Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
190 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Borderline Diabetic, Cholesterol, Dizziness, Insomnia, Fibromyalgia, Eye Spasms. MRI Shows Change On Ventricular Rt Frontal Lobe. MS?

I had an MRI done. It shows single new punctate focus change on t2 post ventricular Rt frontal lobe . I have a hd of dizziness, insomnia , fibromyalgia, muscle weakness , eye spasms and headaches. High family risk of aneurysms . I m borderline diabetic, and have cholesterol @ 210. Is this possibly a sign of ms? Or could this be artifact. Please explain the t2 white matter in more detail. My medical background is in pathology.. but not so much in neuro or radiology. I have an appointment Monday... I d like to be prepared. Thanks. Tanya
posted on Wed, 5 Dec 2012
Twitter Sat, 7 Sep 2013 Answered on
Twitter Tue, 10 Sep 2013 Last reviewed on
Report Abuse
General & Family Physician,  's  Response
Hi and thanks for the query,

It might be possible to think of multiple sclerosis from the clinical signs that you just presented. Doing a spinal tap and searching for characteristic bands after analysis could be most helpful. However, other causes of similar symptoms should be checked for. From a rheumatologic point of view, systemic diseases, vasculitis must be excluded. Lupus, Small and medium blood vessel vasculitis must be carefully evaluated and excluded. Rheumatoid factor, HLA27, Complement system analysis, C3 and C4, Anti Ds DNa anti bodies and Anti histone antibody anti bodies including a simple complete blood count are sufficient and very informative to move on. PANCA and CANCA for vascu;itis are as well very necessary.
I suggest to get a second opinion from a rheumatologist before moving on. Thanks and kind regards.

Bain LE, MD.
I find this answer helpful

 1 user finds this helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Magnetic resonance imaging


Loading Online Doctors....
Borderline Diabetic, Cholesterol, Dizziness, Insomnia, Fibromyalgia, Eye Spasms. MRI Shows Change On Ventricular Rt Frontal Lobe. MS?

Hi and thanks for the query, It might be possible to think of multiple sclerosis from the clinical signs that you just presented. Doing a spinal tap and searching for characteristic bands after analysis could be most helpful. However, other causes of similar symptoms should be checked for. From a rheumatologic point of view, systemic diseases, vasculitis must be excluded. Lupus, Small and medium blood vessel vasculitis must be carefully evaluated and excluded. Rheumatoid factor, HLA27, Complement system analysis, C3 and C4, Anti Ds DNa anti bodies and Anti histone antibody anti bodies including a simple complete blood count are sufficient and very informative to move on. PANCA and CANCA for vascu;itis are as well very necessary. I suggest to get a second opinion from a rheumatologist before moving on. Thanks and kind regards. Bain LE, MD.