MRI results

[Flyrho]

My MRI results say.
8 mm T2 hyperintensity within the right medial cerebellum. Adjacent a 3 mm T2 hyperintensity. 2 mm T2 FLAIR signal focus medial right sub cortical frontal lobe.
Prominent repair spaces present within the basal ganglia.

Neuro says I am fine, however, symptoms say different.  Follow up MRI is ordered.

Does anyone think the MRI indicates MS? Or anything else?

[Flyrho]

Thanks Kyle
I really appreciate your reply! My symptoms started with not being able to move my arms/hands during the night. Stiff hands, Numbness tingling during the day in my fingers, face and feet.  Some slow recall of words when speaking, frozen shoulder, twitching eye.
I have had nerve conduction tests, eye motor tests, blood tests and MRI.  Physio is ongoing....no diagnosis.

Thank you so much again for your input.  r

[Flyrho]

Thanks for taking the time to reply JJ.  I really appreciate your input and all of the information you gave me.
I am continuing the pursuit of diagnosis!
Thanks again,
R

[kwarendorf]

Hit Submit too soon...

Not all of these tests are required, but ti rule MS in or out generally involves a significant subset.

You didn't mention what symptoms brought you to the doc in the first place. Care to share?

Kyle

[kwarendorf]

Hi FR - Welcome to our group.

"You're fine" is doctor ego speak for "I can't figure it out." As JJ said some set of symptoms brought you to the doc. If your current doc is unwilling or unable to investigate the cause of those symptoms then you should find ont that can and will.

As to your specific question, it is not possible for anyone to diagnose MS based on a single MRI. I wish it was that easy. The DX of MS requires an extensive medical history, a thorough clinical exam, MRIs of brain, c-spine & t-spine done with and without contrast, blood tests t rule out mimics like Lyme disease, evoked potential tests, nerve conduction studies, a lumbar puncture and a partridge in a pear tree.

Not all of these tests are required, but

[supermum_ms]

Hi and welcome,

Personally, I think any neuro who says a patient is "fine" when they have unexplained sx's and or clinical (neurological) signs and their MRI showed them to have an 8 mm lesion in their cerebellum.........needs to explain exactly what is meant by 'fine', more so if his/her idea of fine, is actually totally abnormal to the patient.

"Signs of Cerebellar Disorders

Ataxia - Reeling, wide-based gait

Decomposition of movement - Inability to correctly sequence fine, coordinated acts

Dysarthria - Inability to articulate words correctly, with slurring and inappropriate phrasing

Dysdiadochokinesia - Inability to perform rapid alternating movements

Dysmetria - Inability to control range of movement

Hypotonia - Decreased muscle tone

Nystagmus - Involuntary, rapid oscillation of the eyeballs in a horizontal, vertical, or rotary direction, with the fast component maximal toward the side of the cerebellar lesion

Scanning speech - Slow enunciation with a tendency to hesitate at the beginning of a word or syllable

Tremor - Rhythmic, alternating, oscillatory movement of a limb as it approaches a target (intention tremor) or of proximal musculature when fixed posture or weight bearing is attempted (postural tremor)"

http://www.merckmanuals.com/professional/neurologic_disorders/movement_and_cerebellar_disorders/cerebellar_disorders.html

IF the above is at all similar to your sx's, i would highly recommend you consider a second opinion, before accepting that neuro's idea of fine. As to whether your MRI indicates MS or something else is not easy to say, MS is more than what is shown on an MRI, without any other information i really couldn't speculate on if you are even suggestive of MS or it's mimics, sorry.

Cheers..........JJ      

[HVAC]

No test rules MS in or out. It takes a medical history, Neurological exam, symptoms and tests. The Neurologist go by the McDonald Criteria which it is up to each doctor to interpret that.

Alex