curious about dx

cat265 · 02-01-2008, 06:20 PM

I was just wondering if anyone here had an MRI that said the leasions were not in the typical place for MS? Is there a typical place?

Jensequitur · 02-01-2008, 06:40 PM

Quote:

Originally Posted by cat265

I was just wondering if anyone here had an MRI that said the leasions were not in the typical place for MS? Is there a typical place?

I have a lesion in the rt cerebellum, which is a little unusual. Most people have them in the periventricular area, or in the corpus callosum.

braingonebad · 02-01-2008, 07:34 PM

And I trust your word Jen, because I know you to be knowledgeable. Yet I was told by a previous neuro that my lesions were not in a typical area, and they're periventricular.

I looked it up on NMSS and found that the neuro was incorrect, this was a typical location. That was part of the reason he became a prior neuro.

lady_express_44 · 02-01-2008, 08:42 PM

"Lesions" is just a generic word for "damage", and not necessarily just damage to the brain. People use the word lesions to describe open wounds sometimes.

Attached is a link to "demyelinating diseases", which describes the various locations of lesions, based on the condition. There is a fair bit of info on MS lesions in this document.

http://spinwarp.ucsd.edu/NeuroWeb/Text/br-840.htm

They are looking for the right size/shape and location of lesions for MS, either in the brain, T or C spine (or all of the above, in my case

).

Cherie

TheSleeper · 02-01-2008, 08:56 PM

Cat, my first mri report had a lot of maybes on it, also a notation " given the location a demyelinating disease is not entirely excluded ".

This meant exactly jack to my first 2 neuros, even after lesions were found on the c-spine with a notation " consistent with a demyelinating process such as MS ".

A good neuro is going to do the needed testing to dx it or excluded it and find the true cause. Sometimes a passage of time is needed to confirm.

Erin524 · 02-01-2008, 09:23 PM

My brain MRI said that I had little white "spots", but that they were not the typical size or shape and that they were not in an area typical of MS.

I was surprised four months later when I had my spinal MRI's (my regular doctor wanted to see if I had any degenerative disk disease since I was having a lot of back pain) and that's when they found the 2 lesions in my spine. (I'd asked the doctor to order some contrast just so we could check for MS since I was in the MRI machine anyways.)

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