A 43-year-old female asked:
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limbs tingling/weak/tired/mscle crmps/tremors/trouble sensing pain and temp. 3 brain mris:30white matter lesions w/2 enhancements. no oligoclonal or lyme in csf. vb6 high: 86ng. no dx. thanks 4 ideas.

2 doctor answers
Dr. Randy Baker
39 years experience Holistic Medicine
Suspicious for Lyme: There are multiple possibilities but suspicious for lyme despite negative CSF test. You don't say what type of test, but no matter which type, a negative test does not rule it out;no test for lyme is always accurate. You could have other infections like bartonella or leptospirosis; heavy metal toxicity is possible.You can email [email protected] to find a doctor knowledgeable about lyme.
Answered on Jun 10, 2014
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Dr. Bennett Machanic
51 years experience Neurology
SUGGESTIONS: If not yet done, get MRI of neck and gray matter (latter using dir). If one or more lesions in either area, plus the new and old MRI lesions, almost certainly ms. Could consider cadasil, or lyme disease, but MRI data points to a different direction. Would also get an opinion at your nearest medical school. Your situation is challenging but not unique, and this can be treated.
Answered on Jun 10, 2014
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