Ask a Neurologist and Get an Answer ASAP
Welcome to Just Answer. I am an Adult Neurologist and was contacted to answer your question.
as you are offline. I will leave you an answer about your MRI. Please get back to me with questions
So the most important thing about this current MRI is to compare it to the last MRI (there is no comparison, did you have it at a different location?)
Your orbital (eye) MRI was normal
your brain MRI was abnormal in the sense it shows non-specific findings, that are commonly seen in "normal" patients.
i had a brain mri in may 2013 which was normal.
thiss was the mri results from couple days ago : )
hi thank you for your help
this MRI still needs to be compared to your old MRI
so then the UBO's (unidentified bright objects) are new
and that is important
these changes are non specific, meaning they can be seen is a variety of conditions
diabetes, hypertension, high cholesterol, smoking
a family history of stroke or heart attack
i also have history of migraine (aura only) not for quite some time though
they can be seen in vasculitis, as related to rheumatoid arthritis
but you last MRI was normal, without these changes correct?
yes, normal no findings
so you have to consider more acute changes
like demyelinating disorders, since you have fibromyalgia, have they done
a vasculitis screen, ?
sedimentation rate, ANA, RA?
my blood tests all came back normal in may. they were ruling out ms because my may mri came back normal, so dxd me with fibro
does this change that?
did you get an LP (lumbar puncture?)
yes what happened with your eye?
did you lose vision?
could you have optic neuritis?
you need a vision test called visual evoked potentials (VER's)
woke up and eye hurt to move (right eye).... saw black spots then they went away. next day hurting badly went to eye doc and then er that noght - severe pain with nausea. saw optomologist started me on 4 days iv solosterois and prerdinsone
well, they are treating you for optic neuritis it sounds like
and your symptoms suggest it
it healed my eye pain in a couple days.... just had spot like smear on sunglasses for a bit
optic neuritis can be the first presentation in MS
yes, but mri said no optis neurits finding
that is why you need those VER's
that vision loss in the middle could be called a centrocecal scotoma
visual evoked potential
it measure your optic track function
more sensitive than the MRI
and you may need that LP as well
i had like 4 hours of testing there (neuro opthomologist, she said optic neuritis but i assue i didnt have that afterall since my MRI says no finding?
if you want to see if there are changes in your cerebrospinal fluid consistent with MS
well the MRI should show changes in the optic nerve or the optic track
but it doesn't alway
oh is that a blood test...than you fo being so helpful,
VERs are a test where you look at a checkerboard pattern
in front of a TV
with a lot of wires on your head
did you do that already?
oh i see, i did not do that one.... some type of periphreal light testing and machine that said i had astigmtisms
yes, this is totally different
you need to ask your neurologist, or see a neuro-ophthalmologist
but that is the big issue on your MRI
as I mentioned, this could all be "normal" but not if it wasn't there on your earlier scan
I don't know why they didn't mention that these were new changes????
well they did say mild nonspecific white matter changes, abnormal for patient age i guess. are those spots the same ones with ms also or different type?
MS really can look much different
in terms of the number and the distribution, and the size of each individual lesion
so really this MRI is "normal" in a sense.
if there is a consideration that this could be MS
there are additional MRI imaging studies that can be done that are more specific
one is called DTI
diffusion tensor imaging
and that looks at your white matter connections, to see if it is consistent with MS
so as you can see
this can get a bit complicated
and nothing here is definite of anything
i just wish i could be fixed, ive had horrid chronic pain since my spine surgery and now this numbness and vibrating in my left back...i wondr if its from those spots
thanks for all your patience you were very helpful in answering my questions : )
unfortunately, it could be from the spots
if you have demyelinating disease
I would encourage you to get a Lumbar puncture for confirmation about demyelinating disease if you are having symptoms, and based on this eye pain episode ok?
as you can see, this is a very difficult diagnosis to make or exclude
but you want to find out, as treatment early is the key to success
that we have figured out
ok : ) i will look in to that, thank you so much. have a great evening and thanks for giving me a little piece of mind in this waiting game : )
you are welcome
please come back anytime if I can help
Dr Frank t