The symptoms you describe are not typical for MS, and could be related to anxiety. However I would suggest that you should discuss this with your physician, and if there is concern, seek medical attention.
As I said previously, without being able to obtain a history and examine you, I cannot tell you what you have.
Thank you doctor for the advice.
Till now i have not shown any symptoms. But for last 4 days, i have muscle twitching in legs and hands and bit of pain in hands and legs when i go through some motions. I also have some facial twitching. Is it a sign of MS or anything or is it just my anxiety . I am very depressed and Anxious. infact i am having increased heart beat and fear at nights and i cant sleep properly. i cant wait till the next MRI.
How does Spasms work. Is simple muscle twitching a symptom
Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with your doctor.
Without the ability to take a history and examine you, I can not tell you what the cause of your symptoms is. However, I will try to give you some information.
Without being able to obtain a better description and actually being able to see the image, I cannot say how concerning the MRI is. MRI is a very sensitive imaging tool that because it is so sensitive, it can pick up many things that are usually called lesions, but do not mean anything. And the importance when we find abnormalities in the MRI, is to correlate them with what the patient has clinically, that is by history and on exam.
MRI abnormalities can also vary with age, and so older adult patients and specially those who have other comorbidities, tend to have “white matter lesions”, that usually are seen with age, in hypertensive or diabetic patients, but do not have any other specific mean if there are no symptoms related to them.
MRI lesions should also be taken into the whole context of what the patient has, but there are important charateristics that we look for when we look at these abnormalities, and they are size, distribution, localization, number, intensity of the lesion and in what imaging sequence, and if they are enhanced by the use of contrast or not. I cannot give you any explanation to the lesions you have without these characteristics, and without seing the picture. However the fact that you do not have any other symptom or finding, makes them less concerning.
Regarding tumors, they can present with headaches, and the common presentation is a morning headache, vomiting, and possibly focal neurologic signs. Your headache seems to have responded to propranolol, which is not something expected with tumors. Contrast enhancement used with the MRI helps, and a follow up scan will help to determine if a tumor is a concern.
MS present in multiple ways, not frequently only with headaches. Usually there are focal neurologic symptoms like visual symptoms, numbness tingling, weakness, problems with coordination, and many other. There are specific criteria to diagnose MS, and MRI helps with the diagnosis, again along with the history and physical examination. MRI with contrast and a follow up MRI helps as well in the diagnosis, as it will tell if the lesions change, if new lesions appear, and if they enhance with contrast.
Again, the history you describe here is not typical for MS or tumor, and if you have no other symptoms and your exam is normal, the concern is minimal, and whatever was seen in the MRI should be interpreted in the context of your symptoms. The fact that a neurologist saw you and did not find any significant abnormality, is also reassuring.
Without being able to obtain a history and examine you, and without being able to see the images of the MRI, I cannot tell you what you have. I think that discussing your concerns with your neurologist, and having a repeat MRI with contrast enhancement will help determine the diagnosis.
I hope this helps.