This is the first time I have used this forum I’ll give you a brief history. August 2011 GP suspected a stroke, tingling and numbness down left side, my left leg and arm, side of my face, speech was jumbled, lightheaded. Was referred to stroke clinic, who sent me for various tests. Two weeks later ill again so phoned stroke clinic and they told me to go to A&E where I saw a stroke specialist who did CT scan and said it was clear and said I need to see a neurologist as he didn’t think it was a stroke. Now see a neurologist through my private health via work. In December my left eye really started to hurt, it felt like someone was stabbing a hot needle into it. My vision also went very strange and I had double vision. My left leg was very painful and I started limping. My left arm also fely very heavy. I was put on long term sick leave and sent for MRI. I have now has 3 MRI’s and 1 LP but still no diagnosis as they were not conclusive. I now walk very strangely and when I get tired I drag my leg. I feel so exhausted and find it hard to do the simplest of tasks. I have very restless legs during the night and been given tablets to help this. My left eye does not go totally to the left when I look left so have double vision when I look to the left. I have seen an opthamologist and still no confirmed diagnosis even though my eye does not go all the way to the left side… I am still waiting to go for physiotherapy for my leg and arm. When I type my letters get mixed up - it’s as if my right hand works faster than my left hand and the words become jumbled. My last MRI says there is a suspicious in the T2 high signal within the left hemi-cord at the crato cervical junction. But the letter from the hospital says my scan is essentially normal with no evidence of neuro inflammation. Can anyone help with what the MRI means please . Last time I was my neurologist he said he wasn’t looking for anything else as he had tested me for everything and they all came back OK. Thank you
Hello and welcome
I’m not a neuro or a radiologist, but I can tell you what the MRI results are in plain English. I’m afraid I can’t tell you what it means diagnostically though.
T2 high signal just means that the area was brighter than expected on a type of scan called T2. Fluid gives off a high signal in T2 scans and the computer translates this into brighter pixels in the image. As fluid tends to gather or be in tissues that are inflamed or damaged, an unexpected bright area on a T2 scan usually suggests a lesion of some sort. (Lesion meaning an area of damage / abnormality.)
Hemi-cord means half the spinal cord.
I’m guessing you meant craniocervical junction and not crato cervical junction. This is where the skull meets the spinal cord and the nearby vertebra (C1 and C2, the top two vertebrae in your neck).
So you had the suggestion of a brighter patch on the left half of your spinal cord in line with / near the top two vertebrae of your neck.
As I already said, I’m afraid I can’t tell you what this means, but if I were you, I would not be happy being discharged until this had been thoroughly investigated - perhaps with a much higher resolution MRI scan of that area.
A lesion of the spinal cord is not consistent with eye symptoms so, if this suspicion of a lesion turned out to be correct, there would have to be more going on. But it’s a very good place to start.
Thanks Karen, it’s the plain english I need. Yes I did mean craniocervical junction - see I did say my fingers typed what they wanted to! I just want some answers now. Just heard having physio on Tuesday and seeing neurologist on Wednesday. I will ask my neurologist about the scan so hopefully will have more answers. Thanks again and I’ll let you know the outcome. Mary x
Hello , I’m new to this just wondering if anyone can help me to understand my MRI results. The doctors report says
In subcortical regions a T2 weighted hyperintense signal on flair sequence and another 2 minor white matter changes .
anyone got a clue ???