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Doctor insights on: Can Gluten Sensitivity Mimic Ms On Brain Mri Tests

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Brain MRI white matter 4 black holes. Lp clear. Blood test clear. Spinal MRI ctl clear. No symptom of ms. What r the chances of be MS something else?

Brain MRI white matter 4 black holes. Lp clear. Blood test clear. Spinal MRI ctl clear. No symptom of ms. What r the chances of be MS something else?

Symptoms?: You cannot anything on the information given black holes may have been there for years as far as we know multiple sclerosis is basically a clinical diagnosis in the absence of symptoms a repeat MRI is suggested in 6 months or so! ...Read more

Gluten (Definition)

Wheat barley rye contains gluten, a protein molecule that in susceptible people can cause reactions and long term illness. There is celiac, the most well known and severe gluten disease. There is gluten sensitivity, affecting more people, but usually milder. There is wheat allergy, less common than the others. The treatment, for now, is to avoid all gluten in ...Read more


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What diseases cause hand paresthesia and swelling (in the MS mimic) catagory? I've been having a lot of symptoms that are classic MS symptoms but have not been diagnosed. My brain MRI without contrast was normal. One neurologist sd it was anxiety and to s

What diseases cause hand paresthesia and swelling (in the MS mimic) catagory? I've been having a lot of symptoms that are classic MS symptoms but have not been diagnosed. My brain MRI without contrast was normal. One neurologist sd it was anxiety and to s

Some of the options: Cervical radiculopathy, transverse myelopathy, ulnar / radial / median nerve impingement (incl carpal tunnel syndome), brachial plexopathy, peripheral neuropathy (there are many causes), and vascular disorders, such as calciphylaxis.

I agree that carpal tunnel syndrome is #1 - and should be a place to start. A normal brain MRI does help put MS aside. ...Read more

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Doc ordered brain MRI for lhermitte's signal. Wouldn't a spine MRI also be necessary to rule out ms?

Doc ordered brain MRI for lhermitte's signal. Wouldn't a spine MRI also be necessary to rule out ms?

Agree with you: I do appreciate the thinking that resulted in brain mri, but lhermitte's can be due to non-ms mechanisms such as b-12 deficiency, and would certainly add a cervical mri. However, in defense of your doc, the decision could have been influenced by insurance restrictions. (choices mandated by non-physicians, who have gained control over the marketplace). Talk with your doc, as I think he means best. ...Read more

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Brain MRI results: differential includes nonspecific demyelinating process such as MS vasculitis and infectious etilogies. What does this mean?

Brain MRI results: differential includes nonspecific demyelinating process such as MS vasculitis and infectious etilogies. What does this mean?

Meaning of MRI: Differential- this refers to the list of possible diagnoses for the person.

The radiologist is not exactly sure what the imaging diagnosis is but what they are saying is that it looks like is ms or ms like things. Ms vasculitis (swelling of the arteries seen in ms). The other thing he/she thinks is possible are infectious etiologies (causes: such as bacterial or viral infection. ...Read more

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When a brain MRI says there are microvascular possibly due to migraines, could it still be MS lesions/plaques if I'm having MS symptoms? I'm 33.

When a brain MRI says there are microvascular possibly due to migraines, could it still be MS lesions/plaques if I'm having MS symptoms? I'm 33.

Challenge?: Mri lesions in ms and migraine have been compared, and the location and distribution are usually different, and most radiologists can easily distinguish. However, in some cases, pts can have both disorders, and rarely this may be associated with a genetic disorder cadasil. Occasionally, spinal fluid testing is needed, and cervical MRI may distinguish ms from migraine. ...Read more

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Is a neg brain MRI enough to rule out ms?

Is a neg brain MRI enough to rule out ms?

Multiple sclerosis: A normal brain MRI can USUALLY exclude multiple sclerosis as a diagnosis. However, it depends on the quality of the MRI and whether the proper sequences (e.g FLAIR and sometimes Gadolinium) were performed. Even with a good MRI, 5% of patients with MS will have normal MRIs. A neurologist can diagnose multiple sclerosis based upon your neurologic symptoms over time, even if the MRI is normal. ...Read more

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I have MS symptoms to the point of affecting my life and work...Brain MRI indicative of ms.....All else ruled out. Neg. L.P. So dr won't treat. ....Why?

I have MS symptoms to the point of affecting my life and work...Brain MRI indicative of ms.....All else ruled out. Neg. L.P. So dr won't treat. ....Why?

Complex diagnosis: Unable to evaluate your doctor's decision, but must emphasize that many docs have a hard time understanding whether MRI lesions are specific for ms or another condition. If you also have lesions on cervical MRI or brain lesions change, that would be better confirmation of ms. So, suggest a followup study at 6 months. Second opinion may be in order. ...Read more

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Is it possible to have a clean spinal tab and have ms? I was told I'm showing signs including the brain mri

Is it possible to have a clean spinal tab and have ms? I was told I'm showing signs including the brain mri

Can happen: If your history and physical findings are consistent and films confirmatory, you likely do have MS. Spinal fluid is NOT always helpful, and in fact, benign fluid suggests a far milder course of events. ...Read more

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Symptoms of MS, brain MRI showed "no significant abnormalities in the white matter" symptoms came back 6 weeks later. Next step is neurologist,?

Symptoms of MS, brain MRI showed "no significant abnormalities in the white matter" symptoms came back 6 weeks later. Next step is neurologist,?

Yes.: There are times when there is no substitute for the expertise and acumen of an experienced, astute neurological diagnostician. ...Read more

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Had a brain MRI w/contrast. Told inconclusive but could see migraines and it could also be MS. How likely is that true? Numb, tingling, headaches ect

Had a brain MRI w/contrast. Told inconclusive but could see migraines and it could also be MS. How likely is that true? Numb, tingling, headaches ect

Need more info: Idiopathic migraines generally do not have findings on MRI. Certainly, MS patients can have migraines. There are specific MRI findings that are consistent with a diagnosis of MS and supportive history can further help the diagnosis, If interested in discussing it more your can make a virtual appointment with me or please see your physician who ordered the MRI for referral to a neurologist. ...Read more

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Headache and dyasthesia for 1year. Neuro thinks migraines. Brain Mri normal and bloods. Liver Alt 67. Worried about ms. Would MS show on Mri?

Headache and dyasthesia for 1year. Neuro thinks migraines. Brain Mri normal and bloods. Liver Alt 67. Worried about ms. Would MS show on Mri?

Headaches: Yes. Multiple sclerosis (MS) plaques are commonly found on an MRI study along the corpus callosum, periventricular white matter, cerebellum, brain stem, and spinal cord. A lumbar puncture with analysis of the cerebrospinal fluid will make the diagnosis of MS. See the neurologist to manage the headaches and dysesthesias. ...Read more

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Can a brain mri without contrast detect signs of MS?

Can a brain mri without contrast detect signs of MS?

Yes, it can: MRI is definitely terrific in demonstrating MS lesions. The newer ones which would be contrast positive allow us to make treatment decisions and changes. The older lesions can be seem chronically on a non-contrast MRI. ...Read more

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Male, 37yo, only symptom is lhermitte's, brain MRI is clear. Is MS still most likely cause or something else?

Male, 37yo, only symptom is lhermitte's, brain MRI is clear. Is MS still most likely cause or something else?

Significance: Lhermitte's is sign of problem involving posterior columns of spinal cord, and could be due to vertebral or disc compression, B-12 deficiency, and even MS. Did you have spinal MRI? If you possess but one localized area of complaint, this is not an initial sign of MS until other possibilities are excluded. ...Read more

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Is a pituitary MRI different from an MS brain mri?

Is a pituitary MRI different from an MS brain mri?

Merely technical: Looking directly at base of brain and pituitary requires slightly different cuts and angles, as the focus is directed to a small area of brain, but the software and pictures are handled in a similar fashion. In ms, we tend to use specialized approaches, such as flair or double inversion recovery to see the white matter spots better. Not needed for pituitary views, usually. ...Read more

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What is the difference in contrast enhancing lesion and contrast enhancing nodule in brain mri report of ms patient?

What is the difference in contrast enhancing lesion and contrast enhancing nodule in brain mri report of ms patient?

Very little: The nodule may be the lesion referred to in the report. Would need to know more but contrast enhancing means it took up the radiocontrast media. A lesion is only something you see on the xray. It may be the nodule but does not refer to size. Ask your doc for more info.
Best to you. ...Read more

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Brain MRI with white matters and 4 black holes findings. Are back holes alway a sign of ms? Or not necessarily. I have no symptoms of ms.

Brain MRI with white matters and 4 black holes findings. Are back holes alway a sign of ms? Or not necessarily. I have no symptoms of ms.

We term this: Radiologically isolated syndrome, and sorry, but many of these mri's foretell future diagnosis of clinically definite ms. Suggest you go further, get films of cervical spinal cord, and maybe lumbar puncture. Would strongly urge a consult with a neurologist who specializes in ms, as the proper management is rather complex these days. Best of luck. ...Read more

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What are little dots appearing on a brain MRI that are not in the matter itself, but run down the middle areas? Radiology said negative for MS.

What are little dots appearing on a brain MRI that are not in the matter itself, but run down the middle areas? Radiology said negative for MS.

Neuroradiology: Not my specialty. I've referred question to Neuroradiology. Bright spots on brain MR are often termed UBO's (unidentified bright objects, I'm not kidding). Though there's talk about relationship to MS, I know several personally have had them for decades, and nothing yet. They choose to adopt a positive attitude "oh, must be my UBO's! " when forgetting keys, etc. Hope Healthtap provides you info. ...Read more

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Is it possible 2 have MS even if the brain MRI was normal? I have all the symptoms; fallen102 times since oct12, speech&memory issues, tremoring etc

Is it possible 2 have MS even if the brain MRI was normal? I have all the symptoms; fallen102 times since oct12, speech&memory issues, tremoring etc

See below: If you have a normal MRI of brain and spinal cord, you do NOT have MS. You may well have neurological issues, and there should not be much challenge in confirming your diagnosis if you find an experienced competent neurologist. ...Read more

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My primary and chiro say my lhermitte's isn't ms. Brain MRI and neuro normal. They're not worried, thinking pinched nerve. Should I be, or get 3rd op?

My primary and chiro say my lhermitte's isn't ms. Brain MRI and neuro normal. They're not worried, thinking pinched nerve. Should I be, or get 3rd op?

Lhermittes w nl mri: With those two tests being ok, consider this a 3d opinion. A nerve can be pinched or irritated and look alright on these scans. When these scans are normal, the problem can't be severe. Give it some time, the outcome should be good. ...Read more

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Does MS show on brain mri? Pressure headaches and tremor and confusion. What can I have? I have sjögren's syndrome.

Does MS show on brain mri? Pressure headaches and tremor and confusion. What can I have? I have sjögren's syndrome.

Yes: MRI is the standard of care. Lesions can be seen here and not on CT. Your Sjogren's can mimic MS, and may explain all of your symptoms. Is a neurologist involved?? ...Read more

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Can Post Viral Syndrome following shingles cause body wide neurological issues? I am a 36 year old man with a normal brain MRI worried about MS.

Can Post Viral Syndrome following shingles cause body wide neurological issues? I am a 36 year old man with a normal brain MRI worried about MS.

While there have..: ...probably been cases where this sequence of events was thought to be associated, this is not a common identifiable pathway for MS to develop. Millions of cases of post-viral syndrome or shingles occur without resulting in MS. The normal brain MRI is reassuring. I would definitely not worry about this. Continue to work with your doctor for diagnosis and treatment. Good wishes:) ...Read more

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Brain MRI (passed out) in April. Found white lesions which told most likely due to migraines. Now having tingly/sleep/pain in both feet. MS after all?

Brain MRI (passed out) in April. Found white lesions which told most likely due to migraines. Now having tingly/sleep/pain in both feet. MS after all?

Brain MRI result: It's true that white matter lesions are seen in people with a history of migraines. It not certain that you have MS, even with the symptoms in your feet. It is possible. Perhaps you had some other symptoms, which made you think about MS? The history of headaches is not normally associated with MS.

Why did you pass out? It seems like there is more to the story here. ...Read more

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2 years ago I was diagnosis with transverse myelitis. Again I had another lesion on my spine close to the first one past and present brain MRI was clear should I be doing a spinal tap. Could it still be ms?

This needs diagnosis: Need to tie this down. First, get aquaporin-4 study for neuromyelitis optica, and also visual evoked potential which is twice as accurate as mri. Yes, it could very well be ms, and you should get spinal fluid and check oligoclonal bands, but send fluid to mayo clinic, not locally. Lastly, get a second opinion asap. Ms drugs will make worse if nmo. Other problems should be excluded. ...Read more

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Had a negative brain MRI w/o contrast on 1.5 tesla. Still having MS type symptoms. Would another MRI be helpful? Should it be w contrast or is w/o fine?

Had a negative brain MRI w/o contrast on 1.5 tesla. Still having MS type symptoms. Would another MRI be helpful? Should it be w contrast or is w/o fine?

When to repeat MRI: If the MRI is normal, it would probably not be worth repeating for awhile. There is some value to using contrast and that is typical for MS protocol MRI. The 1.5 Tesla strength is fine though.

People under consideration for MS as a diagnosis may have a repeat MRI after 6 months or so. Hope that helps! ...Read more

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Can your mri of the spine be negative for MS, but your brain mri postive?

Can your mri of the spine be negative for MS, but your brain mri postive?

MY MRI's?: Well, thanks for asking. MY MRI's of the spine and brain...well, they're very well thank you. ;) But I guess we're talking about maybe YOUR MRI's? I need to say 1 very important thing. Listen up...MRI's don't diagnose MS. Qualified people do. An MRI of a spinal CORD can definitely NOT show signs CONSISTENT with MS while a brain's does. Make sense? Maybe?

Got pictures? Ww.healthtap. Com/drsaghafi ...Read more

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Had a brain MRI shows small cyst neuro not concerned. Could it be ms? Cyst on brain! Concerns me

Had a brain MRI shows small cyst neuro not concerned. Could it be ms? Cyst on brain! Concerns me

Cyst: Most likely the cyst is an arachoid cyst of congenital origin, and is unlikely to be of any clinical concern or significance. One solitary cyst as described is not a sign of MS or infection, or cancer, and should be best regarded as a coincidental finding. ...Read more

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Had a brain MRI (suspected MS) and had a call the following day to ask for an urgent scan for a clearer view. Should I be concerned?

Had a brain MRI (suspected MS) and had a call the following day to ask for an urgent scan for a clearer view. Should I be concerned?

Glasses smudged?: They're asking for a "clearer view" which ain't a diagnosis. From what I've seen with patients in the UK I'd think you'd be happy to get as many MRI's of the head as they're willing to give! It's so hard to get just ONE done on somebody who's really deserving. My God woman...they're offering you TWO! By all means- get 'em done. Wanna chat about anything? Www. Healthtap. Com/dr-drsaghafi ...Read more

Dr. Heidi Fowler
5 Doctors shared insights

Mri (Definition)

Mri or magnetic resonance imaging is one of the more recently developed imaging modalities available to physicians. It uses powerful magnets to generate images. There is no ionizing radiation which is a major advantage over many other modalities. Mri is the best imaging exam that we have for most soft tissue and joint related problems. There are radiologists ...Read more


Dr. John Chiu
635 Doctors shared insights

Celiac Disease (Definition)

An immune reaction to eating gluten, a protein found in ...Read more