later)
What about the leg tingling/partial numbness of my left leg?
My gp. Mentioned a neurology referral and? Brain scan.
Do you think these are necessary?
Leg has got a bit better from knee to ankle now not toes.
doctor
Answered by Dr. Olgeta Xhufka (18 minutes later)
Brief Answer:
Nerve compressions by disk.

Detailed Answer:
Hello dear and thank you for asking again.
The leg tingling and partial numbness in left leg may be caused by haemangioma and protruding discs compressing the nerves at the sides of vertebral column. That's why your general physician may have recommended you to visit a neurologist.I don't think a brain scan is needed but a CT of spine.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Olgeta Xhufka (1 hour later)
Hi, would the spinal mri. Not have shown if there was nerve compression?
Also could neuropathy be due to
Multiple sclerosis??
Thank you for your prompt replies.
doctor
Answered by Dr. Olgeta Xhufka (2 hours later)
Brief Answer:
A neurologist is needed.

Detailed Answer:
Hello dear and thank you for asking.
I don't think tingling sensation and numbness may be related to multiple sclerosis.
I think it can be because of nerve compressions by haemangioma or protruding discs.
Possibly the CT scan can show it and a neurologist may interpret it.
Let me know if you further.
Best regards.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Olgeta Xhufka

General & Family Physician

Practicing since :2011

Answered : 10113 Questions

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Hi,I Am A 64 Yr Old Woman Past Hx.of Breast

Brief Answer: Benign Paroxismal vertigo is possible. Detailed Answer: Hello dear, welcome to Ask a doctor's service. I read your query and here is my advice. I don't think that nausea and dizziness may be related to haemangioma of T10 and bulking disc. They can cause tingling sensation,pain but not nausea and dizziness. Also elevated alkaline phosphatase can't cause nause and dizziness. The problem of dizziness and nausea mainly when getting out of bed may be related to inner ear issues possibly benign paroxismal vertigo. It is caused by movement in different directions of calcum particles in middle ear. It would be better if you visit a ENT doctor. Taking betahistine may ease it. It can go by itself itself for weeks and then come again. Hope I have answered the question. Let me know if I can assist you further.