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A 43-year-old female asked:

Ms symptoms. mri white lesions on brain requested lumbar p. could it be anything else than ms. feel like going mad waiting for appointments & answers?

3 doctor answers8 doctors weighed in
Dr. Heidi Fowler
Psychiatry 26 years experience
Sounds like you are: really anxious. It really wouldn't be wise to try to guess at your possible diagnoses with so little information. I know it is hard to wait but for an accurate assessment, appropriate testing really is the way to go. Hang in there.
Dr. Bradley Stockmann
Radiology 18 years experience
Broad differential: The information obtained from the LP is critical to establish or help rule-out MS. The differential diagnosis for MS is broad and includes tumor, stroke, acute disseminated encephalomyelitis, sarcoidosis, transverse myelitis, and vasculitis.
Dr. Bennett Machanic
Neurology 53 years experience
Yes, other items: Lesions on MRI could be due to smoking, hypertension, migraine, prior head trauma, aging. But if you have symptoms raising concern of potential MS, need also to rule out lupus, HIV, Lyme disease, B-12 deficiency, Sjogren's, syphilis, vasculitis/arteritis, anti-phospholipid antibody syndrome, even copper deficiency, etc.
Dr. Cynthia Archer
Internal Medicine 20 years experience
See, our medical degrees reflect a whole lot of time invested in learning about how the body works when everything is normal. Then, and only then we move onto the myriad ways in which things can go wrong. Your doctor spent a lot of time learning how to help you. You can trust we care a lot about doing what's best for you. Dr. Machanic is a great example of what makes medicine so deeply awesome.
Mar 23, 2015

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