need some advice

[Udaysk]

I am a 25y old male, Asian. I was dx'd with urinary retention about a year back and need to cath 4 times a day to empty my bladder. After about 6 months noticed sensory changes in sexual function, then two months later faced constipation. I have recently started to feel my left leg toes fan out whenever I lift up my feet + tremor in the shin/tibial muscle, can still heel walk though. Both my arms and legs are hyper reflexive 2+ symmetrically. Sometimes I get mild spasms in both my hands (simultaneously), pain behind both eyes on and off without any visual disturbances. I have no cognitive and gait problems.

I have undergone plain T1 and T2W FLAIR MRI of brain and spine at 1.5T multiple times and 3T plain sagittal screening of spine once with no detectable lesions. Had nerve conduction test done for PNS, CSF checked for various common pathogens/STD -all negative. My neurologist says that I don't show any clinical signs of MS as I don't have any upper motor problems and suggests that I undergo neuromodulation/LDDM to correct urine retention and protect kidneys.

I plan to approach a different neuro again. Would Gd contrast make a diff. at 3T for MS lesion visibility? Is it possible to have gross neurological deficts due to MS/infections without showing any lesions on MRI?

[mcg99]

Your typos are from MS? That's interesting, because on a previous post, you indicated that you do NOT have MS. You need to be a little more careful about cultivating your fake internet idenity a bit more carefully, don't you think?

Talk about heartless.

[JCmcc]

I have always said that I have MULTIPLE LESIONS IN MY BRAIN AND SPINE BUT THAT THEY DO NOT KNOW IF IT IS LYME OR MS...BUT THAT I HAVE ALL OF THE SYMPTOMS.

THERE IS NOTHING FAKE ABOUT ME.

GET A LIFE.

AND--I HAVE HELPED SO MANY PEOPLE ON HERE, JUST ASK THEM.

FOOL!

[flyin2006]

Remember,JC thinks he IS  the oneand only JC..Just an observation....

[Annie62]

I don't know why Margaretx thought "BobbHilton" was a "poseur."  He didn't strike me as a medical fraud at all, but genuinely knowledgeable instead.  He also had stated that English was not his first language-hence, the spelling errors.   This forum should be grateful that there is a retired neurologist who is willing to take a couple hours of his time each day to answer questions and share his knowledge for free (as I assume the CCF doctor also does) when he could be out playing golf-or whatever retired neurologists like to do.  And he is actually, humble, too.  That's a bonus (considering what most neurologists are :)).

[Margaretx]

See the real neurologist's comments for the answer to your question.  Note that your "expert"--BobbHilton--had ruled out neuro causes.  

[Annie62]

I noticed the same thing, too, but what came to my mind when I first read the post by "Bob Hilton" is that he misspoke when he said "neurological" causes were ruled out and that he meant to say *urologic* causes instead.  The reason I thought that was because immediately above that comment he alluded to a neuogenic bladder and cholinergic failure-both of which are obviously neurologic in origin-in reference to the patient's/poster's urinary retention.  Apparently that is not what occurred to you.  I do believe he is a retired neurologist because he does strike me as quite knowledgable.  I could be wrong but I don't think so.  If something shows otherwise then I will rethink that.