MRI Report

[Jnessa1]

Findings: Single punctate focus of T2 hyper intensity in the left frontal lobe white matter.

Impression: Likely sequelae of prior infection, ischemia or trauma.

I went to a neurologist who told me it's a migraine spot. ? I've never heard of that.

He also said it could indicate MS but that it's highly unlikely and he wouldn't be conducting any further testing. He said if I develop bladder incontinence, numbness in my hands and feet or extreme fatigue that I should come back.

He said I'm only 29 and that's too young for it to be anything serious.

[supermum_ms]

Hi and welcome,

From what I understand, your brain MRI has not located anything abnormal, a couple of T2 lesions in the frontal lobes are normal findings for your age group, so having a single frontal lobe lesion would not be unexpected. More commonly due to micro vascular ischemic changes eg migraine, minor head trauma eg childhood bump, viral infections eg Epstein-Barr virus (mono).

I would suggest you find out if your had any clinically abnormal neurological signs noted in your neurological exam eg positive Babinski sign, hyper reflex, Clonus, Spasticity etc etc before getting a second neurological opinion. IF your neurological assessment is normal and your brain MRI results are also normal, your diagnostic evidence is suggesting an alternate causation for the symptoms you experience, other than a neurological condition like MS.

Otherwise, IF you do have abnormal neurological clinical signs, then despite what your brain MRI showed and this neurologists opinion, it would be in your best interest to get a second neurological opinion!    

Cheers.......JJ

[karryon55]

Hi there,

The MRI report may mean nothing at all and it is not unusual for someone of 29 to have a tiny/punctate focus in their frontal lobe especially if that person suffers migraines. I am not a doctor though so this is coming from a lay persons perspective. Maybe speak to your GP about this finding?

If I was in your shoes I would be asking myself "why did I have the MRI done in the first place?" Also were there any abnormalities on your Neurological examination ie reflexes, sensation etc? This will tell you if there is any significance to the finding in MRI.

There has been no indication on the MRI that this could be demyelination aka MS so I would follow up with a Neuro in the future.

Take Care,

Karry.

[suspiciouscombo]

Based on what you shared above, I would definitely seek a different neurologist.

[HVAC]

You can always find another neurologist. They specialize so you might find a MS specialist.

Alex