Just a quick update: I called my neuros office, and he said he already requested a "special look" at my optic nerve and brainstem. He thinks I have had ON but without too many symptoms, and he thinks that the vertigo is caused by the brainstem or cerebellum.
He said we will talk more about the muscle issues next week when I see him for the results.
Thanks guys!
~Jess
They read the whole study and report on it such as Sinuses and Spinal stenosis. As a patient they do not listen to requests to look for something. The Doctor has to ask for specific things.
Alex
Thanks Bob & Alex! I'll give my neuro a call and see what he does with the info :-)
~Jess
That is pretty strange. The current standards and practice requires radiologists to read the whole study. They can expand on the diagnostic area stated, but it is unethical and may be malpractice not to read the complete study. Just because someone has a broken collar bone, does not mean that the radiologist can ignore the tumor or pneumonia that is on the film. This is the reason that almost every MRI of the Brain and Neck to R/O Demyelinating Disease comments on disk issues and mucus retention cysts in the sinuses. Send me a private message about what RTP hospital you are being imaged at. I'd like to know if I know any of the Docs there.
Bob
The hospital where I have my MRI only looks at what the Doctor orders period so you may need to mention it to the Doctor before the MRI.
Alex
Oh, and on the tight muscles in the shoulder and neck. There isn't much for MRI to see in muscle per se. They may see a disk condition in the neck that is leading to a radiculopathy of the right shoulder and neck. If there is no neck pathology, this could be a spastic muscle condition. Several people on the forum have discusses spasticity of the shoulders and between the shoulders.
Bob
Hey Jess,
The pain "behind the eye" sounds a lot like the pain I had with Optic Neuritis. I don't remember if you have had that before. The part that is a little strange is the pressing in front of the ear. That is where the trigeminal nerve passes. The first branch of the trigeminal nerve provides feeling to the globe of the eye. If it is Optic Neuritis, the Optic Nerves, Optic Chasm, and Optic Tracts can be visualized on MRI. My optic Neuritis showed up as a narrowing of the channels (see my journal). If you need a refresher on how the optic nerves, optic chasm and optic tracts relate to the eyes and optic cortex of the brain, see:
http://www.medhelp.org/posts/Multiple-Sclerosis/Picture-of-how-Optic-Nerves-and-Optic-Tracts-work/show/1387788
If it is trigeminal neuralgia (TN), it depends. The facial part of the trigeminal nerve is pretty hard to visualize on MRI. The insertion of the Left and Right trigeminal nerves is at the brainstem, so a lesion on the brainstem could be a cause of TN. The problem with TN, is that there are place it can demyelinate as it passes from the brainstem to the front of the face and as it splits into the three branches on each side of the face.
Bob