It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Multiple Sclerosis Message Board
Post New Thread   Reply Reply
LinkBack Thread Tools
Old 11-24-2012, 03:45 PM   #1
Junior Member
(female)
 
Join Date: Aug 2011
Location: clearfield, utah usa
Posts: 13
gal499 HB User
Question mri's and lesions

So, i have had migraines for years, like 35 years. Over the last 15 years I have gone to various neurologists because of them, trying to get them under control and such. Over the last year the nature of my headaches have changed and other symptoms, such as tremors, tingling in my arms and legs, etc. have become far more of a nuisance. My appt is in about 2 weeks. The Neulologist I am going to is also an MS specialist. While I was going through old notes about old neurologist visits, I found where about 2 years ago, the dr I was going to at the time mentioned there were some abnormal white spots on my MRI of my brain. Then he said because I had migraines anything was possible on an MRI. Now I'm wondering if those could be MS lesions. Is there anyone who can tell me more about what lesions look like on an MRI?

 
Reply With Quote
Sponsors Lightbulb
   
Old 11-24-2012, 06:59 PM   #2
Facilitator
(male)
 
Join Date: Sep 2007
Location: Kansas, USA
Posts: 8,633
MSJayhawk HB UserMSJayhawk HB UserMSJayhawk HB UserMSJayhawk HB UserMSJayhawk HB UserMSJayhawk HB UserMSJayhawk HB UserMSJayhawk HB UserMSJayhawk HB UserMSJayhawk HB UserMSJayhawk HB User
Re: mri's and lesions

I am glad you are seeing an MS Specialist.

While lesions in MS can be described with the term "Dawsons Fingers": Especially diagnostic are oval or linear regions of demyelination, oriented perpendicularly to the ventricular surface; they correspond to the radially oriented fiber bundles of the white matter and periventricular veins. When viewed in sagittal images, they extend outward from the corpus callosum in a fimbriated pattern and have been termed 'Dawson Fingers'

The term is purely RADIOLOGICAL and not Neurological. The Dawson's Fingers is named after Dr. Dawson a neuropathologist long since deceased.

While there are "typical" lesions which fit into the "likely MS" category, the MRI image remains a non-specific test for MS. It is just one of the tests used in the MS diagnosis. Migraine, high fever, infections, etc can cause lesions. Read the Revised McDonald Criteria as that is the guideline your MS Specialist should be following.

At this point in your "journey" you are on the right path. Relax and try not to worry. There are over 300 diseases which will have to be eliminated as possible reasons for your problems.

Again, ;wave: welcome!
__________________
MS diagnosed since October 3, 1982
MS onset circa 1977
Proud to be MED FREE!
Eternally blessed and eternally optimistic!<><

 
Reply With Quote
Sponsors Lightbulb
   
Old 11-25-2012, 05:24 AM   #3
Facilitator
(female)
 
Join Date: Sep 2006
Location: USA
Posts: 8,898
MSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB User
Re: mri's and lesions

abnormal white spots on the brain are not unexpected with the history of migranes you describe. THe placement, size and shape of the lesions is what most neurologists will base their decision on as to whether or not these are from prior headaches, or from something else. The list doesnt end at "MS". Lesions can be caused by eye injury, head trauma, high infection and from migranes.
The symptoms you described can also be caused by numerous things. Its great to go see a MS specialist though- they can usually order enough tests to rule out MS and look for other causes...your migranes can also be causing every one of the symtoms you described.
PLease try to relax and just go with it.....the tests will determine which direction you need to explore further. I hope you dont have MS, but even if you do, youre in good company.
Let us know what you find out?
Nikki
__________________
RRMS- dx 05

 
Reply With Quote
Old 11-25-2012, 09:06 PM   #4
Junior Member
(female)
 
Join Date: Jun 2011
Location: Levittown, PA, USA
Posts: 30
LOMS HB User
Re: mri's and lesions

My doc said there are several conditions that cause brain lesions; therefore he sent me for MRI of the spine, saying that lesions there are more telling.

 
Reply With Quote
Old 12-09-2012, 09:19 PM   #5
Junior Member
(female)
 
Join Date: Aug 2011
Location: clearfield, utah usa
Posts: 13
gal499 HB User
Re: mri's and lesions

I just wanted to follow up and let you guys know what happened at my first appt with my new doc. I really like her. She seems to know what's going on, which is nice because some of the docs I've been to in the past haven't always been confidence inspiring. I made sure she had records from as many of my previous docs as possible. She was the only one to notice that the Topamax I am on for my migraines can also cause kidney stones. I have had issues with those beasts for a couple years now. We are now trying out a new med in hopes to fix that. She got notes from my last MRI and was concerned by some of the findings, plus she said she had had past issues with some MRI's from that hospital being read correctly. She did a very thorough exam, including things no one has ever done before. She did the little tuning fork thing, make me walk a line (I flunked that one bad) and then she did I pin ***** tesst, where she poked me with a pin (duh). I could feel her poking me, but for most of my legs and arms, I couldn't really feel the pin *****. Does that make sense? She is sending me in for another MRI, this time with contrast. I've never had one with contrast before. Plus she want them to include my neck. She has also ordered a slew of blood work. My MRI is Friday and my follow up with her is on the 27th. I am nervous, but I feel like I am in good hands. She listened to my concerns. That has to be a first!

Thanks for your support. It helps!

 
Reply With Quote
Old 12-10-2012, 04:44 AM   #6
Facilitator
(female)
 
Join Date: Sep 2006
Location: USA
Posts: 8,898
MSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB UserMSNik HB User
Re: mri's and lesions

Hey! It sounds like you got a winner for a doctor this time around. Im happy for you.

What you described that went on, and is scheduled to happen, is actually very standard for MS testing...however, since up until this point, you were seeing doctors strictly for migranes, none of it was ever done by protocol. Amazing the difference between someone throwing medicine (like Topomax) at you and actually doing testing and listening, isnt it?

Topomax is known for causing stones by the way. Its one of the most recognizable signs that something isnt working...

Meanwhile, you have moved forward. You do realize that MS isnt dx overnight...and I hope you also realize that there is no one particular test for it; hence the blood work. They are looking to rule out everything else and make sure you have no infections, no deficiencies with vitamins, and no markers for any other illnesses which can be detected by blood. The MRI will of course show more specifically the brain and Cspine (Neck) area, which wil show damage from either previous headaches or from demylination damage, which would be more indicative of MS or another disease. Lesions can show up for thousands of reasons, however if they are MS like, the radiologist will see them and your new specialist will see them and hopefully, finally agree, if they are MS like or not.

I wish you the very best. Heck of a time of year to be going through all this, but at least you are on your way to answers. Stay strong and keep us posted!

Nikki
__________________
RRMS- dx 05

 
Reply With Quote
The Following User Says Thank You to MSNik For This Useful Post:
gal499 (12-10-2012)
Old 12-10-2012, 07:05 AM   #7
Facilitator
(male)
 
Join Date: Sep 2007
Location: Kansas, USA
Posts: 8,633
MSJayhawk HB UserMSJayhawk HB UserMSJayhawk HB UserMSJayhawk HB UserMSJayhawk HB UserMSJayhawk HB UserMSJayhawk HB UserMSJayhawk HB UserMSJayhawk HB UserMSJayhawk HB UserMSJayhawk HB User
Re: mri's and lesions

Your update is a great bit of news because it sounds like you have meshed well with your doctor. The pin test and tuning fork, though seemingly very basic, can tell an experienced doctor much. both of those were my first tests with my neuro in 1982 as well as the Babinski. My neuro told me afterward that the simple basics could rule out people for him easily. Times have changed.

I remember that while I could tell the pin was poking, it was not the same. My neuro made a pen mark wherever I had the "dull" sensation. After several pokes, he showed me how the basic "wiring" ran through my hands and arms and how my sensations could not be faked.

I am glad things are moving in a more promising direction. I am very happy for you.
__________________
MS diagnosed since October 3, 1982
MS onset circa 1977
Proud to be MED FREE!
Eternally blessed and eternally optimistic!<><

 
Reply With Quote
The Following User Says Thank You to MSJayhawk For This Useful Post:
gal499 (12-10-2012)
Reply Reply

Tags
mri report interpretation, white spot



Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 01:47 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!