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Quixotic Please Help
I have MRI's done every 3 years and this last one showed 2 questionable lesions in the right perietal lobe centrum semiovalale , and the spinal tap was negitive , could you please tell me was is meant by questionable ? Is it because it was not enhanced by the gadolinium? And if a spinal tap is neg you can still have MS right?
How do I find a Doctor that will help me and not be like the Doctor I have now. Is it so hard for them to actually want to help ? I am VERY THANKFUL for all of your help, THANKS SO MUCH!!
They have not even mentioned any test about Visual Evoked Response or the Somato Sensory Evoked Potential test I have had EMG test and what I could take was 1 or 2 needles was ok but I could'nt take the pain , so they stopped it.
The MRI of my cervical spine was normal , But I have just had surgery on my neck at C 5 -6-& 7 and bone grafts and plates and screws,placed and now my C2 is showing signs of narrowing , It has not been 7 months since surgery.
Thegray white interfaceis farily well maintained throughout.A small area of increased intensity as seen in the white matter of the left temporal lobe on FLAIR and to a lesser extent on the T2 images.
They have not even mentioned any test about Visual Evoked Response or the Somato Sensory Evoked Potential test I have had EMG test and what I could take was 1 or 2 needles was ok but I could'nt take the pain , so they stopped it.
The MRI of my cervical spine was normal , But I have just had surgery on my neck at C 5 -6-& 7 and bone grafts and plates and screws,placed and now my C2 is showing signs of narrowing , It has not been 7 months since surgery.
Thegray white interfaceis farily well maintained throughout.A small area of increased intensity as seen in the white matter of the left temporal lobe on FLAIR and to a lesser extent on the T2 images.
Hi, Did you get your questions answered? I have some comments
A "questionable" lesion is one where the radiologist sees an ireegularity, but it isn't even as definite as a lesion. Still it might be a tiny one so he descibes it.
In my reading about 90% of MSers will have an abnormal LP "at some time during the course of their disease" It is most likely to be abnormal during an acute relapse, and at initial diagnosis as many as 25% may have a negative tap. That info is not written in stone, but plucked out of my memory.
There are two ways to view the forum. If you look just above the first thread there is a bar (mine is gray) that says "Sort by". You can choose to have the threads arranged by the date of when they were first created, or you can see them arranged by when the most recent or last post was. If you chose "last post" you will always see the new comments people have made. So when we go back and find an old one (to bump it up), we add a little post to it and ENTER. The thread "bumps" up to the very beginning of the forum to the top of the first page.
Many of your symptoms are suggestive of MS. You very much need an MRI of your cervical and thoracic spine done with and without contrast. You should should have a Visual Evoked Response to see if there has ever been damage to the optic nerve, which is common in MS and because of the numbness in your hands and leg, you should have a SomatoSensory Evoked Potential to distinguish whether the numbness is from a peripheral neuropathy or from a problems in the Central Nervous System.
You mention that a problem in your brain mRI is showing up on the T1 images, but the reports you posted do not mention the T1 images. Could you find this and post it?
I hope this is helpful. Quix
A "questionable" lesion is one where the radiologist sees an ireegularity, but it isn't even as definite as a lesion. Still it might be a tiny one so he descibes it.
In my reading about 90% of MSers will have an abnormal LP "at some time during the course of their disease" It is most likely to be abnormal during an acute relapse, and at initial diagnosis as many as 25% may have a negative tap. That info is not written in stone, but plucked out of my memory.
There are two ways to view the forum. If you look just above the first thread there is a bar (mine is gray) that says "Sort by". You can choose to have the threads arranged by the date of when they were first created, or you can see them arranged by when the most recent or last post was. If you chose "last post" you will always see the new comments people have made. So when we go back and find an old one (to bump it up), we add a little post to it and ENTER. The thread "bumps" up to the very beginning of the forum to the top of the first page.
Many of your symptoms are suggestive of MS. You very much need an MRI of your cervical and thoracic spine done with and without contrast. You should should have a Visual Evoked Response to see if there has ever been damage to the optic nerve, which is common in MS and because of the numbness in your hands and leg, you should have a SomatoSensory Evoked Potential to distinguish whether the numbness is from a peripheral neuropathy or from a problems in the Central Nervous System.
You mention that a problem in your brain mRI is showing up on the T1 images, but the reports you posted do not mention the T1 images. Could you find this and post it?
I hope this is helpful. Quix
I typed the word "up" into the comment box, so that the post would move back to the top of the page. I will do the same again, in case you haven't read it . . . it is very informative. The title is MRI, Lesions, and MS.
I can only provide minimal info. . . my research shows that 90-95% of MSers have an abnormal LP. Wouldn't this mean that 1in 10 or 20 would not have abnormal LP? I recommend you read the MRI post from Quixotic. I've just bumped it to the top. Hopefully someone will come along with more information.
Best wishes,
Sherry
Best wishes,
Sherry
In 1992 I had a seizure and thats is what started the MRI's and all my EEG's are normal and the spinal MRI was ok she said but the MRI thats at the bottom of the letter has changed from the prior one , I did not have the lesions on any of the ones before .I'm getting worse and I'm not recovering completely anymore and all my MRI's are done with contrast.Its showing up on T1's
I have those electrical pops ,I have no feeling in my hands or much of one leg , sometimes I can't feel myself sitting in a chair , some days I can't walk well I get tired so easily , double vision is getting worse, at times I can't hardely move my words just don't make any sense most of the time when I can find the right ones, I hade a spinal tap done and it showed nothing. Heres my MRI report the gray and white matter is fairly maintained throughtout.A small area of increased signal intensity in the white matter of the left temporal lobe on FLAIR and to a lesser extent on T2 images. Isointense on other imanging sequences .There questionable one to two tiny areas of increased signal intensity in the white matter of the centrum semiovale on the right but it is minimal No abnormal signal on diffusion -wieghted images. no gadolinium enhancing lesion or mass effect. There are extra - axial CSF collection anteriorly in the left temporal lobe it may represent an arachnoid cyst. Somewhat vague white matter lesion in the left temporal lobe 2-3 mm in size is not inhanced by gadolinium enhancement there are other 2 white matter lesions that are questionable. the remainder is unremarkable. Typical signal void is noted in the juxtasellar inteernal carotids and vertebrobasilar system . the pitutary gland is normal size . The cerebeller tonsils are in normal location. the upper cervical cords appers intact. I have MRI's done every 3 years and this last one showed 2 questionable lesions in the right perietal lobe centrum semiovalale , and the spinal tap was negitive , could you please tell me was is meant by questionable ? Is it because it was not enhanced by the gadolinium? And if a spinal tap is neg you can still have MS right?
I have MRI's done every 3 years and this last one showed 2 questionable lesions in the right perietal lobe centrum semiovalale , and the spinal tap was negitive , could you please tell me was is meant by questionable ? Is it because it was not enhanced by the gadolinium? And if a spinal tap is neg you can still have MS right?
Can you help me please?
I have those electrical pops ,I have no feeling in my hands or much of one leg , sometimes I can't feel myself sitting in a chair , some days I can't walk well I get tired so easily , double vision is getting worse, at times I can't hardely move my words just don't make any sense most of the time when I can find the right ones, I hade a spinal tap done and it showed nothing. Heres my MRI report the gray and white matter is fairly maintained throughtout.A small area of increased signal intensity in the white matter of the left temporal lobe on FLAIR and to a lesser extent on T2 images. Isointense on other imanging sequences .There questionable one to two tiny areas of increased signal intensity in the white matter of the centrum semiovale on the right but it is minimal No abnormal signal on diffusion -wieghted images. no gadolinium enhancing lesion or mass effect. There are extra - axial CSF collection anteriorly in the left temporal lobe it may represent an arachnoid cyst. Somewhat vague white matter lesion in the left temporal lobe 2-3 mm in size is not inhanced by gadolinium enhancement there are other 2 white matter lesions that are questionable. the remainder is unremarkable. Typical signal void is noted in the juxtasellar inteernal carotids and vertebrobasilar system . the pitutary gland is normal size . The cerebeller tonsils are in normal location. the upper cervical cords appers intact. I have MRI's done every 3 years and this last one showed 2 questionable lesions in the right perietal lobe centrum semiovalale , and the spinal tap was negitive , could you please tell me was is meant by questionable ? Is it because it was not enhanced by the gadolinium? And if a spinal tap is neg you can still have MS right?
I have MRI's done every 3 years and this last one showed 2 questionable lesions in the right perietal lobe centrum semiovalale , and the spinal tap was negitive , could you please tell me was is meant by questionable ? Is it because it was not enhanced by the gadolinium? And if a spinal tap is neg you can still have MS right?
Can you help me please?
In 1992 I had a seizure and thats is what started the MRI's and all my EEG's are normal and the spinal MRI was ok she said but the MRI thats at the bottom of the letter has changed from the prior one , I did not have the lesions on any of the ones before .I'm getting worse and I'm not recovering completely anymore and all my MRI's are done with contrast.Its showing up on T1's
I have those electrical pops ,I have no feeling in my hands or much of one leg , sometimes I can't feel myself sitting in a chair , some days I can't walk well I get tired so easily , double vision is getting worse, at times I can't hardely move my words just don't make any sense most of the time when I can find the right ones, I hade a spinal tap done and it showed nothing. Heres my MRI report the gray and white matter is fairly maintained throughtout.A small area of increased signal intensity in the white matter of the left temporal lobe on FLAIR and to a lesser extent on T2 images. Isointense on other imanging sequences .There questionable one to two tiny areas of increased signal intensity in the white matter of the centrum semiovale on the right but it is minimal No abnormal signal on diffusion -wieghted images. no gadolinium enhancing lesion or mass effect. There are extra - axial CSF collection anteriorly in the left temporal lobe it may represent an arachnoid cyst. Somewhat vague white matter lesion in the left temporal lobe 2-3 mm in size is not inhanced by gadolinium enhancement there are other 2 white matter lesions that are questionable. the remainder is unremarkable. Typical signal void is noted in the juxtasellar inteernal carotids and vertebrobasilar system . the pitutary gland is normal size . The cerebeller tonsils are in normal location. the upper cervical cords appers intact. I have MRI's done every 3 years and this last one showed 2 questionable lesions in the right perietal lobe centrum semiovalale , and the spinal tap was negitive , could you please tell me was is meant by questionable ? Is it because it was not enhanced by the gadolinium? And if a spinal tap is neg you can still have MS right?
I have MRI's done every 3 years and this last one showed 2 questionable lesions in the right perietal lobe centrum semiovalale , and the spinal tap was negitive , could you please tell me was is meant by questionable ? Is it because it was not enhanced by the gadolinium? And if a spinal tap is neg you can still have MS right?
I have those electrical pops ,I have no feeling in my hands or much of one leg , sometimes I can't feel myself sitting in a chair , some days I can't walk well I get tired so easily , double vision is getting worse, at times I can't hardely move my words just don't make any sense most of the time when I can find the right ones, I hade a spinal tap done and it showed nothing. Heres my MRI report the gray and white matter is fairly maintained throughtout.A small area of increased signal intensity in the white matter of the left temporal lobe on FLAIR and to a lesser extent on T2 images. Isointense on other imanging sequences .There questionable one to two tiny areas of increased signal intensity in the white matter of the centrum semiovale on the right but it is minimal No abnormal signal on diffusion -wieghted images. no gadolinium enhancing lesion or mass effect. There are extra - axial CSF collection anteriorly in the left temporal lobe it may represent an arachnoid cyst. Somewhat vague white matter lesion in the left temporal lobe 2-3 mm in size is not inhanced by gadolinium enhancement there are other 2 white matter lesions that are questionable. the remainder is unremarkable. Typical signal void is noted in the juxtasellar inteernal carotids and vertebrobasilar system . the pitutary gland is normal size . The cerebeller tonsils are in normal location. the upper cervical cords appers intact. I have MRI's done every 3 years and this last one showed 2 questionable lesions in the right perietal lobe centrum semiovalale , and the spinal tap was negitive , could you please tell me was is meant by questionable ? Is it because it was not enhanced by the gadolinium? And if a spinal tap is neg you can still have MS right?
I have MRI's done every 3 years and this last one showed 2 questionable lesions in the right perietal lobe centrum semiovalale , and the spinal tap was negitive , could you please tell me was is meant by questionable ? Is it because it was not enhanced by the gadolinium? And if a spinal tap is neg you can still have MS right?
In 1992 I had a seizure and thats is what started the MRI's and all my EEG's are normal and the spinal MRI was ok she said but the MRI thats at the bottom of the letter has changed from the prior one , I did not have the lesions on any of the ones before .I'm getting worse and I'm not recovering completely anymore and all my MRI's are done with contrast.Its showing up on T1's
I have those electrical pops ,I have no feeling in my hands or much of one leg , sometimes I can't feel myself sitting in a chair , some days I can't walk well I get tired so easily , double vision is getting worse, at times I can't hardely move my words just don't make any sense most of the time when I can find the right ones, I hade a spinal tap done and it showed nothing. Heres my MRI report the gray and white matter is fairly maintained throughtout.A small area of increased signal intensity in the white matter of the left temporal lobe on FLAIR and to a lesser extent on T2 images. Isointense on other imanging sequences .There questionable one to two tiny areas of increased signal intensity in the white matter of the centrum semiovale on the right but it is minimal No abnormal signal on diffusion -wieghted images. no gadolinium enhancing lesion or mass effect. There are extra - axial CSF collection anteriorly in the left temporal lobe it may represent an arachnoid cyst. Somewhat vague white matter lesion in the left temporal lobe 2-3 mm in size is not inhanced by gadolinium enhancement there are other 2 white matter lesions that are questionable. the remainder is unremarkable. Typical signal void is noted in the juxtasellar inteernal carotids and vertebrobasilar system . the pitutary gland is normal size . The cerebeller tonsils are in normal location. the upper cervical cords appers intact.
I have those electrical pops ,I have no feeling in my hands or much of one leg , sometimes I can't feel myself sitting in a chair , some days I can't walk well I get tired so easily , double vision is getting worse, at times I can't hardely move my words just don't make any sense most of the time when I can find the right ones, I hade a spinal tap done and it showed nothing. Heres my MRI report the gray and white matter is fairly maintained throughtout.A small area of increased signal intensity in the white matter of the left temporal lobe on FLAIR and to a lesser extent on T2 images. Isointense on other imanging sequences .There questionable one to two tiny areas of increased signal intensity in the white matter of the centrum semiovale on the right but it is minimal No abnormal signal on diffusion -wieghted images. no gadolinium enhancing lesion or mass effect. There are extra - axial CSF collection anteriorly in the left temporal lobe it may represent an arachnoid cyst. Somewhat vague white matter lesion in the left temporal lobe 2-3 mm in size is not inhanced by gadolinium enhancement there are other 2 white matter lesions that are questionable. the remainder is unremarkable. Typical signal void is noted in the juxtasellar inteernal carotids and vertebrobasilar system . the pitutary gland is normal size . The cerebeller tonsils are in normal location. the upper cervical cords appers intact.
Welcome to the Forum! I am posting because I think Quix has been having alot of trouble with herv eyes lately and has not been here much. We do have an MRI tech here named burbanchick who might be able to help with your first question. I know the answer to the second question is yes, you can still have MS with a negative spinal tap BUT I think it is harder to diagnose that way. I will send up the thread about the Mcdonalds criteria for you to read also.
We need to know more about you, why do you have MRI's every 3 years? Any symptoms? Did they ever do a C & T Spine MRI? I know that all MRI's need to be done with and without contrast. With contrast , if I remember correctly, will pick up the enlarged blood vessels around and active lesion showing the inflamation of the nerve. Without contrast is done to pick up older lesions that may or may not have started to remyelinate.
Take care and looking forward to getting to know you better!
Kristin
We need to know more about you, why do you have MRI's every 3 years? Any symptoms? Did they ever do a C & T Spine MRI? I know that all MRI's need to be done with and without contrast. With contrast , if I remember correctly, will pick up the enlarged blood vessels around and active lesion showing the inflamation of the nerve. Without contrast is done to pick up older lesions that may or may not have started to remyelinate.
Take care and looking forward to getting to know you better!
Kristin
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