A 33-year-old female asked:
spinal cord lesion on t3/4, negative brain mri, positive for oligoclonal banding. neurologist says ms. can this be with negative brain mri?
3 doctor answers • 6 doctors weighed in
Neurology 33 years experience
Possibly: There are variants of multiple sclerosis that preferentially involve the white matter of the spinal cord. In order to make a diagnosis of multiple sclerosis, one needs to demonstrate dissemination in both time and space. In your case, i would much more information to make a diagnosis. You have a lesion in the spinal cord ; have the presence of oligoclonal bands in the CSF that is suggestive of ms.
4.8k viewsAnswered >2 years ago
Neurology 19 years experience
Answer to your Q: Yes, the diagnosis of MS can be made with a normal brain MRI, but this is not common. Unfortunately we do not have better tests for this condition than what you have had. The diagnosis would be solid with an MRI showing asymptomatic brain lesions, it is a little less solid this way.
Transverse myelitis is another possible cause. This does not always result in the diagnosis of MS.
3.8k viewsReviewed >2 years ago
Neurology 52 years experience
Can occur: Although less common, isolated spinal cord involvement can be seen in absence of demonstrable brain lesions. But make certain that you do no have NMO presenting atypically, and an anti-aquaporin blood test can help confirm diagnosis.
3.3k viewsReviewed >2 years ago
If my 9-month old can sit but not crawl or walk, does she have cerebral palsy?
4 doctor answers • 9 doctors weighed in
Pediatrics 23 years experience
No: Not necessarily. It is important to discuss these developmental milestones with your pediatrician. Many children reach their developmental stages at different paces than the "average" baby and are perfectly normal. Also, some children have delayed motor skills due to other conditions (such as slightly weak muscles) that may get better with either time or special exercises (physical therapy).
6.7k viewsReviewed >2 years ago
A 31-year-old member asked:
Can derma wound cream help treat diabetic foot ulcers?
5 doctor answers • 11 doctors weighed in
Wound care 35 years experience
Diabetic foot ulcer: You should not try to treat a diabetic foot ulcer by yourself. There are 4000+ wound care products, most of them sterile out of the package, so the choice of one product over another requires some help. A foot ulcer in a diabetic requires professional attention as quickly as possible. Do not delay! contact your primary care physician, podiatrist, or wound care center asap.
6.2k viewsReviewed >2 years ago
A 23-year-old member asked:
How is a diagnosis of MS supported by an MRI of the brain and the spine?
3 doctor answers • 7 doctors weighed in
Neurology 39 years experience
Shows demyelination: Recent revision of the diagnostic criteria for MS have increased the importance of MRI findings. The diagnosis of MS is made sooner in the course of the disease based upon the appropriate history physical findings and MRI findings. The MRI abnormalities suggest demyelination in the brain/spinal cord. If all other causes of demyelination are excluded, ms
is the likely cause and treatment can begin.
6.4k viewsReviewed >2 years ago
A 42-year-old member asked:
What can a CT scan of the brain catch that a brain MRI scan cannot?
4 doctor answers • 10 doctors weighed in
Neurology 26 years experience
Bright stuff !!: A ct of the brain is really good at visualizing highly calcified objects (think x-rays) such as bone. Blood can be visualized in areas where it should not be like the subarachnoid space. Ct's are great for visualizing acute bleeds such as might result from trauma.
6.3k viewsReviewed >2 years ago
A 38-year-old member asked:
How long will it take to perform a mole, cyst, lesion and skin tag removal?
4 doctor answers • 6 doctors weighed in
Dermatology 46 years experience
One visit: Depending on size and location all three could be performed in one session .It could be done in less than approximately 30 minutes.
6.3k viewsReviewed >2 years ago
Last updated May 21, 2016
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