MRI, with and without gadolinium contrast, is the standard imaging test for MS. CT scans use a very high dose of x-rays. For example, a typical CT scan of the chest uses the equivalent x-ray exposure as 270 regular chest x-rays. Therefore, it's best to limit the use of CT scans to when they're absolutely necessary.Patraw wrote:Neurology asked me if I'd ever had a CT Scan, EEG, and some other tests (which I haven't), so, it sounds like they're planning on giving me the works when I do go in.
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I was supposed to see my primary care provider doctor on the 9th, but his office called, cancelled, and moved my appointment to today . . . and then they called and cancelled again, on Friday, and it's been moved to next Tuesday instead. If I didn't know better, I'd think he was trying to avoid me. And I still have to wait to see the neurologist until the 27th of next month.
"FINDINGS: There is a lesion seen within the cord posterior to C2. This shows increased signal on the T2-weighted images and causes mild expansion of the cord at this level. In addition, there are lesions within the pons and in the cerebellar peduncle. Again these lesions show increased signal on the T2-weighted images and decreased signal on the T1-weighted images. Above the tentorium, the ventricle and sulci are normal with no shift of the midline structures. The basilar cisterns are patent. There are multiple white matter lesions within the periventricular white matter and in the deep subcortical white matter along the white matter-gray matter interface. These lesions are bilateral, but asymmetric. There are no lesions within the corpus callosum, though there are severe pericallosal lesions. There are a couple of punctate lesions which show restricted diffusion on the diffusion-weighted images. The largest of these lesions is adjacent to the posterior horn of the left lateral ventricle. The postcontrast images show subtle rim enhancement about the lesions within the pons. There is no aneurysm or vascular malformation on the postcontrast images. The orbits and IACs are normal. There is mild mucosal thickening throughout the paranasal sinuses compatible with mild sinusitis. The mastoid air cells are clear.
IMPRESSION: There are multiple lesions within the white matter tracts of both the left and right cerebral hemispheres and within the pons and the brainstem at the level of C2. Several of these lesions show subtle rim enhancement and complete rim enhancement, and one of the lesions shows restricted diffusion of the diffusion-weighted images. The appearance is most suggestive of ADEM (Acute Disseminated Encephalomyelitis). Though Multiple Sclerosis could have a similar appearance. Additional demyelinating lesions (a few words got cut off in the printout here that I can't make out for sure) autoimmune mediated vasculitis are considered less likely. Clinical correlation with any history of recent viral illness or immunization is recommended."
So, I guess it looks like ADEM is the more likely diagnosis right now, but I'll just have to wait and see what neurology says in a little over a month . . .
if you are interested in going off the beaten path a bit to correct any of the known nutrient deficit issues for ms patients, information abounds.
http://www.thisisms.com/forum/introduct ... ml#p247337
http://www.thisisms.com/forum/introduct ... ml#p247457
http://www.thisisms.com/forum/introduct ... ml#p247560
surprising bloodwork update
http://www.thisisms.com/forum/introduct ... ml#p247838
plenty more where all that came from
pursue optimal self care at least as actively as a diagnosis
ask for referrals to preventive health care specialists eg dietitians
don't let suboptimal self care muddy any underlying diagnostic picture!