Perivascular spaces of virchow robin

[TW105]

What do I make of this? Forgive me for the long post.  There is a small amount of nonspecific periventricular and subcortical white matter T2 signal abnormality.  These findings are not associated with postive mass effect or restricted diffusion.  Differential diagnosis includes demyelinization, gliosis, and small vessel occlusion.  There are multiple small lesions in the periventricular and subcortical areas and predominantly in the frontal and parietal regions.  These for the most part are less than 5mm. These are not associated with restricted diffusion or mass effect.  There are several tiny foci of low T1 high T2 signal inthe basal ganglia inferiorly.  These are of low signal on FLAIR and are likely related to perivascular spaces.    There are a number of prominent perivascular spaces of virchow-robin noted incidentally.  My pcp (who happens to be a new dr to me) told me my mri came back fine, but will repeat in 6 months.  Asked if there is a history of MS.  In my early 20's after the birth of my 3rd child, they thought the same thing, and found brain lesions then.  

[kwarendorf]

Hi TW - Welcome to the group.

Radioligy reports alone tell only a small piece of the story. They need to be evaluated in the context of symptoms, a full clinical exam and a medical history. They also need to be evaluated in conjunction with other tests. MRI's alone cannot diagnose MS.

All of the above should be done by a neurologist, preferably one who specializes in the diagnosising and treatment of MS. I wouls ask your new PCP to refer you to an MS specialist.

Kyle

[TW105]

Thank you very much, I actually don't think is MS.  My father long story short...had the similar dx yrs ago, but in reality, he has chiari and syrigabulbia.  My Grandfather also had Syrgimylia, and I also have a nephew who has it.  I've also been told that some cousins have it also.  I have many neuro issues.  Long story short, I believe throughout my life, it has been pushed aside because of my job, and the fact I was a very busy woman raising my children.  In other words, you are just stressed out.  I have since left my job....I worked in Law Enforcement for 12 yrs.  I am now stay at home, and my life is much more stress free then it has ever been.  Thank you for the welcome, and please forgive my spelling, as I know there are many mistakes, but I don't want to google the correct spelling.....laziness on part I guess....LOL!!!

[TW105]

I do have a major shake on the right side of my body.  Hand mostly, and also have wartenberg sign in both hands.  My head shakes in my sleep, I have one pupil that will become quite larger than the other.  In general I have had several things happen.  My right thigh swells, plus I also get huge lumps on my back...under my skin, not a skin issue.  I am very tired to the point where I was in bed for about three weeks.  I am usually a very active person, to the point where people think I'm crazy, because I always like to finish a project.  We live on about 13 acres, with many many trees around.  I use to spend hours raking, plus did most of the mowing, housework, and cooking...well just about everything.  I find it difficult to even get my housework done now.  It takes me hours just to clean one area, because I need to rest, and it is never really dirt to begin with.  It'sfrustrating to think I can't do a quarter of what I use to.  I don't go to doctors, but I have finally been scared enough to go.