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What Causes Dizziness And Numbness In Legs?

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Posted on Wed, 3 Sep 2014
Twitter Wed, 3 Sep 2014 Answered on
Twitter Thu, 25 Sep 2014 Last reviewed on
Question : Hi,

Hi. I am a 32 year old female who recently had a spell of dizziness (about 8 weeks ago) while I was seated on my couch. I am a regular runner and had done a long run that morning in the XXXXXXX heat, so I kind of thought that I might be dehydrated. I went to a local quick care clinic and they ran bloodwork, a urinalysis, chest x-ray and ECG - all were normal. I continued to worry about the dizziness and the following day, began to feel odd sensations in my legs...almost like they were falling asleep, but not really. I went to a CareNow the following week since I had not been able to see my PCP and the doctor there did a few neurological tests and everything was normal. She recommended i see my PCP if I didn't feel normal in the next few days. Fast forward a week and I still had some "numbness" in my legs and seemed to get spells of dizziness (mainly when stressed about my condition). My doctor was concerned about the dizziness and ordered a brain MRI without contrast. I finally go the report and it indicates: no acute abnormality, tiny fluid signal intensity lesion involving the left parietal white matter. This is not entirely specific but may reflect a dialated perivascular space or lacunar infarct. I received my images and do not see anything that looks like a lesion, And ended up going to the neurologist, who doesn’t see anything on the MRI and thinks it is just the way my brain is and mentioned that some radiologists are more likely to point out “hyperintensities” that are not actually that. He did a series of neurologic tests and did not see anything that concerned him. I am concerned that maybe there is something in my images that the neurologist does not see. I have also looked at the MRI a bit more closely and notice a vein looking bright area on the right side of the brain that was not mentioned in the reports. I will have a follow-up with him in 3 months of the symptoms persist. Is it possible to have a abnormal MRI that is nothing? Is the bright linear veiny looking thing on the right side of the brain (your left) normal?


I have added the image. The
doctor
Answered by Dr. Indu Kumar (1 hour later)
Brief Answer:
There is no lesion in left side of brain.

Detailed Answer:
Hello XXXX

I have gone through your findings in detail.
I am not able to see any hyperintensity in left side of brain which may represent dilated perivascular space or lacunar infarct.

It may be present in some other sections of brain.Even if it is present in other images,there is nothing to be worried.
T2 weighted or FLAIR hyperintensities in white matter of brain more than five in number is the cause of concern and need further follow up.Single lesion can be ignored even if it is present in other images.

In right side,bright linear structure is a normal finding.It is a deep vein.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Indu Kumar (1 hour later)
So it is normal even if it is hyperintense on the Flair image?
doctor
Answered by Dr. Indu Kumar (7 minutes later)
Brief Answer:
Please find detail answer below.

Detailed Answer:
Hello XXXX

Yes,mostly it is non significant finding without any clinical significance.

As discussed earlier,lesions more than fine in number may be due to ischemic changes,demyelination,post traumatic sequel etc.

In your case,most probably it is non significant finding and it can be ignored, even if it is present.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6728 Questions

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What Causes Dizziness And Numbness In Legs?

Brief Answer: There is no lesion in left side of brain. Detailed Answer: Hello XXXX I have gone through your findings in detail. I am not able to see any hyperintensity in left side of brain which may represent dilated perivascular space or lacunar infarct. It may be present in some other sections of brain.Even if it is present in other images,there is nothing to be worried. T2 weighted or FLAIR hyperintensities in white matter of brain more than five in number is the cause of concern and need further follow up.Single lesion can be ignored even if it is present in other images. In right side,bright linear structure is a normal finding.It is a deep vein. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX