Your radiologist reported that there were two foci of abnormal signal and enhancement. What this means is that he found two white spots in the cord at C4 and C5. You can look on Google images to find the location in your neck. It will certainly cause a L'Hermittes reaction, and lower body symptoms. The lesions are on the left and the back of the cord.
Your brain MRI had lesion activity as well - the 'scattered focal areas' - but there was no enhancement, which means you're not actively having a relapse.
Not only did she list MS as a possible cause of the two c-spine lesions, but note that they enhanced. This means that they "Lit Up" in the presence of the contrast agent. Enhancing lesions have been active within the past 30-40 days.
Have to disagree with Jen somewhat. Not having enhancing lesions in your brain doesn't affect relapse one way or another. This is because old lesions, which will not enhance, can cause new relapses.
Of course, you do have enhancing lesions in your c-spine, but I'm not sure whether you're having new symptoms. In any case, symptoms and lesions of any age don't necessarily correlate. That's a good thing. There's lots of CNS real estate where lesions can occur, but if they all caused problems most of us would be considerably more debilitated than we are.
Your previous neck issues and surgery may make diagnosis even more difficult. Good luck.
Thanks all. Yes, the new symptoms with the numbness, gait and balance issues are all recent... starting about a year ago and getting progressively worse. However, my general Neuro had me get SoluMedrol Infusions in November to see if I can get some relief before I could get in to see the MS Specialist, and the symptoms have slightly improved. I realize that my neck history makes matters more difficult.
When I get a few minutes, and can remember where I put them, I'm going to try to find my MRI reports from 1996-1997. They may or may not be helpful.
Thanks again. :) ~Linda
Yeah, they used to say that the lesions would enhance around the edges when there was a new relapse. They would see a white ring around an already existing lesion. However, I've had relapses without enhancing lesions. That means either they didn't look at the area that was enhancing, or the lesions didn't enhance!
I felt so crummy the first few years after the diagnosis that it was hard to say if I was in the middle of a relapse, or just feeling like crud.