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Old 11-13-2014, 04:27 PM
jenng jenng is offline
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Join Date: May 2013
Posts: 135
10 yr Member
jenng jenng is offline
Member
 
Join Date: May 2013
Posts: 135
10 yr Member
Default Neuro appt next week, advice please on labwork

I have my neuro followup Monday. I have new ( or just worse) symptoms in left hand/forearm. Tremor, easily fatigued, visible atrophy in muscles compared with my dominant right hand. I had an emg/ncs on my LUE in June 2014 which was "normal."

I am charting out my labs through Liza Jane's spreadsheets. Most of the neuronal antibody tests have not been checked. Are they pre-screened through the ANA (anti-nucleic antibodies?) I've had my ANA checked at least once a year for 12 yrs. I was low-positive once (1:80) 12 yrs ago. Since then, within normal limits. I did test positive for acetylcholine ganglionic receptor antibodies last year (autonomic NS.) Should I just request the whole gamut of neuronal tests be done? I have sensory involvement with motor showing up later to the party.

I feel like I am trying to stop a train by myself.
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Idiopathic Sensorimotor Polyneuropathy
Atypical Migraine
Chiari 1 malformation 7 mm
PLIF L5-S1 Sept. 2013

Lumbar MRI March 2013: degenerative changes from L3 to S1. L3 and L4 have tiny annular tears with disc bulge. L5-S1 bilateral pars defects anterolisthesis (spondylosis/spondylithesis?) I have an annular tear here too, along with a conjoined left L5-S1 nerve root. Mild effacement of the thecal sac at the origins of the bilateral S1 nerve roots, left greater than right. Mild bilateral Neural foraminal stenosis.
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