Hello,
Thank you for choosing DoctorSpring.
I have to agree , your symptoms description is bit abstract. But I strongly suspect a Neurological involvement. Have you undergone a Neurological evaluation ? Have you undergone an MRI study of the brain ? Is there a standing diagnosis (the one that cause the drooping eyelids in the first place ?
You can reply as a followup
Thank you
Since the consult is more of a mutispeicality consult , Dr.Deepu Sebin Sebastian (Internal Medicine Specialist ) will over see this.
Patient replied :
I had a fundus examination and I had a nystagmus, and dystonia. that was diagnoses from a pain doctor and a ophthalmologist. Neurologists say they dont see me having a dystonia on an exact time so they cannot say anything. The former doctors who diagnosed have seen the symptoms.
Hello,
Sorry, I feel your concern is bit too complicated and multi-disciplinary. I might not able to help you via online consultation. (Physical examination is a must). Sorry about that. You can contact suppor@doctorspring,com for a full refund or reassignment of the consult to a Neurologist.
Thank you
Patient replied :
I had a fundus examination and I had a nystagmus, and dystonia. that was diagnoses from a pain doctor and a ophthalmologist. Neurologists say they dont see me having a dystonia on an exact time so they cannot say anything. The former doctors who diagnosed have seen the symptoms.
Hi,
I can understand your discomfort, as it prevents you doing a very basic activity such as reading and writing, and moreover, no proper diagnosis has been made for almost 7 years.
Based on your symptoms, there are two main possibilities:
1. Ocular myasthenia: this condition can be further evaluated by doing "ice pack" test, tensilon test and repetitive nerve stimulation tests. If those tests were done/inconclusive, I would suggest starting a course of pyridostigmine tablets empirically, and look for improvement.
2. Dyskinesia- There is no specific test for this. Clinical examination by a neurologist would help.
If the diagnosis is suspected, a course of trihexiphenidyl and tetrabenazine tablets can be given, and any improvement can be looked for.
I hope it helps. Please get back if you have any follow up queries.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist
Patient replied :
If that is case of dyskinesia, is there any way to relieve the nystagmus and contractions?
Also, I feel dazzled. Everything is very bright. Is there any way to reduce this feeling?
I heard botox is used for dystonia's contraction... is it effective for this brightness as well? Do you think it is helpful for me?
Thank you for getting back.
Botox injections may not help in your condition.
Best wishes