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See if you can talk him into giving you a T-spine as well - your weak legs could be because of a spinal cord lesion. Are you having any bladder problems (urgency, difficulty controlling bladder, or going several times a day?) If you've got a lesion in the T-spine, it will affect your proprioperception (where your body is) and balance.
If nothing shows up on the MRI of head, t-spine, and c-spine, then you're back to square one. However, with your symptoms, I would expect SOMETHING to show up!
I know that antidepressants are good with cognitive problems and neuropathic pain, especially drugs like Lyrica. However, with cognitive problems, neuros usually recommend Aricept, which is a Alzheimer's drug. I've heard good things about it.
I don't know if you can get it, but there's something called 'optical coherence tomography' which is basically a look at your optic nerve. It'll show atrophy of the nerves that won't show up on an MRI. It's been shown to accurately predict MS activity, so you might ask for it and see what happens.
Yes, the MRI is with and without contrast.
However, he says "if nothing lights up" on the head and c-scan than he won't do a L and T scan. Nothing more.
I do have urgency and "running to the bathroom"... I wasn't sure if that connected or not. I've had a few weeks were this was almost unbearable and had trouble with controlling the bladder... and yes, it was tied into my flares, or whatever they are. I figured this had to do with the UTI's I had last fall... but this has stuck around. Gracious, what else embarassing is connected? (Grin)
Thanks for the explanation of proprioception. I just have to watch out... hitting ones head isn't safe.
~Sunnytoday~