[Kirtesh Parikh]

Chief Complain : Episodic pain at root of right thumb near anatomical snuff box for last 11 years (that pain duration and frequency un even and pain just like jerk at the point). Seen by several doctors including Orthopedic surgeon and Neurophysician also pain does not seen to be psychological reason.

Test Reports :

EEG Report dated 14.07.2001 : Analysis Report – Background consists of posterior dominant theta activity intermixed with random delta activity and super imposed beta fast activity. There are well formed sleep spindles over both central regions which are synchronous. Vertex sharp waves are noted on both sides. Definite asymmetry or epileptiform activity is not noted.

CT scan of Head (Plain & Contrast) dated 14.07.2001 : Impression – C.T. findings show mild dilatation of temporal horns.

MRI brain & Temporal Lobe study at Lilavati Hospital, Mumbai dated 16.11.2002 – No Significant abnormality detected. Bilateral hippocampal formations are symmetrical in morphology and signal intensity.

Nerve conduction test dated 14.08.2004 : Conclusion – All nerve conduction parameters tested in both upper limbs are within normal limits.

EEG Report dated 14.11.2009 : Report – Recording with the patient awake showed a background activity of *Hz over posterior head regions, bilaterally symmetric and synchronous, reacting to eye opening and mental alerting. Hyperventilation and photic stimulation did not produce any abnormality. During the recording 5 events were recorded characterized by paresthesias in right hand with some jerking. No corresponding changes were noted in EEG.

MRI Scan of Right wrist joint with hand dated 02.03.2010 : Impression – Essentially normal MRI of right wrist joint with hand.

Ecodoppler report dated 08.06.2010 : Comments – Normal Mitral and Aortic valve morphology. Normal LA. Normal RA and RV. Normal LV cavity size. No dropouts in IAS or IVS. No dyskinetic segment. No intracacitary thrombi or Vegetations. Good LV systolic function. LVEF 65 %. No important regurgitant signals on Doppler.

Immuno serology….I test dated 08.06.2012 : Anti Streptolysine O (ASO) – Less than 25 (0-116 IU/mL)

[tickle]

Good tracking, but what exactly is your question? Even with all info you have given us, we can't diagnose or advise treatment on the Internet.

[Kirtesh Parikh]

Good tracking, but what exactly is your question?. Even with all info you have given us, we can't diagnose or advise treatment on the Internet.

How to do ?