Hi. I have been posting here in the MS section because my neuro just started a series of tests thinking MS might be causing my symptoms. I've had issues with chronic pain, both achiness/burning in muscles as well as sharp shooting pains in all different parts of my body. I have also had many gastrointestinal issues.
The most recent things to come up have been chronic uveitis, started last May, and vertigo which started again last December. I had one isolated incident of vertigo a few years ago, but it went away within a day and I figured it was just a flu. This time it started out severe but only lasted a few hours .... but I've continued to have milder/shorter episodes of vertigo since then, several times a week.
These two issues prompted my gp to send me to a neuro, who wondered about MS.
She ordered an MRI and an LP, both of which I had last week. I have been miserable since the LP, which I had done Thursday (today is Monday), with a headache and last night/this morning started having gi problems, which I don't know if its related to the LP or not, but its been awhile since I've had any of these issues.
I got the MRI report this morning. This is what it says:
The lateral and third ventricle are enlarged for age. There is NO evidence of associated transependymal fluid migration. The fourth ventricle appears normal. The suggest the possibility of obstruction at the aqueduct of Sylvius. NO mass or other space occupying abnormality at the aqueduct is demonstrated.
There are bilateral hemispheric white matter foci of T2 hyperintensity involving subcortical and periventricular white matter. These do NOT exhibit mass effect, evidence of hemorrhage, diffusion restriction or abnormal enhancement. Appearance is most suggestive of chronic small vessel disease although, again, somewhat prominent for age.
Examination appears otherwise normal. NO other congenital malformation or abnormality is demonstrated. Craniocervical junction appears normal. NO other cranial space-occupying abnormality is demonstrated. NO other abnormal enhancement is demonstrated. There is NO evidene of ischemia on diffusion-weighted sequences.
Impression: Enlarged ventricles, suggesting fixed or functional obstructing abnormality at the aqueduct level. Nonspecific hemispheric white matter signal intensity pattern changes, likely related to small vessel disease.
Can anyone tell me what this means?? Thank you!