Hey guys I hope you are all well. I received my letter from the neruo y day regarding my scans and would love to know your take on it.
my symptoms now are lower back pain/tightness and my left knee is inflamed/swollen. I constantly have ice packs attached to me!
Would love to hear what you think as at the moment i REALLY am in limbo and i hate it!
Here is the letter I received. Would love to know your take on it!!
This lady’s MRI spinal cord shows two regions of demylenation- one at C6/7 and the other at T7, mostly dorsally disposed, accounting for her sensory symptoms.
Her MRI brain has similarly shown multiple areas of white matter hyperintensity, suggesting demylenation. HER vitamin B12 is normal and triple anaemia serology negative. We awaint the results of a few other diagnostic blood tests, although I expect these to be normal. Her ESP and CRP were recently normal.
In summary her clinical presentation and MRI findings would be in keeping with a single episode of multi focal CNS inflammation. Her symptoms were immediately preceeded by a sore throat and swollen glands a month ago that is a well recognised trigger for this sort of problem. However, whether we are dealing with a one off episode that does not repeat itself ever, or whether this may reoccur in the future is not something we could know for certainty for now. I have discussed with her that this could all be the effect of a virus that does not recur. However there is a chance that this may occur in some other guise at some point in the future, in which case multiple sclerosis could certainly be a consideration.
I have suggested that I review within a month to ensure that the symptoms are improving as we would expect. I have also suggested that we could repeat the scan in 6 months which can provide further information as to the likelihood of this turning into MS in the future. Were this to be the case, we would refer on for disease modifying therapy specifically, although after a single episode there is still no strong evidence that such treatment needs to be started, even if the repeat scan were to be showing new symptoms.
What do you think guys?