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What Does This MRI Report Indicate?
Question: presented the following symptoms in sept '16 and went to the local ER:
pins and needles sensation in head, face and random spots on body. Sometimes feels like an electric shock. shortness of breath. weakness in legs. stomach upset. occasion blurred vision of left eye. severe headache. elevated bp and heart rate. lightheaded/dizzy. at the ER that day, they performed CT w/o contrast and found ischemic changes in white matter. followed up with MRI w/wo contrast. the findings were scattered small oval areas of high T2 signal in subcortical white matter of both cebebral hemispheres. another ct scan performed and findings were posterior frontal/parietal white matter disease. having said all this, I still experience all of the symptoms mentioned. I am now on bp meds and b12 shots and sublingual tabs daily. nothing is helping. Today is really bad. cannot seem to catch my breath. the dizzy spells are really bad, as is the headache and pins and needles...called doc who stated if i feel symptoms are worse, go to er...should I go? I'm tired of not getting relief or answers.
pins and needles sensation in head, face and random spots on body. Sometimes feels like an electric shock. shortness of breath. weakness in legs. stomach upset. occasion blurred vision of left eye. severe headache. elevated bp and heart rate. lightheaded/dizzy. at the ER that day, they performed CT w/o contrast and found ischemic changes in white matter. followed up with MRI w/wo contrast. the findings were scattered small oval areas of high T2 signal in subcortical white matter of both cebebral hemispheres. another ct scan performed and findings were posterior frontal/parietal white matter disease. having said all this, I still experience all of the symptoms mentioned. I am now on bp meds and b12 shots and sublingual tabs daily. nothing is helping. Today is really bad. cannot seem to catch my breath. the dizzy spells are really bad, as is the headache and pins and needles...called doc who stated if i feel symptoms are worse, go to er...should I go? I'm tired of not getting relief or answers.
Brief Answer:
Better to go to ER
Detailed Answer:
Hi,
I am Dr Mittal.
I have read your message.
I think I can help you.
First of all, I do agree with your doctor.
If you are feeling the symptoms are worse or if you feel they are in a new area compared to before you should definitely go to the ER.
Second, there are many possible causes for your symptoms. Ideally I would need to examine you. Without that, all the discussion is basically speculation. But I think it would be good to see a neurologist.
Third, I would say that your MRI is suggestive of changes. However, I would suggest that you test with NERVE CONDUCTION STUDY as well as CSF ANALYSIS for oligoclonal bands. This latter would need you to undergo lumbar puncture.
If the tests come out negative, there is a possibility that you are facing fibromyalgia.
As you can make out the treatment would vary with the diagnosis. Therefore, I'll not be able to suggest any specific medicine currently.
I have tried to make it as simple as possible.
Please let me know the reports. Please feel free to contact us for more information.
Best of luck, Dr Mittal.
Better to go to ER
Detailed Answer:
Hi,
I am Dr Mittal.
I have read your message.
I think I can help you.
First of all, I do agree with your doctor.
If you are feeling the symptoms are worse or if you feel they are in a new area compared to before you should definitely go to the ER.
Second, there are many possible causes for your symptoms. Ideally I would need to examine you. Without that, all the discussion is basically speculation. But I think it would be good to see a neurologist.
Third, I would say that your MRI is suggestive of changes. However, I would suggest that you test with NERVE CONDUCTION STUDY as well as CSF ANALYSIS for oligoclonal bands. This latter would need you to undergo lumbar puncture.
If the tests come out negative, there is a possibility that you are facing fibromyalgia.
As you can make out the treatment would vary with the diagnosis. Therefore, I'll not be able to suggest any specific medicine currently.
I have tried to make it as simple as possible.
Please let me know the reports. Please feel free to contact us for more information.
Best of luck, Dr Mittal.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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