Is there a doctor who can please tell me what this means and what I should expect my from my doctor next?
Should I be having a spinal MRI?
Is there anything abnormal in my neuro exam?
The VEP and BAER were normal.
The SEP lower limbs:
With stimulation of either nerve, a popliteal fossa potential was present (what's this?), but the subsequent potentials were poorly formed and could not be identified w/ confidence.
(I am guessing that this was due to the fact that I had trouble with how PAINFUL it was for me. I was in tears and no matter what, could not relax. It obviously affected the test results.)
The SEP upper limbs:
With stimulation of the left median nerve, the response over the cervical spine was not well formed, but an N20 potential was present over the scalp which had a normal latency of 19ms. With stimulation of the right median nerve, an N20 response could not be clearly identified over the scalp.
IMPRESSION:
abnormal finding bilaterally
The MS specialist doctors notes also note: Deep tendon reflexes are 2/4 in the arms, 3/4 at the patellae, 2/4 at right ankle, 3/4 at the left ankle. The left patellae is also slightly more brisk than the right, and bilateral crossed adductors are present. There is no spasticity, but the right toe is clearly downgoing and the left toe is silent. Romberg sign not present.
Thank you for any advice
Julie