Saw neurologist with various MS type symptoms (parethesias, fatigue, lightheadedness), and after blood tests all came back negative. I also saw same neurologist same time last year with similar, but lesser symptoms, and she did spinal MRI at that time, since everyone thought I had a trapped nerve, although I had no back pain. My most bothersome symptom is fatigue, and scalp tingling. Neurological exam is fine, EMG is fine, Spinal MRIs fine, brain MRI report "no acute intracranial process" and "nonspecific white matter changes." Further detail reads "There appear to be a few scattered nonspecific vague T-2 weighted white matter intensities which may represent vascular phenomenon." Neurologist's comment to nurse is "please let patient know MRI is OK for age."
Neurologist thought MS was ruled out at this point, but said "we can do EVPS, if you want," and then said, "let's do EVPs." She also offered referral to another neurologist. Her read on the situation is that the symptoms are not being caused by anything serious and so they must be benign, and that the paresthesias could be from a lack of stretching the muscles or from stress.
Background info on me. I am 43, I am healthy, exercise and eat well. I have also read that nonspecific white matter changes can be expected after 50, but I'm not 50 yet.
So I don't know what to do. Do I go ahead with EVPS? Do I get a second opinion first? Or do I just take the neurologist's opinion that this is nothing serious, and go about my life as normal? Does anyone here have any advice? Does this sound like it should be investigated further?