Petrosal Sinus Sampling

Health Q&A
Left leg and Left arm unresponsive

I woke up with my left arm and left leg being heavier than my right for atleast 5 mins at 3am in the morning. Its been 5 days since. I could move my limbs but they were extremely stone heavy than right. No tingling or numbness just heavy. I was horrified. I have had a Brain MRI 3 years ago due to anxiety symptoms. It was normal back then. I have had strange symptoms like palm sized pressure in the left side top of my head which happened atleast 7 times last year and then completely stopped. The last pressure episode happened at nov 2025 when I woke up in the morning and suddenly had palm size pressure in the same area with my left index finger and left thumb tingling. It never happened since. However 5 days I had my left leg and arm feeling like it was being pulled stronger by gravity when I woke up randomly at 3am. I am only 22. I have been taking bisoprolol 2.5mg for 3 years due to severe anxiety. That medicine keeps my bp at 104/73, HR at 73 on rest. So far, it's always after sleep.

B12 B9 deficiency - Neurological symptom

Hi My serum value B12 226 pg/ml, past 1 year ago had 162 pg/ ml so doctor prescribed 3 re-nerve plus injection. My current MMA - 481, active b12- 32, Homocysteine >50, folate - 1.19, ferritin serum 32.3. I have been facing floating sensation for past 2 years reduction in libido, pins and needles pain in palms and feet and some time severe pins and needle pain in penis after ejaculation Already visited many doctors don't know which doctor to visit. My symptoms are not getting improved come and goes not able to judge what is happening Kindly suggest first course of treatment should it be b12 injection or some other treatment like oral supplements and also which doctor I have to visit?

Parkinson's

Hi, My brother's (Age 38) TRODAT result came as below: Presynaptic dopaminergic dysfunction on both sides (L>R). Doctor Prescribed following tablets and he is yet to start the medication. 1. Rasalect 1 mg (once daily) 2. Amantrel 100mg (twice daily) Currently the symptoms what he is having is mild and only discomfort in one hand finger movement and he is able to manage. My questions are 1. Is it necessary to start the meditation immediately as he is able to manage with just minor discomfort only. (Understood that these medications create side effects) 2. Does starting meditation early or late have any merits / demerits with respect to the progression of the disease? 3. Is this scan report finding confirmed Parkinson? Kindly help with your opinion on this please. Thank you in advance.

Suspect hypoglycemia

Hi i am non diabetic healthy but recently I diagnose with vernick sclerosis I had night time peeing a lot soon after drinking water with mild headache little bit demotivate with insomnia i take probiotic i have gut issue and inspiral 10 sr with brivact 50mg sir but i don't have tremors at all now

Spinal problem

Osteophytes and mild disc dessication. Perineural cysts in proximal sacral spinal canal at the level of $2 vertebra. Mild facet joint arthropathy at l5-$1 level. Subtle posterocentral disc protrusion at L4-L5 and L5-$1 levels causing mild anterior thecal sac indentation however there is no obvious impingement of nerve roots. AP spinal canal (thecal sac) diameter: L1-L2- 13.4mm L2-L3-11.8mm L3-L4 -11.5mm L4-L5-10.5mm L5-S1-10mm Spondylotic degenerative changes in form of loss of cervical lordosis, multilevel small marginal endplate osteophytes and disc dessication. Posterior disc osteophytic complexes from C3-C4 to C6-C7 levels causing mild anterior thecal sac indentation and mild narrowing of spinal canal. Few small perineural cysts are seen in bilateral neural foramina at multiple levels. At C4-C5 & C5-C6 levels, there is mild narrowing of right neural foramen with possible mild impingement of exiting nerve root.

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Dr. Shahid Mehdi Nimjee - Neurosurgeon
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Dr. Michael Shannon - Neurosurgeon
Dr. Michael Shannon Neurosurgeon (Medical School, Medical Education, Residency - ID, Internship, Class of 1974, Residency in Neurological Surgery, Residency in Neurology) 51 years experience Cardiothoracic Surgeons Inc
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Dr. Ciaran James Powers - Neurosurgeon
Dr. Ciaran James Powers Neurosurgeon (Medical School, Medical degree, DO, Residency in Surgery (Gen), Residency in Neurological Surgery, Fellowship in Neuroradiology, Internship, Residency - ID, Fellowship 2) 23 years experience Ohio State Brain and Spine Hospital
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Dr. Andrew James Grossbach - Neurosurgeon
Dr. Andrew James Grossbach Neurosurgeon (Medical School, Medical degree, DO, Residency - ID, Fellowship 2, B.A.) 16 years experience Ohio State Harding Hospital
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