Hub wrote:Patient: Hub's wife: RRMS with approx. 25 brain lesions, but EDSS is 0.
MRV findings: Moderate/severe narrowing of internal left jugular between C-1 and C-3; mild narrowing of internal right jugular and azygous.
Next step: either venography with direct pressure measurements to determine physiological significance of MRV findings or go straight to venography + angioplasty w/ or w/o stents.
C-spine: most significant lesions are at L3/L4 levels
and, not sure if we want to include this stuff as well, but cold feet/hands and minimal sweat
Characteristic places (but not the only places) are peri-ventricular, juxtacortical, the corpus callosum, the cerebellum and the cervical spine. Also, important and often very symptomatic lesions are found in the brainstem and the thoracic spine. The spinal cord ends at the bottom of the thoracic spine, so there is no such thing as a lumbar spinal cord lesion. The scarred lesions will be evident as light, bright (hyperintense) areas on the T2 images. These are the classic MS lesions or "plaques." But, with just the regular MRI image one CANNOT say if it is old and dormant or if it has active inflammation in or around it.
Arcee wrote:Lew, we absolutely will meet. I will be there from the afternoon of the 13th to the 18th. I'll PM you and we can figure out some options and swap cell info.
peekaboo wrote:I just want to go to stanford to meet you guys too bad i am not made of money or i would want to meet everyone here on TIMS
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