MRI HELP

[michiganCMA]

I am a 28 yr old male presenting with acute heat fatigue, tremors, weight loss, loss of extremity sensations, visual disturbances and speech difficulties. Blood celll counts normal, ANA negative, sed rate normal, chem 12 panel normal.

Evoked potentials showed abnormal responses. Positive l'herrteufe's sign(tilted head), babinski's abnormal reaction.

Recently had MRI of Brain with multiplanar angles and T1/T2 weighting. There approximately 15 bright white spots the largest being in the cerebellum, corprus collasum, and putamen region. There are many other smaller foci that are located around the ventricles and pyrimidal tracts. Also the trigeminal or vagus nerve seem to be affected as well.

My problem being the MRI report came back negative for enhancing lesions and the anatomy was virtually unremarkable.

I need to convince my neurologist to personally review these films and possibly refer them to another radiologist. Because according to my patho text book these are in tell tale regions of classic MS.

[PastorDan]

Makes sense with the obvious grasp of the jargon.

My spelling's still great, but the transmission between the spelling and the fingertips seems to be encountering interference of some kind.

[biowham]

Babinski's.  Lord, please tell me that the spelling isn't going, too!

Bio

[michiganCMA]

and its Certified Medical Assistant

[PastorDan]

Yeah, and we can't even say it's a Michigan thing.

Country Music Association, or Christian Missionary Alliance?

[jensequitur]

Definitely - my current neuro isn't even good at reading the radiologist's report, let alone reading the MRIs himself.

[biowham]

The reason I say that is that you meet anyone's criteria for MS, based on what you describe. And we like to try to let people know that if their neuro doesn't read MRIs themselves, they need to seek a neuro who does. You've got lesions in your brain in places that people typically do not get lesions for anything else but MS. You have signs--not symptoms, but a sign, at least, with the Babsinki--of an upper motor neuron lesion. You report Lhermitte's. You've got abnormal EPs. What is your neuro waiting for, some sort of sign from God? That's why I say, you should seek another neuro, one who understands the criteria for a diagnosis, who understands MS, who understand the urgency of starting DMDs ASAP, and who reads his/her own MRIs.

Bio

[michiganCMA]

For atleast a reply, I just pray that the neurologist will pay attention to my concerns.  I will probably be around for more questions in the future.

[biowham]

Go to another neuro. Your neuro is being lazy or stupid or both.

Bio

[Lulu54]

Hi Blue!  
Greetings from a red state person here - yep, Buckeye land!

Your neuro should want to read those films for him/herself.  The radiologists usually just do a quick brief read.  Most neuros don't even want to read those reports - their egos make them want to decide on their own what's going on  :-)

Yes, unfortunately your lesions do sound msish, but they could also be caused by other things.  You may not know, but MS is pretty much a dx by elimination. We cross other diseases off the list and see which one is still standing.

I hope you will stick around and find our forum information useful.  We have great information on our health pages, yellow icon on the upper right side of this page, that will help you to understand more about this MiSerable disease.

Learn all you can -

knowlege is power,
Lulu