I need a doctor's advice. Anyone out there???? 2nd post

[tipovergirl]

An MRI w/ contrast found "a few nonspecific punctate foci of altered bright T2 and flair signal abnormality within the deep perventricular white matter zones particluarly at the posterior angles of the lateral ventricles bilaterally. Differential consideration do include demyelinating disorders as well as inflammatory vasculopathies."
Obviously everyone yells MS! MS! MS!
I'm 37 yrs old, hypothyroid for the last 11 years, synthroid 125 daily, have been treated on and off for migranes since adolescents, and have a family history (sister, father, paternal grandmother, paternal uncle) all on cholesterol medication.  My last cholesterol was near 300 and was not checked again.

I just need to know as I wait for three months for another MRI....do I have any other contributing factors for the brain lesions other than MS??
No diagnosed family history of MS, no tremors, serious eye exams show no abnormalities, just a really bad headache that lasted two months.
I was dizzy, vertigo, and couldnt kick a frontal headache.  I finally tried a tea made from Marjoram and Rosemary leaves and the headache left that night...one week later I ahd the MRI and they found the lesions.
With the description above, as quoted from my report, do you think Im looking at MS or the results of cholesterol issues, hypothyroidism and a reeeeaaallly bad headache for two months?
Thanks,
Lara

[PaulMD]

Hi there.

The MRI lesions are indeed characteristic of MS, especially if this is accompanied by the symptoms that you are experiencing.  Other explanations for this lesions are small vessel problems in the brain which can be attributed indeed to your high cholesterol levels.

While the diagnosis of MS is a high probability, I believe it is still best to have your cholesterol controlled, and we will see if this will result in improvement of your symptoms.  Who knows this might really just be due to vascular problems that would improve in cholesterol control (though at this point, it is nearly impossible to tell between MS and vascular problems, though the latter is more favored).

Inquire with your doctor regarding drugs called 'statins' like Lipitor, Zocor, or Crestor to aid in the lowering of cholesterol

Regards and God bless.

[tipovergirl]

Thank you for your time. I guess we all go blank while in front of our diagnosing physician and it is a wonderful thing you are contributing by answering everyone's questions.  You are appreciated!
One thing I forgot to mention before.  I have MVP.  Would that, along with my high cholesterol contribute to lesions as decribed in my MRI?  My PCP told me my "good cholesterol" was very high as was my bad, and that is why he chose to do noghint about it.  MY Mitral valve Prolapse has been uneventful as of yet and am I am not being followed or treated by anyone.  Was diagnosed abt. 12 years ago.  I run, yoga, pilates, eat right, dont smoke, drink socially, no red meat...I'm doing everything right.  

Should I explore the DX of MVP as a contributing factor?  And could a 5 mm cyst in my sinus cause the same vertigo and headaches?

I'm grasping as straws here...Im way too busy to have MS!!!!!!

Again Doctor Paul.....this is a wonderful thing you are contributing...I can't explain it wel enough for you to cmprehend my sheer gratitude.

Thank you and God Bless you as well
Lara