What Causes Blurred Vision, Numbness In Thigh And Headaches?
Please upload your MRI CD/images and report.
Detailed Answer:
Hi XXXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
I have read through your comprehensive clinical history.MS,no doubt, is one of the possibilities,according to your history.
However,MRI findings are crucial for diagnosis in such a scenario.
I would like to have a look at your MRI.If possible,please upload your MRI CD on google drive and share the drive link here in the follow-up question,so that I can view your MRI with my .dicom viewer.
If its not possible for you to upload the CD(which is preferable),please click good quality images of MRI and upload them along with report.
Along with,please upload the document on which your neurologist noted down the findings of physical examination.
I shall be glad to have you in follow-up with the needful.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Findings:
No focus of restricted diffusion.
No blood products are noted on SW images.
Basal ganglia and thalami normal.
Brain stem and cerebellar hemisphere normal.
T2 hyperintense foci are seen in frontal subcortial region bilaterally, also left parietal subcortical region are non-specific in aetiology, may represent ischaemic or demyelinating lesion.
Corpus callosum, sella and proximal cord are normal.
The flow voids are unremarkable.
Conclusion:
T2 hyperintense foci supratentorial white matter are non-specific in aetiology could represent foci of small vessel ischaemia.sequelae to migraine however possibility of demyelinating lesion is not excluded.
PS. I am still waiting to get in to see a neurologist. They will contact me when the neurologist has triarged my referral. My GP expects I will not get in to see him for another couple of months.
Neurological examination and follow-up MRI.
Detailed Answer:
Hi XXXXX,
Thanks for being in follow-up and providing further details.
Its unfortunate here that I am not able to view your MRI scan.That's because- it's very important in your case to have a look at the MRI for key things such as the site of lesions and contrast enhancement pattern.MS patients have some characteristic features on MRI, which one can't get to know from this report.
However,a neurological examination and a follow-up MRI appears warranted.Follow-up MRI is mandatory to see if lesions increase in number and fresh lesions emerge at new sites.
Further,please try to procure your MRI CD.That will help me to give a better opinion.
Also,do you have a history of - Hypertension,Diabetes,chronic smoking or alcohol intake?
I shall be glad to have you in follow-up with further details.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
PS - Had an ultra sound on my veins down to my toes 6 months ago - all clear, no problems there and yes the cardiologist told me to stop smoking and to take an aspirin a day. Trying - but a 28 year addiction is damn hard to give up.
Chronic smoking and alcohol, can also contribute to white matter lesions.
Detailed Answer:
Hi XXXXX,
Thanks for being in follow-up.
Chronic smoking and alcohol intake are other factors,which may contribute to white matter lesions.So,though you have multiple factors present to explain these lesions.MS would be excluded only with follow-up MRI's.Further,please visit a neurologist for a dedicated physical examination to see for any neurological deficits.That will also help towards the diagnosis.
Hope that I have answered your query.If you have some further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)