A 44-year-old member asked:
I have double vision in one eye. forgetfulness. mri states minimal small vessel ischemic change or demyelinating disease in frontal lobe white matter. pcp says start of ms. neurologist appt next week. is there any other things it might be?
2 doctor answers • 2 doctors weighed in
Internal Medicine 61 years experience
Diplopia: If you're sure that the double vision is in one eye only the cause is usually astigmatism. This type of unioccular diplopia is only noticeable while looking through the one eye and has nothing to do with eye muscle movement. However if you see double because one eye isn't moving properly, then MS is a possibility. The neurologist will advise. An ophthalmologist is best to localize the eye proble
105 viewsReviewed Jul 22, 2021
Neurology 52 years experience
A neurology consult is indeed indicated but MS cannot be confidently diagnosed based on the MRI interpretation at this point. To go further, an MRI of spinal cord, and even lumbar puncture may further explain the lesions described. Blood testing should look at anti-aquaporin-4, ANA, anti-MOG, B-12, anti-phospholipid antibody syndrome, etc., so, at this point cannot prove MS.
Answered Jul 22, 2021
Last updated Jul 22, 2021
Connect with a U.S. board-certified doctor by text or video anytime, anywhere.
24/7 visits - just $39!
50% off with $15/month membership
Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.