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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Brainstem Lesions On MRI

I have longstanding MS symptoms but am still not diagnosed. My brain scans show increasing numbers of small subcortical lesions but they ve always been dismissed as age-related changes (even when I was still in my thirties) and despite the fact that the ones in my frontal lobes were epileptogenic when they first appeared. Ten years ago I also had MRI lesions showing up in my spinal cord, in exactly the right places for my symptoms, but they were quite faint then and no longer showing up on my recent scan. But my main question is about the brainstem. Consecutive MRIs have consistently shown high signal areas on both sides of the pons, always in the same locations (though slightly different on each side) and visible on multiple images in all planes. Yet the neuroradiologists always IGNORE them and don t even mention them in their reports! I have been complaining of brainstem-type symptoms since long before I had the MRIs done, including narcolepsy, involuntary movement disorder, autonomic dysfunction, tinnitus, and vertigo. I think the location of the high signal areas is the pontine reticular formation, which would seem to tie up with my symptoms. So why do they always ignore them?
posted on Sat, 8 Mar 2014
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