Dr. X at home (interventional radiologist) went in and discovered both my lower jugular veins are now completely open. The scan in Dec. showed them almost 90% blocked.
Among these three lab tests, only the VEP showed support for multiple sclerosis. CSF did not provide any evidence for multiple sclerosis. On the other hand, the elevated CSF white count to 23 is not commonly seen in Multiple Sclerosis, which seems to reflect a viral process. Considering patient’s history, her symptoms in February and April were essentially the same, which makes “two clinical separate attacks in separate time” questionable. In other words, it is not completely clear whether these two episodes were in fact representing one clinical event. In addition, there is no white matter lesion in her midbrain or pontine corresponding to her double vision (most likely right CN VI or palsy). So, at the time of discharge in April, the etiology of her double vision was considered unclear.
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