MRI questions Debilitating Neurological Issues

[kimmedawn]

I'm a 45 year old female with system issues of increasing debilitation, including neurological, endrocine, immunologic...  My symptoms have matched those of worsening MS, but there are other possible causes.  So, I'm wondering if someone could help me with some MRI results:

- "The sella turcica is noted to be partially 'empty'"

- "patcy supratentorial white matter T2 and flair hyperintensity in the periatrial white matter left side worse than right side"

It stated that a lumbar puncture might be helpful in diagnosis.

Thanks so much.

[kimmedawn]

Thank you so much for your time and wonderful assistance. What a blessing for you to do this for others.  

[S. Kaul, MD]

Hi there!

The sella turcica is a space in the skull that hold the pituitary. While partial empty sella is not particularly abnormal and could occur due to mild displacement of the gland this may require further evaluation if the endocrine symptoms are believed to be related to the pituitary gland.
         White matter hyperintensity could occur due to a few causes such as demyelination, infarcts etc. and may need to be evaluated further for a definite diagnosis. I would suggest discussing the situation and the suggested management plan in detail with your treating neurologist and endocrinologist.
Hope this is helpful.

Take care!