Speech and eye issues?

[TwiddleDeeVGC]

I've had some slow eye movement the past year or so. It's weird, my doctor said it was normal, actually my eye movement was above normal, but I have trouble tracking. And a few months ago, I developed some issues speaking. Nothing too noticeable as far as what people hear, but it's a weird feeling to speak. I can't sing because I don't have the breath to hold any notes (I don't feel short of breath in general), and I have issues with words that use the tongue in succession, like "yesterday," for example. It comes out kind of slurred, like I say "yesrrday."

I've had some other issues, such as perceived muscle weakness (I feel weak, but the neurologist I saw said I don't have any muscle weakness). He said everything seemed normal, except when I hold my hands out, they kind of move. Not rapidly and they don't flail, but they kind of shift. I have noticed my hands to tremble a bit. It's not anything major.

and lastly, the past few days I've been having a weird issue. It's like I can't trust myself for any sort of knowledge. I know people's names, but for some reason I panic and think "what if I call them what I think their name is and I get it wrong?" This is people I've known my whole life, like my family and lifelong friends. I just want to get better, I'm so afraid that I could die from whatever this is.

My neurologist diagnosed me with lack of sleep (I've always had trouble falling and staying asleep) and serotonin issues. I don't know how this explains my speech issues or eye issues though... it's really worrying.

[TwiddleDeeVGC]

Also my MRI was June 2015 so not even a year ago.

[TwiddleDeeVGC]

Yeah I still have some perceived weakness in my left leg. Not so bad in the hands anymore.

I'm really freaked out I gave huntington's or something. Gonna get the complete blood results from my doctor to check if anything else is on the low side of normal.

[rpwoodard]

I've read and heard from functional medicine practitioners that it's difficult to accurately measure levels of B12.

[ill13632]

is it really true that the CNS level of vitamin B12 is different than your blood level?  I didn't really notice a difference with a b12 of 1700

[ill13632]

I'm slurring my speech also and think I have problems in the frontal cortex.  I took some b1, b3 b6 and I felt movement in my lip where I was paralyzed from bell's palsy

[ill13632]

what is a good b12 level and a vit D level?  my vit D is always low my b12 was low.  I also think it may help possibly to supplement b1 and maybe b3, b6,

[rpwoodard]

TwiddleDee,
B12 deficiency can manifest as neurological problems/deficits.

Vitamin D deficiency can lead to a variety of symptoms.

I hope doctor recommended good vitamin protocol.

You mentioned, "I've had some other issues, such as perceived muscle weakness (I feel weak..." Are you still experiencing this?

Related to Caregiver's comment, was your MRI in June 2015 or 2014?  

[rpwoodard]

Ditto what Caregiver said.
TwiddleDee, I like that you continue to ask questions, that you're not dismissing what you're noticing in your body.

If you stick your tongue out, is it centered, or does it lean to one side?

Do you notice big sighs or big inhales more than usual?

What does your perceived muscle weakness look like? Unable to hold your arms out in front of you? Legs sometimes weak?

Do you know if you have a deficiency of any B vitamins?

[TwiddleDeeVGC]

My tongue is centered.
Nothing abnormal with breathing in or out, really.
I can hold my arms out, brush my teeth, walk, etc... I'm not actually weak (I can curl 25's just fine, considering I'm a scrawny vegetarian).

I'm glad you mentioned vitamins, my doctor just called and said I had a vitamin deficiency in B or D, I couldn't understand her, so thank you for inadvertently reminding me lol

[caregiver222]

It is clear that you have undiagnosed medical problems and need a second or third opinion. The problem is not lack of sleep. You need an MRA and an MRI, preferably a 3T, as of yesterday.

Many of the problems (slow eye tracking, speech issues) are sometimes linked to cranial nerve palsys, which may be due to diabetes, infection or abnormal growths. Square one is to get an inexpensive HbA1c.

With due respects to your neurologist, you need a fresh evaluation by another neurologist, preferably one affiliated with a teaching hospital.

[TwiddleDeeVGC]

I got an MRI last June, there was nothing abnormal in it.

[TwiddleDeeVGC]

Diabetes does run through my family (my grandmother, first cousin, uncle, and aunt on my Mom's side all have it), do you think that could be a possibility? Like I said, my speech isn't always slurred, only on certain words, mostly ones that require the tongue to do two different things in succession.