Can Ill Defined Bilateral Lesions In Pons Be Glioma? What Could Cause Bilateral Pattern?
The most likely diagnosis is demyelinating disease
Detailed Answer:
Hi,
Thank you for posting your query.
I have gone through your case in detail and analysed your symptoms and MRI findings.
The most likely cause of these lesions and recurrent neurological symptoms is demyelinating illness, and the most likely is multiple sclerosis (MS). However, at present, the MRI criteria for diagnosis of MS is not fulfilled. Therefore, we need to do half-yearly or annual MRIs of brain and spinal cord, to see if you develop typical MS features in the future or not.
The other demyelinating illness, where the lesions can disappear and reappear is called ADEM-acute disseminated encephalomyelitis. Symptoms and MRI findings could be similar to MS, but the long term outcome is better in ADEM, as the progression of disease is uncommon.
Please keep me informed about the progress or otherwise of your symptoms.I hope it helps. Please get back if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad, India
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