This Is MS Multiple Sclerosis Community: Knowledge & Support

Welcome to the world's leading forum on Multiple Sclerosis research, support, and knowledge. For over 10 years, This is MS has provided an unbiased community dedicated to Multiple Sclerosis patients, caregivers, and affected loved ones.
It is currently Wed Jun 19, 2013 7:50 am


All times are UTC - 8 hours [ DST ]




Post new topic Reply to topic  [ 6 posts ] 
Author Message
PostPosted: Thu Feb 28, 2013 4:24 pm 
Offline
Newbie

Joined: Tue Apr 03, 2012 3:31 pm
Posts: 2
Hi, there. I was diagnosed with Idiopathic Intracranial Hypertension last year, meaning that due to an unknown cause, my cerebrospinal fluid pressure is too high. This causes some of the nerves around my brain to be compressed and creates a number of other problems, usually resulting in:

- High pressure headaches (full/achey/pressure kind of feeling, a bit like a sinus headahce)
- Papilledema (swelling of the optic discs, usually leading to visual disturbances and/or vision loss)
- Tinnitus
- Dizzy spells

... and a plethora of other issues that vary from person to person.

Now, what concerns me is that many of my symptoms overlap with those often described by MS patients, but I can't tell for sure because having high intracranial pressure can cause certain problems of its own. Not to mention, my condition itself could be a symptom of a lot of other things (hence, idiopathic.) Once a cause is found, it's not really idiopathic anymore, and it's referred to as Secondary IH. What I worry about is that what I am really suffering from is Secondary IH, and the cause of it is MS or something related.

Here are some of the symptoms I have that seem suspicious to me:

- Fatigue: I'm usually tired. Occasionally I have good days where I can make it, but most of the time I need long naps. The exhaustion usually starts around noon (though sometimes I have it as soon as I wake up) and continues to get worse throughout the afternoon until it's unbearable and I have to take a nap. By mid to late evening, I usually feel physically more awake again, though still sort of mentally drained.

- Odd sensations: I experience sharp stabs of pain (sort of feels like getting a shot) in my cheeks, fingertips, toes, and sometimes thighs. I experience tingling/numbness in my scalp, neck, face, fingertips, and occasionally calves. I experience burning in the top of my breasts, torso, and back. And I experience warm sensations in my inner legs and occasionally heels/ankles. All of this has been getting progressively worse over the past few years (started a few years back with mild fingertip tingling.) Also tends to happen in "episodes" of a few hours to a few days, usually coinciding with my other symptoms. The one thing that gets confusing with this, however, is my medication (Diamox) is known to produce tingling/numbness as a side effect. I began experiencing most of these things before Diamox, though, so I'm assuming that it exacerbates my symptoms.

- Weakness: If I'm tired, I'm usually weak, too. I feel heavy-limbed, and it's like I'm trying to walk through water. My neurologist said my muscle tone and reflexes are fine.

- Dizzy spells/balance issues: Occasionally I have dizzy spells where any movement around me throws me off and makes me feel like I'm going to take a tumble. I also have trouble staying up sometimes. Like, it feels like it takes effort to stand upright. This always coincides with my other symptoms, especially tingling episodes.

- Muscle fasciculations and jerks: I get small twitches all over my body. Occasionally I also shudder involuntarily, only I sort of jump. Usually starts at the base of my neck and causes my shoulders to jump and one or both of my arms to twitch.

- Cognitive problems: I have trouble with my memory a lot. Sometimes I can't recognize things or forget important information that I should have basically engrained into my memory. Also struggle at retaining new information sometimes, and sometimes can't comprehend speech/writing.

Those are the main things. What's weird is they all tend to happen in a pattern, and they seem to happen independently of symptoms caused by high pressure. For instance, my period always causes my ICP to rise, and I can tell because I start having eye pain and seeing sparkles from my papilledema, and sometimes experience pulsatile tinnitus. But a lot of the time, I go through these weird episodes where I'm having all of these weird symptoms at once, and yet there are no other signs that I'm having ICP. Additionally, my papilledema has significantly improved since I started taking Diamox, which means my ICP must be going down. However, most of my other symptoms have not shown improvement at all. I don't experience high pressure headaches or pulsatile tinnitus so much anymore, but all the other stuff is still there.

The tests I've had done include a CT scan, an MRI about a week later, another MRI about a month later, and then a lumbar puncture a month after that. Neurologist has also done basic testing (the finger to nose thing, testing my ability to distinguish the left and right sides of my body, walking in a straight line with one foot in front of the other, reflexes, pushing on my legs to test my muscle strength, etc.) Everything has come back normal. Now, I don't want to self-diagnose. I know there are a lot of things that can cause strange symptoms. But I also know that MS doesn't always test positive the first several times, and I worry because of the nature of my symptoms. Even my neurologist agrees that a lot of my symptoms are atypical of someone with IIH alone. Does it sound like I could have MS? What are your thoughts on this? Thank you for taking the time to read this enormous wall of text, I appreciate any insight or advice you might have. I'm just looking for answers. I don't want to settle for "idiopathic." I want to know what's causing my IH and why all these strange things are happening to me. I'm sick of being left in the dark.


Top
 Profile  
 
PostPosted: Thu Feb 28, 2013 5:33 pm 
Offline
Family Elder

Joined: Tue Oct 09, 2012 7:33 am
Posts: 584
Hi Lovelace,
Do a search for a thread by cece about ccsvi success stories. I think you will find a lot of symptoms similar to yours were relieved. That isn't to say you have ccsvi, it's just to point out that the overlap in your iih symptoms and ms might be because some people with ms have iih (undiagnosed?) as well as ms. Ccsvi PTA is suspected to increase csf drainage in people with venous flow issues.

Good luck in your search for answers. :)


Top
 Profile  
 
PostPosted: Fri Mar 01, 2013 9:31 pm 
Offline
Newbie

Joined: Tue Apr 03, 2012 3:31 pm
Posts: 2
Omg, I didn't even know such a thing existed. That's incredible. It would explain so much, for a lot of IIH sufferers. Thank you, I will continue researching that.


Top
 Profile  
 
PostPosted: Sat Mar 02, 2013 11:41 am 
Offline
Family Elder

Joined: Tue Oct 09, 2012 7:33 am
Posts: 584
Lovelace,
I don't know at all if ccsvi could be implicated in normal iih but if you are curious about the details, here is a link to a very recent release about the relationship between reduced csf flow and ccsvi. If ccsvi is found to be related to some cases of iih, it might actually help the ms cause move forward. :)
chronic-cerebrospinal-venous-insufficiency-ccsvi-f40/topic21783.html
If you decide to investigate ccsvi for yourself, please share your findings with us.


Top
 Profile  
 
PostPosted: Sat Mar 02, 2013 2:30 pm 
Offline
Family Elder
User avatar

Joined: Mon Sep 10, 2007 3:00 pm
Posts: 4695
Location: southern California
Hi Lovelace--
The first 41 patients treated for CCSVI in MS in the states were at Stanford. There were some very positive and very negative results--and some in between. My husband was the first treated at Stanford. He had cluster headache, papilladema, tinnitus (all noted in IHH) and an MS diagnosis prior to stenting. He's been MS progression free since his treatment, and all of his symptoms resolved, along with reduced fatigue, heat intolerence and spasms. This procedure did not help everyone, but helped him.

Because of this, Dr. Ryan McTaggert became interested in learning more about CCSVI in pwMS and in normals, and undertook a blinded MRV study with Stanford colleagues. His piece is in the new AJNR issue.

Here's Dr. McTaggert on the study:
Quote:
When I began my fellowship training in diagnostic neuroradiology and interventional neuroradiology at Stanford University Medical Center in 2010, both the medical world and the lay press were abuzz with the possibility that both MS and idiopathic intracranial hypertension could be, in part, vascular diseases secondary to insufficient venous drainage of the head and neck. Given the far greater prevalence of MS, and Stanford University’s early experience (both positive and negative) with angioplasty and stenting for CCSVI, I chose to further explore the CCSVI hypothesis of MS.

Fully expecting to contribute another “no difference” paper to the accumulating MS vs. healthy control literature, I was surprised when my well-blinded expert readers (Drs. Nancy Fischbein and Greg Zaharchuk) discovered anatomic differences between our study groups. In our paper published in the September 2012 issue of AJNR, we reported anatomic differences between patients with MS and healthy subjects—notably, patients with MS had greater internal jugular vein (IJV) flattening and a trend toward more non-IJV collaterals than healthy subjects.

Furthermore, at present there is no convincing evidence that endovascular therapy provides any benefit to patients with MS, and it may in fact pose unnecessary risk. Conversely, endovascular therapy does seem to benefit some patients with idiopathic intracranial hypertension.

http://ajnrdigest.org/extracranial-veno ... -controls/

Here is more on stenting for IHH---what helped my husband. It is worth discussing with an interventional neuroradiologist....since it is an accepted practice in IHH treatment.

Quote:
The importance of venous sinus disease as a cause of idiopathic intracranial hypertension is probably underestimated. Patients with idiopathic intracranial hypertension should be evaluated with direct retrograde cerebral venography and manometry. In patients with venous sinus lesions, treatment by an endoluminal venous sinus stent is a safe and effective alternative for amenable lesions.

http://www.ncbi.nlm.nih.gov/pubmed/17336341

Quote:
The pathophysiological mechanism in IIH requires further elucidation, but venous sinus stenosis with subsequent intracranial hypertension appears to be an important mechanism in at least a subgroup of patients with IIH. Among these patients, 78% had complete relief or improvement of their main presenting symptoms after endovascular stenting. Resolution or improvement in papilledema was seen in 85.1% of patients. Endovascular stenting should be considered whenever venous sinus stenosis is diagnosed in patients with IIH.

http://www.medscape.com/viewarticle/714384

Bring this info to your doctors. Learn more at http://www.ccsvi.org Hang in there!
Good luck to you-
cheer

_________________
Husband dx RRMS 3/07
dx dual jugular vein stenosis (CCSVI) 4/09
dual stents placed 5/09
CCSVI in MS


Top
 Profile  
 
PostPosted: Wed Mar 06, 2013 11:17 am 
Offline
Family Elder

Joined: Mon Jan 04, 2010 4:00 pm
Posts: 8554
Here's the improvement reports thread that Anonymoose referenced: chronic-cerebrospinal-venous-insufficiency-ccsvi-f40/topic16157.html

CCSVI is controversial but there is a possibility that the outflow obstructions in the jugular veins would cause slower flow and higher pressure in the venous sinuses of the brain. Cerebrospinal fluid drains into the sinuses of the brain through what's called arachnoid granulations and then the sinuses drain into the jugulars. Some of the improvements seen in people after being treated for CCSVI may be caused by improvements in cerebrospinal fluid flow. It's relatively easy to get checked for CCSVI by doppler ultrasound and to get treated by outpatient angioplasty. Insurance might pay or might not. There are some risks to angioplasty and there are unknown benefits to getting this treated so it is a judgement call between patient and doctor.

My own jugulars were severely blocked. 80% blockage on one side and 99% on the other. I wouldn't have known to get it checked except for what I read here at TiMS.


Top
 Profile  
 
Display posts from previous:  Sort by  
Post new topic Reply to topic  [ 6 posts ] 

All times are UTC - 8 hours [ DST ]


Related topics
 Topics   Author   Replies   Views   Last post 
There are no new unread posts for this topic. can M,S cause hypertension/respritory problems???

melsy

5

427

Sat Dec 01, 2012 7:15 am

dania View the latest post

There are no new unread posts for this topic. Inexpensive Hypertension Drug Could Be Multiple Sclerosis Tr

arthurherr

8

2132

Mon Aug 31, 2009 8:04 am

radeck View the latest post

There are no new unread posts for this topic. Could anti-hypertension drugs help treat Multiple Sclerosis?

squiffy2

0

852

Tue Jul 13, 2010 12:31 am

squiffy2 View the latest post

There are no new unread posts for this topic. Hypertension drug may delay onset, reduce severity of MS

squiffy2

0

734

Wed Mar 16, 2011 1:29 am

squiffy2 View the latest post

 


Who is online

Users browsing this forum: No registered users


You cannot post new topics in this forum
You cannot reply to topics in this forum
You cannot edit your posts in this forum
You cannot delete your posts in this forum

Search for:
Jump to:  


News News Site map Site map SitemapIndex SitemapIndex RSS Feed RSS Feed Channel list Channel list
Read hundreds of personal Multiple Sclerosis stories on Experience Project. Experience Project is an anonymous community where people connect through their life experiences, made by the same people who built This is MS. With over 30 million personal stories about every possible life experience, you can quickly find people like you!


Interesting: Secret Confessions | Dream Meanings | Ask Questions, Get Answers

Advertise on the premier multiple sclerosis forum