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PaulMD...2nd post please respond, its Lara again

by tipovergirl, Jul 23, 2008 06:33PM
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.  

I have NO PHYSICAL SYMPTOMS of MS.  No tingling, twitching, burning, numbness, lack of coordination, slurred speech, unsteady gait....none of it.  I have headaches, dizziness, inability to focus well with depth perception, foggy feeling and exhausted, short of breath on occasion.  My strength is great, coordination is perfect.

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

Member Comments (1)

by PaulMD, Jul 24, 2008 02:32AM
Hi there.

You are very much welcome.  I cannot seem to think of any mechanism by which mitral valve prolapse can lead to these MRI findings.  There is however one condition where a severe form of MVP or frank valvular failure can lead to some lesions in the brain, and this is called infectious endocarditis.  This condition is characterized by thrombosis and infection affecting valves that are problematic in the first place (such as mitral valve regurgitation, not so much associated with pure prolapse).  The thrombotic elements together with some bacteria can be propelled through the blood stream and lodge in some parts of the brain.  

However, this condition is toxic, and patients are usually highly febrile, bed-ridden, and really feels sick, and I don't believe this is compatible with your situation.

The 5mm cyst is also unlikely to cause these symptoms not just because of it's small size but also from its location in the sinuses (outside of the brain itself).

Regards.
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