My initial MS symptoms were definately related to a trauma. I was brought down by a heavy backpack in college on a sheet of ice, just about passed out from it, and went to the emergency room. Approximately one month later I was back in the emergency room with parasthesias in my left arm which slowly progressed to include my entire upper torso. It took about 6 more years for a diagnosis though. MRI showed only one area of high density at C-4 and was given dx of transverse myelitis. To this day (thank the lord) there has been little to no activity in the brain, only around the same spinal area. My guess is that there is definately spinal damage. I came down on my rear end so hard and fast and I couldn't see straight.