Question: Doctors have suspected MS 5 timesnin the last 15 years but foralck of MRI evidence they can't diagnose. I had an MRI because of balance problems and speach problems. Cognitive problems and a severe case of vertigo a few years ago. Had MRI with and without contrast. W/O: Punctate scatterwd subcortical white matter T2 hyperintense lesions. These are entirely nonspecific, but are most often seen in the context of chronic microvascular ischemia. The differential includes migranious change. They would be atypical for demyelination. Negative for acute infarct.
With contrast: Brain parenchyma : No diffusion signal abnormality to suggest acute infarct. Midline structures intact. Gradient imaging negative for microhemorrages. Few nonspacific punctate subcortcal T2 hyperintense white matter lesions scattered throughout the frontoparietal region bilaterally. No juxtacorical lesions. No callosal lesions. No periventricular or brainstem lesions. No cerebellar lesions. Upper cervical cord unremarkable.
I do not smoke, have diabetes, migraines or vascular disease. What could be the cause of these lesions. I had a MRI 2 years ago for suspicion of MS and there was only 1 lesion then. I have had MS symptoms for over 15 years. Ruled out Lupus, Lyme disease, and Sjogrens. I am in limbo here. Any information would be greatly appreciated. The E R doctor couldn't give a definite answer and said to followw up withh neurologist. I'm curious as to what the MRI means. Does it indicate MS, another problem or nothing at all.