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102334 tn?1194307600

Love the reading here, yall

Hi, I just wanted to say I love reading the posts on this website. You are very informative, and at times you crack me up. Let me start off by saying Ive been hospitalized 2 times in the last year with "stroke like symptoms" abnormal gait, confusion, severely high b/p. They did a full cardiac work up and all is good. My MRI of the brain: Two small foci of nonspecific T2 hyperintensity. These can be seen in patients with migraine headaches. They may represent small foci of old infarct or demyelination.
Cervical MRI C4-7ACF Anterior fixaton plate. Left  C7-T1 posterior extrusion with nerve root and cord encroachment. Midline posterior C5 body osteophyte narrowing the ventral subarachnoid space. Shallow left central C4-5 posterior endplate spur. Bilateral C3-4 foraminal narrowing due to uncinate process spurring with shallow diffuse posterior protrusion.
MRI of thoracic Spine:
Multiple mid to lower thoracic disk herniations resulting in mild cord deformity at the T8-T9,T9-T10 levels. Left ligamental flavum buckling and facet arthropathy result in mild deformity of left posterior  cord at T10-T11 level.C7-T1 herniation deforming left cervical cord and encroaching on left exiting C8 nerve root as seen on prior MRI of cervical spine.
MRI of Lumbar spine:1) Lumbarization of the S1 vertical body demonstrated.
2) GRADE 1 Degenerative subluxation at the L5-S1 Level with mild sac deformity. There are multiple bulges and sites of posterior element degeneration without significant central stenosis or critical neural foraminal encroachment. However, facet arthopathy is severe at the L5-S1 level bilaterally. My Pcp had me do another MRI of the brain because Im having bilateral leg weakness, fatigue,confusion, and trouble focusing my eyes. My new MRI shows small scattered hyperintense T2 foci within the the white matter of cerebral hemispheres on the FLAIR and T2 sequence. There is also a subcentimeter cyst within the left parietal deep white matter.

I know my spine is a total mess. I had an ACF in jan 2006 of the C4-5 and 6. Im concerned about my spine but now my PCP is sending me for an EMG by a neurologist, and also sending me to a neurosurgeon in early October. My PCP seems more worried that I may have MS than anything else. Sorry for such a lengthy letter, but all of yall seem so knowledgable on this subject. Any thoughts to my MRI'S?

Rutey
                            
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102334 tn?1194307600
Thanks for answering my LENGTHY post. LOL! First of all let me give you a little background on myself. Im 50 years old, I have been on as many as 4 blood pressure meds, because of my hypertension. I have lost over 50 lbs, and now my b/p is normal,Im on NO meds. I cant pinpoint how I hurt my spine as bad as it is. Everyone asks me that question. I was always athletic when I was younger. In answer to the anticoagulation question, yes both times I was in the hospital I was put on Coumadin. Im not on it anymore. Ive had problems with my neck for years and in Jan of 2006 I had a cervical diskectomy at the C4-5 and 6 levels.I wish now that I had insisted on a complete spinal MRI, maybe they would have seen that it was bad all the way down.
Yes, Ive had migraines, but they only started recently in the past year or so. My main concern now is the "numbness" in my both legs. It used to be in my left arm, but now its in both legs, left more than right. It used to be only at night while I slept, but now my legs (mostly from my knees to my feet) feel tingly, almost like they are spasming, but from the inside, you cant see them spasming from the outside. Does that make sense? Its a constant tingly, spasmy(is that a word, lol) feeling, I have to actually think where my feet are going. Ive had occasional footdrop and fell.
Well, I better stop typing, or yall will think Im a rambler(which I am, dont tell anyone).

The only meds Im on is Neurontin, Ive been on it forever. These constant problems with my bilateral legs are becoming so annoying!
Helpful - 0
147426 tn?1317265632
And apparently the screen is teflon and some of the things you told us slipped off.  Certainly I didn't miss reading something!  You've had fatigue (not related you think to pain or difficulty with moving from your back?)  Cognitive stuff - like what ? And have you seen an ophthalmologist.  If your GP is worried about MS they should do a Visual Evoked Potential.  But if focusing is a problem - is it blurriness or movement of what you are trying to look at?

Pretend that paragraph up there is part of the first post I did.  I look better that way.  Q
Helpful - 0
147426 tn?1317265632
Hi, what a nice entrance onto the forum.  It pleases me that people read along and enjoy us.  I think we're great.  We're thinking of taking the show on the road, but getting all these gimps onto a stage would not be a pretty sight!

Well, in perfect medical-ese, your back is a war zone and is certainly causing some of your problems...and you're response to that is ....Duhhh!

The MRIs are showing increasing lesions.  But, I am very concerned about the severely high blood pressure you had.  Have they done the full work up for things that cause ministrokes and mimic MS?  The one we were talking about most recently is "Sticky Blood Syndrome" or Hughes Syndrome.  To check for this they need to run several blood tests for Antiphopholipid antibodies, AntiCardiolipin antibodies, Lupus Anticoagulant and one other that slips my mind (not only do I have Teflon Blood, but apparently a Teflon Memory).  You also need a workup for things that cause vasculitis - autoimmune type stuff.

What kind of other symptoms have you had?  For now let's exclude things that might be caused by your trainwreck of a back.  (BTW - what all has happened in your back?  Arthritis? a fall?, a hand grenade?)  Any generalized fatigue, cognitive problems, heat intolerance, visual difficulties, dizziness?  And how old are you?   I'm so politically incorrect  :(   We have to know how aged your brain is.  After all someone recently was told they had age-related lesions at 31!

The hyperintensities on T2 and FLAIR indicate scarring.  That they resemble the lesions of migraine indicate that they are very small.  Have you read my write up on "MRI's, Lesions and Symptoms"?  I think it's on the second page now.  It explains (in a way) what some of the lingo is on an MRI report.  Foci -means more than one spot -  Things that cause the lesions that are showing on your brain MRIs up would be ministrokes (like from sticky blood), migraines (do you have migraines) High blood pressure - is this an ongoing problem with you?  Or was it just when you were having the episodes?

MS can occasionally present with a stroke-like picture.  It isn't common, but is certainly possible.  After each episode, how long did it take to regain all your function, or did either one leave you with lingering problems?  Did they anticoagulate you?  What meds are you on?

Your post wasn't lengthy..Haha..I'm sure I hold that record along with the World Indoor Endurance Reclining Record.  Sit down and pull up a chair,  then get up and onto the chair and join us.  We're always good for a laugh.

Quix
Helpful - 0
220917 tn?1309784481
Oh, my goodness, how scary that must have been for you!  I'm sorry about your history, but I'm glad you found our little corner here.  Welcome!

Like Carol, it's all Greek to me, but fortunately, Quix knows Greek!  Hopefully, she'll be along in a while...

Stick around, pull up a comfy chair, and like Penn said, we'll take good care of you!

Be well,

Momzilla*
Helpful - 0
222135 tn?1236488221
Wanted to welcome you to our little cyber-asylum! I wish I was able to decypher your results, but I can only offer support, and let you know that the folks who know what they're talkin' about will chime in soon.

Penn
Helpful - 0
199882 tn?1310184542
Hi Rutey,  Welcome to our little family here.  I'm sorry what brought you here but I know you will get some good answers.

Sorry I can't help on you MRI's but it all reads greek to me.  I wish you the best and please join in anytime.

I'll be praying,
carol
Helpful - 0
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