Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
166 Doctors are Online

MRI showed lesions in the cervical cord, no brainstem or cerebellar lesions. Meaning?

Nov 2013
User rating for this question
Very Good
Answered by

Practicing since : 1994
Answered : 5293 Questions
I recently received this letter from my doctor following an mri scan. Please could you translate this into laymans language. "I note an MR scan of the brain revealed multiple areas of signal abnormality in a subcortical and periventriuclar distribution with two additional lesions in the cervical cord, no brainstem or cerebellar lesions"
Posted Sun, 19 May 2013 in Brain and Spine
Answered by Dr. Sudhir Kumar 12 minutes later
Thank you for posting your query.
Your MRI report is consistent with a diagnosis of multiple sclerosis. However, the final diagnosis depends on clinical features and CSF oligoclonal bands, in addition to the MRI findings.
Treatment would involve using methylprednisolone (high dose steroid injections) in the acute phase and interferons later on for preventing future relapses.
I hope it helps.
Please get back if you require any additional information.

Best wishes,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad,
My personal URL on this website:
My email: YYYY@YYYY
My Website: WWW.WWWW.WW My blog:
Above answer was peer-reviewed by
Follow-up: MRI showed lesions in the cervical cord, no brainstem or cerebellar lesions. Meaning? 8 minutes later
Thank you for your prompt reply. I understand the scan results are consistent with an ms diagnosis however I was looking to actually see what 'signal abnormalites in a subcortical and periventricular distribution' mean? Also is the fact of lesions just on the cervical cord indicate ms? My neurological examination revealed nothing remarkable.
Answered by Dr. Sudhir Kumar 6 minutes later
Thank you for getting back.
In spinal cord) are hyperintense (this is the signal change they are referring to), in contrast to normal (which is isointense). These findings are best seen on T2W and FLAIR sequences of the brain (where the affected areas appear whiter or brighter than the remaining normal brain). So, this signal change in the areas described are typically seen in MS.
Also, lesions in the cervical cord are also seen in MS, and are typical for MS.
I hope it clarifies.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask a Neurologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor