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Old 10-15-2011, 07:45 AM   #1
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MRI of the BRAIN results.. possible MS?

Hello:

I am 43 y.o female. I had a neck and brain MRI earlier this week and have the results. I do not take any medications other than Ambien to sleep.

I have made an appointment for a Neuro but have to wait three weeks to see him.
My primary ordered the MRI and when she had the results she said to bring the films to a specialist for their interpretation.

I have always had poor balance, but I always attributed that to my scoliosis, for which I had spinal fusion surgery 16 years ago, 2 harrington rods were placed t1 thru t11.

I have had pain in my neck/head for years, and finally found out that I could have an MRI, so we went for it.
Lately I have had frequent dizzy spells, more issues with my balance being off and more headaches.

Most of these issues I have thought pertained to the neck problems from the spinal fusion.

Anyway, the MRI of the brain came back 'interesting'.. I would like any feedback from the forum on what the findings may indicate. I am already aware of a possible MS link, based on 'other' annoying symptoms that I have had for quite some time that I attributed to age.

Please tell me what you think:


Clinical Indications: Headaches, dizziness and imbalance
MRI of the brain was performed on a 3.0 Tesla Ultra High Field Wide Bore Verio MRI with multiple multiplanar pulse sequences obtained prior to and following the intravenous contrast administration of 7 cc Gadavist.

The ventricular system is normal in size and position. Multiple foci of elevated signal intensity are noted within the subcortical white matter. No intratentorial or corpus callosal involvement is identified. No focal mass, mass effect or extraaxial collecitons are identified. No abnormal enhancement is present. The orbits and paranasal sinuses are within their normal limits.

Mild left mastoid air cell inflammatory changes are identified.

Along the left aspect of the frontal soft tissues there is a focus of susceptibility artifact.

Impression:
Multiple foci of increased signal intensity within the subcortical white matter on Flair and T2 weighted images represents a nonspecific finding. Differential diagnosis includes demyelinating, infectious/inflammatory and ischemic processes.

I appeciate any help!
Thanks!

 
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Old 10-15-2011, 09:44 AM   #2
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Re: MRI of the BRAIN results.. possible MS?

Welcome.

I think that you should allow the neuro to read your MRI. You did not indicate many symptoms which could be construed as MS, but your doctor feels that something may be wrong and has done the right thing in getting you to a specialist.

When you see the specialist and feel MS may be lurking about, confirm whether the neuro handles MSers as a specialty. The difference in specialties may be reflected in the MRI interpretation.

When your headaches present, where do they begin and are there any triggers for that of which you are aware. Are there other symptoms? That is, there are little things which you might dismiss but which could be indicators of other problems. For example, I dismissed foot drop for clumsiness during puberty. If I would have looked closer, I might have noticed that it was consistently my right foot and my shoes and boots provided ample evidence.
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Old 10-15-2011, 01:22 PM   #3
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Re: MRI of the BRAIN results.. possible MS?

thank you for the reply and information.
I have always had poor balance and coordination. No way could I drive a stick shift car!
I thought that was brought on by the scoliois, but perhaps not? I have been experiencing dizziness/lightheadedness and my pressure is always fine, sometimes on the low end. I have noticed the past couple of years I am clumsier, especially in flip-flops... and I feel like I take more deliberate steps when walking in heels. When I walk down the stairs I feel like I need to hold on now, whereas I didnt before. The headaches of late have been localized in the back of my left ear area. I do not get migraines, as far as I know- in other words- I deal with the pain. I have been feeling a lot of pressure in my head the past few months. I do have a lot of neck c-spine issues, which showed on the MRI- bulging disks, herniated disks, arthritis.. all caused by the spinal fusion surgery. I have always thought my constant pain in my neck causes my muscles to tighten up and therefore I get headaches. Who knows? I have also always had poor circulation in my legs. If I sit the wrong way, or if I try to sit on the floor indian style, they will always get tingly/numb. I get frequent cramps in my feet. Sometimes when I am sleeping I wake up to my left arm being numb, but not frequent. I do get a weird dry eye thing sometimes when I wake up- very painful, it feels as if my eyeball has dried up and adhered to the skin of my eyelid. I am sure there are more things that I am not thinking of right now. I know I have to let the neuro about all of this. What do you think?????

Last edited by mod85; 10-15-2011 at 04:54 PM.

 
Old 10-15-2011, 01:23 PM   #4
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Join Date: Mar 2011
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Alexis8368 HB User
Re: MRI of the BRAIN results.. possible MS?

thank you for the reply and information.
I have always had poor balance and coordination. No way could I drive a stick shift car!
I thought that was brought on by the scoliois, but perhaps not? I have been experiencing dizziness/lightheadedness and my pressure is always fine, sometimes on the low end. I have noticed the past couple of years I am clumsier, especially in flip-flops... and I feel like I take more deliberate steps when walking in heels. When I walk down the stairs I feel like I need to hold on now, whereas I didnt before. The headaches of late have been localized in the back of my left ear area. I do not get migraines, as far as I know- in other words- I deal with the pain. I have been feeling a lot of pressure in my head the past few months. I do have a lot of neck c-spine issues, which showed on the MRI- bulging disks, herniated disks, arthritis.. all caused by the spinal fusion surgery. I have always thought my constant pain in my neck causes my muscles to tighten up and therefore I get headaches. Who knows? I have also always had poor circulation in my legs. If I sit the wrong way, or if I try to sit on the floor indian style, they will always get tingly/numb. I get frequent cramps in my feet. Sometimes when I am sleeping I wake up to my left arm being numb, but not frequent. I do get a weird dry eye thing sometimes when I wake up- very painful, it feels as if my eyeball has dried up and adhered to the skin of my eyelid. I am sure there are more things that I am not thinking of right now. I know I have to let the neuro about all of this. What do you think?????

 
Old 10-15-2011, 04:39 PM   #5
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Re: MRI of the BRAIN results.. possible MS?

I think you should keep all the info you just wrote and bring it to the neuro because it provides a broader picture of your situation. I do not think your dry eye is related , but the other concerns need to be sorted out to determine if they are related to your fusion.

I no longer have the leg reflexes or coordination to drive manual anymore. I drive an automatic and with hand controls and have been since 2002. It helps me drive more safely and allows me to conserve much energy so I do not arrive fatigued.

I have had cycles of headaches with a similar area, but behind my right ear. Most of the time it is behind my right eye, but the area behind the right ear can be quite severe. I have found that Dr. Pepper really brings me relief from those headaches and the response is quite quick. When the pain is behind my right eye acupressure has done the best for me. Behind the ear, acupressure does little.

I would sit down and think about your list and try to put together all the details you can.

Does this sound like MS? I think that this is difficult due to your other conditions. Please do not worry though because MS is not fatal. A good neuro will be able to set you on the right path. If that path is MS, you are among friends and are in the right place. If not, there is a board that deals with scoliosis, another for back pain, and many others. I hope you find the answers you need.
__________________
MS diagnosed since October 3, 1982
MS onset circa 1977
Proud to be MED FREE!
Eternally blessed and eternally optimistic!<><

 
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