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Doctor insights on: Spine Lesions

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Can medications only resolve spine TB lesions and cold abscess?

Can medications only resolve spine TB lesions and cold abscess?

Possibly : Surgical indications for vertebral/spinal TB infection (pott's disease) includes: progressive neurologic deficit, severe kyphosis, progression of kyphotic deformity especially with spinal cord compression leading to neurologic deficit, instability despite adequate medical treatment, pain related to spinal instability. Surgery is also recommended for abscess, especially cold abscesses of tb. ...Read more

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Is this really as rare as my pcp claims? She has me going to a number of different specialists and imaging of all sorts? I have a lot of pain in my back and chest.Mri imaging of the c spine and t spine show lesions in a few places, and images of my chest

Is this really as rare as my pcp claims? She has me going to a number of different specialists and imaging of all sorts? I have a lot of pain in my back and chest.Mri imaging of the c spine and t spine show lesions in a few places, and images of my chest

There : There are a few conditions that can cause night sweats, back pain, and multiple MRI lesions. None of them are particularly happy. Have you been tested for TB or other mycobacteria? Pott's disease can present this way and, because it is rare in this country, can be overlooked. Other possibilities are lymphoma and multiple myeloma. Ewing's sarcoma can mimic infection, but is usually more localized. If all of these have been ruled out, then it is something even more rare, such as some of the myelodysplastic disorders (where the bone marrow doesn't make the right blood cells). While it is frustrating to have a diagnosis take months, there are a lot of risks involved and making the right diagnosis is essential for the proper treatment. If you treat an infection with chemotherapy or cancer with antibiotics, the problem will only get worse. Best of luck! ...Read more

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Am diagnosed with MS having 2 lesions on spine causing electric shock symptoms up spine into head, could i safely take hypericum to dampen pain.?

Am diagnosed with MS having 2 lesions on spine causing electric shock symptoms up spine into head, could i safely take hypericum to dampen pain.?

Why consider this?: Hypericum is a homeopathic remedy for anxiety and depression, and would have absolutely no effect on a Lhermitte's phenomenon, which you describe. You would likely find better benefits from gabapentin, Lyrica, Cymbalta, Gralise, or Horizant, all prescription meds which your doctor could provide. Also, make certain that you are taking a potent MS medication, such as one of the orals, or Tysabri (natalizumab). ...Read more

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Found multiple lesions on spine mri? Neurologist said perineural cysts. Could this be cancer or mets?

Found multiple lesions on spine mri? Neurologist said perineural cysts. Could this be cancer or mets?

If noted on MR. ..: ...The appearance of mets=u have a primary tumor, an mr is very good at recognizing benign from malignant, so trust ur neurologist ; ask 2 have a second interpretation from another radiologist. Usually most departments have neuro radiologists, ; if not ask 4 it 2 b sent out 2 one. Very easy 2 do as all is digital. Example mayo clinic images r read in any 1 of their venues, not the 1 images wr done. ...Read more

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2 tiny lesions on brain 1 enhanced, 1 non. No symptoms of MS. Only have headaches. No lesions on spine. Dr's are confused. What could be causing them?

2 tiny lesions on brain 1 enhanced, 1 non. No symptoms of MS. Only have headaches. No lesions on spine. Dr's are confused. What could be causing them?

Need diagnosis: The enhanced lesion is indicative of inflammation of an acute type and would definitely suggest next step being a lumbar puncture. If this is negative, would repeat films in about 4-6 months. Also, if you feel your doctors are confused, find a neurologist for a second opinion. ...Read more

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Don?T understand what are lesions on the spine?

Don?T understand what are lesions on the spine?

Review with your doc: Without knowing more details about the lesions in the spine and your medical condition, they can be anything from common vascular lesions such as hemangiomas and benign bone islands to malignant lesions. You should review your diagnostic exam result with your physician who will be in the best position to explain these spine lesions. ...Read more

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Dx'd with sarcoidosis and now also have lesions in the marrow in spine does that also mean also have neuro-sarcoidosis?

Dx'd with sarcoidosis and now also have lesions in the marrow in spine does that also mean  also have neuro-sarcoidosis?

Not specifically: So it appears that you have bone lesions, but because it's in the marrow of your spine does not mean the nervous system is involved. ...Read more

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My son was told that he had lesions in the upper part of his back near his spine and his on his brain?

My son was told that he had lesions in the upper part of his back near his spine and his on his brain?

Comment: Based upon the information provided, cannot accurately respond, and am unclear regarding your question. But scattered lesions as described could be a sign of multiple sclerosis, but other conditions could also present this way. Maybe provide us more information via an INBOX consult, which allows more precise response. ...Read more

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I have multiple bone lesions and also soft tissue mass near my spine and ilium what are the chances this is multiple myloma?

I have multiple bone lesions and also soft tissue mass near my spine and ilium what are the chances this is multiple myloma?

Varies: There are multiple potential causes. Certainly the concern for a neoplastic condition would be a consideration. A serum protein electrophoresis can usually give a good idea about whether it is multiple myeloma. A biopsy would certainly be the definitive test. Thank you for the question. ...Read more