I am a 73 yrs old semi retired doctor. Active in General Practice since 2012 .
Summary of problem.
Returned from a hectic holiday to Phuket n Malaysia in Jan 2012 when I noticed weakness of my R Leg and slight loss of balance.After exhaustive tests n investigations was found to have a Neurofibroma which was removed on the 6 March 2012 it was benign
Now 2years n 9months later I have made slow recovery.
My problem now is marked paraesthesia of both my legs esp at night or when lying down
Low backache due to Lumbar Spondylolithesis L4 / L5 from grade 1 to grade 2 over a period of 1 Year
Slight loss of balance as per Rhomberg’s sign
I have been on Neurontin, Lyrica , Trepiline.. for the Paraesthesia. No help also because of side effects.
Cannot take Anti- inflammatories because I am on Warfarin ( have atrial fibrillation )
What is your impression n provisional diagnosis. I am not a Diabetic.
Could it be.due to …..Upper motor neuron lesion
Lower motor neuron lesion
Mixed upper n lower motor neuron lesion
Lumbar Spondylolithesis L4 / L5 Grade 1 to Grade 2
Lumbar spinal stenosis L 2 to L 5
Or complications following the removal of the Neurofibroma
Kindly brain storm my problem n advice
Much appreciated
Dr Duray Charles