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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Done, Pins And Needles Feelings, Small Focus In The Left Frontal Periventricular. Consistent With Ms?

I had an MRI of the brain due to some pins and needles feelings among other symptoms. The results are this: There are a couple of 3mm foci of increased T2 and FLAIR signal changes in the right frontal periventricular deep white matter region and small focus in the left frontal periventricular white matter region. There are few tiny subtle signal changes in the high bifrontal white matter region. Are these findings consistent with ms???
Tue, 12 Jun 2012
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Radiologist 's  Response
Hi!
You did not mention your age or other relevant medical history like diabetes or high blood pressure, because in advanced age and with some such medical conditions it is not uncommon to find such small hyperintensities on FLAIR & T2 weighted images in paraventricular regions, you mention. All the same, I do understand your concerns regarding possibility of MS, and would like to add that MS is a clinical diagnosis and MRI only sustantiating the suspicion. Plus there are some typical appearances of these plaques, being perpendicular to lateral ventricular margins and some evident along septo-callosal interface. Very often, visual symptoms are there and you may consider Visual Evoked Potetioa (VEP) as an aditional test. I would be happy to try and answer any question that you may have.
Dr Rajesh Kapur
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MRI Done, Pins And Needles Feelings, Small Focus In The Left Frontal Periventricular. Consistent With Ms?

Hi! You did not mention your age or other relevant medical history like diabetes or high blood pressure, because in advanced age and with some such medical conditions it is not uncommon to find such small hyperintensities on FLAIR & T2 weighted images in paraventricular regions, you mention. All the same, I do understand your concerns regarding possibility of MS, and would like to add that MS is a clinical diagnosis and MRI only sustantiating the suspicion. Plus there are some typical appearances of these plaques, being perpendicular to lateral ventricular margins and some evident along septo-callosal interface. Very often, visual symptoms are there and you may consider Visual Evoked Potetioa (VEP) as an aditional test. I would be happy to try and answer any question that you may have. Dr Rajesh Kapur