T2 hyperintensity frontal lobe

[pikachu2004]

I just had a MRI done.. there is a tiny T2 hyperintensity which appears in the subcortical white matter superiorly  in the right frontal lobe..I have been told just to wait to get another MRI in 6 months..I am kinda worried my symptoms were vertigo..headaches and, I have been very tired lately and I also lately has been having muscle spasms on my right arm when it is bent..I am not sure what to do? What does this mean?

[Loretta201]

I have MS  I have a T2 flair on my frontal Lobe. I went to the Mayo for the MRI The neurologist said I had a stroke after the exam it's MS  I didnt need him to tell me this I knew it BUT he refused to show me the MRI when I first walked into his office, I had to order it,  A stroke is quite different from an MS Lesion.  Then he had his nurse call me and said I had a Stroke and have cancer on my nose from a lesion there. No biopsy ... he figured it out. I left MAYO! going to another doctor who is a cancer ENT specialist They wanted to have my nose removed. Yea right.

[elpitts]

I completely concur with your Mayo visit.  Waisted three days of my life there trying to get diagnosed with MS.  I have every single symptom with spasms 24 hours a day 7 days a week.  Have a few scattered areas of T2 prolongation demonstrated subcortically in the ventral left inferior frontal lobe.  My sister who was born in the same year as I was was diagnosed years ago and my aunt died of MS when she was 42.  The Mayo found out I had spine surgery and all their focus went there and the MS diagnosis right out the door.  I thought of anyone they would work to find out but they do not think outside the box.  Interesting what you said, I went there for MS and they assigned a stroke doctor to me.  It was a doomed visit for my first minute there.  I would not recommend the Mayo to anyone unless it's a rare cancer treatment that no one else does.  Now a year later, I'm seeing a new neurologist in a few weeks because I can stand the pain and the muscle spasms/twitching any longer.  

[Gramma22]

Are you sure the vertigo is from your brain issues? I have Menieres disease which is from my left ear. The vertigo was terrible until I started taking Serc. Serc is taken three times a day. It is Betahistine, and has taken all of my vertigo away. Can't buy it in the US so I get mine from Canada Pharmacy. I couldn't live without it. Might work for your vertigo without the side effects of Antivert. Good luck.

[Loretta201]

Also Lupus and Thyroid causes vertigo

[Axel2013]

in  2008 i had 3cms squared cut out of my right temporal lobe 5 years has now gone by and out of the blue i have been getting these crazy as feelings of dizziness, shaking, chest pains, and neck and shoulder muscle pains. i had a MRI to check up on it and they found out i had a t2 hyperintensity where they had operated but i have been told that it isnt anything of concern so i have no idea where to go from ive been to doctors they say its anxiety and panic attacks but i am generally a happy person.... something isnt adding up here

[ymik]

Hi Bob< its been while since i have posted. my symptoms do not seem to have gotten any better just possibly subsided for a bit, In the last year i have had MRI of brain and spine as well as emg and eeg. ALL showing not much except no change from the first MRI. My vertigo has become more severe and very frustrating. I havent been able to do much the last few days due to the vertigo/dizziness has really taken me over. Is it weird to say i feel more dizzy when i hear a loud noise? The symptoms are very vague and I am struggling to find the correct words to explain how i am feeling. My muscle spasm have not responded to the requio and the topamax side effects are worse than the migraines, For now i am just taking the antivert but its not really helping.... any advice you can offer would be greatly appreciated,

[foxyminx]

Could it be Startle Epilepsy?

[Loretta201]

You can have seizures with MS also

[Catnippy]

I have simular symptoms but no lesions other than a "concerning lytic and  basilica bony lesion " no clue what that means. Been so bad that I was losing consciousness on a daily basis.
Sudden sounds, high contrast or sudden light changes, and even a waving of someone's hand in front of my eyes effects the Vertigo and headache from hell. Have the whole list of dysesthesia full body as well. Fighting now for CFS testing, lyme history too. But talked a neuro into a script of prednisone which has been the first thing to help. I walked my dog for the first time in a year without help. The next problem  is they claim that the med working gives them no clue as to what it could be. What has happened  to the "art of medicine"?

[COBOB]

McDonald Criteria for MS

Criteria 1
* 2 or more attacks (relapses)
* 2 or more objective clinical lesions None; clinical evidence will suffice (additional evidence desirable but must be consistent with MS)
Criteria 2
* 2 or more attacks
* 1 objective clinical lesion Dissemination in space, demonstrated by:
* MRI
* or a positive CSF and 2 or more MRI lesions consistent with MS
* or further clinical attack involving different site
Criteria 3
* 1 attack
* 2 or more objective clinical lesions Dissemination in time, demonstrated by:
* MRI
* or second clinical attack
Criteria 4
*insidious neurological progression suggestive of MS
* (primary progressive MS) One year of disease progression (retrospectively or
   prospectively determined) and Two of the following:
    a. Positive brain MRI (nine T2 lesions or four or more T2 lesions with positive VEP)    
    b. Positive spinal cord MRI (two focal T2 lesions)    
    c. Positive CSF

Bob

[ymik]

Is two lesions the magic number? I had a 1.5 tesla and they found one on the right frontal lobe in march. I am seeing a new doc on friday but my spasms are on both side now.. What do you think?

[Loretta201]

When I was first diagnosed with MS it was 15 years after my first attack I had 10 lesions in my brain, But the doctors in the beginning called it a Postpartum depression for 15 years. Then I fell taken to the ER and diagnosed there. spasms take Zanaflex  bye bye spasms

[COBOB]

The Neurologists are really looking to see two lesions with clinical symptoms.  The hallmarks for an MS diagnosis are  dissemination in space and dissemination in time.  Six months is that "dissemination in time" part.  Sounds like the hyper intensity is not related to your muscle spasms since right sided spasms would be associated with a left sided brain lesion.  Typically, vertigo is related to hind brain (cerebellar) issues.  Given the symptoms, future lesions may present themselves in time.  Do you know the Tesla and slice size of your MRI study?  A 3 Tesla MRI catches about 30% more lesions than a 1.5 Tesla MRI.  Neuro patients going in for head and cervical MRI should ask to see if they are being imaged on a 3.0 Tesla MRI using an MS imaging protocol.  My 1.5 Tesla study was like flushing $1800 down the crapper.  Now I have a new Neuro and they will do a 3 Tesla study in Nov.

Bob

[ymik]

i have had very similar symptoms, and a T2 flair hyperintensity as well> my muscle spasms have become more intense. I am seeing a neuro on friday, but would love to know how things are going for you> did you get any answers?