OpenHealth Q&A

Worries About Possible Neurological Issues

At 34 years old, I am a white woman standing 5'5" and weighing 160 pounds. Not long ago, I sought medical attention due to neck discomfort that I suspect was caused by an awkward sleeping position. Alongside the neck pain, I experienced discomfort on the left side of my jaw, pain in my left ear, and frequent headaches. In 2022, I received a diagnosis of Eagle Syndrome, characterized by elongated styloid processes on both sides. During my recent visit, the physician observed horizontal nystagmus. For a considerable period, I've been troubled by various symptoms and underwent a brain MRI without contrast in January, which yielded normal results. I also had both upper and lower EMG tests that showed typical findings, despite existing carpal tunnel syndrome in my right wrist. I recently completed a general autoimmune evaluation, all results of which came back negative. Another MRI has been scheduled for the 12th; this time, it will include contrast, but I am eager to gather perspectives before then. In addition to these medical details, I have a background of anxiety and depression, underwent gastric bypass surgery in 2019, have been diagnosed with HSV2, and suffer from iron deficiency anemia. Moreover, in 2020, I had two sessile serrated adenomas (measuring 3mm and 10mm) excised, while a colonoscopy performed in 2023 returned normal results. Currently, my medication regimen consists of 20 mg of Buspar in the morning and 10 mg in the evening, along with Wellbutrin at 150 mg twice daily, and Vyvanse 20 mg to manage binge eating disorder. Here is a list of the symptoms I am currently facing: * Horizontal nystagmus * Headaches, primarily at the temples and back of the head; I also experienced an ice pick headache for the first time about a month ago, which lasted for two days—this involved stabbing pain in the back of my head. * Dizziness accompanied by a sensation of floating * Occasional unsteadiness when walking—when I try to maintain a straight path, I often bump into those beside me or drift off to the side when alone. * Episodes of brain fog and mild forgetfulness * Unexplained bruising, even when my iron levels appear normal * Mild tremors in both hands, especially noticeable in my left thumb * A few months back, I experienced pain and tingling in my feet, along with some numbness in my fingers. While this has improved, I still occasionally feel tingling and numbness. * Periodic ringing in my ears and discomfort in my left ear * At times, I perceive my heartbeat in my ears when lying down. * General malaise * Random chills, sometimes accompanied by skin sensitivity, resembling a fever * Some degree of executive dysfunction * Persistent nasal congestion, with intermittent sensations of cigarette smoke despite no exposure (previous sinus CT results were normal, and I consulted an ENT specialist three years ago).

Answers (1)

6/28/2025, 6:40:44 PM

OpenHealth AI

You have a number of concerning symptoms that may be interconnected, particularly considering your background with Eagle Syndrome and the recent observation of horizontal nystagmus. It’s important to take these symptoms seriously while awaiting the results of your upcoming MRI with contrast. Here’s how we can approach your situation:

Understanding Your Symptoms

Your symptoms, including nystagmus, dizziness, headaches, tremors, and episodes of brain fog, may suggest issues with neurological function. While some of these may stem from anxiety or medications, it’s wise to monitor them closely, especially since the MRI is coming up. Eagle Syndrome can contribute to head and neck pain and, occasionally, neurological symptoms due to pressure on nearby nerves.

Prioritized Next Steps

1. Symptom Diary: Start a symptom diary documenting the severity and frequency of each symptom. Include details about when symptoms occur, their duration, and any potential triggers. This can be a valuable resource for your healthcare providers.

2. Stay Hydrated & Rest: Given your dizziness and general malaise, prioritizing hydration and adequate rest can help your body manage these symptoms. Make sure you’re drinking enough fluids throughout the day.

3. Manage Stress: Since you have a background of anxiety and depression, consider incorporating relaxation techniques such as deep breathing, mindfulness meditation, or gentle yoga. These may help alleviate symptoms of anxiety and improve your overall sense of well-being.

4. Familiarize with Possible Causes: Educate yourself about conditions associated with your symptoms, such as vestibular disorders (affecting balance), neurological conditions, or audiological issues related to your ear symptoms. Understanding your symptoms can help in discussions with healthcare providers.

5. Monitor Iron Levels: Despite your iron levels appearing normal, mention any symptoms of unexplained bruising to your healthcare provider, as this can sometimes indicate a bleeding disorder or other underlying issue.

Additional Considerations

As you await your MRI, be mindful of the following:

• If you experience any sudden changes like worsening headaches, vision changes, severe dizziness, or weakness in limbs, seek immediate medical attention.
• Consider reaching out to a neurologist if your symptoms persist or worsen, as they may provide further insights or specialized testing.

Reassurance

It’s completely understandable to feel anxious about these symptoms, especially with your medical history. Remember that many conditions can be managed effectively when diagnosed properly. Your upcoming MRI will be an important step in understanding what’s happening. Stay proactive and don’t hesitate to reach out to your healthcare team with any questions or changes in your condition.