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Ms or not? What to do >

The MR series of tomograms weighted T1 and T2 in three projections visualized sub - and supratentorial patterns.
The lateral ventricles of the brain normal size and configuration. The third and fourth ventricles, basal cisterns not changed. Hizmalnaya region without features, the fabric of the pituitary gland has standard signal .
Subarachnoid convexital space locally unevenly extended, mainly in the area of frontal and parietal lobes. The median structures not shifted. The cerebellar tonsils are usually found.
In the white matter of the frontal and parietal lobes are determined by the variegated pockets of demyelination, with sizes up to 1.3 cm (periventricular departments of both parietal lobes).


The MP series angiograms, performed in the mode of TOF, in axial projection visualized internal carotid, main, intracranial segment of the vertebral arteries and their branching.
Willis the circle is closed (on native data).
Gleams of the other vessels uniform, blood flow symmetric, areas with abnormal blood flow is not revealed.
Conclusion : MRI picture arachnoid changes the cerebrospinal fluid of cystic nature. Focal changes of the brain (debut MS?). Data for pathological changes arteries brain is not revealed

04/04/2013

At the moment headaches (not severe), buzzing, ringing in my head (very) - took care of itself sometimes in the morning. Flies, lines, points, in the eyes (esp. in the right), feeling as if something interferes in the eye. - very worried now. Sometimes nauseated. As is tingling body (right hand and leg) . The weakness of the whole day. Blood pressure 120-140/80-90. With 2010 worth a diagnosis of vegetative-vascular dystonia. The vision has not fallen, intraocular pressure 14 both eyes. Constricted blood vessels in fundus .
Until February 2013 - head and eyes never bothered .

Tell me please, what do I do? Some additional examinations are needed? Treatment tactics?

Hello and welcome :slight_smile: I am guessing that the original report was not written in English? I say this because some of the words are unusual. However, I think it says that you have some areas of damage (“lesions”) in the periventricular white matter of your brain (the white matter next to the lateral ventricles, the main store of cerebrospinal fluid, CSF, in the centre of the brain) and that these are consistent with demyelination. The radiologist is suggesting that they may be due to early MS. The sentences about the subarachnoid space are a little confusing. The report is saying that the space between your brain and the membrane around your brain is uneven, especially in the front 2/3, but it does not directly say why this might be. I think the “cystic nature” in the conclusion may be due to poor translation. I think it means that the CSF flow has changed rather than you have a cyst. Everything else is normal. Other tests to help diagnose MS include visual evoked potentials and lumbar puncture. These may not be necessary if your neurologist accepts that your MR report and symptoms are clearly MS. I would advise seeing a neurologist specialising in MS. There are several conditions that can cause demyelinating lesions and so you are best to see someone who knows the difference and can correctly diagnose you. What drugs are available will depend on what country you are in. I hope this helps. Karen x

Hello Karen !

You right , “medical” english isnt the best part of mine :slight_smile: Report is fully in russian language.

Evoked potential (eyes) is good . MS neurologist here in PERM , said my status is good , no MS.

The main question is about Flies, lines, points, in the eyes (esp. in the right), feeling as if something interferes in the eye. - very worried now. Have anyone with MS diagnos same symptoms?

Sorry, I am not sure what “Flies, lines, points” means. If you have what seems to be things IN your eyes that you can see all the time, but especially when it is bright or you are looking at something bright, they may be “floaters”. These are bits of debris that are trapped in the fluid inside the eye and they are very common in healthy people. They are not a symptom of MS. But to be sure of what is happening, you need to see an ophthalmologist.

The fact that your visual evoked potentials were good also suggests that these things in your eyes are not to do with MS. Do see an ophthalmologist though.

Kx