mri report

[ce28]

Hello everyone..

I made mri and here is what is written in the report.

can anyone tell me what does it mean exactly? And does it have anything to do with multiple sclerosis?

focal areas of high signal on T2 and FLAIR images noted in the right corona radiata suggestive of focal areas of demyelination. .No enhancement of these areas seen on post contrast study.
suggested clinical correlation to rule out any
signs of multiple .sclerosis

[twopack]

I think Lulu gave you excellent advice and explanations about what your MRI report CAN mean.  The best way to get answers will be to see a neurologist.  Some people think it is best to see one with a subspeciality in MS (sometimes referred to unofficially as an MSologist here on the forum).

We can't be sure exactly what your doctor meant when he referenced your low vitamin D level.  It would be good to ask him for clarification.  It can be hard to remember exactly what our doctors say and to determine what they mean when so much new information is flying toward us at once - and that is always happening in the beginning!  I'm just glad your doctor is treating your need for vitamin D supplementation right away.  It is important to several body functions and shouldn't be ignored.

I certainly wouldn't go looking for a new specialist before you give this one a fighting chance to work through this with you - not based solely on a comment about supplements anyway.  By the way, supplements and healthier living can go a long, long way toward helping us manage MS symptoms and partially control progression.

Good luck to you.  I hope you will let us know how things work out.
Mary

[ce28]

Up

[ce28]

Thanks sllowe and jensequitur

Awaiting for more advices

[jensequitur]

I'm with Sidesteps on this one - if the neuro thinks it's all Vitamin D deficiency, and not related to any lesion activity, then perhaps you should look at finding another neuro.  I would follow up with this one and ask what he thinks about the MRI report, and if he blows you off, then look for somebody else.

[sllowe]

Hi Ce,

You've been given good advice so far - I'd just like to welcome you and mention too that from this report, the radiologist mentioned suggestive of demyelination. (this means it's not definitive).  That's the docs job - radiologist cannot dx definite MS.

It's best to wait and see what the doc has to say about the findings via MRI, and correlate what you are experiencing.

Low vitamin D is said to make us more vulnerable to a whole host of ailments and illness. Viruses and other disease can cause demyelination as well.  So, why the doc said low vitamin D "could be related" he/she may not have elaborated on exactly what low vitamin D could have made you vulnerable to as some stage to cause this. That's what I'm thinking - that he/she left that part out - which would have made this make more sense to you.

Sure do hope the supplements will make you feel better.
Thanks for joining us.

[ce28]

Thanks Sidedteps

Actully my doctor took it very easy when I asked him what the report says, he just told me that it is all related to Vitamin D and thats all!! I'll try to look for other Neuro.

[Sidesteps]

Hi ce! Welcome!

I am concerned with your doctor leading you to believe low VIT D could cause your symptoms and lesions. I don't think I've read any literature supporting that anywhere. They do suspect that low VIT D is a catalyst in someway to flares and MS but they don't know how. That isn't the same as saying you have low VIT D as a diagnosis.

That might be confusing. ;) My VIT D was 17, I was put on 5000iu a day but it has been increased by my nutritionist to 10000iu. The only thing VIT D might do to help my MS is potentially reduce my flares but it doesn't get rid of the MS. Maybe your Neuro was trying to reassure you in some way?!

Early on in my diagnosis process, I was told to drink more water and take my supplements!! lol - Six flares later, a diagnosis and on medications that will hopefully help slow this, I don't feel those types of comments help a patient who's potentially at risk for MS or another auto-immune disease.

Your Neuro needs to be searching for a cause with many different types of tests. If he/she isn't and it feels like VIT D IS the diagnosis, be cautious. Have any additional tests been ordered?

.

[ce28]

Thanks Lulu54 for your reply..

The doctor told me that it could be related to vitamen d  and thats why I made vitamen d test and I found out that it is very low. He told me to Take 5000iu capsules of vitamin D daily for 6 months. Could that be the problem?

And what is the meaning of "suggestive of focal areas of demyelination"?

Thanks alot.

[Lulu54]

Oh, I should have said in that clip I have no idea why this man is only in his underwear.  

I think almost everyone, unless they are a hospital patient, has this exam done fully clothes, except for taking off your socks and shoes.Many of the demo clips have the "patient": in a hospital gown but in real life that usually doesn't happy.
  
If you want to see a thorough explanation of the neuro exam, this is a great site -

http://cloud.med.nyu.edu/modules/pub/neurosurgery/

[Lulu54]

Hi and welcome to one of the bes tplaces around to get your questions answered with accuracy.  Dagun was right - the weekends get slow around here and I'm glad you stuck around.

Your MRI report is telling the doctor that they need to do a thorough clinical exam to see if any of the deficits common with MS are present.  There are a lot of examples of neuro exams on line, but these tests involve taking your oral history, walking tests, lots of reflex testing and other seemingly innocent things.  All of these tell the doctor if there might be something going on.

here a link to a very basic neuro exam - http://www.youtube.com/watch?v=EUCKKbaYdE0

The comment about the non-enhancement means that there were no lesions that "light up" from the contrast agent .  This happens with MS lesions that are younger than about 42 days to help doctors see any new activity.  Enhanced lesions are necessary one way or the other in the diagnosis of MS, it just marks new lesions.

All of this could have to do with MS but it could also be one of the other many diseases that mimic MS.  I hope you have an appt. scheduled with a neurologist and will continue to be tested.

stay in touch and let us know if you have questions or give us an update.
be well,
Lulu

[ce28]

Thanks alot to your replies

The symptoms I'm experiencing right now are headache (sometimes), vertigo, dizziness, numbness mostly in my feets, I feel like buzzing feeling underneath feet. I'm not sure whether these are ms symptoms or not. Thanks and awaiting for more comments from experienced ppl.

[luvnGod]

Hi There and welcome!  I KNOW there are more folks on here much more knowledgable than I am on this, but it does sound like there were lesions/plaques found in the areas listed, however there were not any enhanced lesions showing, which means there is no active demyelination right now.  Only a neuro can clarify if this is related to MS or not.

Have you expereinced symptoms that had the doctors concerned and checking for MS?  When do you see your doctor to speak with him/her about MRI results?

Keep us updated!!  I will be praying for  you!

Blessings
Stacie

[Dagun]

Hi and welcome to this group. I´m sorry but I´m not clever enaugh to read into this, maby somebody else can. But it seems like their saying that this could be a sign of ms so stay around and if you don't get any better answers now, then re-post or bump this up. Because it is likely that the peoble here that know the most, is not very active here over this Easter weekend. This is usually very good place to look for advise. Good luck on your diagnozes journey.

My best,
Dagun