Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

131 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Can MS be detected by a spinal MRI?

Answered by
Dr.
Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 3391 Questions

default
Posted on Thu, 29 Oct 2015 in General Health
Question: Can ms be seen in spinal mri imaging prior to showing up in csf. I have a normal mri brain and spinal tap was negative for ms, however i have ms symltoms. I was told hat i still needed total spine mri - is this true or inaccurate. I am bery confused and already have tests scheduled for next week.
Thanks
doctor
Answered by Dr. Erion Spaho 36 minutes later
Brief Answer:
MS could affect spinal cord neurons too.

Detailed Answer:
Hello and thanks for using HCM.

I have read your question and understand your concerns.

Multiple sclerosis is an autoimmune disease that damages myelin sheath of neurons in the central nervous system.

It is possible for MS to affect spinal neurons too, and is part of the examination protocol to assess this possibility by imaging studies ( MRI ).

It is very unlikely for the MRI of the spinal cord to expose MS related damages, since spinal tap resulted negative, but can't be excluded 100% as a possibility, so, I agree with you Doctor's opinion about having done spinal MRI too, because of the strong suggestion by clinical findings.

Hope you found the answer helpful.

I remain at your disposal for further questions and clarifications.

Take care.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Erion Spaho 1 hour later
I agree its rare, but i seem to always present with rare finding so i will proceed with the studies for piece of mind at that! Thank you!
doctor
Answered by Dr. Erion Spaho 4 hours later
Brief Answer:
Good to see you agree.

Detailed Answer:
You are welcome.

Please let me know the results.

Take care.
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Erion Spaho 25 hours later
Please read the upload. Whobshoukd be at the center of my care- speciality wise?
doctor
Answered by Dr. Erion Spaho 12 hours later
Brief Answer:
Further evaluation needed.

Detailed Answer:
Welcome back and thanks for being on follow up.

I read the report you uploaded carefully.

Anti NMDA antibodies are found positive in encephalitis ( or brain tissue infection usually by a virus ), in certain tumors such ovaries teratoma, or there could not be found a cause at all.

When anti NMDA antibodies are found positive, brain damage is a possibility, so, performing PET scan could give more information about chemical and metabolic brain function.

Low magnesium, potassium and zinc should be corrected by taking supplements.

In my opinion, center of your care should be evaluation of brain function with PET scan, assessing further paraneoplastic syndrome ( tumoral markers ), and if it is possible, doing a sleep study.

These issues should be discussed with your treating Doctor.

Hope I helped you.

Let me know if I can assist you further.

Best regards.



Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Medical Procedures
Lab Tests
Medical Topics ,  

Recent questions on  Sclerosis

doctor1 MD

I was recently diagnosed with lichen sclerosis. I find it difficult to see where to apply the strong cortisone cream I have been prescribed due to my pubic hair. Given that this condition may require treatment for the rest of my life, I am considering having all of my pubic hair lasered away permanently. Do you think this would impact negatively on this condition, to have laser on the skin where I have the lichen sclerosis, as well as everywhere else?
Jennifer

doctor1 MD

Hello. I've been having trouble keeping my eyes open and focused. I had a sinus infection which was treated but this has been happening before that. I keep yawning and feel as if I don't have enough oxygen and my face feels tight and constricted.

doctor1 MD

numbness start in hand all way feet

doctor1 MD

I had an MRI done yesterday to rule out a neurological cause for persistent dysphagia, and my GP called with the results. The MRI found a 3mm nonspecific heterogeneous t2 signal in the pons. The report recommends a follow up MRI with contrast in...

doctor1 MD

Hi My Wife age 22 had kidney biopsy last week and the report claims 40% kidney damage it says "12 glomeruli out of which 5 are obsolescent. Impression: Native -focal segmental glomerulosclerosis, collapsing variant" . She is experiencing serious back pain and Doc (neprologist) started with tablets - Wyosolone and shelcall for this week and said will start with STEROIDS from next week. She often gets BP above normal and terminated pregnancy last month due to the above reason. Pls advise if this is totally curable and also advise if she can concieve a healthy baby in the future.

doctor1 MD

I have suffering with progressive systemic sclerosis, mainly I am unable to bear joint pains. now my age is 24 years, how many years i will alive? please help me out from this disease. why no one giving any solution for this disease?. please give me some suggestions for edge of my death life.

doctor1 MD

I recently had a liver enzyme test and the numbers were elevated. I had what I thought was the flu; vomiting etc. and close to 2 weeks when I wasnt better I went to see a physician and they ordered blood work finding the elevated enzymes. I RARELY drink alcohol and hadnt had any for at least a month or more before I was ill. They followed up with Hepatitis test, all were normal and negative for A-C. I did have the test re-ordered a week later and my levels are now within normal limits. Can the flu cause elevated liver enzymes? What would cause these numbers to fluctuate? I have Scleroderma (systemic sclerosis) and Im wondering if I should contact my rheumatologist about the one time elevated enzymes?