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What Are Symptoms Of MS Also After 4 Brain Mri
Posted on
Tue, 30 Jul 2019
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 30 Jul 2019
Answered on
Last reviewed on
Question : What are symptoms of MS also after 4 brain mri and c spine in the past 12 years would MS have shown up already
What are symptoms of MS also after 4 brain mri and c spine in the past 12 years would MS have shown up already
Brief Answer:
Neurological disorders presenting at different times and areas of body
Detailed Answer:
Hi! Welcome to Healthcaremagic. Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all it's sad to know what you had been going through lately.
Based on the history you have shared, MS characteristically present with waxing and waning neurological symptoms, like history of neurological deficits like weakness, visual loss or any other impairment which may resolve and present again or a different set of symptoms over the years alternating or progressively increasing in each alternative episode etc.
Also that usually on these many MRIs some features like periventricular plaques or plaques in spinal cord or around basal ganglia etc may have been detected but the absence may not be enough to rule it out.
Also work up of any neurological symptoms to rule out other possibilities is a must. Occasionally oligocolonal bands or protiens rise in CSF examination may also be needed. Wishing you a healthy life ahead. Regards
Neurological disorders presenting at different times and areas of body
Detailed Answer:
Hi! Welcome to Healthcaremagic. Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all it's sad to know what you had been going through lately.
Based on the history you have shared, MS characteristically present with waxing and waning neurological symptoms, like history of neurological deficits like weakness, visual loss or any other impairment which may resolve and present again or a different set of symptoms over the years alternating or progressively increasing in each alternative episode etc.
Also that usually on these many MRIs some features like periventricular plaques or plaques in spinal cord or around basal ganglia etc may have been detected but the absence may not be enough to rule it out.
Also work up of any neurological symptoms to rule out other possibilities is a must. Occasionally oligocolonal bands or protiens rise in CSF examination may also be needed. Wishing you a healthy life ahead. Regards
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Brief Answer:
Neurological disorders presenting at different times and areas of body
Detailed Answer:
Hi! Welcome to Healthcaremagic. Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all it's sad to know what you had been going through lately.
Based on the history you have shared, MS characteristically present with waxing and waning neurological symptoms, like history of neurological deficits like weakness, visual loss or any other impairment which may resolve and present again or a different set of symptoms over the years alternating or progressively increasing in each alternative episode etc.
Also that usually on these many MRIs some features like periventricular plaques or plaques in spinal cord or around basal ganglia etc may have been detected but the absence may not be enough to rule it out.
Also work up of any neurological symptoms to rule out other possibilities is a must. Occasionally oligocolonal bands or protiens rise in CSF examination may also be needed. Wishing you a healthy life ahead. Regards
Neurological disorders presenting at different times and areas of body
Detailed Answer:
Hi! Welcome to Healthcaremagic. Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all it's sad to know what you had been going through lately.
Based on the history you have shared, MS characteristically present with waxing and waning neurological symptoms, like history of neurological deficits like weakness, visual loss or any other impairment which may resolve and present again or a different set of symptoms over the years alternating or progressively increasing in each alternative episode etc.
Also that usually on these many MRIs some features like periventricular plaques or plaques in spinal cord or around basal ganglia etc may have been detected but the absence may not be enough to rule it out.
Also work up of any neurological symptoms to rule out other possibilities is a must. Occasionally oligocolonal bands or protiens rise in CSF examination may also be needed. Wishing you a healthy life ahead. Regards
Above answer was peer-reviewed by :
Dr. Nagamani Ng
My symptoms have been low back pain pain in legs fatigue the last couple of day having the urge to urinate are these symptoms of MS so mri are not good enough
My symptoms have been low back pain pain in legs fatigue the last couple of day having the urge to urinate are these symptoms of MS so mri are not good enough
Brief Answer:
Symptoms may not be due to MS
Detailed Answer:
Hi! Thanks for the feedback. Your leg weakness doesn't seem to be central causes, but lower legs motor and sensory system examination, may be helpful to differentiate between lower and upper motor neuron lesions. This will help to rule out MS. MRI spine to look for any signs of nerve compression should be done if previous scans were unremarkable. Levels for B12 and folic acid and D3 levels may be needed. For urine symptoms, urinalysis to rule out local infection may be helpful. Pre and post void urine volume on ultrasound needs to be measured to look for any signs of true retention. These will help to formulate a composite diagnosis. Wishing you a speedy recovery. Regards
Symptoms may not be due to MS
Detailed Answer:
Hi! Thanks for the feedback. Your leg weakness doesn't seem to be central causes, but lower legs motor and sensory system examination, may be helpful to differentiate between lower and upper motor neuron lesions. This will help to rule out MS. MRI spine to look for any signs of nerve compression should be done if previous scans were unremarkable. Levels for B12 and folic acid and D3 levels may be needed. For urine symptoms, urinalysis to rule out local infection may be helpful. Pre and post void urine volume on ultrasound needs to be measured to look for any signs of true retention. These will help to formulate a composite diagnosis. Wishing you a speedy recovery. Regards
Above answer was peer-reviewed by :
Dr. Prasad
Brief Answer:
Symptoms may not be due to MS
Detailed Answer:
Hi! Thanks for the feedback. Your leg weakness doesn't seem to be central causes, but lower legs motor and sensory system examination, may be helpful to differentiate between lower and upper motor neuron lesions. This will help to rule out MS. MRI spine to look for any signs of nerve compression should be done if previous scans were unremarkable. Levels for B12 and folic acid and D3 levels may be needed. For urine symptoms, urinalysis to rule out local infection may be helpful. Pre and post void urine volume on ultrasound needs to be measured to look for any signs of true retention. These will help to formulate a composite diagnosis. Wishing you a speedy recovery. Regards
Symptoms may not be due to MS
Detailed Answer:
Hi! Thanks for the feedback. Your leg weakness doesn't seem to be central causes, but lower legs motor and sensory system examination, may be helpful to differentiate between lower and upper motor neuron lesions. This will help to rule out MS. MRI spine to look for any signs of nerve compression should be done if previous scans were unremarkable. Levels for B12 and folic acid and D3 levels may be needed. For urine symptoms, urinalysis to rule out local infection may be helpful. Pre and post void urine volume on ultrasound needs to be measured to look for any signs of true retention. These will help to formulate a composite diagnosis. Wishing you a speedy recovery. Regards
Above answer was peer-reviewed by :
Dr. Prasad
Hi I did a emg no nerve compression no UTI or infections as I have been tested so I have some back issues as disc herniation at L5-S1
Hi I did a emg no nerve compression no UTI or infections as I have been tested so I have some back issues as disc herniation at L5-S1
So what are the likelihood that it can be MS
So what are the likelihood that it can be MS
Brief Answer:
The symptoms can be due to dosc herniation
Detailed Answer:
Hi! Thanks for the details. Since EMG was normal, which tests the muscle fibres response and I hope that NCS or nerve conduction studies would also be normal, which means that no gross motor dysfunction or any signs of peripheral lesion to nerve has been ruled out but still disc compression can cause such subjective weaknesses.
Apart from that, we had already discussed other possibilities of such weaknesses and the levels of B12 and folic acid alongwith calcium and vitamin D3 levels may be reviewed. Thyroid profile and sugar levels may also be needed.
The work up is multidimensional and careful examination and follow up can narrow down your physician to diagnose. But the likelihood of MS is not evident through any of the workup and may need those tests which we had discussed earlier.
Since urinalysis was normal, other causes of over active bladder needs to be worked up. A urologist review and micturation studies or pre and post void urine volume estimation may also be needed. Wishing you a speedy recovery. Regards
The symptoms can be due to dosc herniation
Detailed Answer:
Hi! Thanks for the details. Since EMG was normal, which tests the muscle fibres response and I hope that NCS or nerve conduction studies would also be normal, which means that no gross motor dysfunction or any signs of peripheral lesion to nerve has been ruled out but still disc compression can cause such subjective weaknesses.
Apart from that, we had already discussed other possibilities of such weaknesses and the levels of B12 and folic acid alongwith calcium and vitamin D3 levels may be reviewed. Thyroid profile and sugar levels may also be needed.
The work up is multidimensional and careful examination and follow up can narrow down your physician to diagnose. But the likelihood of MS is not evident through any of the workup and may need those tests which we had discussed earlier.
Since urinalysis was normal, other causes of over active bladder needs to be worked up. A urologist review and micturation studies or pre and post void urine volume estimation may also be needed. Wishing you a speedy recovery. Regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Brief Answer:
The symptoms can be due to dosc herniation
Detailed Answer:
Hi! Thanks for the details. Since EMG was normal, which tests the muscle fibres response and I hope that NCS or nerve conduction studies would also be normal, which means that no gross motor dysfunction or any signs of peripheral lesion to nerve has been ruled out but still disc compression can cause such subjective weaknesses.
Apart from that, we had already discussed other possibilities of such weaknesses and the levels of B12 and folic acid alongwith calcium and vitamin D3 levels may be reviewed. Thyroid profile and sugar levels may also be needed.
The work up is multidimensional and careful examination and follow up can narrow down your physician to diagnose. But the likelihood of MS is not evident through any of the workup and may need those tests which we had discussed earlier.
Since urinalysis was normal, other causes of over active bladder needs to be worked up. A urologist review and micturation studies or pre and post void urine volume estimation may also be needed. Wishing you a speedy recovery. Regards
The symptoms can be due to dosc herniation
Detailed Answer:
Hi! Thanks for the details. Since EMG was normal, which tests the muscle fibres response and I hope that NCS or nerve conduction studies would also be normal, which means that no gross motor dysfunction or any signs of peripheral lesion to nerve has been ruled out but still disc compression can cause such subjective weaknesses.
Apart from that, we had already discussed other possibilities of such weaknesses and the levels of B12 and folic acid alongwith calcium and vitamin D3 levels may be reviewed. Thyroid profile and sugar levels may also be needed.
The work up is multidimensional and careful examination and follow up can narrow down your physician to diagnose. But the likelihood of MS is not evident through any of the workup and may need those tests which we had discussed earlier.
Since urinalysis was normal, other causes of over active bladder needs to be worked up. A urologist review and micturation studies or pre and post void urine volume estimation may also be needed. Wishing you a speedy recovery. Regards
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Can I have urinary issues from MS even though the MRI in May was negative I been having been scans since 2008 2011 2013 2015 also of the neck / mid back in 2015 neck also in May what’s the likelihood that MS lesions would show up by now
Can I have urinary issues from MS even though the MRI in May was negative I been having been scans since 2008 2011 2013 2015 also of the neck / mid back in 2015 neck also in May what’s the likelihood that MS lesions would show up by now
Brief Answer:
If so many scans had been it's less likely to be MS
Detailed Answer:
Hi! Thanks for sharing the details. If so many scans had been negative it is less likely to be MS. As in these many years with such neurological deficit, either symptoms or scan findings would have worsened or would have exhibited some other neurological sign by now. Which is how MS is mostly diagnosed as in MacDonald criteria.
Bladder issues can be separate. MS can present with urinary retention but signs of post void volume is not evident by now in your history. It can be a urological problem and may need micturition studies. A urologist review is also recommended. Wishing you a speedy recovery. Regards
If so many scans had been it's less likely to be MS
Detailed Answer:
Hi! Thanks for sharing the details. If so many scans had been negative it is less likely to be MS. As in these many years with such neurological deficit, either symptoms or scan findings would have worsened or would have exhibited some other neurological sign by now. Which is how MS is mostly diagnosed as in MacDonald criteria.
Bladder issues can be separate. MS can present with urinary retention but signs of post void volume is not evident by now in your history. It can be a urological problem and may need micturition studies. A urologist review is also recommended. Wishing you a speedy recovery. Regards
Above answer was peer-reviewed by :
Dr. Prasad
Brief Answer:
If so many scans had been it's less likely to be MS
Detailed Answer:
Hi! Thanks for sharing the details. If so many scans had been negative it is less likely to be MS. As in these many years with such neurological deficit, either symptoms or scan findings would have worsened or would have exhibited some other neurological sign by now. Which is how MS is mostly diagnosed as in MacDonald criteria.
Bladder issues can be separate. MS can present with urinary retention but signs of post void volume is not evident by now in your history. It can be a urological problem and may need micturition studies. A urologist review is also recommended. Wishing you a speedy recovery. Regards
If so many scans had been it's less likely to be MS
Detailed Answer:
Hi! Thanks for sharing the details. If so many scans had been negative it is less likely to be MS. As in these many years with such neurological deficit, either symptoms or scan findings would have worsened or would have exhibited some other neurological sign by now. Which is how MS is mostly diagnosed as in MacDonald criteria.
Bladder issues can be separate. MS can present with urinary retention but signs of post void volume is not evident by now in your history. It can be a urological problem and may need micturition studies. A urologist review is also recommended. Wishing you a speedy recovery. Regards
Above answer was peer-reviewed by :
Dr. Prasad
Thank you went and got a urethra dilation today he did also did a cyso everything was ok says I may have a yeast infection can that cause symptoms that I have been feeling
Thank you went and got a urethra dilation today he did also did a cyso everything was ok says I may have a yeast infection can that cause symptoms that I have been feeling
Brief Answer:
You are welcome
Detailed Answer:
Hi! As we had discussed earlier that it can be due to urological causes or local causes instead of neurological. Hopefully it will resolve with the management you have received. Wishing you a speedy recovery. Regards
You are welcome
Detailed Answer:
Hi! As we had discussed earlier that it can be due to urological causes or local causes instead of neurological. Hopefully it will resolve with the management you have received. Wishing you a speedy recovery. Regards
Above answer was peer-reviewed by :
Dr. Prasad
Brief Answer:
You are welcome
Detailed Answer:
Hi! As we had discussed earlier that it can be due to urological causes or local causes instead of neurological. Hopefully it will resolve with the management you have received. Wishing you a speedy recovery. Regards
You are welcome
Detailed Answer:
Hi! As we had discussed earlier that it can be due to urological causes or local causes instead of neurological. Hopefully it will resolve with the management you have received. Wishing you a speedy recovery. Regards
Above answer was peer-reviewed by :
Dr. Prasad
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