Doctor insights on:
Benign Ms Symptoms
How to diagnose MS: There are MS symptoms, and then there are symptoms that help to make the diagnosis of MS. For example, muscle spasm is a symptom of MS, and many other illnesses. Lesions of the brain are caused by MS, but also by viruses, head injuries, etc. If you have the right symptoms and the right MRI findings, the diagnosis should be clear. With MS, the diagnosis is rarely that easy to make. ...Read moreSee 2 more doctor answers
It can be: Like in a case of MS causing an internuclear opthalmoplegia - don't worry this is a fancy term for a particular problem that affects how the eyes move together. But it isn't the most common presentation of MS. ...Read more
Please repost: Not sure what you're asking. A symptom is what a patient experiences & tells the clinician. A sign is what the clinician finds on examination. You like the symptoms & signs to match up. That makes everything easier. You can have symptoms without signs ("I feel jittery") & vice versa, e.g. a heart murmur or elevated blood pressure. You need to rephrase your question so it makes sense. ...Read more
Have hashimoto's; demyelinating brain lesions, one atypical; benign vertebral lesions, one atypical hemangioma. R these connected, or possible MS too?
Not connected: Hemangiomas and multiple sclerosis lesions can be difficult to differentiate on mri. Brain lesions of the demyelinating type are usually caused by multiple sclerosis but need to be diagnosed carefully, especially when atypical. Hemangiomas and multiple sclerosis are not connected. ...Read moreSee 1 more doctor answer
They are different!: Post-polio symptoms emanate from neural changes in the spine, while Dopamine depletion in the substantia nigra is the cause for parkinson's. Stumbling and awkward motion can be common to both, but in the end they are distinctly different. ...Read more
CT Brain mass prepontine cistern CPA meningioma. Symptoms consistent with diagnosis. MRI contras normal. Symptoms still persist. Any advise?
Tough question: Your question begs an age old question that neurologists and radiologists are forever dealing with- When is "benign" really BENIGN when it comes to contribution to or causation of headaches. That's sometimes not very easy to answer but there are ways to get information that could support a point of view. If you'd like to chat: www.healthtap.com/dr-drsaghafi Use Key Code: PDXFNR for appointment. ...Read more
Comments: Not uncommonly, brain lesions consistent with MS may be uncovered on an MRI, even though symptoms and/or relapses have not occurred yet. This is called radiologically isolated syndrome. It may be valuable to repeat the films, and if changes occur, get spinal fluid to confirm the possible early onset of MS. This is complex, as involves treatment decisions. Each patient is different. ...Read more
Could a 30 y/o female without lesions have MS if symptoms are present? Neurologist is discussing Parkinson's, but the symptoms don't totally match up.
Many: Neurologic paraneoplastic syndromes are caused by an abnormal immune response to the tumor, which makes the body accidentally attack its own nervous tissue. Muscle weakness, stiff limbs, dizziness, coordination problems, vision problems, confusion, difficulty swallowing, memory problems and numbness are some of the many possible symptoms. ...Read moreSee 1 more doctor answer
CT Brain shows mass prepontine cistern CPA meningioma. Symptoms consistent with diagnosis. MRI contrast show no lesion. Symptoms persist! Now what?
Very strange: Not certain what to make of the disparity between the CT scan and the MRI. In some cases, a lesion is so small that it is missed by the artifact created by the thickness of the MRI slices. I would ask your doctor if an MRI of the brainstem with "thin slices" might be reasonable to confirm/refute the CT--with and without contrast. Take care and stay healthy! ...Read more
Highly nonspecific scattered nonenhancing white matter lesions (3mm) the bilateral cerebral hemispheres. Possible ms?I have no other symptoms of ms
In some ways, occass: Tumor simply means growth. The simple definition of "malignant" includes the ability to invade and metastasize. If a tumor does not have both of those characteristics than it is not malignant. That being said, a benign tumor can grow to large sizes or be in a location that could give the same symptoms as a malignant growth in the same location. There are many examples. ...Read more
Many: Brain tumors, benign or malignant, can have many different presentations. These include headache, seizures, focal neurological deficits such as speech problems, weakness in one limb or on one side, difficulty thinking properly etc. These symptoms are all non-specific, and can also be due to other brain disorders. ...Read more
Discrete vertigo: Bppv typically presents with recurrent spells of vertigo that are severe but short-lived. There is a very clear spinning sensation associated with marked nausea, and bystanders may notice jerking of the eyes. The spells are often triggered by head movement (e.g. Rolling over in bed), and can be treated by a specific exercise program called the epley manuver. ...Read more
Neurogenic bladder, Migraines, L5 numbness,cognitive issues, & frontal lobe lesion. Doc said possible MS. Could it be something less scary? Like what?
Advice: Have your doctor get neurologist involved, and track down etiology of your numerous issues. Hard to confirm whether you do or do not have MS or any other condition based on the information provided. Do not waste time with worry: Get answers and start to treat. MS is a treatable and controllable condition in 2015!!! ...Read moreSee 1 more doctor answer
ALS symptoms vary: ALS symptoms may vary from person to person. For some people muscles throughout the body may be affected, in others, it may only be in the arms or legs. Shared symptoms include painless weakness, muscle wasting, weight loss, and spontaneous muscle contractures (fasciculations). Sensation is not affected. ...Read moreSee 1 more doctor answer
Have symptoms of MS (blurry vision, pain, fatigue, muscle weakness) but have normal evoked potentials. Brain MRI w/ white matter changes? Still be ms?
Recommend:: Your symptoms are nonspecific and could be due to many conditions. Mri lesions could be due to migraine or prior head injuries, and your doctor could describe whether the pattern is consistent with a specific cause. I no longer use evoked potentials to confirm ms, and rarely use for any reason. If things seem unclear, a lumbar puncture may be useful. Discuss all of this with neurologist. ...Read more
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