Conversation: The conversation between human and AI assistant.
[|Human|] I had a mri which showed fluid in the right mastoid with retained secretions and inflammatory changes. I have had vertigo 2 times in the last 6 months now my speech is slurred and I am off balance, I had a mri in august that showed nothing as far as my mastoid. I also had a spinal tap to rule out ms. It came back negative. Could this mastoid problem be the reason I am off balance and have slurred speech? Also what will they do at my appt. I have scheduled with an ent dr?
[|AI|]  No. Ear problems can cause balance problems (like room spinning) because the brain gets a signal from the ear and another (different) signal from what the eyes see. BUT, this does NOT cause disco ordination. Neither with how the hands can grab, nor with speech. With any new neurologic problem one would usually get an exam of the nervous system, and a brain imaging study (generally an MRI). There can be other studies to look at the vessels and blood flow to the brain and checking for epilepsy. Probably also other checks (blood tests) for other autoimmune diseases.