Thank you very Much Dr Lee for the amazing videos! it helps alot! I hope that you make avideo about OCT (optical Coherance Tomography) when exactly/ in wich conditions/symptoms I should apply this test and how I can read the oct report? this would be highly aprecited ! thank you!!!
This is interesting and I know there's still ongoing studies of the "whys". I researched online for Dorsal Pons lesions but couldn't find anything, glad I researched on here and stumbled on your teachings. I've been researching extensively for 3 year's trying to get to root cause of my 24/7 floating like feeling in my head, it's persistent, always there, tingling both feet for 3 year's, more dominate in right foot, chronic fatigue, Tinnitus that began this August 2020. I've had a series of tests conducted by a Neurologist, Cardiologist and Audiologist, had extensive tests blood tests, CBC, ANA and extensive antibody tests, Vitamin B12 and D which that one was low at 26 and began a supplement 2 months ago. Had a full thyroid panel done, TSH/T3 & T4 and my TSH had moved to hyper being 26 and since had dosage of thyroid meds decreased, was diagnosed with Hypothyroidism in 1993 and had half the gland removed but in all the year's never experienced these symptoms. In 1993 had a "full" hysterectomy, was placed on HRT- Estrogen and than in 2017 had to hault the HRT and that's when I noticed these symptoms began. I'm a 54 year old female. I'd seen a Neurologist, about 3 vestibular tests and nerve functioning test were conducted in addition to a MRI in which 2 small white matter lesions were found. *All vestibular tests were normal*. *First one: Frontal subcortical lesion of left superior frontal gyrus, ( measurement not noted). *Second one: Its termed as a "vascular variant", located in the "Dorsal Pons", it states "may" be a ,"vascular variant", my understanding it could had been at one time I had a small (TIA) there's no certainty to that though. The measurement is 0.2 × 2.3. CM. Seen on a T2 Flair. Noted*- I didn't have the dye for the MRI as I'm allergic to it. However apparently my symptoms are not associated with the lesions. No demyeliative plaques identified that would call for MS- Multiple Sclerosis. From the research I've done in trying to understand these findings, what medical language is, where these regions are in the brain, in my understanding is the Dorsal Pons is located in or near the "brain stem", so I'm wondering if a lesion in that particular place or in frontal lobe can cause any sort of vestibular disorders. My understanding also is if brainstem is effected that can cause serious issues so therefore wondering since Dorsal Pons is in the brainstem or a part of it if that could present vestibular disorder. This is all so overwhelming for me trying to learn this but am trying. After all there's still ongoing studies, still learning so wondering if a possibility. I thank you Doctor and all of you from the bottom of my heart in the medical field for all that you do, greatly appreciated.
I have deficits in horizontal smooth pursuit and saccades, my left eye being more accurate at horizontal saccades, yet I'm much better than the average in vertical smooth pursuit (87.09% compared to 61.75% population avg., 100% is perfect) and saccades (2.12% vs 19.45%, lower is better), my right eye being more accurate at vertical saccades. This corroborates an untreated, undiagnosed blow to the back of my head, the occipital bone's foramen magnum mainly damaging the pons when I fell off the trampoline at five-years-old. On-target circular smooth pursuit measured at 50.06% vs 78.97% avg. (100% is perfect). Latent very high at 39.67% vs 7.79% avg. (lower is better), yet very low fixation observed in the circular test of 0.72% vs 1.43% average. So interesting how complex it all is, how I'm still here, not lock-in, or worse! It appears I have Cerebellar Cognitive Affective Syndrome proposed not long after my accident by Dr. Schmahmann.
Can someone explain how he can add nerve injuries like math and have a total that is significant? He does that several times like it's standard practice - but it's mind bending to me (no pun intended, though it's not a bad one.)
So funny. When I get a Dr. Andy Lee presentation, it feels I just received a dazzling gift.
Man am I glad my pons located clott didn't do what you're saying is possible. Whew, I'm so lucky. 😊
Thank you very Much Dr Lee for the amazing videos! it helps alot!
I hope that you make avideo about OCT (optical Coherance Tomography) when exactly/ in wich conditions/symptoms I should apply this test and how I can read the oct report?
this would be highly aprecited !
thank you!!!
This is interesting and I know there's still ongoing studies of the "whys". I researched online for Dorsal Pons lesions but couldn't find anything, glad I researched on here and stumbled on your teachings. I've been researching extensively for 3 year's trying to get to root cause of my 24/7 floating like feeling in my head, it's persistent, always there, tingling both feet for 3 year's, more dominate in right foot, chronic fatigue, Tinnitus that began this August 2020.
I've had a series of tests conducted by a Neurologist, Cardiologist and Audiologist, had extensive tests blood tests, CBC, ANA and extensive antibody tests, Vitamin B12 and D which that one was low at 26 and began a supplement 2 months ago. Had a full thyroid panel done, TSH/T3 & T4 and my TSH had moved to hyper being 26 and since had dosage of thyroid meds decreased, was diagnosed with Hypothyroidism in 1993 and had half the gland removed but in all the year's never experienced these symptoms. In 1993 had a "full" hysterectomy, was placed on HRT- Estrogen and than in 2017 had to hault the HRT and that's when I noticed these symptoms began.
I'm a 54 year old female. I'd seen a Neurologist, about 3 vestibular tests and nerve functioning test were conducted in addition to a MRI in which 2 small white matter lesions were found.
*All vestibular tests were normal*.
*First one: Frontal subcortical lesion of left superior frontal gyrus, ( measurement not noted).
*Second one: Its termed as a "vascular variant", located in the "Dorsal Pons", it states "may" be a ,"vascular variant", my understanding it could had been at one time I had a small (TIA) there's no certainty to that though. The measurement is 0.2 × 2.3. CM. Seen on a T2 Flair. Noted*- I didn't have the dye for the MRI as I'm allergic to it.
However apparently my symptoms are not associated with the lesions. No demyeliative plaques identified that would call for MS- Multiple Sclerosis.
From the research I've done in trying to understand these findings, what medical language is, where these regions are in the brain, in my understanding is the Dorsal Pons is located in or near the "brain stem", so I'm wondering if a lesion in that particular place or in frontal lobe can cause any sort of vestibular disorders. My understanding also is if brainstem is effected that can cause serious issues so therefore wondering since Dorsal Pons is in the brainstem or a part of it if that could present vestibular disorder. This is all so overwhelming for me trying to learn this but am trying. After all there's still ongoing studies, still learning so wondering if a possibility. I thank you Doctor and all of you from the bottom of my heart in the medical field for all that you do, greatly appreciated.
I have deficits in horizontal smooth pursuit and saccades, my left eye being more accurate at horizontal saccades, yet I'm much better than the average in vertical smooth pursuit (87.09% compared to 61.75% population avg., 100% is perfect) and saccades (2.12% vs 19.45%, lower is better), my right eye being more accurate at vertical saccades. This corroborates an untreated, undiagnosed blow to the back of my head, the occipital bone's foramen magnum mainly damaging the pons when I fell off the trampoline at five-years-old. On-target circular smooth pursuit measured at 50.06% vs 78.97% avg. (100% is perfect). Latent very high at 39.67% vs 7.79% avg. (lower is better), yet very low fixation observed in the circular test of 0.72% vs 1.43% average. So interesting how complex it all is, how I'm still here, not lock-in, or worse! It appears I have Cerebellar Cognitive Affective Syndrome proposed not long after my accident by Dr. Schmahmann.
Can someone explain how he can add nerve injuries like math and have a total that is significant? He does that several times like it's standard practice - but it's mind bending to me (no pun intended, though it's not a bad one.)
We get to see them all in neurology XD
Nice
GOAT