Hi and welcome,
I don't think you've provided enough information for me to even speculate, if a neurological condition like MS would even get on your list of most likely medical explanations.
Whilst there are numerous 'symptoms' commonly associated with neurological conditions like MS, the main issue with 'symptoms' is that the same or similar 'symptoms' are generally associated with many different types of medical conditions so symptoms aren't necessarily informative objective diagnostic evidence that points towards conditions like MS
Symptoms can be very suggestive but a relapse/remitting symptom pattern can be consistent with lots of different medical conditions too, so in regards to neurological conditions like MS, a persons clinical signs of neurological abnormalities, their brain and spinal cord MRI lesion evidence, visual test evidence, LP's, nerve conductor tests etc hold significantly more weight and puts neurological conditions like MS higher on their most likely medical explanations list.
The exact locations of lesions is significant to causation, type of lesions ie common ischemia vs demyelinating, number, size, shape, enhanced with contrast, T2, T1, traversing across the spinal cord etc etc etc It's also very common for standard ER run MRI's to show less than any additional MRI's done outside of the ER, it totally depends on many different factors, eg the strength of MRI 1.5T vs 3T, open vs closed. the protocol used 5mm slices vs 3 mm slices etc
At this stage and only going by the information you've given, i personally would highly recommend you try to keep open minded to causation.....it's very possible that what you've been experiencing is migraine related, because some migraine types definitely can mimic MS and it's always going to be in your best interest to not get too concerned that it could be something like MS when it just might turn out to be something else entirely....
Cheers..........JJ
TimamarieRN - Alex has provided cogent and sound information. Something I would not take lightly as she voices from experience.
I do not want to scare you with the long diagnosis. It just made me feel better when I found out it just was not me. I had recorded neurological problems going back to 1965. I always failed neuro exams badly.I have had MS for 50 years. Every case is different. As you said it is not a death sentence. Not only that they can help with symptoms. I made the mistake of waiting until I was diagnosed to treat symptoms. I now know I suffered needlessly. I have strange headaches too. Sometimes it is as if I am having a stroke. My whole left side goes numb and I lose vision in the left eye. The only reason I think mine are just migraines is immitrex works on them and my symptoms go away.
MS is totally individual. I still swim an hour, walk an hour, ride horses, hike. I spent 3 1/2 in Europe two months ago. I used arm crutches but got everywhere I wanted. I climbed to many castles. I did fall the last day and break my nose. After the hospital I went out sight seeing again.
When I was diagnosed I was super angry. I went into counseling and changed my whole out look on life. I thought I was useless. I waited for all the symptoms of MS to happen. I now know you only get some symptoms. There all different. Mine are not so bad. I have permanent double vision, vertigo, left side weakness, I fall a lot, feet and leg issues every day, head aches ( not as many lately), and pretty bad cognitive problems. I have Primary Progressive MS and not what most people have which is relapsing remitting MS. With PPMS you keep your symptoms. With RRMS the symptoms can come and go with inflammation. Some people once they get on the MS drugs can have longer time between relapsed.
Alex
Thank you! You are correct I am not versed in diagnosing MS and I pray it's something else but waiting a year or more to get an answer is alarming. Not sure what type of MRI was used but both was with contrast. I have never had a migraine, only ocular migraines which lead to having my carotids checked (no blockages). It is reassuring to know that if it is MS that it's not a death sentence :)
Welcome. Of course MS shares symptoms with many illnesses so I can't say but yes MS does have those symptoms. I am not sure you are familiar with diagnosing MS but it usually takes awhile. When the first neurologist I saw thought it was surely MS it took two years of being followed to be diagnosed. It took 5MRIs all showing something called Dawson's fingers which is classic MS, evoked potential tests, which showed eye and hearing abnormalities, lots of blood test negative for everything else, abnormal neuro opthalmology tests, and finally an abnormal LP. All the doctors said it had to be MS but none would confirm it until I saw a MS Specialist for a year and a half.
Advice : keep a symptoms journal every day. When you see the neurologist make an outline less than a page. You can look up the Mc Donald Criteria which is how they diagnose MS. You can treat symptoms it will not mess up the diagnosis process. Many of us are on adderall or other cognitive or fatigue medications.
Many neurologist are funny about headaches and MS so I would not put that first. Many people are told they only have migraines. The most important test is the neurological exam, reflexes and such. That shows the neurologist the most. Was your MRI with and with out contrast and under MS protocal? MS protocal has more slices or pictures. !.5 tesla is okay. In a perfect world a 3 tesla is the best but most people do not have access to one. Also 1.5 tesla MRIs can't be compared to 3 teslas.
Some day they will diagnose MS quickly and get people on treatment quickly. Now days most of us are months or years between or first symptoms and our first medications to slow progression. This is the hardest part of any of our journeys. It is important to know you are not being dismissed. Neurologists like to judge for themselves over time. It is not like cardiac medicine where time is critical.
Hopefully because you are a nurse you will be diagnosed more quickly since you are more versed.
Alex