Quote:
Originally Posted by chrishadms
I have been doing all I can to try to get folk to realize that if you have a MRI with a white spot in it you should be calling them.
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Please review the following:
Quote:
Originally Posted by lady_express_44
In simple terms ... there (are) three versions/stages of brain lesions that might occur with MS, including:
1. Gad-enhancing inflammatory lesions (which are more transient)
2. T2 hyperintense (non-enhancing, indicative of "damage")
3. T1 hypointense (black holes)
Cherie
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NOTE: “Gadolinium is not necessary when only the spinal cord is examined. Contrary to the brain there will only rarely be enhancement in the cord.”
http://www.radiologyassistant.nl/en/4556dea65db62
The Gad-enhancing lesions will appear as “bright” white spots . . . but this does NOT necessarily mean someone is not PPMS or PRMS. Those two categories can have enhancing lesions too.
Hence, it may be that you are PPMS even if you had a few enhancing lesions. The primary consideration is whether there was "a gradual progression of the disease from its onset with no remissions at all”. This defines PPMS, whereas RRMS is “characterised by relapses (also known as exacerbations) during which time new symptoms can appear and old ones resurface or worsen. The relapses are followed by periods of remission, during which time the person fully or partially recovers from the deficits acquired during the relapse.”
To be continued . . .
Cherie
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I am not a Neurologist, Physician, Nurse, or Hairdresser ... but I have learned that it is not such a great idea to give oneself a haircut after three margaritas
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