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What Does My MRI Scan Report Indicate?
Question: Should I go for evoke potential testing ?
Hello I have a electrical signal sensation problems felt all over the body like paresthesia that are triggered by certain positions like if I sit cross legged, if I hold heavy shopping bag especially in the right hand, or if I put weight of my body on right hand. Also, a discomfort feeling in the right leg.
So far brain MRI has been done and that's normal, so is the NCS for large and small fibres, rheumotology is ok even though I have high SSa but rhemotoligst thinks its false positive, lumber spine mri is fine i.e. no herniation and even though there is a bulge on the left side of c4-5 but doctor thinks it is fine.
So should I go for evoke potential or lumber puncture test to further investigate if I have MS? THey are expensive test in my region and not covered by insurance
Hello I have a electrical signal sensation problems felt all over the body like paresthesia that are triggered by certain positions like if I sit cross legged, if I hold heavy shopping bag especially in the right hand, or if I put weight of my body on right hand. Also, a discomfort feeling in the right leg.
So far brain MRI has been done and that's normal, so is the NCS for large and small fibres, rheumotology is ok even though I have high SSa but rhemotoligst thinks its false positive, lumber spine mri is fine i.e. no herniation and even though there is a bulge on the left side of c4-5 but doctor thinks it is fine.
So should I go for evoke potential or lumber puncture test to further investigate if I have MS? THey are expensive test in my region and not covered by insurance
Brief Answer:
Lumbar puncture if MS is suspected clinically by your Neurologist.
Detailed Answer:
Hello again and thanks for being on HCM.
I have read your question and understand your concerns.
Since a brain MRI was done that didn't raise any suspects about MS, lumbar puncture, and testing of the cerebrospinal fluid about oligoclonal bands should be sufficient to diagnose or exclude MS.
This should be preceded by a thorough neurological examination and by the opinion of your Neurologist.
Hope you found the answer helpful.
Kind regards.
Lumbar puncture if MS is suspected clinically by your Neurologist.
Detailed Answer:
Hello again and thanks for being on HCM.
I have read your question and understand your concerns.
Since a brain MRI was done that didn't raise any suspects about MS, lumbar puncture, and testing of the cerebrospinal fluid about oligoclonal bands should be sufficient to diagnose or exclude MS.
This should be preceded by a thorough neurological examination and by the opinion of your Neurologist.
Hope you found the answer helpful.
Kind regards.
Above answer was peer-reviewed by :
Dr. Kampana
Can the result of evoke potential be sufficient if I can't get access to lumber puncture to rule out MS
Brief Answer:
You can go for evoked potentials too.
Detailed Answer:
Welcome back.
Evoked potentials ( visual, somatosensory and brainstem auditory ) are used to identify subclinical lesions but which are nonspecific for MS, however, they can be helpful in evaluating lesions in their first stages.
So, if it is easier for you, you can go for evoked potentials.
I still insist, first of all, neurological examination should be the first step and should guide the necessary examinations.
Hope I helped you.
Kind regards.
You can go for evoked potentials too.
Detailed Answer:
Welcome back.
Evoked potentials ( visual, somatosensory and brainstem auditory ) are used to identify subclinical lesions but which are nonspecific for MS, however, they can be helpful in evaluating lesions in their first stages.
So, if it is easier for you, you can go for evoked potentials.
I still insist, first of all, neurological examination should be the first step and should guide the necessary examinations.
Hope I helped you.
Kind regards.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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