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Numbness, Tingling, Pain In Legs, Feet. MRI Shows Spots In Brain. Advised Spinal Tap. Cause?

i have been having problems with numb tingiling and pain in legs and feet. had a mri done said there was 2 small with spots on the brain.. which i was told it was normal but they wanted to do a spinal tap to rule out ms since my mother has ms. what are the chances that is what i could be. I also have neck and shoulder pain.
Tue, 15 Oct 2013
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Neurologist,  's  Response
Hi,
Thank you for posting your query.

White spots on MRI (also called as hyperintense lesions) are not specific for multiple sclerosis (MS). These lesions can occur in other neurological conditions including migraine, infections, stroke, etc.

Doing an MRI of spine would help, as if lesions are found in the spine, it would favor a diagnosis of MS.

Spinal tap would also help, as presence of oligoclonal bands in the CSF would also favor a diagnosis of MS.

However, with just two lesions, and normal spinal tap, MS is unlikely.

I hope it helps.

Please get back if you require any additional information.

Best wishes,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

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Numbness, Tingling, Pain In Legs, Feet. MRI Shows Spots In Brain. Advised Spinal Tap. Cause?

Hi, Thank you for posting your query. White spots on MRI (also called as hyperintense lesions) are not specific for multiple sclerosis (MS). These lesions can occur in other neurological conditions including migraine, infections, stroke, etc. Doing an MRI of spine would help, as if lesions are found in the spine, it would favor a diagnosis of MS. Spinal tap would also help, as presence of oligoclonal bands in the CSF would also favor a diagnosis of MS. However, with just two lesions, and normal spinal tap, MS is unlikely. I hope it helps. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/