My MRI scan results

More about systemic enzymes that are keeping me MS attacks-free – here

These are results of 3-rd my brain MRI scan, performed in early 2007.

Definitely, included information is technical, so complicated for a lay men.

However, it is possible to see all the drama of somebody, afflicted by degenerative process of Central Nervous System, i.e. multiple sclerosis (MS).

Report of my MRI scan

Very extensive changes characteristic of MS are present bilaterally, predominantly in the supratentorial brain. Several dozen lesions are noted in the peri ventricular region of both cerebral hemispheres. There is a subtle lesion in the posterior right corpus callosum. There is a 1.2 cm lesion in the left basal ganglia bridging the posterior limb of the internal capsule and lateral aspect of the thalamus. Several lesions are present in the periventricular deep white matter of both temporal lobes. There is a subtle lesion at the junction of the mid brain and pons. There is diffuse increased signal throughout the posterior lower pons and upper medulla. Subtle possible lesions are present in both cerebellar peduncles. Neither of these lesions is confidently identified on axial imaging however.

Diffusion weighted imaging demonstrates that the left thalamic/internal capsule lesion shows a little increased signal, as do several of the posterior parietal lesions bilaterally, which would suggest that these are relatively more active and therefore likely to be more recent.

Impression:

Severe changes characteristic of multiple sclerosis with several lesions including left thalamus/basal ganglia showing slight increase in diffusion restriction suggesting these are more recent.

Follow-up report by neurologist

Essentially he had a severe acute brain disorder about 10 years ago. At the time an MRI was compatible with severe central nervous system demyelination… Since then the patient denies any major fluctuation of symptoms and definitely denies the presence of what may be regarded as MS attacks. His main residual symptoms are ataxia involving four limbs and also the head, and so fatique and insomnia. As mentioned above, the patient seems to have adapted his own way to the condition and is very unkeen on any further diagnostic procedures or medication.
Performed MRI scan confirmed innumerable lesions of central nervous system demyelination… Therefore there is no evidence either clinically or from diagnostic tests to suspect that this patient may have an active phase of disease.

Assessment:

I still think that central nervous system demyelination with acute initial phase is the most likely explanation and this could have been in the form of relapsing remitting multiple sclerosis or perhaps ADEM. Other hypotheses such as a post encephalitic syndrome or toxic white matter lesions syndrome can only be speculated but not confirmed…

We parted on good terms with the agreement that very likely there is little else I can do at this stage that may have any major impact on his lifestyle and therefore I have not arranged regular follow-up in this clinic.

It is unlikely that his condition will change in a considerable way in the future but of course should there be clear signs of acute inflammatory activation of disease with new neurological deficits I am happy to review this patient when needed in the future.

Final words

I live well.

OK, I know my brain is heavily damaged. But is it so important? I mean – it's personal, what one do with any bit of information.

Look, it's entirely personal, whether one will be scared or start acting. Usually big fear paralyses. So what? How long one can do nothing?

I don't know. Really.

I started acting (mostly studying) and seeking solutions shortly after MS diagnosis (1996). Now I rule my MS and do not care, how many lesions over my brain doctors are seeing.

Advice by Bobby McFerrin "Don't worry – be happy" could help !


Comments

 

  1. 1 Lina
    2010-3-29

    Aciu,Ceslovai,dabar tikrai esu tikra,kad yra tavo tiesybe!

  2. 2 Karen
    2011-11-9

    Excellent coverage of your story with an even better conclusion, as you said, you rule your MS and you don’t care about the number of legions on your brain. I love that, you are an inspiration. Well done and thank you!!!!

    Sincerely,
    “k”

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