pali1
02-28-2008, 06:57 PM
Hey guys this is my first time here. I was wondering if anyone could interpret my mri report. I go back to the doctor in two weeks and just cant wait to know what this means. here goes
Diffussion-weighted images are normal. There is no mid-line shift, mass effect or abnormal enhancement.THERE IS non-specific, patchy heterogenous signal within the periventricular white matter and corpus callosum, most easily appreciated on the saggittal and axial FLAIR sequences.Ther is no corresponding abnormal enhancement. While not clearly classic for multiple sclerosis, this location of this signal heterogeneity raises the possibility of periventricular demyelination.
Ther is no focus of abnormal flow void. No paranasal sinus disease is detected. Suprasellar cistern and craneovertabral junction is intact.
IMPRESSION
Non-specific heterogeneos signal within the periventricular white matter and corpus callosum, Suspicious for demyelinating disease.
otherwise negative study
I have tingling in my hands and arms and toes, muscles tightness in my neck and shoulder. blurred vision and imbalance. i just would like to know what is goingon with me and does this sound like Ms to anyone,
Thanks to all that apply,
Diffussion-weighted images are normal. There is no mid-line shift, mass effect or abnormal enhancement.THERE IS non-specific, patchy heterogenous signal within the periventricular white matter and corpus callosum, most easily appreciated on the saggittal and axial FLAIR sequences.Ther is no corresponding abnormal enhancement. While not clearly classic for multiple sclerosis, this location of this signal heterogeneity raises the possibility of periventricular demyelination.
Ther is no focus of abnormal flow void. No paranasal sinus disease is detected. Suprasellar cistern and craneovertabral junction is intact.
IMPRESSION
Non-specific heterogeneos signal within the periventricular white matter and corpus callosum, Suspicious for demyelinating disease.
otherwise negative study
I have tingling in my hands and arms and toes, muscles tightness in my neck and shoulder. blurred vision and imbalance. i just would like to know what is goingon with me and does this sound like Ms to anyone,
Thanks to all that apply,
Sponsor
tarapags1107
02-28-2008, 08:55 PM
Hi Pali,
Hello, I am an MRI tech so I'll try to help: The flair images are very diagnosic for white matter changes in general. Flair images show multiple sclerosis "plaques, lesions" which could be the areas of dymelination. Dymelination will cause increased "signal" or bright color on the images (known as sequences). From what I've gathered, your MRI does sound very concerning but doesn't necessarily mean MS. There are other infectious and inflammatory conditions that produce increased "signal" on flair sequences such as some CNS infections and lymes disease. You can look up the mcdonald criteria for diagnosing ms. There has to be evidence of CNS involvement dissmenated between time and space. The radiologist wrote "suspicious for dyemyleniating disease" which could very well mean MS. They have to test pretty much everything else with blood work and labs before they can diagnose you with ms. Have you had a spinal tap done? Have you had your eyes checked by an eye doctor? Blurred vision can be associated with inflammation of the optic nerve in your eye called "optic neuritis." It is very common in MS. If your doctor suspects MS, they will probably send you for a spinal tap and to a neurologist. Good luck at your next appointment. Try not to stress too much in the meantime, if it ends up being ms, there are alot of supportive people here on this board that can help you with any questions you have and some really good treatments out there. Take care.
Tara
Hello, I am an MRI tech so I'll try to help: The flair images are very diagnosic for white matter changes in general. Flair images show multiple sclerosis "plaques, lesions" which could be the areas of dymelination. Dymelination will cause increased "signal" or bright color on the images (known as sequences). From what I've gathered, your MRI does sound very concerning but doesn't necessarily mean MS. There are other infectious and inflammatory conditions that produce increased "signal" on flair sequences such as some CNS infections and lymes disease. You can look up the mcdonald criteria for diagnosing ms. There has to be evidence of CNS involvement dissmenated between time and space. The radiologist wrote "suspicious for dyemyleniating disease" which could very well mean MS. They have to test pretty much everything else with blood work and labs before they can diagnose you with ms. Have you had a spinal tap done? Have you had your eyes checked by an eye doctor? Blurred vision can be associated with inflammation of the optic nerve in your eye called "optic neuritis." It is very common in MS. If your doctor suspects MS, they will probably send you for a spinal tap and to a neurologist. Good luck at your next appointment. Try not to stress too much in the meantime, if it ends up being ms, there are alot of supportive people here on this board that can help you with any questions you have and some really good treatments out there. Take care.
Tara
pali1
02-28-2008, 09:22 PM
Thanks tara for replying...I am seeing a neurologist right now and i have had blood work done not sure what for but he ordered several test and those came back normal. I havent had a spinal tap done yet. I didnt know if the mri report meant it was negative or normal with that suspicious for demyelinating disease on there. Its kind of scary to think about and a relief as well because a lot of doctors make you feel as if its all in your head but my neurologist has been great. Again thank you for your response, I know two week is a long time to wonder whats going on.
Bearygood
02-29-2008, 11:41 AM
Hi pali, and welcome. Scary as it is, in one way you're ahead of many others who have sx and nothing tangible to see in the way of clinical data. Good luck to you and keep us posted on what happens with your appointment!
pali1
02-29-2008, 01:55 PM
thanks for replying beary... I guess you are right. I dont know what i would do without this site. reading about what others are going through and seeing that im not alone helps so much. I had a c-spine done by a othro doc about 2 months ago. it came back clean for herniated disc and all but i cant remember all the other stuff that was on it so im going to get a copy of that. That doctor just dismissed me and said it was all in my head and said he could refer me to a neuro if i wanted...Im glad he did. Ill keep ya posted and thanks
remag12
03-24-2008, 06:52 PM
The symptoms sound like they may be similar to ones my wife, who does have ms experienced about 34 to 35 years ago in the case of the vision problem. Her other symptoms happened about 16 years ago. MRIs are used to
check for multiple sclerosis in many cases. you may have some other neurological problem. Good luck.
Steve
check for multiple sclerosis in many cases. you may have some other neurological problem. Good luck.
Steve
remag12
03-24-2008, 07:03 PM
I meant to add for other people with ms that my wife and I attended an ms conference a few weeks ago and some research work has been done with women with ms using a substance called estriol (I hope I am spelling it correctly), which has been very promising. Does anyone have more information? On men testosterone was briefly mentioned, but the emphasis was on estriol.
Steve
Steve
MSNik
03-24-2008, 08:25 PM
Steve, for the last year or two, there have been many clinical trials with estriol and women...estriol is the hormone which women get more of, especially when they are pregnant. Since statistically, when women are pregnant, the MS goes into remission and they feel great, they have started studying how they can give estriol to women (who arent pregnant) and try to control MS relapses...
For some, it works, for me, it put me into a relapse like Ive never seen. I got off the trial shortly after I started it. HOwever, some women are taking only estriol and no other MS drugs, and are doing really well on it- there are advantages and disadvantages to taking Estriol and a doctor should really weigh out the risks with a potential candidate. For me, it wasnt worth it, but as I said, some people are having great success...
Hope that helps enlighten you alittle bit more!
For some, it works, for me, it put me into a relapse like Ive never seen. I got off the trial shortly after I started it. HOwever, some women are taking only estriol and no other MS drugs, and are doing really well on it- there are advantages and disadvantages to taking Estriol and a doctor should really weigh out the risks with a potential candidate. For me, it wasnt worth it, but as I said, some people are having great success...
Hope that helps enlighten you alittle bit more!