MS or HBP? Lesions on brain. Is there a difference?

[kiddo2860]

Hi everyone,

I have a question.  My doctor told me that I had MS according to my symptoms over the last 16 months and my MRI.  Now according to a neuromuscular neurologist that I saw this week for EMG testing (carpal tunnel, pinched nerves) for my arms, She disagrees.

My MRI shows: "9 T2 Hyperintense foci (more than nine supratentorially) No significant periventricular burden.  Some supratentorial lesions are juxta cortical in nature. No corpus callosal lesions or callosal atrophy.  There is also a focial lesion i the left middle cerebellar peduncle.

Infammatory changes are noted in all paranasal sinuses."

On a cervical MRI I had in March it showed a "shadow in the pons measuring .5mm.  That is when the referral to rule out MS by MRI was done.

I have had many of the symptoms as outlined in my last post.  I do have DDD of the lumbar, SI joints and cervical that does produce back pain and muscle/joint issues but not to the extent that I have experienced over the last year.  

She thinks it is all muslce/joint related and totally ignored my symptoms of electrical shock, burning soles of feet, pin pricks, crawly skin, blurred, runny eyesight, heaviness in the legs, pain (she said there is no pain with MS).

Anyways, I just needed to rant a bit.  Can someone tell me if the lesions (MRI) I described could also represent high blood pressure or migraines.  All my research seems to say that MS lesions are specific to certain areas of the brain. I thought that showed in the the MRI report but now not sure.  I see another neurologist on the 30th of September.  She was going to send her report to  the neuro and stated that she figured the neuro would agree with her.  I was so frustrated, angry.. I could go on and on.

Pat

[COBOB]

As far as I know, HPB (if you mean High Blood Pressure,) does not cause hyperintensities on T2 sequences.  Ischemic changes cause hyperintensities.  I would not get hung up about the lesion count and "9 hyperintensities," as that relates to the diagnosis of PPMS.  

I think you should wait to see what the second neurologist has to say.

Bob