
Having Pain In Left Eye Ball. No Vision Loss. MRI Showed 3 Lesions. Have Consistent Tingling. Developed Burning Feet. Suggestions?

Thank you for writing in.
Based on the details you have L) hemiparesis, burning feet syndrome,and tremors of both hands with eye pain without visual loss
L) sided weakness indicates R) cerebral hemisphere lesion.Burning feet syndrome indicates either peripheral neuropathy or it can also be produced by spinal cord and brain lesion.There are many causes of tremor of both hands at your age, it can be anxiety, essential tremor, weakness related tremor, dystonic tremor, tremor due to peripheral neuropathy.
One can pin point exactly based on neurological assessment whether it is brain, spinal cord or peripheral nerves involved.
We can help you better if you upload the MRI brain report.You may require MRI cervical spine, Visual evoked potential ( for eye pain),nerve conduction study, vitamin B12 level, in addition to lumbar puncture to know exactly the cause whether it is MS or something else.
I hope this helps you


Viewed the images.First image reveal left frontal lesion juxtacortical lesion ( near to cortex /near grey matter).Second image reveal R) frontal contrast enhancing subcortical white matter.Third image ,fourth, fifth image reveal L) frontal lesion mainly white matter and also grey matter.
Hence based on MRI details you have bilateral frontal lesion, R) side is white matter and left sided is in the grey and white matter region.Your MRI is not typical of Multiple sclerosis pictures because Grey matter is not involved in MS.MS plaque will be located specifically along the periventricular region, which is not there in your case.
I want to know that did you have any head injury /trauma ?due to the lesion at left frontal region.Also one need to rule out lacunar infarcts brain and you may require angiogram also. Blood sugar, lipids also to be checked to know the risk factors for infarcts
Do you smoke or drink alcohol?
Tremor of both hands is due to bilateral frontal lesion .You may require anti epileptics as it can be type of fits without loss of consciousness( frontal lesion prone for fits).Meantime antiplatelets, statins ,citicholine to be started after discussion with treating physician
You need not worry, number and size of lesion is less hence recovery would be complete.
Hope this would help you


Yes blood clot also can produce similar clinical finding and MRI brain.Anyhow with single episode and MRI findings not typical of MS with absence of optic neuritis, multiple sclerosis is ruled out.
If blood clot has produce such changes means it indicates lacunar infarct and you should be back to normal by another one month.You may require neuralgic drugs like pregabalin /gabapentin to relieve your sensory symptoms along with physiotherapy.
You need not be concerned about blood clot as it is already completed 2 months Need to check risk factors like deranged lipids, blood sugar,and blood pressure monitoring to prevent stroke recurrence.
Hope this will help you
Regards

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