MRI showed one large periventricular lesion, 2 small ones

[jessica9280]

I started having symptoms of numbness and tingling first in my right foot and then in my right hand for a few days, and now for the past 2 months I'm having numbness/tingling/burning exclusively in my left hand and fingers. I have also been experiencing fatigue, muscle spasms and cramping in my legs, as well as dizziness, depression/anxiety, and frequent UTIs.

I saw a neurologist who sent me for a brain MRI without contrast, and they found one large periventricular lesion and two smaller lesions. He also sent me for blood work to see if the issues were caused by my thyroid or vitamin B deficiency, but the blood work was normal. During both visits he said I have an abnormal gait (when I walk I don't swing my right arm apparently). Now he is sending me for a lumbar puncture next week, a nerve conduction study, and then a possible cervical MRI. I know the diagnosis for MS has to show lesions disseminated through space and time, but does this sound like MS? I have pics of my MRI but didn't see how to post them in the forum.

[lyndacarol]

I started having symptoms of numbness and tingling first in my right foot and then in my right hand for a few days, and now for the past 2 months I'm having numbness/tingling/burning exclusively in my left hand and fingers. I have also been experiencing fatigue, muscle spasms and cramping in my legs, as well as dizziness, depression/anxiety, and frequent UTIs.

I saw a neurologist who sent me for a brain MRI without contrast, and they found one large periventricular lesion and two smaller lesions. He also sent me for blood work to see if the issues were caused by my thyroid or vitamin B deficiency, but the blood work was normal. During both visits he said I have an abnormal gait (when I walk I don't swing my right arm apparently). Now he is sending me for a lumbar puncture next week, a nerve conduction study, and then a possible cervical MRI. I know the diagnosis for MS has to show lesions disseminated through space and time, but does this sound like MS? I have pics of my MRI but didn't see how to post them in the forum.

Welcome to ThisIsMS, jessica9280.

"Normal" is not specific enough. Do you have (or can you get) the actual test result numbers?

What was the actual number result for the vitamin D blood test called the "25-Hydroxy D"? Vitamin D deficiency, vitamin B 12 deficiency, and magnesium deficiency should be ruled out before an MS diagnosis can be considered. Your symptoms (numbness/tingling/pain, extreme fatigue, muscle spasms/cramps, dizziness, depression/anxiety, urinary problems, even brain lesions) can result from nutrient deficiencies. These need to be ruled out first.

[Scott1]

Hi,

That you have frequent UTI's plus all those symptoms screams you should be checked for specific infections. Don't settle for a short course of antibiotics to treat a "nonspecific bacteria". You have them frequently because the current way of treating them isn't working. Bacteria can shut down most of their functions and hibernate so they can devote all their energy to pumping the antibiotic out of their membrane. When you stop the treatment they resume normal activity. Essentially, they become antibiotic resistant. Some bacteria are cyclic as well.
You need to know what the infection is and treat it with a long term, not short term approach. Some of your problems may be directly related to the infection and some might be second round effects. A neurologist will never look for those things. It's not their department.
They should be looking in your urine, your blood and, possibly, your stools.

Regards,