My MS specialist ordered a spinnal mri in my first meeting. She did an assessment and said that my upper back pain was due too lesions. Sure enough she was right on the ball!
Barb
I'm one of a sizable group of MSers who have only brain lesions, albeit a lot of them. However, I have relatively mild movement and strength deficits in my limbs that have been around for many years, some of which are very slowly getting worse. I also have bladder and bowel issues resulting from MS, and other abnormalities here, there and everywhere, that are frequently associated with spinal lesions.
My neuros past and present have clearly conveyed to me that the brain can and does cause all the issues I have. Lesions on the spinal cord cannot cause symptoms occurring above their locations, so could not account for trigeminal neuralgia, for instance, but lesions in the brain can cause almost anything. Not l'hermittes, though, and I'm trying to think of more examples.
ess
I think it is veery hard to draw definitive conlusions about lesion loction and symptoms. I have lesions in my brain, c-spine and t-spine, but have never had any sort of banding in my torso, trigeminal neurolgia, opical neuritis or vertigo.
Kyle
If you have no symptoms caused by the head then it would be spinal lesions in MS. Neurologists can tell from a neurological exam if spinal lesions are possible and order a MRI. With the neurological exam they can tell where the damage is in your Central Nervous System. That is why neurologists do not order many Spinal MRIs because it is not necessary. If you only had trouble walking and nothing else and your reflexes and such showed it was not your brain then they would look at spinal.
Alex
Spine lesions are easy to find, because they 'band' around the torso. I have lesions at T6-T8 and at T12, and I have numb spots on my torso around those spots. I also have arm and leg spasticity and right leg weakness.
Brain lesions can cause symptoms in various locations in your body, but are more likely to be the cause of trigeminal neuralgia, cognitive impairment, optic neuritis, vertigo, dysphagia, etc.