strange feelings

[louiec]

I have been experiencing a strange sensation on my face for about two months now. Its not numb and I have full movement of My facial muscles it feels like the skin is tight. I also have
been having hot feeling in my foot it comes on slow last for about 10 seconds and goes away. I had a Mri in sept 2004 w/c
Mri in sept 2005 w/o contrast,emg a baer test, numerous blood
test, three sonograms on abdomen, thalium stress test. endoscopy
which showed mild gerd. the only problem that comes up is my cholestrol is high 245 started zieta. I also experience twitching which is what sent my for the nureo exam in the first
place . I saw three nureo's from large city hospitals (live in NY) said I was fine. My question is can something develop in one
year on the brain which would cause this feeling in my face. I
am very stressed any worry alot spend way to much time looking up symptoms. My gp stated that it would be highly unlikely that something would develop right after i had such a clean mri. One
more thing ent stated I have mild tmj and my jaw is misaligned
slightly.

[JCmcc]

louiec,
  I am sorry to hear about your neurological symptoms. The fact that your MRI was clear is a good indicator away from more serious conditions. Do you know if T1/2 Weighted/FLAIR/Saggital Stir sequences were obtained in Maximum AP demension? You may, for your own well being, want to read your own report or have your family physician double check. If these are clear, this leaves little room for concern regarding serious neurological conditions.
   I would suggest an MRI of the C/T spine to look for a syrnx and as well for plaques.
   To answer your question regarding a developing syndrome, say over a year; your symptoms do not indicate this or at least the symptoms and sequences that you are displaying which are variable and non-specific. Common neurological syndromes that could occur would be Acute Transverse Myelitis, Optic Neuritis, and ADE, to name a few. You are not indicating symptoms of any such condition. Please keep in mind that these symptoms are variable and can be benign, such as a stress disorder.
  If you need to have the aforementioned sequences obtained do find lesions it is important not to jump to conclusions, such as MS. Your symptoms, which can often be present in MS, can be accounted for by other etiologies such as Lyme disease, CNS Vasculitis, AED. Demyelinated neocortical lesions in marmoset autoimmune encephalomyelitis mimic those in multiple sclerosis as do those in Lyme disease. Due to your locale I would suggest a workup on LD and that your testing be obtained thru IGENEX LABS in California for the surest results. LD is rare, however, it can produce the neurological symptoms without clinical findings.

Good Luck!

[CCF-Neuro-M.D.-SH]

First of all, keep in mind that I am unable to diagnose you because I am unable to examine you, this forum is for educational purposes.    
   The symptoms that you describe are not classic for any single disorder.  A feeling of facial tightness is seen on some people that suffer from chronic headaches (a varient of the "tension related" band around the head pattern).  While it is possilbe for certain disease processes like strokes, aggresive tumors, etc, to show up after a clean MRI a year ago, I agree that it is unlikely given the symptoms you describe.  I would recommend that you consider a headache preventative medication (headache related symptoms can occur with out the head pain portion of the headache) such as Elavil, topamax or nadolol.  You may also consider a bite guard to helo with your TMJ, which can also contribute to headaches.
I hope this has been helpful.