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Different Sized Pupils?
I am a bit concerned.
It all started over three months ago with tingling on my right shoulder, my left knee down, left arm (elbow down), back of the neck (at times) and tailbone area. Headaches are pretty much a daily occurance (at time I would explain them to be migraines). I've had some leg pain in my left leg, almost as if it feels like it's been worked out a bit too much (although, I don't work out). I have blurred vision periodically throughout the day. I tire very easily, two hours after I wake up I feel exhausted and need a nap. Increased visual floaters. I seem to get into these spells where I feel like I am in a complete daze, perhaps what they call brain fog. Now, the most recent I've noticed is different sized pupils (periodically throughout the day). The list goes on.
My initial research led me to beleive that I have MS considering it started with vertigo and tingling. I have seen a neuro and all tests came back normal including my MRI tons of blood work all came back normal no signs of inflammation. The only test that came back a bit iffy was my cortisol levels I was on the very low end of the normal scale.
Do you think the most recent symptom (different sized pupils) is a cause for concern?
Here is what my MRI report said:
BRAIN MRI results:
Clinical Information: Patient describes headaches, mild dizziness, blurred vision with numbness and tingling in the lower back, left upper extremity and left lower extremity.
Technical Information: Sagital FLAIR, axial T2, axial proton density, axial FLAIR, axial T1 post-gadolinium, and diffusion-weighted imaging of the brain was performed. During the emamination, Omniscan 12cc was administered.
Interpretation: MR imaging of the brain reveals three punctate foci of long TR signals abnormality within the left frontal lobe subcortial white matter as seen on series 4, images 3 and series 6, image 19. Phase artifact is superimposed over the left tempral lobe. Mild symmetric hyperintensity marginates the anterior and occipital horns of the lateral ventricles attributed to failed CSF suppression. Prominent perivascular spaces are present withn th eanterior perforated substnce. No corpus callosal periventricular radiating lesions characteristic of a demyelinating process are identified. There are no enhancing lesions within the brain parenchyma to suggest and active infammatory process. Thereis no abnormal intrcranial mass or mass effect. The cerebral sulci appear symmetric and age appropriate. The ventricals are not dilated. The basal and cisterns are not effaced. Flow voids are present within the cavernous carotids and vertebrobasilar system. The cerebellar tonsils are not low lying. A retension cyst is present with the lateral recess of the left phenoid sinus.
Conclusion:
1. Three nonspecific punctate foci of long TR signal abnormality within the left frontal lobe white matter.
2. No evidence of acute/subacute infarct.
3. No abnormal intercranial mass or mass effect.
4. A rentention cyst within the lateral recess of the left sphenoid sinus.
CERVICAL SPINE MRI results:
Conclusion:
1. No abnormal signal or enhancement within the cervical cord to suggest a demyelinating process.
2. Mild multilevel degenerative disc disease in the mid and lower cervical spine without critical degenerative spinal canal or neural foraminal narrowing.
3. No facet arthropathy.
It all started over three months ago with tingling on my right shoulder, my left knee down, left arm (elbow down), back of the neck (at times) and tailbone area. Headaches are pretty much a daily occurance (at time I would explain them to be migraines). I've had some leg pain in my left leg, almost as if it feels like it's been worked out a bit too much (although, I don't work out). I have blurred vision periodically throughout the day. I tire very easily, two hours after I wake up I feel exhausted and need a nap. Increased visual floaters. I seem to get into these spells where I feel like I am in a complete daze, perhaps what they call brain fog. Now, the most recent I've noticed is different sized pupils (periodically throughout the day). The list goes on.
My initial research led me to beleive that I have MS considering it started with vertigo and tingling. I have seen a neuro and all tests came back normal including my MRI tons of blood work all came back normal no signs of inflammation. The only test that came back a bit iffy was my cortisol levels I was on the very low end of the normal scale.
Do you think the most recent symptom (different sized pupils) is a cause for concern?
Here is what my MRI report said:
BRAIN MRI results:
Clinical Information: Patient describes headaches, mild dizziness, blurred vision with numbness and tingling in the lower back, left upper extremity and left lower extremity.
Technical Information: Sagital FLAIR, axial T2, axial proton density, axial FLAIR, axial T1 post-gadolinium, and diffusion-weighted imaging of the brain was performed. During the emamination, Omniscan 12cc was administered.
Interpretation: MR imaging of the brain reveals three punctate foci of long TR signals abnormality within the left frontal lobe subcortial white matter as seen on series 4, images 3 and series 6, image 19. Phase artifact is superimposed over the left tempral lobe. Mild symmetric hyperintensity marginates the anterior and occipital horns of the lateral ventricles attributed to failed CSF suppression. Prominent perivascular spaces are present withn th eanterior perforated substnce. No corpus callosal periventricular radiating lesions characteristic of a demyelinating process are identified. There are no enhancing lesions within the brain parenchyma to suggest and active infammatory process. Thereis no abnormal intrcranial mass or mass effect. The cerebral sulci appear symmetric and age appropriate. The ventricals are not dilated. The basal and cisterns are not effaced. Flow voids are present within the cavernous carotids and vertebrobasilar system. The cerebellar tonsils are not low lying. A retension cyst is present with the lateral recess of the left phenoid sinus.
Conclusion:
1. Three nonspecific punctate foci of long TR signal abnormality within the left frontal lobe white matter.
2. No evidence of acute/subacute infarct.
3. No abnormal intercranial mass or mass effect.
4. A rentention cyst within the lateral recess of the left sphenoid sinus.
CERVICAL SPINE MRI results:
Conclusion:
1. No abnormal signal or enhancement within the cervical cord to suggest a demyelinating process.
2. Mild multilevel degenerative disc disease in the mid and lower cervical spine without critical degenerative spinal canal or neural foraminal narrowing.
3. No facet arthropathy.
MEDICAL PROFESSIONAL
Continue under the care of the neurologist and also see a neuro-ophthalmologist. Find one at www.aao.org or ask the neurologist to refer you. Your symptoms are concerning.
JCHJ IIMD
JCHJ IIMD
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