ALS or MS or MS or Ischemic Disease

[jojo1464]

For 5 months I have had a weakness feeling in my arms and leg on my left side.Shoulder blade pain that as resolved. But my arm gets tired holding steering wheel for lenghts of time. The leg is functional. Somtimes it feels tired down by the ankle and shin but I walk all day in my job. I also have been running/walking. This is the report: Went for an MRI and they found single 1.x 1.2 cm area of faint T2 hyperintensity in the white matter of the right frontal lobe. The exact origin and significance of this area of minimal T2 hyperintensity are difficult ot determine. The leading diagnostic considerations would be white matter ischemia or demylinating disease. Suspicion of neoplasm is low. Could somone give their thoughts on what this may be...

[jojo1464]

JJ...

Forgot ot mention that i do get nerve twitches. Not sure if it's all related or not...thanks.

Jo

[jojo1464]

Thanks JJ...

I truly appreciate your thoughts and your instant reply. I am hoping to get into neuro very soon. Will know today. I will let you know.

Thanks again.

jojo

[supermum_ms]

Hi and welcome to our little MS community,

Please keep in mind that we are not Dr's but a community of people living with MS or in the process of being dx with MS. MS has many mimics and it is not necessarily easy to work it out, certain sx's make MS more likely or less, the sx's you've mentioned could be caused by many things but nothing is specifically associated with MS or jumping out to me, that it is being caused by a neurological condition.

Your MRI results would not be enough to meet the Mcdonald Criteria, which is the diagnostic criteria for MS. The frontal lobe is not one of the areas mentioned in the criteria and with only having a faint area (which from my understanding would be pin pri_ck size) showing up, I think it would be difficult to work out if these results have any significant meaning or not.

From what i know about ALS and MS, there isn't anything that would make me suspect either as being the cause, Ischemic white matter disease isn't suppose to cause sx's. Its silent and it is a normal finding as we age, so its a possibility but it wouldn't account for your sx's.

I think its possible that your sx's have something to do with your neck and or spine, eg degenerative disc but thats a guess at best and an idea to possibly explore.

Cheers........JJ