How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Chan Your Own Question

Dr. Chan
Dr. Chan, Physician
Category: Medical
Satisfied Customers: 355
Experience:  Practicing Medicine and Surgery since 1992
17282639
Type Your Medical Question Here...
Dr. Chan is online now
A new question is answered every 9 seconds

I recently had an MRI due to fatigue and diplopia. The concern

Resolved Question:

I recently had an MRI due to fatigue and diplopia. The concern was MS. The MRI was not consistant with what is seen in MS, however, there is a section of the MRI report which I would like more information on. It states: "There are 4 "notch-like"defects along the anterior margin of the corpus callosum with hypointense T1 weighted signal. There is corresponding well defined T2 hyperintense signal foci measuring up to 3 mm. There are several small T2 hyperintense, T1 hyposintense nonenhancing defects in the inferior margin of the corpus callosum." The neurologist didn't seem to have a concern with this and I am wondering if this is something worth persuing further. Please help. Thank you, XXXXX XXXXX Virginia.
Submitted: 5 years ago.
Category: Medical
Expert:  Dr. Chan replied 5 years ago.

HelloCustomer

 

From the sound of the description, there is nothing to worry about. There often are spots on MRI that don't correspond to anything. They have been jokingly called UBO's (Unidentified Bright Objects). Besides, the area of the brain does not correspond to your symptoms (double vision).

 

As far as your symptoms, how long have you had them? Do you have diabetes? Has he done a spinal tap?

Customer: replied 5 years ago.
Thank you for your response. As far as my symptoms go I was experiencing muscle weakness and twitching in multiple areas of the body, especially in the legs and face, extreme fatigue and minor double-vision. These symptoms have appeared over the last 2 years and usually last 1 - 2 weeks. I was also experiencing a pins and needles sensation in my arm that lasted approximately 2 weeks. The Doctor hasn't ordered a Spinal Tap, but says if this happens again that will be the next step. As far as I'm aware I don't have diabetes. My PCP mentioned a seizure disorder, however I've never had a seizure. I do have a Vitamin D deficiency and a CBC revealed low Iron saturation and CO2; high EOS and HGB.
Expert:  Dr. Chan replied 5 years ago.

Hello,

 

I am glad the MRI was normal. This doesn't sound like seizures to me. I agree, with your age and symptoms, MS needs to be evaluated for. You probably need a spinal tap and nerve conduction testing. Other than MS, this could be nutritional deficiency (B12, Folate), or some sort of chemical toxicity.

Dr. Chan, Physician
Category: Medical
Satisfied Customers: 355
Experience: Practicing Medicine and Surgery since 1992
Dr. Chan and 10 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions

Chat Now With A Doctor
Dr. Chan
Dr. Chan
108 Satisfied Customers
Practicing Medicine and Surgery since 1992