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MRI Done. Worried For The Findings. Is This A Sign Of Multiple Sclerosis?

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Posted on Thu, 2 May 2013
Question: I am 42 years old female and have had an MRI that generically says normal but I'm concerned about this finding:
There are scattered FLAIR hyperintesities predominately involving the subcortical white matter of the bilateral frontal lobes. There is no evidence of associated abnormal enhancement. This was ordered due to buzzing and motion sickness daily and now that a year has gone by I'm still worried that the findings can be a sign of MS? I have a 22 month old daughter and have started to worry more about my health and fitness.
Can anyone suggest anything?
doctor
Answered by Dr. Sudhir Kumar (1 hour later)
Hi,

Thank you for posting your query.

First of all, I would like to reassure you that the MRI brain findings in your case are not suggestive of migraine. However, in many people, no specific reason can be found and they are not given any significance.

There are specific MRI criteria for diagnosing MS on MRI and in your case, they are not fulfilled, and hence you do not have MS. Also, you have no clinical features to suggest MS.

I hope it helps. Please get back if you have any more queries.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (18 hours later)
Hi
Thank you for this. Your post helps me a lot but I'm still worried since I feel a lot of twitching in my arms, legs, and face that comes and goes for a few years now but seems worse now or because im stressed about it. And I often feel like my legs are humming when I go to bed at night. I've gotten myself worked up with reading MS posts online. I've been told a lot of the strange feelings are do to my hormone imbalance (early menopause). For the past 3 months I've been taking progesterone 50mg daily and just about everything, including my moods are worse (anxiety is up). Can MS come on suddenly even though my neck and brain MRI were normal? Or would there have been at least some indication.
Thank you for your time.
doctor
Answered by Dr. Sudhir Kumar (8 minutes later)
Thank you for getting back with more details.

I can understand your anxiety on account of reading online and worries about getting MS.

However, I would again like to reassure you that your symptoms are unlikely to be MS. Of the 800 odd cases of MS that I have seen and followed up in the past 15 years tells me that you do not have MS, and it is a good news!

MS can start all of a sudden, however normal MRI is unlikely in MS. In fact I have not seen a patient with MS, who had normal MRI. On the other hand, I see several patients who have a lot of abnormalities of MRI but very few symptoms.

I hope it helps.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Sudhir Kumar

Neurologist

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MRI Done. Worried For The Findings. Is This A Sign Of Multiple Sclerosis?

Hi,

Thank you for posting your query.

First of all, I would like to reassure you that the MRI brain findings in your case are not suggestive of migraine. However, in many people, no specific reason can be found and they are not given any significance.

There are specific MRI criteria for diagnosing MS on MRI and in your case, they are not fulfilled, and hence you do not have MS. Also, you have no clinical features to suggest MS.

I hope it helps. Please get back if you have any more queries.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad