I have tingling, burning, vibrating sensations in hands and feet, muscles weakness. MRI showed multiple changes in white matter in brain. Any ideas??

MS WORK UP. In the MS work up, of a younger female patient presenting with vertigo /gait instability/numbness. And on exam there is hyperreflexia. You would want to do a full blood work up evaluate for Lyme disease/CNS SARCOIDOSIS /SJOGRENS SYNDROME. MRI of brain and cervical spine to look for plaques. If necessary a lumbar puncture to check MBP and oligoclonal bands . Neuro consult with MS specialist.

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