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Bartlesville, OK
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 answers2 doctors weighed in
Dr. Donald Colantino
Internal Medicine 62 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
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Dr. Bennett Machanic
Neurology 53 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.
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Jul 22, 2021

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