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What does the MRI scan report indicate?

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Posted on Tue, 2 Feb 2016
Question: Hello,
A friend of mine had an MR scan with the suspicion that he has MS. I am uploading the MR images. Could you let us know if you see any symptoms of MS and, if possible, where you see them?
Thanks.
doctor
Answered by Dr. Neeraj Kumar (26 minutes later)
Brief Answer:
Requires more investigations as advised to reach to a diagnosis

Detailed Answer:
Hello ,
I have gone through the images provided by you.
The lesions in spine are demyelinating and involving a long segment of cervical spine.
In many cases it can be due to multiple sclerosis or neuromyelitis optica(NMO). Other causes may be post infectious or vasculitis.
If CSF examination is normal for viral aetiology then investigation for MS(oligoclonal band) and aquaporin 4 antibodies in serum (for NMO).
Brain MRI images are also required with contrast enhancement.
Any history of visual involvement.
Any previous episodes of neurodeficit.
Provide other reports and images.
Hope you found the answer helpful.
Do get back with further queries.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Neeraj Kumar (1 hour later)
Thanks Dr. XXXXXXX I have conveyed your answer to my friend and I am going to get back to you after I hear back from him.

Thanks.
doctor
Answered by Dr. Neeraj Kumar (7 minutes later)
Brief Answer:
Review with reports

Detailed Answer:
Hello,

Detailed investigations are must in this case as repeat are common and cause increased disability.
Review with reports.

Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Neeraj Kumar (2 days later)
Dr. XXXXXXX

I sent my friend your last response as well; however, I have not heard back until now. If the question closes by the time I get additional reports from him, is there any way that I can find you or shall I just post a new question by also uploading the same MR images for the present question?

- Thank you very much for your detailed answer.
doctor
Answered by Dr. Neeraj Kumar (3 hours later)
Brief Answer:
Put a direct query on my name

Detailed Answer:
Hello,

If the question closes before you get the update, you can post a ask me a question through my profile page (http://doctor.healthcaremagic.com/doctors/dr-neeraj-kumar/69548). Here the question will come to me directly.
Waiting for the reports.

Regards
Dr N Kumar
neurologist
Above answer was peer-reviewed by : Dr. Prasad
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Dr. Neeraj Kumar

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Practicing since :2006

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What does the MRI scan report indicate?

Brief Answer: Requires more investigations as advised to reach to a diagnosis Detailed Answer: Hello , I have gone through the images provided by you. The lesions in spine are demyelinating and involving a long segment of cervical spine. In many cases it can be due to multiple sclerosis or neuromyelitis optica(NMO). Other causes may be post infectious or vasculitis. If CSF examination is normal for viral aetiology then investigation for MS(oligoclonal band) and aquaporin 4 antibodies in serum (for NMO). Brain MRI images are also required with contrast enhancement. Any history of visual involvement. Any previous episodes of neurodeficit. Provide other reports and images. Hope you found the answer helpful. Do get back with further queries. Regards Dr N Kumar Neurologist