A 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 doctors weighed in across 2 answers
Dr. Donald Colantino answered

Specializes in Internal Medicine

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

Answered Jul 22, 2021



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Dr. Bennett Machanic answered

Specializes in Neurology

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



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