preethav wrote:I am a new member; I am anxious about my husband. My husband has crohn's disease. About 2 months ago, my husband complained of a little vertigo, and a feeling like his ears were plugged up. The vertigo passed within a day (it was more positional), but the left ear didn't clear up. He has constant ringing, and a plugged up feeling. He saw his PCP, and he thought perhaps sinus issues, so they tried decongestants, and nasal steroids. When that didn't work, he went to an ENT - he checked out my husband's ear, and said his middle and outer ear were fine; the problem was with his inner ear (he showed moderate hearing loss in high frequencies on audiometry tests).
So, we took an MRI. Good news - no acoustic neuroma, or lesions (or non-enhancing lesions) in any part of the brain related to hearing (1.5 T MRI with contrast - pons, auditory nerves, etc. all clear). The radiologist however mentioned "several foci of increased signal in the periventricular white matter, most prominent adjacent to the left ventricular trigone". The summary said - bilateral ischemic gliosis secondary to small vessel disease.
He has no other symptoms - no weakness, no ataxia, no vision problems, etc. The ENT told us these spots are just "age spots - like freckles on the brain, and they are nothing to worry about". However, on reading some, it appears these spots are more prevalent in people with hypertension, diabetes, migraines, high cholesterol etc. My husband has none of those conditions.
Does the radiologist findings warrant a visit to the neurologist? Does it sounds suspicious of early MS? BTW, my husband is 46 years old.
Thanks so much for any advice you can provide a very anxious wife.
As a wife, and an anxious one, I understand your concern. It doesn't sound like MS...your ENT is right, lesions do appear on MRIs as we age. Did your doctor tell you that Crohn's can be related to neurological symptoms? It can cause cerebral vasculitis (like what the doctor saw on the MRI) It could be about a malabsorption of vit. B, or a coagulation disorder. Sometimes vitamin supplementation or anticoagulation therapy are used, and there is some healing....here's some research.http://www.ncbi.nlm.nih.gov/pubmed/10795098
Another avenue---Has Menierre's been mentioned? That's what the auditory symptoms might be. Has he been scanned for jugular vein thrombosis? This could be more about the vasculature and coagulation factors. Thus the mention of "ischemic" gliosis and small vessel disease. That's more about blood flow and oxygenation to the brain.
Print out this paper, ask if your husband can have his carotid arteries and jugular veins checked from thrombosis, and get his coagulation numbers done.http://www.thefreelibrary.com/Hyperhomo ... 0111111836
I'm sure he's on a good diet if he has crohn's....
Hang in there, try not to stress out, and let us know how you do.
from one wife to another...