Terms of Neurology

[tricia911]

These are my results after being in the hospital having a cat-scan what does this mean..The second cranial nerve is normal. Visual acuity is good.Visual fields are full to confrontation. The third, fourth, and sixth, cranial nerves show normal extraocular muscles. The fifth cranial nerve shows normal facial sensation and motor function. The seventh cranial nerve shows normal motor function. The eighth shows normal auditory acuity. The ninth cranial nerve shows the palate is midline and elevates symmetrically. The eleventh cranial nerveshows the palateis midline and elevates symmetrically. The eleventh cranial nerve shows shoulder shrug and trapezius are normal. The twelfth cranial nerve shows tongue is midline.   What does this mean???  I have no idea what midline means or how any of this will affect me.  He also added tha I have complicated migraines with Complex partial seizures and started me on Topamax and slowly titrate upward  to see how I would do.  I have suffered a stroke in 89. Which he could really not report seeing on this MRI.

[Abhijeet Deshmukh, MD]

Hello.

I do not think they are seizures. They may be atypical migraine attacks with aura. Can you get an EEG done just to rule out seizure ?

Regards

[tricia911]

Thank you very much, it's never been proven that I am having seizures.  Since the stroke I have had interuption in my vision.  They called it migrains, only no headaches were present.  Flashing lights on the rightside, waving vision, and then resently it progressed to loss of vision for twenty minutes at a time in that right eye.  Then on the Topamax that cleared up.  Also I experienced numbness in my hands and feet with that.  Do you think it is seizures or something else.  Seizures is keeping me from getting insurance.  So needless to say I am very interested in finding closure on this issue.

[Abhijeet Deshmukh, MD]

Hello.

This is the report of clinical neurological examination that you have narrated here. And the good news is that all is normal. There is no abnormality found. You need not worry about any of this. Mid line is the term for a symmetrical action of both sided muscles. All the brain structures, except a few, are bilateral (on both the sides).

The seizures and migraines have not affected any cranial nerves.

Regards