advertisement
Reply
 
Thread Tools Display Modes
Old 07-11-2011, 01:49 PM #1
Snoopy's Avatar
Snoopy Snoopy is offline
Magnate
 
Join Date: Sep 2006
Posts: 2,280
15 yr Member
Snoopy Snoopy is offline
Magnate
Snoopy's Avatar
 
Join Date: Sep 2006
Posts: 2,280
15 yr Member
Default

Hello Chelle,

Yes, I was diagnosed based on a positive LP (o-bands), neuro exam and symptoms. However, during the whole diagnostic process I was in a severe exacerbation (relapse, attack, flare-up)...it was very obvious something was wrong.

Depending on the lab that ran your LP results 2 o-bands can be considered normal, you will need to see what your Neurologist says to know for sure.

Best wishes
__________________
Dx RRMS 1984
Snoopy is offline   Reply With QuoteReply With Quote
Old 07-11-2011, 02:09 PM #2
Yorkieville Yorkieville is offline
Junior Member
 
Join Date: Jul 2011
Posts: 67
10 yr Member
Yorkieville Yorkieville is offline
Junior Member
 
Join Date: Jul 2011
Posts: 67
10 yr Member
Default

Quote:
Originally Posted by Snoopy View Post
Hello Chelle,

Yes, I was diagnosed based on a positive LP (o-bands), neuro exam and symptoms. However, during the whole diagnostic process I was in a severe exacerbation (relapse, attack, flare-up)...it was very obvious something was wrong.

Depending on the lab that ran your LP results 2 o-bands can be considered normal, you will need to see what your Neurologist says to know for sure.

Best wishes
Hi, Snoopy.

Originally, my former Neuro said "MS", and then, he retracted the DX. So, my Neurosurgeon has referred me to a new Neurologist, and I am just waiting for an appt.

Thank You,
Chelle
Yorkieville is offline   Reply With QuoteReply With Quote
Old 07-11-2011, 03:18 PM #3
tkrik's Avatar
tkrik tkrik is offline
Wise Elder
 
Join Date: Jan 2008
Posts: 8,403
15 yr Member
tkrik tkrik is offline
Wise Elder
tkrik's Avatar
 
Join Date: Jan 2008
Posts: 8,403
15 yr Member
Default

Under the new McDonald Criteria, you would need to have at least 1 lesion to be dx with MS. (http://www.mult-sclerosis.org/DiagnosticCriteria.html) I was diagnosed under the 1st criteria. I have both brain and spinal lesions. I never had an LP so I don't know what my o bands are. However, o bands can occur in other conditions as well. It's the pattern of o bands that can assist in a dx of MS or other conditions.

But, MRI's are not 100% dependable. MRI's are done in 1/4" slices. Within that 1/4" a lesion may have been missed. I know that may sound scary to you but it does happen. I think many of us have experienced going for an MRI and getting the results and finding out that a few lesions are "gone" and on the next MRI they are back again. It's that 1/4" slice issue. Additionally, spinal lesions are very difficult to find not only due to the 1/4" slice but also due to all the things that are compacted in the spinal cord. They are easy to miss. Mine are in my thoracic spine. They show up best when I am in a flare and gadolinium is used.

Since your neuro took back his dx, he may have decided to be a little more conservative since at this point you don't fit the McDonald Criteria and there may be something else going.

I do hope you start feeling better soon and can find out what is going on.
tkrik is offline   Reply With QuoteReply With Quote
"Thanks for this!" says:
dmplaura (07-11-2011)
Old 07-11-2011, 03:21 PM #4
Yorkieville Yorkieville is offline
Junior Member
 
Join Date: Jul 2011
Posts: 67
10 yr Member
Yorkieville Yorkieville is offline
Junior Member
 
Join Date: Jul 2011
Posts: 67
10 yr Member
Default

Quote:
Originally Posted by tkrik View Post
Under the new McDonald Criteria, you would need to have at least 1 lesion to be dx with MS. (http://www.mult-sclerosis.org/DiagnosticCriteria.html) I was diagnosed under the 1st criteria. I have both brain and spinal lesions. I never had an LP so I don't know what my o bands are. However, o bands can occur in other conditions as well. It's the pattern of o bands that can assist in a dx of MS or other conditions.

But, MRI's are not 100% dependable. MRI's are done in 1/4" slices. Within that 1/4" a lesion may have been missed. I know that may sound scary to you but it does happen. I think many of us have experienced going for an MRI and getting the results and finding out that a few lesions are "gone" and on the next MRI they are back again. It's that 1/4" slice issue. Additionally, spinal lesions are very difficult to find not only due to the 1/4" slice but also due to all the things that are compacted in the spinal cord. They are easy to miss. Mine are in my thoracic spine. They show up best when I am in a flare and gadolinium is used.

Since your neuro took back his dx, he may have decided to be a little more conservative since at this point you don't fit the McDonald Criteria and there may be something else going.

I do hope you start feeling better soon and can find out what is going on.
No, Erin, I don't fit under the new McDonald criteria, so I am wondering if there is any point in seeing a new Neuro.

I've been like this since the fall of '05, so I don't feel any optimism that I will ever get any help.

Chelle
Yorkieville is offline   Reply With QuoteReply With Quote
Old 07-11-2011, 03:29 PM #5
tkrik's Avatar
tkrik tkrik is offline
Wise Elder
 
Join Date: Jan 2008
Posts: 8,403
15 yr Member
tkrik tkrik is offline
Wise Elder
tkrik's Avatar
 
Join Date: Jan 2008
Posts: 8,403
15 yr Member
Default

Quote:
Originally Posted by Yorkieville View Post
No, Erin, I don't fit under the new McDonald criteria, so I am wondering if there is any point in seeing a new Neuro.

I've been like this since the fall of '05, so I don't feel any optimism that I will ever get any help.

Chelle
Don't give up!!! Something is going on and it may just take some more time and the right dr. I know it must be so hard and frustrating for you and you have been suffering for a long time. But, keep at it. If anything, finding something that will treat the symptoms until you get a definite dx will help. Also, did any of this happen after having a virus? Viruses can cause a CNS infection and some of the issues you are having.

Just hang in there the best you can and definitely keep checking in with us. We are always here for you.
tkrik is offline   Reply With QuoteReply With Quote
"Thanks for this!" says:
dmplaura (07-11-2011)
Reply


Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
Lesions vs symptoms Snoopy Multiple Sclerosis 101 11-26-2011 04:32 PM
Lesions edever34 Reflex Sympathetic Dystrophy (RSD and CRPS) 4 08-23-2010 09:58 PM
Lesions CZZ74 Reflex Sympathetic Dystrophy (RSD and CRPS) 0 11-19-2009 10:44 AM
Lesions ali12 Reflex Sympathetic Dystrophy (RSD and CRPS) 7 10-27-2008 01:39 AM
types of MS lesions Natalie8 Multiple Sclerosis 34 04-22-2008 05:29 PM


All times are GMT -5. The time now is 11:19 PM.

Powered by vBulletin • Copyright ©2000 - 2024, Jelsoft Enterprises Ltd.

vBulletin Optimisation provided by vB Optimise v2.7.1 (Lite) - vBulletin Mods & Addons Copyright © 2024 DragonByte Technologies Ltd.
 

NeuroTalk Forums

Helping support those with neurological and related conditions.

 

The material on this site is for informational purposes only,
and is not a substitute for medical advice, diagnosis or treatment
provided by a qualified health care provider.


Always consult your doctor before trying anything you read here.