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Doctor insights on: Neuro Fibromatosis

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Which dr sees nonneurological myopathies?

Physiatrist or Rheum: Atologist. Many larger hospitals will have centers that specialize in treating various neuromuscular (and muscular diseases involving myopathies). ...Read more

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?+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

?+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 more

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Have hashimoto's; demyelinating brain lesions, one atypical; benign vertebral lesions, one atypical hemangioma. R these connected, or possible MS too?

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 more

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Recently seen by hemotologist Oncologist routinely he says MS. Neurologists stumped. All tests show MS findings,MRIs show deyemilenting disease, MS?

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

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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?

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 more

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Is there research into any genetic, autoimmune or other condition that links nerve sheath disorders (tarlov cysts, nerve sheath tumor) with autoimmune hypophysitis targeting acth cells? Ctla-4 gene?

Is there research into any genetic, autoimmune or other condition that links nerve sheath disorders (tarlov cysts, nerve sheath tumor) with autoimmune hypophysitis targeting acth cells? Ctla-4 gene?

None that I find: I cannot locate any literature on the two conditions being studied simultaneously. Perhaps one of my more research savvy colleagues here will come up with something . Great question by the way. ...Read more

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Simple partial seizures common idiopathic epelipsy? Brain tumor? No other symptoms. Passed neuro exam - reflexes, gait, strength, eye exam -perfectly.

Simple partial seizures common idiopathic epelipsy? Brain tumor? No other symptoms. Passed neuro exam - reflexes, gait, strength, eye exam -perfectly.

Brain tumor: An MRI of the brain will determine if there is a brain tumor. Reducing or eliminating the seizures is the first priority. The anti-convulsant (anti-seizure) medication prescribed by your neurologist is specific to the seizure type. Discuss the side-effects of each medication to help you cope with seizures. ...Read more

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Had benign neuroma removed, pituitary microadenoma, now diagnosis with giant cell bone tumor--can there be a link here?

Had benign neuroma removed, pituitary microadenoma, now diagnosis with giant cell bone tumor--can there be a link here?

Pituitary adenoma: There is no known link between pituitary adenomas and giant cell bone tumors. Both are generally benign tumors. Close follow up with a neurosurgeon who specializes in pituitary surgery and an orthopedic surgeon who specializes in bone tumors is essential for both tumor types. Sorry for your difficulties. All the best to you. ...Read more

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Doctors, what are the genetic links with MS and motor neurone disease (als)?

Doctors, what are the genetic links with MS and motor neurone disease (als)?

None : Als and ms are completely different disorders, and have no known common genetic profiles. ...Read more

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MRI brain results Impression- there is cerebral atrophy with subcortical WMC, consistent wit microangiopathic disease, demyelination, or giliosis?

MRI brain results  Impression- there is cerebral atrophy with subcortical WMC, consistent wit microangiopathic disease, demyelination, or giliosis?

Covering the bases: That signal that is seen in patients who age is seen very frequently. Most of the time it is what has become known as microangiopathic disease or small vessel disease. Demyelination and gliosis come with a more notable history. Gliosis or scarring and demyelination also produces symptoms that MRI is useful for. Depends on why you had the MRI in the first place. The first entity more common than 2 ...Read more

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What type if cancer related to paraneoplastic neurology syndrome?

What type if cancer related to paraneoplastic neurology syndrome?

More info needed: There are about 8 or 9 different paraneoplastic syndromes with neurological symptoms ranging from encephalitis to opsoclonus to myoclonus, to ataxia to neuropathy. You need to narrow things down to generate a list of cancers that may cause the symptoms. ...Read more

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Spinal cord lesion on t3/4, negative brain mri, positive for oligoclonal banding. Neurologist says ms. Can this be with negative brain mri?

Can occur: Although less common, isolated spinal cord involvement can be seen in absence of demonstrable brain lesions. But make certain that you do no have NMO presenting atypically, and an anti-aquaporin blood test can help confirm diagnosis. ...Read more

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Is progressive supranuclear palsy a demyelinating disease?

Is progressive supranuclear palsy a demyelinating disease?

PSP: Progressive supranuclear palsy: the disorder's long name indicates that the disease begins slowly and continues to get worse (progressive), and causes weakness (palsy) by damaging certain parts of the brain above pea-sized structures called nuclei that control eye movements (supranuclear). It is central; demyelinating conditions occur in the peripheral nervous system. ...Read more

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Is tourettes a demyelinating disease?

Is tourettes a demyelinating disease?

No: Tourette's is not classified with diseases such as multiple sclerosis, and is a very different disorder. Such problems as visual loss, weakness, imbalance or incoordination would not be part of tourette's. Nice that we have effective ms meds these days, and many new meds work very well for tourette's. ...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