Aa
MRI results, symptomatic of ms, no signs...
Impression on MRI-what does this mean?
Tiny aberrant vessel extending from the deep white matter adjacent to the posterior horn of the right ventricle to the cortical surface, etiology and significance uncertain.
Descriptive, listed above impression
Seen extending from the central deep white matter adjacent to the posterior horn of the right lateral ventricle to the cortical sulci within the medial aspect of the right high parietal region, there is a curvilinear focus of increased proton density, T2 and inversion recovery and decreased T1 signal, most likely representing a vessel.
Regular Radiologist read. I'm waiting on a referral appointment to MD specializing in MS to confirm or rule out...I'm going nuts withs this'd eating and waiting...!!! Any advice you could lend would be helpful. I've read some great posts here. Could the "vessel" be a lesion? 3weeks ago had dx of optic neuritis and iriditis...history of loss of strength in right arm, decreased strength in hands, uncoordination with fine motor movement in hands, etc... Fatigue...memory...
Help!
Tiny aberrant vessel extending from the deep white matter adjacent to the posterior horn of the right ventricle to the cortical surface, etiology and significance uncertain.
Descriptive, listed above impression
Seen extending from the central deep white matter adjacent to the posterior horn of the right lateral ventricle to the cortical sulci within the medial aspect of the right high parietal region, there is a curvilinear focus of increased proton density, T2 and inversion recovery and decreased T1 signal, most likely representing a vessel.
Regular Radiologist read. I'm waiting on a referral appointment to MD specializing in MS to confirm or rule out...I'm going nuts withs this'd eating and waiting...!!! Any advice you could lend would be helpful. I've read some great posts here. Could the "vessel" be a lesion? 3weeks ago had dx of optic neuritis and iriditis...history of loss of strength in right arm, decreased strength in hands, uncoordination with fine motor movement in hands, etc... Fatigue...memory...
Help!
Thank you for your time and response. Please keep me posted on your "journey"....
Forgot to say ... it seems they have definitely done an mri NOT to ms protocol, but perhaps nerve protocol or an mra (by the language). The next one should be ms protocol, if for no other reason than your symptoms.
I'm sorry. It's the nature of the beast (by the time you see the specialist, symptoms are gone). Keep a timeline of when the episodes hit, symptoms, what doctors say about it, and how long they last. Also to what degree things resolve prior to the next episode. I'm surprised the ON was discounted ... the thought had crossed my mind that if I just had ON perhaps someone would take my other stuff seriously :-P.
I finally had a specialist's appointment after an episode had started -- he got some hard neurological findings and is now fully into investigation mode (which still may not lead anywhere, but at least it's a start). This is not a process for the faint of heart. I will say that one facet of his investigation is that he is having all my mri's re-done -- he feels our local hospital's MRI wasn't sufficient. It really doesn't matter what radiologist reads the scan -- a good neurologist won't even look at the report.
BTW all my blood tests have been normal save for a low vitamin D, and an increase in one other thing over the last 3 months. I think I've been tested for everything at this point.
Doubting your own sanity, I think, is normal :-P. At least it has been in my experience. I'm sorry you're going through this.
I finally had a specialist's appointment after an episode had started -- he got some hard neurological findings and is now fully into investigation mode (which still may not lead anywhere, but at least it's a start). This is not a process for the faint of heart. I will say that one facet of his investigation is that he is having all my mri's re-done -- he feels our local hospital's MRI wasn't sufficient. It really doesn't matter what radiologist reads the scan -- a good neurologist won't even look at the report.
BTW all my blood tests have been normal save for a low vitamin D, and an increase in one other thing over the last 3 months. I think I've been tested for everything at this point.
Doubting your own sanity, I think, is normal :-P. At least it has been in my experience. I'm sorry you're going through this.
Managed to make the referral appointment. I was highly disappointed. The history of symptoms was short and all the neuro symptoms with the exception of optic neuritis were attributed to spinal issues. I was a symptomatic by the time I finally got there and my neuro exam was good. The eye exam consisted of reading an eye chart standing in the hall. I essentially felt like the MD thought I was crazy.
approximately 4 months later, the second round of optic neuritis set in. along with this was EXTREME fatigue and bladder issues (again!). I was told to return annually to the clinic for MRI evaluation and in between if symptoms returned. I called to set up the appointment and they refused to see me because "you don't have MS". I was directed to see my eye doctor and family doctor. Gee...that's where I started and was sent back to the "specialist". I got no where with the receptionist, so I've started over with another referral as my eye & medical Docs want the MRI repeated and I don't want to have it on the same machine, read by a regular radiologist in our small rural hospital. My visual acuity is OK now but there is a lingering marked deficit in my visual field in the eye. any suggestions going forward you could share would be most appreciated. Im beginning to doubt my own sanity. My friends say its all stress....I don't think so. I think stress my by making a problem worse.
approximately 4 months later, the second round of optic neuritis set in. along with this was EXTREME fatigue and bladder issues (again!). I was told to return annually to the clinic for MRI evaluation and in between if symptoms returned. I called to set up the appointment and they refused to see me because "you don't have MS". I was directed to see my eye doctor and family doctor. Gee...that's where I started and was sent back to the "specialist". I got no where with the receptionist, so I've started over with another referral as my eye & medical Docs want the MRI repeated and I don't want to have it on the same machine, read by a regular radiologist in our small rural hospital. My visual acuity is OK now but there is a lingering marked deficit in my visual field in the eye. any suggestions going forward you could share would be most appreciated. Im beginning to doubt my own sanity. My friends say its all stress....I don't think so. I think stress my by making a problem worse.
I am waiting for a call from a MS Comp Center in St. Louis...I hope that speeds up the process.
Do you happen to know if this MRI was done to 'MS protocol'? (meaning, when it was ordered, was the radiologist informed that they were looking for evidence of demyelination-related lesions?) I ask because some of the wording is not what we usually see around here (though none of us are doctors or techs).
"Etiology unknown" just means the radiologist is not hazarding a guess as to the cause of the 'aberrant vessel'. Oftentimes, they list a few differential diagnoses that would be consistent with whatever they found.
Following up with an MS specialist is a great idea. Try not to do too much googling in the mean time. It will drive you batty! Perhaps focus more on making sure your records are together and you have a timeline of symptoms, etc. To the right of your screen, you'll see a section called Health Pages. There is a wealth of information and tips over there that may help!
"Etiology unknown" just means the radiologist is not hazarding a guess as to the cause of the 'aberrant vessel'. Oftentimes, they list a few differential diagnoses that would be consistent with whatever they found.
Following up with an MS specialist is a great idea. Try not to do too much googling in the mean time. It will drive you batty! Perhaps focus more on making sure your records are together and you have a timeline of symptoms, etc. To the right of your screen, you'll see a section called Health Pages. There is a wealth of information and tips over there that may help!
I am so sorry. . . I intended the response above to be on another thread. My computer froze up, but was able to get a copy of my response before I exited, but the only problem was, that it was on the wrong thread!
It sounds like the radiologist is thinking that a blood vessel is showing up as a finding, but is unsure of the significance. It does not sound like he/she thinks it is a brain lesion . . . If you're having neurological symptoms, I wonder if the vessel finding has something to do with it . . . Have you had tests to rule out lupus or vasculitis?
It sounds like the radiologist is thinking that a blood vessel is showing up as a finding, but is unsure of the significance. It does not sound like he/she thinks it is a brain lesion . . . If you're having neurological symptoms, I wonder if the vessel finding has something to do with it . . . Have you had tests to rule out lupus or vasculitis?
Have you seen a neuro-ophthalmologist or ophthalmologist? Another thought is seeing an MS specialist. They can run tests to rule out the big mimics.
I know of a person that was finally diagnosed after a couple of years with Devics Disease by an MS specialist. She was having lots of problems with her vision, but only had one brain lesion. I'm not saying that's what you have, but the MS specialist got to the bottom of what the problem was pretty quickly.
I know of a person that was finally diagnosed after a couple of years with Devics Disease by an MS specialist. She was having lots of problems with her vision, but only had one brain lesion. I'm not saying that's what you have, but the MS specialist got to the bottom of what the problem was pretty quickly.
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