Is this MS?

[Katefrs]

I have had two episodes now of right hand weakness, facial numbness without actual numbness, and difficulty with pronouncing words.
They thought may be stroke but all ECG bloods, ct scan etc not indicative.
Went for MRI and am seeing him Monday but have the report here with scan on disc to take with me. Looked at report and states this.....
t1 t2 proton density weighted, flair and diffusion images show focal lesion seen with bright signal on t2 weighted image in left parietal lobe in sub cortical position. Another lesion with bright signal noted in left temporal lobe in particular on coronal flair images. No other evidence of demyelinating disease or space occupying lesion.

Any help greatly received as driving me mad. Have had a few episodes of vertigo type symptoms and my memory seems impaired a little. Really would appreciate thoughts on whether this looks like ms
Kate

[Katefrs]

Ty muchly. Helps a lot
Kate

[COBOB]

Many doctors are now using the 2010 Revised McDonald Criteria.  They still allow clinical diagnosis by attack,  but they have now clarified what the MRI evidence is for Dissemination in Space (DIS) and Dissemination in Time (DIT).  They have also defined what constitutes an "attack."  We do not have a new heath page yet for the new citeria that was published on Dec 29, 2010  http://onlinelibrary.wiley.com/doi/10.1002/ana.22366/pdf

Bob

[jensequitur]

It does look like MS.  According to the McDonald criteria, for a diagnosis of MS, you'll need two clinical lesions (clinical lesion means evidence of a neurological defect found by the neurologist) and two attacks.  

http://www.medhelp.org/health_pages/Multiple-Sclerosis/Diagnosing-MS---The-McDonald-Criteria-revised-2005/show/370?cid=36

Take a look at this article.  Unfortunately many neurologists rely on the MRI rather than a thorough neurological examination.  My neuro gave me a cursory examination, then scheduled me for a spinal tap.

If your neuro does, ask for fluoroscopy, as it will make the draw less traumatic.  It's also possible that you'll need a blood patch.  If you have a bad headache after the spinal tap, let your neuro know.