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Neurology (Expert Forum)
help with MRI results
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help with MRI results
by HUH, Jan 19, 2005 12:00AM
I’m a 35-year-old male in good health. My symptoms, which started in late September of this year after I injured my upper back and neck while lifting, was a throbbing head pain on the top, left side of my head. So I went to Neruo. who ordered a MRI/MRA with & without contrast. This is test results: Diffusion weighted images show no evidence to suggest an acute infarct, hemorg. or space occupying lesion. Flair weighted sequence images and T2 weighted seq. images show evidence for an area of decreased signal in the left occipital lobe just adjacent to the occipital horn of the left lateral ventricle. This area does not show evidence for contrast opacification. Vascular structures appear grossly unremarkable. There is also a question of focal area of very subtle increased signal involving the left cerebellar lobe adjacent to the cerebellar peduncle only identifiable on the flair sequence. This could represent a vascular structure or summation with an adjacent sulcus, however, localized demyelinating plaque cannot be excluded. Impression: MRA Unremarkable. Subtle focal areas of increased signal, including the medial aspect of the left occipital lobe adjacent to the occipital horn of the left lateral ventricle & possibly left cerebellar lobe and clinical correlation regarding possible demyelinating process is recommended. Prominent perivascular spaces or lacunar type infarct given this appearance are also considered.”
My Family Dr. is worried about MS. The Neuro. said it was normal. what does the mri say? could it be ms? now i get muscle twitching in arms,legs and nose.
My Family Dr. is worried about MS. The Neuro. said it was normal. what does the mri say? could it be ms? now i get muscle twitching in arms,legs and nose.
Doctor's Answer
by CCF-Neuro-M.D.-CS, Jan 19, 2005 12:00AM
I cannot make a diagnosis based on the MRI without seeing the actual MRI
Radiologists have to call anything they see on a scan (in case they miss anything), that increases the possibility of a false positive (saying something is abnormal when it is not, or is within normal limits). You have to keep this in mind. That is why it says, 'clinical correlation reccomended' - in which case the best person to decide if it is significant or not is your neurologist
It does not sound like yo have MS, but your neurologist should be the best person to tell you and followup with. Muscle twitching is a non-specific symptom that can occur in normal people.
Good luck
Radiologists have to call anything they see on a scan (in case they miss anything), that increases the possibility of a false positive (saying something is abnormal when it is not, or is within normal limits). You have to keep this in mind. That is why it says, 'clinical correlation reccomended' - in which case the best person to decide if it is significant or not is your neurologist
It does not sound like yo have MS, but your neurologist should be the best person to tell you and followup with. Muscle twitching is a non-specific symptom that can occur in normal people.
Good luck
Headaches are not a classic feature of multiple sclerosis.
With the widespread use of MRIs for just about anything neurologic, we are discovering that a lot of people have 'spots' which don't really mean anything -- they are just there.
This does not mean that you dont have MS, but based solely on the story that you wrote, I would doubt it. Still, if you are really concerned, go to a local neurologist.