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Can this be MS?

I do not feel well, always had back and muscle pain for years, but in the last couple of months it's worse. I have severe muscle and joint pain and intense fatigue. I have already been diagnosed with fibromyalgia, but not on any meds for it. I have spasms sometimes in my lower back and right calf. I see a pain specialist for herniated discs and pinched nerves. Within the last couple of months I have had additional problems.

numbness and tingling, headache, left eye pain, vision changes (blurred vision, black floaters, stabbing random pain), memory loss, stuttering or can't seem to find words sometimes. I have a brain cyst have had it for years. I didnt get a MRI in over two years. Finally got one last week. on Sunday my head pain and eye pain got so bad I had to go to the ER. They looked over my MRI results and told me I have sphenoid sinuitis and gave me antibiotics. The MRI also revealed that my brain cyst has grown from 3 cm to 3.9 cm (my previous MRI indicated the cyst was 3.0 cm, two years ago) and is mildly pressing on the brain. Here are the rest of the MRI results:

FINDINGS:

CRANIOCERVICAL JUNCTION: No cerebellar tonsillar ectopia or craniocervical stenosis.

EXTRA-AXIAL SPACE: CSF equivalent structure involves the left anterior temporal fossa measuring 3.9 cm x 2.0 cm. It mildly impresses the left anterior temporal cortex and scallops the adjacent squamos portion of the temporal bone. 1.2 cm ovoid focus of hypointensity with hemosiderin blooming is seen along the posterior margin of the cyst. this is likely calcification. ventricles are symmetric and midline. No mass effect or midline shift. no significant alteration. the signal flow voids of major intracranial vessels demonstrate patency.

CEREBRUM: superficial and deep cortical structures are well formed. Small foci of T2 prolongation involve the bilateral subcortical and deep supratentorial white matter, likely related to ischemic microangiopathic changes. signal intensity in the brain parachyma otherwise appears normal with preservation of the gray-white distinction. no areas of restricted diffusion or hemosiderin deposition.

CEREBELLUM: the cerebral hemispheres and versis are well formed without mass legions.

BRAINSTEM: Midbrain, pons and medulla are well formed without mass lesion or signal abnormality. Basal cisterns are maintained.

SKULL/EXTRACRANIAL STRUCTURES: Paranasal sinuses and bilateral mastoid air cells are well aerated. small amount of fluid, secretions and mucosal thickening involve the left maxillary sinus. Mucosal thickening and secretions partially opacify the sphenoid sinus. Minimal mucoperiosteal membrane thickening involves the ethmoid and right maxillary sinuses. Minimal opacification involves the right mastoid air cells. Pituitary gland and orbits are without definite mass.

IMPRESSION:

1. Acute on chronic left maxillary and sphenoid sinusitis.

2. Minimal right mastoid inflammatory changes.

3. left anterior temporal fossa arachnoid cyst measuring up to 3.9 cm. It results in mild impression on the subjacent brain parenchyma and osseous remodeling of the squamos portion left temporal bone. 1.2 cm calcified nodule is noted along the posterior aspect of the cyst. If prior studies are not available for comparison, recommend follow-up IV gadolinium sequences to assess enhancement.

4. quantitative analysis of the whole brain and hippocampal volumes utilizing the NeuroQuant reveals whole brain volumes are in the 15th percentile. This is the lower limits of 2 standard deviations. Left hippocampal volume is in the 63rd normative percentile and right is in the 62nd. this is lower limits of 2 standard deviations. Left hippocampal volume is in the 63rd normative percentile and right is in the 62nd. This is within the normal limits.
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987762 tn?1671273328
COMMUNITY LEADER
Hi and welcome

I"m sorry but i can't see anything to suggest MS is a possibility in your brain MRI or your symptoms, you have a lot going on that could account for your symptoms but it sounds to me as if the sphenoid sinuitis infection has caused your latest because it's known to cause or worsen those types of symptom.

I'm sorry i couldn't be of much help but i genuinely can't see anything specifically in your results for you to be concerned about MS, what has your neurologist suggested?

Hope it helps a little.......JJ
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