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Done with brain MRI. Diagnosis of demyelinating disease. Suggestion?

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Posted on Sat, 6 Jul 2013
Question: We had contact before about the brain MRI. I have done a new brain MRI with contrast and the report says: There are areas of decreased signal that do resemble black holes and may be consistent with the diagnose of demyelinating disease.

It is more on the right side, could this be the reason that my pain is mostly on my left body side?

Thank you very much
doctor
Answered by Dr. Sudhir Kumar (24 hours later)
Hi,

Thank you for getting back.

You are correct. Right side of brain sends nerve impulses to the left side of body. So, your left sided symptoms are related to the lesions on the right side. So, your pain is most likely related to them.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sudhir Kumar (1 hour later)
Could you possibly give a comment to the MRI text:

"There are areas of decreased signal that do resemble black holes and may be consistent with the diagnose of demyelinating disease."

What does this mean? What treatments or cures are possible?
I take Gabapentin 300mg 3 times a day, is there another way to "tackle" the problem?

Thank you
doctor
Answered by Dr. Sudhir Kumar (5 minutes later)
Thank you for getting back.

The MRI findings represent old lesions (diseases) and are non specific. The most common underlying causes for these findings are:
1. Demyelinating illness such as multiple sclerosis.
2. Ischemia due to lack of blood flow to brain in a person with high BP or sugars usually.

Your treatment at present seems to be adequate. If your pain does not respond to gabapentin, then you could take pregabalin.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (4 minutes later)
Thank you very much!
doctor
Answered by Dr. Sudhir Kumar (3 minutes later)
Thank you and take care.

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Done with brain MRI. Diagnosis of demyelinating disease. Suggestion?

Hi,

Thank you for getting back.

You are correct. Right side of brain sends nerve impulses to the left side of body. So, your left sided symptoms are related to the lesions on the right side. So, your pain is most likely related to them.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist