Help with Results

[vanden30]

I just got back my MRI results and it said:

Small Focus T2/FLAIR signal hyperintensity in the left posterior frontal subcortical white matter.

Patent Arterial vascular flow-voids at the skull base.

My blood work came back as followed:

Red blood cell - 3.76  (3.90-5.03)
Hemoglobin - 10.9 (12.0-15.5
Hermatocrit 32 (35-44)
Vitamin D 16.3 (35 -100)  Doc said it should at least be 50
Homocystine 13  (6-7)  No higher than 10 because that is on the high end.

[Dr Sharma]

Hi there. Your MRI findings need to be investigated for multiple sclerosis. MS is a chronic demyelinating disorder where the disease phase is characterized by active phase and remissions. It has multiple symptoms and signs and is a diagnosis of exclusion. The symptoms of multiple sclerosis are loss of balance, muscle spasms, numbness in any area, problems with walking and coordination, tremors in one or more arms and legs. Bowel and bladder symptoms include frequency of micturition, urine leakage, eye symptoms like double vision uncontrollable rapid eye movements, facial pain, painful muscle spasms, tingling, burning in arms or legs, depression, dizziness, hearing loss, fatigue etc. The treatment is essentially limited to symptomatic therapy so the course of action would not change much whether MS has been diagnosed or not. Apart from clinical neurological examination, MRI shows MS as paler areas of demyelination, two different episodes of demyelination separated by one month in at least two different brain locations. Spinal tap is done and CSF electrophoresis reveals oligoclonal bands suggestive of immune activity, which is suggestive but not diagnostic of MS. Demyelinating neurons, transmit nerve signals slower than non-demyelinated ones and can be detected with EP tests. These are visual evoked potentials, brain stem auditory evoked response, and somatosensory evoked potential. Slower nerve responses in any one of these is not confirmatory of MS but can be used to complement diagnosis along with a neurological examination, medical history and an MRI in addition, a spinal tap. Therefore, it would be prudent to consult your neurologist with these concerns. Hope this helps. Take care.

[jackson191]

I have suffered from horrible migraines for years. this year has been especially bad. have been worse in last 2 weeks. have had a few syncope episodes. my doctor ordered an MRI... results are multiple areas of focal increased T2 and flair signal intensity scattered within the subcortical white matter of both frontal and parietal lobes. any advise is welcomed.