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Diagnosed With Fibromyalgia. Have A Pain Over Temples. Had A Brain MRI. Shows Tiny Nodular High Signal Intensities. Treatment?

I have thought for a few years that I may have MS but was diagnosed with Fibromyalgia. I have been having horrible throbbing pain over both temples worse on the left. I had a brain MRI and it came back tiny nodular high signal intensities in the deep white matters of the bilateral frontal lobes. Is this the reason for my headaches? Can this be MS or what else could it be? Also, I just turned 40. No other significant medical problems.
Wed, 23 Oct 2013
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Neurologist 's  Response
Hi,
Thank you for posting your query.

The diagnosis of multiple sclerosis (MS) is based on certain criteria- both clinical as well as MRI features. So, we need to see your MRI in detail, before concluding whether or not you have MS.

With the information you have provided, it could be migraine also. In migraine, one can get repeated headaches including over temples and MRI can show high signal lesions.

If possible, upload your MRI report for us to give a better answer.


I hope it helps. Please get back if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
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Diagnosed With Fibromyalgia. Have A Pain Over Temples. Had A Brain MRI. Shows Tiny Nodular High Signal Intensities. Treatment?

Hi, Thank you for posting your query. The diagnosis of multiple sclerosis (MS) is based on certain criteria- both clinical as well as MRI features. So, we need to see your MRI in detail, before concluding whether or not you have MS. With the information you have provided, it could be migraine also. In migraine, one can get repeated headaches including over temples and MRI can show high signal lesions. If possible, upload your MRI report for us to give a better answer. I hope it helps. Please get back if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in