23 with hypertensive T2 FLAIR lesions in left cerebellum.
I am a 23 y/o female and recently had an MRI of my head to check for causes of deafness/dizzyness from my right ear. No problems found in my ear canals but 2 "hypertensive T2 FLAIR" lesions 3 -4 mm in size were found in my left cerebellum (with a note* possible developmental venous anomaly) I have been told I have severe Raynaud's as I lose circulation to my fingers and arms extremely often...I have regular aches and cramping in my arms and legs I tire easily and im starting to think im 80 living in a 23yr olds body hahaha.
I dont know how seriously to take this or what my next steps should be... if anyone could let me know that would be great.
Hi there. You need to be evaluated for these severe Reynaud’s phenomenon as you mentioned. it could be idiopathic or secondary to connective tissue disorders like SLE, scleroderma, atherosclerosis etc. The other condition possible with the MRI findings is MS. MS is a chronic demyelinating disorder where the disease phase is characterized by active phase and remissions. It has multiple symptoms and signs and is a diagnosis of exclusion. The symptoms of multiple sclerosis are loss of balance, muscle spasms, numbness in any area, problems with walking and coordination, tremors in one or more arms and legs. Bowel and bladder symptoms include frequency of micturition, urine leakage, eye symptoms like double vision uncontrollable rapid eye movements, facial pain, painful muscle spasms, tingling, burning in arms or legs, depression, dizziness, hearing loss, fatigue etc. The treatment is essentially limited to symptomatic therapy so the course of action would not change much whether MS has been diagnosed or not. Apart from clinical neurological examination, MRI shows MS as paler areas of demyelination, two different episodes of demyelination separated by one month in at least two different brain locations. Spinal tap is done and CSF electrophoresis reveals oligoclonal bands suggestive of immune activity, which is suggestive but not diagnostic of MS. Demyelinating neurons, transmit nerve signals slower than non-demyelinated ones and can be detected with EP tests. These are visual evoked potentials, brain stem auditory evoked response, and somatosensory evoked potential. Slower nerve responses in any one of these is not confirmatory of MS but can be used to complement diagnosis along with a neurological examination, medical history and an MRI in addition, a spinal tap. You also need to be checked for small vessel ischemic disease, cerebral ischemia etc for these MRI lesions. Therefore, it would be prudent to consult your neurologist with these concerns. Hope this helps. Take care.
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