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Need help with MRI Report -- I'm mad at Neuro!

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    Need help with MRI Report -- I'm mad at Neuro!

    Hello everyone,
    I'm a 52 y.o. woman and I developed symptoms this late winter -- burning sensations, restless legs, tinnitus, jerking when falling asleep. I've had the burning sensations twice before (2011 and 1995) and have had anaphylactic allergic reactions for 20 years.
    First neuro did C-spine MRI which showed pinched nerve. I asked him about MS and I could tell he thought I was hypochondriacal/menopausal.

    "Passed" the neuro exam with second neuro who said I didn't present as MS and most cases are diagnosed before age 50. I asked for brain MRI and she reluctantly agreed to one. Yesterday she called me and told me results were normal. Today I received my copy of the report in mail. It reads: "There are mild scattered punctate foci of T2 such FLAIR hyperintense signal within the cerebral white matter. These lesions are nonspecific in nature and similar findings can be seen in the setting of migraine headaches, gliosis from prior infectious/inflammatory processes, chronic small vessel ischemic change, vasculitis or demyleination. Statistically, these lesions likely reflect chronic small vessel ischemic change in a patient of this age." I've googled these terms, but would appreciate more help. I'm calling the neuro tomorrow. How can this result be "normal"?! Especially given my symptoms.

    I've never had migraines, although this winter I did start waking up with headaches. Also have had periods of depression. Prior to symptoms this winter, I was experiencing panic attacks and depression.
    Sorry to be so long, but I feel really let down by this doctor and am looking for a new one.
    Thanks in advance for your help.

    #2
    I commented on your other post in General Questions and Answers. I talked mostly about Ischemic vessel disease, but if you have had headaches, even if you only considered them mild, they could have caused these small lesions.

    No worries about them. MS lesions have a certain shape and size and location.

    Lisa
    Moderation Team
    Disabled RN with MS for 14 years
    SPMS EDSS 7.5 Wheelchair (but a racing one)
    Tysabri

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      #3
      I understand your frustration. I'm not a doctor, but your symptoms and MRI don't sound like typical ms. With that said, I do not have typical ms. Have they done a lp? This can help with dx. You shouldn't give up on finding a dx whether it's ms or not. I took several years and doctors before I was dx. There are many other similar mimicking diseases that should be investigated. I know how hard it is to be sick and not get the proper diagnostic attention you need. Keep at it and try another doctor if you feel your current one isnt doing enough. Another thought is to ask him if not MS then what? I know lesions on mris can mean a lot of different things and some I believe show up with age. Best of luck

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