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Saw neuro after visual disturbance, probable migraine. MRI to r/o mass, found 3mm hyperintensity ant. parietal subcortical. Ref'd to MS specialist?
Depends: There are many lesions that appear on imaging as non-specific and can be seen in many lesions. There are exact criteria that are present which makes MRI useful in the diagnosis, discussing with another specialist might discern or eliminate this diagnosis. The finding on MRI is more consistent with migraine. ...Read moreSee 2 more doctor answers
Savella (milnacipran) is proven: Savella, (milnacipran) one of the fda approved fibromyalgia treatments, has been shown in research to improve cognitive function as well as fatigue. However, it doesn't work for everyone. Stimulants medicines, like ritalin, are often used if patients fail savella (milnacipran). If you sleep is poor, improving your sleep quality can also help. If you are overweight, snore and tired during the day you might have sleep apnea. ...Read moreSee 3 more doctor answers
Hard to answer: If you provided more information it would be possible to answer this. The most common headache, the tension headache, feels like this, has a normal exam, and is often relieved by rest, ibuprofen and stretching. It has no associated symptoms. The neurological exam is normal, and the brain MRI is normal. A neurologist is not needed to do any of this work. Hope that helps ...Read moreSee 1 more doctor answer
?+oligoclonal in csf, + opt neuritis,vep abn,EMG Abn, ocular CT abn,neuro cog test abn. No lesions. ? MS. +s/s- n/t legs,balance,speech.ms imitat.Neg
Clarification: You have multiple issues, and most would strongly implicate MS. But if an MRI of both brain and spinal cord is normal, you do NOT have MS. However, several other possibilities exist, and you need to clarify your diagnosis. May help to obtain another opinion. ...Read moreSee 2 more doctor answers
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 moreSee 3 more doctor answers
Saw neuro for probable migraine: nonspec. 3mm hyperintensity on MRI, no signif. abnrmlty, no ... lesions to suggest demyelinating disease, neuro ref to MS spec? Please see profile for report.
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 moreSee 1 more doctor answer
Recently seen by hemotologist Oncologist routinely he says MS. Neurologists stumped. All tests show MS findings,MRIs show deyemilenting disease, MS?
It is most likely if: If you have neurological symptoms like patches of numbness, spotty weakness of muscles or vision impairment, then the MRI findings do support the diagnosis of MS. You should have your neurologist guide you further. You will need regular follow up and likely require medical treatment for MS. ...Read more
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
Neuro exam,EMG, MRI of brain normal. No spinal MRI done. Weak, shaky legs and dizzy a lot. Off balance. Fatigue, fascilations. MS? GAD?Neuro?
Symptoms, tests nl: (nl=normal) It's tough to explain the cause of your symptoms, especially with a normal MRI of the brain, neuro exam and EMG. What about blood tests? What about other symptoms? There is probably a missing clue somewhere. It's not clearly in the neck. Anxiety can cause this too, but that is hard to prove. ...Read moreSee 2 more doctor answers
Do neg EMG's/NCS (incl. single fiber/repetitive EMG) rule out channelopathies and mitochondrial neuromuscular dis? Would they rule out all neurom. Dz?
NO and NO: EMG/NCS is a useful diagnostic tool but BY NO MEANS EXCLUDES the medical problems you mention. ...Read more