Firstly, thank you for this site! I have absolutely no one to talk to about any of this. This has been like a safe place to go and read/connect. I am 31 F and I have had symptoms for the last year, and looking back to my “excellent” memory, January 2017 is the first time I remember taking a hot bath and feeling sick, having the pins and needles in my legs and It bothered me enough for me to get out of the tub. I remember feeling quite dizzy, and needing to lie down for a few minutes. I have not been officially diagnosed, I went to my doctor and said something isn’t right. We did blood tests, checked my Vitamin D levels, liver, ekg, autoimmune testing. My vitamin D was 10.9, she said it should be much higher, and then put me on a supplement. I’m on 50k once a week with little improvements. She ordered a nerve conduction and the results were small fiber neuropathy and with my symptoms worsening my GP ordered a MRI in late November, lesions were found and referral for a neurologist with a “suspicion of MS” was sent (via what my doctor said.) The neurologist that I saw was..a tad off in my opinion and well he didn’t listen to anything I said. Luckily one of my symptoms was active and he diagnosed it as Erythromelgia and also noticed I had tremors as well. Then after my evaluation he said that my past medical records and his evaluation that I had Sjögrens, with secondary erythromelgia, and small fiber neuropathy. My question comes from a comment he made, and I’m hoping that someone on here can from experience or knowledge help me understand alittle better. I addressed my MRI, I said what about the lesions? He said MS lesions are oblong and mine were round and therefore they are from Migranes. I went to a osteopathic doctor today who went over my records and she pretty much said the last neurologist was a uneducated person and that it’s definitely sounding and appears to be multiple sclerosis and she’s referring me to the multiple sclerosis center a few hours from me. I was just wondering if anyone else had round lesions and MS? Any feedback is greatly appreciated!!
Findings: 2 round 1mm focal hyperintensities in the peri ventricular white matter of the right frontal lobe.
Discussion: The white matter lesions found in this patient are non specific they are consistent with areas of gliosis related to chronic ischemic change or demyelination.
Conclusion: Infrequent foci of gliosis in the right cerebral hemisphere.
The MRI of the brain w/o contrast.