What Symptom Does Each Multiple Sclerosis MRI Lesion Cause? Neurologist Explains
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- เผยแพร่เมื่อ 26 มิ.ย. 2024
- 0:19 Optic nerve
1:30 spinal cord
7:03 Corpus Callosum
9:03 Splenium of the corpus callosum
10:36 Periventricular
12:58 occipital
14:13 Frontal
15:13 Posterior pons
16:33 VI nucleus
17:06 Broca’s area
18:13 Cerebellum
19:00 Middle cerebellar peduncle
19:15 Area Postrema
My patients often ask me what symptoms would be expected based on an MS MRI lesion in a particular location. This reviews MRI scans showing common MS lesions and their associated symptoms. Keep in mind that actual symptoms vary considerably based on the amount of injury to the underlying nerve fibers associated with that lesion.
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Dr. Brandon Beaber is a board-certified neurologist with subspecialty training in multiple sclerosis and other immunological diseases of the nervous system. He is a partner in the Southern California Permanente Medical Group and practices in Downey, California (South Los Angeles). He has several publications on MS epidemiology and has participated in clinical trials for MS therapeutics. You can follow him on twitter @Brandon_Beaber where he regularly posts about MS news and research.
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he video material by Dr. Brandon Beaber is general educational material on health conditions and is not intended to be used by viewers to diagnose or treat any individual's medical condition. Specifically, this material is not a substitute for individualized diagnostic and treatment advice by a qualified medical/health practitioner, licensed in your jurisdiction, who has access to the relevant information available from diagnostic testing, medical interviews, and a physical examination. To the extent that Dr. Beaber endorses any lifestyle change, behavioral intervention, or supplements, the viewer should consult with a qualified healthcare professional to determine the safety and efficacy of the intervention in light of their individualized information. - วิทยาศาสตร์และเทคโนโลยี
Thousands of hours of your efforts studying / practicing condensed into an incredibly lucid presentation. What a gift you gave!
Thanks.
Absolutely phenomenal!!! Dr. Beaber, you teach so clearly and easy to understand. Thank you for your clarity and taking the time to make these videos to help teach us about this MonSter! You are so appreciated!
:) I'm glad you liked the video
I can't thank you enough for taking the time to break down the potential functional impact of lesions in various locations of the brain. I have over 30 lesions with 20 of them "black holes". I am aware that all cases are different and no one can conclusively predict the impact a specific lesion will have. However, your explanations helped me gain insights that truly offer me comfort (regardless of outcomes).
Thank you. Lezlie
I would like you to do a talk specifically on which brain and/or spinal cord lesions impact bladder and bowel function.
Yes I would like to learn about these problems with the bladder etc.. That would be really interesting.❤
Thrilled to say I have lesions in almost all of these areas 😆 I had one very hard relapse involving so many of the symptoms you mentioned, the worst of them being caused by lesions in the pons and cerebellum. It's terrifying to have double vision, inability to move your eyes to the side, and on top of that have debilitating vertigo and loss of balance. Among other things. It's like being barely conscious
How old are you?
Same here. Last month has been like this for me too ... I would be very interested in a video focusing on the cerebellum, vertigo and balance
Same here!! Lesion in the ventral pons that happened in July. Still recovering (it’s been the worst relapse yet, I’m hoping I can fully recover) Symptoms: double vision, loss of balance, left sided facial numbness including inside of mouth, bilateral sudden loss of hearing, vertigo (on a boat sensation not the spinning room kind) please do a video on this!!!! 🙏🏼 🙏🏼
@xica2122 Do you have breating problems ??
Not sure if ms cause breathing problems Iam interested in this too,, I wonder if ms make you to feel like slot noise on ur hear that you can think comes from inside back of the head
I really wish our neuros would go over this with us both when we have symptoms that point towards lesions and when there are lesions (especially new ones) on our MRIs. I think it is because they don't want to ask "leading questions" perhaps. But I think knowing really helps. Also when lesions are in certain areas you'd think that you'd be recommended to PT to help with rebuilding neuroplasticity
Gonna have to watch this a few more times to learn as much as I can. After 12 years of neurologist visits I finally briefly was able to view my wife’s MRI after pleading repeatedly with her doc. Was just a quick view, the doctor pointed out some grey matter shrinkage from a sagittal view and lesions that looked like white mist in the center of the brain. The doctor didn’t say much more then “this imaging is typical of MS”. My wife is almost bed ridden with severe hand contractures and right side weakness.
Two initial questions I’m having are: how much can nueroplasticity and creating new Nuero pathways can overcome the damage from lesions, and also I wonder what percentage of the general population has brain lesions? My wife has been diagnosed for over 25 yrs and I fear that she has permanent neurological damage (in this life, at least). I will watch this video again. Very informative! Thanks Dr. Beaber!
I'm sorry your wife has to deal with this . I'm going thru the same thing and have been this past year it's been awful in most ways no one wants to listen and I have no relief I pray I can find a doctor that listens. My neurologist keeps telling me to go to my Primary care doctor 😭 which is no help I'm being gaslighted
Thank you for this video! It was very helpful and educational! My neurologist never shows me my MRI's, because apparently there is never enough time in our hurried appointment🙄 I do however have the written reports (that my GP emails to me because my neuro won't show me that either), so this video is very useful to me. You made me laugh at around the 1:50 mark when you talked about the way of keeping the riff raff out of neurology. I love your subtle humour! Have a great day!
Anyone in this situation, PLEASE change doctors. That you aren't shown your MRIs, nor provided written reports & communicated with about your status is inexcusable. Not having enough time is not a valid reason for a doctorto be incommunicative.
Thank you my lower leg and arm on the right side is affected with weakness and feel cold most of the time. First symptom was Optic neuritis in my right eye 10 years previous. This explains a lot more thank you
Very cool! Geeking out with Dr. Beaber this morning. Thanks!
Thanks doc, appreciate this informative video, I've learned more today than I have in 3 years and can make sense of what is happening to me. Thank you
:)
It seems like a lot has been learnt about MS in the past decade. I was diagnosed in 2009 (though had v.obvious Neuro symptoms for several years preceding). At the time of diagnosis the thinking was there was no proven correlation between lesion number/location and symptoms. I had a really sizeable spinal lesion, but last time I was scanned remyelination had repaired much of that lesion
You have helped so much in my MS journey. It totally fits. I have periventricular lesions in my left side of the brain and it matches the numbness and tingling in my right leg!! Things make sense now.
really clean concise explanations here, I so appreciate this! I have a litany of neurological issues and learning more specifics is giving me the courage to seek help. the experience of neuro symptoms is soo bizarre- getting information feels grounding, like making sense of sensations that defy logic!
Thank you, I find this so interesting. I had a painful and interesting MS reaction this week. I smashed my left thumb, when I forgot to close the door by the handle, and simply pushed it shut, catching my partially numb thumb in the door. I didn’t realize the severity of the injury at first, as I wasn’t feeling the extent of the pain. Went to urgent care… after coming back I was waiting for my kids returning from school, and the pain was increasing in my thumb. I realized my other fingers, in both hands had been temporarily restored to normal feeling with no pins and needles. I had only taken Tylenol at that point for pain. My fingers returned to my numbish, tingling feelings, in an hour or so. Though the injury was incredibly painful, feeling the normal feeling in the rest of my fingers, well I didn’t think I would ever feel that normal feeling again. (Please don’t try this at home. Nail is badly damaged and tip of thumb is fractured.) 🙃
Thanks so much!! I’ve always wondered about this
Thank you for these definitions!!
My biggest attack was a 3cm lesion that initially looked like a tumor to drs, I couldnt talk properly suttering and talking gibberish and I couldn't write properly either for a while, frustrating kinda like being 2 again
Thanks for breaking this down. Brain lessions sound scary. You describe them as causing symptoms. I get symptoms all the time! I just deal with them as they come up, and swallow Omega, exercise and play word games to avoid further ones. So until my symptoms haven't included dementia to the point that I forget who you or my loved ones are, I guess we'll manage! Shana Tova U'Metuka from Jerusalem! ⚖️🖋 📙 🍯 🍎
I take high strength Omega 3, Vitamin D, and Turmeric 👍
Also, 30-minutes mindfulness a day seems to help me 🙂
@@grinch4567 Oh, I take a HECK of a lot more supplements, just called them all Omega for short! Blessings from Jerusalem!
What do you take
@@SourcingProsInc Ocravus. Besides that - LDN, Probiotic, Magnesium, Zinc, Omega, B Complex, Vitamin C, D, Q10, Tumeric.
@@Jerusalem_Warrior thank you 😊
Thankyou Brandon!! Warmest regards from Perth Western Australia
Excellent vid! It was really nice to see a potential explanation for a subtle personality change I noticed with myself and have it mapped onto my existing small frontal lesion on the left side. I tried to explain to one of my neurologists how I was the most phlegmatic person ever and how that changed in the span of a few months, i.e. there is a slight feeling of euphoria, I laugh more. A bit strange but this symptom is actually a welcome one in my case.
Fascinating! Wish I could follow along with my own mri results!
🙏
Doc thx for that lesson
Super wow! Extremely impressive and I seriously thank you! I’m glad you’re using this platform to bull horn. your expertise unto the many battling multiple sclerosis like myself!
WOW! That was really helpful! Thanks
I developed an AP lesion in 2020 that caused serious problems again after Covid last fall. Got a call from neuro ophth because area postrema lesions are more likely to be not MS. However - I don’t have NMO and have responded really well to Kesimpta. The constant nausea (and also hiccups) was exhausting.
The bilateral ino was interesting. I have a lesion in my pons so it finally made sense to me!
Excellent video! Super helpful! After 22 years with the water gradually leaking out of my pool (Kreiger), my symptoms are lining up with my unchanged MRI since diagnosis. 🤔
I would be happy to hear about black holes and what they cause. Thanks for your videos, it is a great help for all of us! Hello from Budapest 😊
Thanks for the suggestion
I would also be interested! I have some in the centrum semioval and I wonder if they may explain my cognitive issues
Very interesting data every neurologist should know this so never misdiagnosed the MS like it was with my daughter yes it is important to listen to the patient this is basic not every doctor listen...thank you dear doctor hi from Israel❤
I have MS. I have been given very loose information about the location of the lesions. I’ve only been told they are in the subcortical region which is vague. Like, of course they are. I later learned that there are lesions located near my corpus collosum and in the cervical spine (c7). Your video helped me understand more. I know enough about the brain structures to grasp why my speed of processing was impacted by lesions in the corpus collosum, but I want to understand more about my symptoms being so scattered from numbness and tingling in my feet to major cognitive fog, anomia and coughing/swallowing and bladder issues. I was told that the location of the lesions doesn’t always correlate directly to the symptoms, but you’ve clarified that it definitely does. I’ve had vertigo and was mistaken as being dehydrated and having intestinal issues all before MS. Additionally, my balance is often poor and I would seem to trip over the air.
The reason the lesions don't necessarily correlate perfectly with symptoms is that tissue which appears T2 bright on MRI could still be functioning well.
This is a brilliant video- thank you Dr Beaber!
I'm glad you liked it
Thank you, that was fascinating. Now curiosity will make me pull my old MRIs and look. ;)
brilliant talk!!!
Ive been looking forward to this video and it did not disappoint! Is there a maths/mental arithmetic part of the brain? Noticing my ability to do simple calculations decline and wondered if I had a lesion in the mathsy area of the 🧠 or if just general cognitive decline.
You asked for ideas about more videos and I LOVED the way you present this information! I do not have MS but I do have White Matter Disease. I would love to see videos on the different effects various spots would cause..and another idea is where is tinnitus found in the brain??? Thanks so much!
You may enjoy this video on multiple sclerosis mimics: th-cam.com/video/sZVGs0dtL5I/w-d-xo.html TInitus is most commonly related to the middle ear rather than the brain.
This is one of your best
Thank you for this video! I have been wondering lately what each of the lesions found on my brain and spinal cord affect. I have several active lesions and among them some deep ones on thoracic cord that must have made my right leg weak.
Since I have been deeply depressed lately I wonder whether some of the brain lesions are affecting my mood. I will read the doctor's notes and watch the video again for reference.
Excellent video! Very informative
Thanks
Great video Dr. B! I love this one!
Thanks!
I'm pretty disgusted that I've told my neuros and nurses several times about issues with my hands vibrating and loss of fine motor skills and they are still refusing to scan my spine or change my drugs as I am 'stable' on tecfidera. Thanks for giving me the ammo to sue!
I've been trying to get my neurology team to go through what you went through here. I love them for all the help they do, but we skip over my MRI bc there's too much damage I think. I love ur videos but this is by far my favorite one bc it gives me some ideas. Thank you.
I would love a video on the possible side effects of each part of the brain (which you did well here). My entire brain is damaged and I want to know what will hurt balance, thinking, etc. I wish I had one part to focus on, but they are everywhere. Medulla pons corpus collosum periventricular subcortical juxtacortical.. I seem fine at the moment, but I just want to know what I must be up against. My thought now is to maybe save up money and talk to a MS specialist to go through all this with me, I just don't know. Again, my neuro team is awesome I just think they have so much work they might not have the time.
I will watch every video you give us. Thank you. I know you don't have to do this but it means the world to me.
Thanks. Maybe I will do another video at some point teaching neuroanatomy and showing images of many different neurological diseases.
I'm amazed you've managed to get help at all with how lucid you seem to be. I wrote something similar to this with my suspicions and I was immediately brushed off with: if you had neurological damage you wouldn't be able to write down this argument. It's extremely hard to get to see a neurologist here in Sweden. Unless you pay out of pocket of course. But I'm poor.
@@TheDavveponken thanks for the kind words. This thing is rough, and I'm grateful mine is manageable at the moment. I thought Sweden had an unbelievable health care system, but I only know what I read in articles, and not from genuine people inside of it. I hope we both get the care we are looking for :)
@@daveIsMyName311 Happy to hear you are doing okay. Hoping it'll get better. Just out of curiousity, have you tried fasting in your treatment? I don't have ms (at least not to my knowledge, or anything visible on my mri) but it has helped tremendously with systemic inflammation I believe. I quickly regained sense cognitively and sexually in a way I hadn't for 14 months prior, since my damage (due to a psych drug).
Yeah, to my knowledge it was a lot better before the last 10-15 years. Now accessability, quality and empathetic doctors have been in decline for anything non-apparent. If you broke your leg you would get prime care in no time I think, but anything more ambiguous or costly will likely take you years to get diagnosed, if ever if they end up not believing you (if you can talk and walk there is nothing seriously wrong with you by their account, which is... of course hard to argue against - even though I know there's something going on beneath the surface and I'm not as I should be; being sluggish, headaches, numbness and nerve pain, sexual dysfunction etc).
Wishing you well, and thank you for your kindness.
@@TheDavveponken The individual cases vary wildly. I got help based pretty much only on a sensory issue, i.e. widespread tingling. It's been only 18 months since that relapse but in my case no issues with cognition (plenty of other issues to live with hehe). Pretty good since I'm a scientist; hopefully this also helps with neuroplasticity. Got diagnosed in Serbia, what I can say is the neurologist(s) did an excellent job with the diagnosis, the only person who was dismissive was the general medicine practitioner. However I did not expect him to really be able to figure out a diagnosis beyond "yeah seems like a pinched nerve", when the situation persisted it was time to ditch general medicine and go for a neurologist. After doing that, everything went pretty smoothly, the diagnosis, subsequent treatments, discussions with doctors etc.
Excellent video Dr. Beaber (now I can go back to my old scans to see what's really there). Just a general question - bilateral weakness/sensory symptoms (on both legs) has to be caused by spinal cord lesion (or otherwise you'd have to have lesions in the same (motor) area on both sides of the brain, right? Also, what % of spinal cord lesions in MS can be asymptomatic (I suppose not many, unlike brain)?
It is correct that a lesion on once side of the brain could not cause weakness on both sides. Some spinal cord lesions can be asymptomatic (or cause subtle unrecognized symptoms like sensory loss).
Really interesting, thank you for sharing your knowledge. I have Multiple scattered t2 leisons on both cerebral hemispheres and was advised can lead to MS in 5 to 10 years. My mobility, speech, blurry vision, altered sensations (internal vibration, pulsing, burning, temperature sensitivity etc affected) have been told for now FND so kind of confusing.. and a waiting game!! Lumber puncture been suggested by other other health professionals who are supporting me due to my age.
ty so much for this video it actually sumwhat explains the new lsion on my c spine in the center of the spine with it slightly more towards the postior of it and i deal with lot of thoughts symptoms but also landed a wlaker for a weak lol if you could give some info of antiror left temporal lobe lsions, parietal ,frontal-parietal lobes and the corona radiata id very much appreciate it ... when i had the temporal lobe lsions grow i had aggrestion issues and even developed and studder along sond my need for the cane but hear it probably do to having other lsions also in the corona radiata
Hello, 1st if all thank you for showing this type of video. It helped to understand a little. I have been dealing with different doctors since back September, 2022 and with no answers or diagnose. I was even told that my situation was a misters case. I had an MRI done last October, 2022 and had 2 lesions on my brain, one being a pretty big one on my left side with caused me to have different sensations on all my right side of my body from my shoulder all the way to my feet. Unfortunately the last neurologist said he he couldn’t diagnose me with any of the demyelinating diseases due to all my test pointing to different directions. So now I’m on a wheelchair since March 2023 and still no answers. Hopefully you could guide me to the right direction so that I can get a diagnosis and start treatment.
One day Dr Brandon will find the cure to MS
Thanks for another information filled video! I’m wondering where a lesion would be located that causes extreme foot sensitivity? Is it from spinal cord lesions? Is there usually just one area responsible for it? My feet are so sensitive to touch (both on the soles as well as on the tops) that I have to wear socks all the time and shoes whenever possible. They don’t hurt but it causes such discomfort and is one of my most hard to deal with symptoms.
Another great one! Question: is the “white picket fence” the same as Dawsons Fingers?
Another Great Video Dr. Beaber! How critical would you say getting an mri with gad. is in getting a bigger picture of MS progress. I've yet to get an mri with gad as my nuero deems it unnecessary...
Absolutely love your videos! So I have had lot going on. I have been to hospital a couple times and doctor lots of testing I had a mri head and neck Report said there are multiple scattered foci of T/2flair hyperintensity within the cerebal white matter predominantly in the posterior cerebral distribution.
thanks
Such an informative video, as a neurology nurse practitioner I thank you so much!! Keep em coming!!!❤
Thanks.
Thank you😘 for #SharingIsCaring video's on Multiple Sclerosis
I have Lesions in the left dorsal pons and the right brachium pontis (as well as other areas you covered). What would these represent to you?
I’m definitely going to try to reach out and schedule an appointment I’ve been having a rough go with neurologist, with all my mri scans no doctor have showed me mines or even looked at it when I complained about certain pains they just say it may be from your MS. So it would be good to know how you did in this video.
This is a most interesting and fascinating video.
Thanks Erica
How difficult is it to diagnose demyelinating lesions as opposed the remyelinating lesion? My son went for a second opinion completely different interpretations. Naturally, we are hoping for the better diagnosis. My son has been doing yoga training for a year. He has recovered in an amazing manner. His diet etc is very good. Thank you for this very informative lecture.
Very interesting video, thank you, for your explanation Doctor.
glad you liked it
I have lesions in both sides of the centrum semivale/ corona radiata and my symptoms really very
Awesome! Thank you Dr. Beaber
No problem
Great information Dr Beaber and very detailed as usual.
I had both a brain and spinal cord MRI . The findings of which were several lesions on the brain and quite a large one on the spine . Does this mean that my disability will progress faster ? Are spinal cord lesions more dangerous?
I am scheduled to see my neurologist again in November with a follow up MRI in December Thank you 😊
The correlation between MRI findings and disability is not perfect because a bright lesion on T2 sequences can be associated with a lot of remyelination and not much axonal (nerve fiber) damage. Some people have a very high burden of lesions and few symptoms (clinicoradiologic dissociation). Black holes (lesions which are bright on T2 MRI and dark on T1 sequences) and atrophy (shrinkage) of the spinal cord and brain have a greater association with disability.
@@DrBrandonBeaber Thank you for taking the time to respond. 🙂
Awesome info. Thank you. If I’m inactive spms, and because it’s been quite a few yrs since we did a cervical/thoracic MRI, I am having that done in October. Do I need contrast if my symptoms are progressive (no relapse)? Thank you 😊
I can't give you personal advice. I personally do not give gadolinium contrast dye with every scan if I don't think it is likely to help me make a treatment recommendation.
Thank you for the informative video Dr. Beaber! Would the Corona Radiata (right side) fall under one of the areas mentioned? Is this a common area of MS lesions?
Yes. People can have subcortical lesions in the corona radiata with MS. The corona radiata refers to a large area of white matter.
I have a large medulla lesion in the cervicomedullary junction that extends through my C1. It caused me transverse myelitis symptoms with weakness in my right hand, right arm, and right leg with numbness and tingling and pain from from light touch on both sides of my body. Large Numb spots developed on both of the bottoms of my feet that turned into pain after sensation returned. I also had moderate vertigo . My MS specialist says that I should have had the weakness on my left side and not my right side but my left side only had sensory symptoms and pain from my waist down and all my weakness was from my right shoulder down. Very confusing to me because i feel what i feel.
Thank you! Now i know why im a hot mess 😝
Can you explain the blood brain barrier especially as it relates to the recent report of a live worm found in the brain of a woman in Australia? Thanks
Thanks for the info Dr B. I did not have any enhancing lesions on my MRIs, including at diagnosis, but I do have periventricular lesions in the cerebellum and corpus along with optic nerve atrophy in the right eye. I do have minor problems with balance at times and 20/200 vision in the right eye. I also have a few lesions in the C and T spine. Can you post another video explaining problems associated with spinal lesions?
If you go to 1:30 in the video I try to explain this.
@@DrBrandonBeaber thanks I did see that. I went undiagnosed for many years because my vision was about 20/30 until a relapse about a year before my diagnosis caused significant damage.
Sorry I should have clarified. I meant to say explain what functions are associated at each level of the C and T disks. From my understanding lesions in the C spine seem to be more correlated with mobility problems while those in the T spine may effect involuntary actions like bladder and bowel functions.
What would the likely symptoms of someone who had non enhancing lesions at c2 c3 and c5 with c2 lesion covering over 80percent diameter of c2 cord ?
Thank you, Dr. Beaber, for the detailed analysis! I have a question: Can the symptoms of White Matter Diease mimic those of MS and do you feel that a lumbar puncture is nesscesary if the imaging shows a confluence pattern with no lesions on Corpus Collosum?
I'm not exactly sure what you are asking, but often subcortical white matter disease typical of leukoariosis (vascular disease, not MS) would not be associated with symptoms typical of MS. I would not recommend a spinal tap generally speaking if the lesions do not appear typical of MS.
I would like to have an appointment with you because I'm so scared about my situation.
I have experienced tremors( left leg) and patch numbness on my left side( neck), I always have migraines since I was a child, I'm 42 years old now . I had a Brain MRI done and the result is : Few scattered punctate frontal and parietal subcortical and deep white matter T2 Hyperintensities are demonstrated, nonspecific but could be related to conditions such as migraine or early chronic small vessel ischemic type change.
I'm so scared, the ENT doctor said I don't have serious problem but my left side is getting numb, my tongue( left side) is always burning and painful 😢😢.
How about the anterior portion of the pons?
I have a lesion in my left frontal lobe. I don't know if I'm depressed but I don't seem to have much motivation anymore. Takes a lot more will power some days just to do basic tasks. But I don't think my lesion is very big.
I have ms and a syrinx in central canal t4-t8. My question is, can a lesion from ms have caused the syrinx?
Can one not have spinal lesions but have symptoms consistent with them (ie walking difficulties)?
which part of the brain (within MS lesions) is responsible for the severe fatigue I wake up with in the morning
Dr. Beaber, could this also be considered "lazy eye" when you describe one eye moving laterally while the other stays central (15.39)?
we needed this
This is a great tutorial- thanks for sharing all this. #SharingIsCaring
The examples you use- pt. Presents with- are all unfortunately top notch ❤
This one is getting a lot of great reviews 😊
People are finding it helpful
Id like to know what area will affect the bladder. I've had MS since 1998, and i started having bladder problems a couple years ago (frequency, retention, emptying completely), as well as a few "accidents" and leakage. I'm asking because I have an appoitment on the 26th with my neurologist, and from what I can understand, i have 30-40 lesions on my most recent MRI, although none are active, id just like to know what area Is affected when it comes to bladder issues :) thanks for all the great work
Hello dr.Brandon.I have MS since 2015 but very mild symptoms or even without any and I got my medication before year and a half,before that,I was perfectly fine but 8 months after I've started with medication(Rebif) my condition got worse and I was on brain MRI and neck MRI and everything is like 4 years ago but,I am from Serbia and I do not believe in radiologist in city where I do MRI (Nis) because they make a lot of mistakes and I saw a huge lessions at the back of my head that is bright white and I got depressed and when I took my results,everything was fine and my symptoms in the time was fatigue,nystagmus,double vision that is happening only sometimes for a couple of seconds,dizzines that I have even now,nubness of right part of body under bellybutton and a lot more but neither one is constant and last only for 5 seconds,5 minutes,50 minutes or in worst case scenario,couple of hours and I went to my doctor and he said in mild foorm that I am crazy....I have nobody to read that MRI just because I dont believe to the radiologist when in 2017. they said that I have spinal muscle atrophy and I took a look of MRI and seen nothing there and doctor confirmed that later but that was in capitol,I can't get there anymore and this dr. doesnt read MRI's.
I haven't got a MS diagnosis. I had a migraine like headache for over two weeks on my right side above ear (!) then very sore stiff neck and very weak left arm . other symptons are dizzy, fatigue, double vision, numb right thigh in december, fizzy fingers, memory problems, cognition problems, electric shock feeling when i bend my head forward shooting dow the left side of my spine. @dr.brandon, what do you think?
I have a bit of everything you showed, and may had this disease from 7 years old, nonetheless, I am 40 and I am still not disabled. I had pediatric gout and scleroderma as well. I guess I must be blessed that I did’t die early.
But my neck bone was crooked and a little bit displaced 10 years earlier, and was got back to its place by covid. However, dozens of covid infection sent me bedridden with severe ME, MS, Alzheimer’s et al.
I cured my ME and Alzheimer’s. But MS is very hard even if I achieved monumental progress with anti-platelets, calcium channel blockers, ACE inhibitors, Mestinon, Metformin, calcium dobesilate, probiotics, and supplements like Vitamin Bs, folate, choline, phenylalanine, 5-HTP, fish oil, betaine and many more.
I guess if you are following the latest on MS, you’ll know I’m not any exaggerating idiots when I tell you I’m using repurposed drugs like Clemastine, Entecavir, Tamoxifen, Tranilast.
Dr Beaber- this video is so amazing! You must have been a teacher with med students. Your explanation is phenomenal. Much respect & Happy New Year
Thanks
I wonder causes me to have three scattered foci on the high t2/flare signal in the subcortical and periventical white matter. I have pins and needles from head to toe and numbness. Please give me some possible explanation or insight. My neurologist keeps saying they are non specific but i feel differently about it
Anyone tried KESIMPTA or Any Multiple Sclerosis Pill you recommend?
what lesions do you have to be the most concerned about?white matter lesions or grey matter lesions
@Dr. Beaber Will you visit ECTRIMS in Milan in October ?
My doctor here in germany will go there and probably his center will be part of a (Phase 1) study for a CAR-T Cell -Treatment for MS (after other AutoImmune Deseases like Lupus are already succesfull treated with CAR-T Cell Therapies)
On monday he asked me if i want to join - if this really starts next year. He knows that i´m very interested in most effektive treatments like HSCT ( although i´m on Tysabri for 3 1/2 years and stable on it) , so he told me about this , because possibly CAR-T Cell-Threatment would work even better than even high toxic HSCTs (with busulfan etc.) , because CAR-T Cells can
penetrate all tissues - so even work in the CNS !
What do you think about this developments ? Maybe you have a new Video idea now 🙂
Thanks for your channel and your engagement.
Hi Doctor, I watched your video, I have a question Ive had always had insomnia and stress and had several symptoms of stroke in the past now I had an MRI done at Cedars Sinai 5 years ago and sent me home without any treatment! my MRI showed chronic brain microvascular ischemic disease in the white matter of the brain, it has turned into a complete sleep disfunction to the point I can’t function at all. I don’t have motor skill deficit but my system it’s shutting down slowly 😢 is it possible to have an injury the MRI is not picking up ? My doctor it’s not explaining me anything but I believe there must be some relation between that injury with my insomnia.
Are MOG and MOGAD the same thing?
Despite having many symptoms, my brain MRI came back without any lesions whatsoever a year ago. My dr doesn't seem to think it is relevant to repeat the MRI of the brain since MS is pretty much "dismissed". I was curious to read your opinion on this ; at what point do you think it is relevant for a patient not yet diagnosed with MS to repeat a brain MRI ?
Thank you so much for your incredible videos, doctor ! ❤
I can't comment on your situation but typically MRI lesions consistent with MS are present even prior to symptom onset.
I just found out my mri reaults . I jadnt had a mri simve 2019 , which means almost 4 yrs .
I jave 10 new lesion 😢
I was only diagnosed in 2017, but have had MS sinve 2011.
I now how about 50 lesions. Im 39yrs old 😢
And i haven't had a massive attack since my diagnosis in 2017.
Does reducing inflammation help the lesions?
Great presentation Mr! And thank you for it.
A there a type or area of brain injuries which could be connected with next symptoms - Constant tinnitus and muffled hearing in both ears (hearth is fine, kidneys also) from two years, brain fog for 1-3 days, sharp sounds causing Hyperacusis . Next have been developed later - dizziness for a short period (suspecting from atmospheric pressure), feeling of pressure to the front lobe, sometimes to the whole head without a pain, confused typical, common daily actions like, instead to take something that you need you are taking a different object or do different action.
Could those be related to MS, Dementia or they could be more common for the middle ear (vestibular) or Blood vessels?
On C2-C4 there are well distinguished osteophytes btw. I'm interesting especially about both ears tinnitus could be the cause in the brain or not exactly.
What is the most valuable MRI image to obtain? Spine or Brain, to help diagnose MS. Thank You.
Hello, we have a patient who has lost his mobility from the chest down for four months. He is 35 years old. Plasma was also done but it did not work. What is your diagnosis and what is the treatment
@DrBrandonBeaber, is it possible for MS lesions themselves (not MS related pain or MS related RLS, but lesions themselves) to cause chronic insomnia? My psychiatrist says lesions are the cause of my insomnia, but I haven't found it anywhere else in literature. If you answer, I thank you.
Insomnia is a common symptom in the general population, so I don't see how one could prove MS lesions are specifically causing insomnia.
@@DrBrandonBeaberthank you for your quick reply, you are amazing!
14:13 frontal lobe damage. Please discuss what type of cognitive changes are specific to frontal lobe damage from strokes or MRIs matching the one you displayed pretty please with sprinkles on top.🎉❤ I had a stroke, and I have right frontal lobe damage and parietal lobe damage similar to that MS mri. My doctors haven’t taken the time to review my MRIs with me. radiology isn’t that hard to understand so I need to know what’s going on but they’re very dismissive of my concerns. Or please point me to a better resource where I can do a more comprehensive deep dive on how to read MRI scans.
Ask a student!
I have Dysarthria and now tring to find out why. I know it is from some part of my brian and I would like to where.
Thank you for recognizing those of us with higher disability and being unable to join Studies. I am a lost cause.
Can you explain symptoms for lesions in the pons?
It would depend on the location in the pons. Double vision, tremor, clumsiness, weakness, and numbness could all result from a pontine injury. Sometimes, a lesion in the pons could result in a "crossed sign" (symptoms on one side of the face and the opposite side of the body).
@@DrBrandonBeaber Thanks so much. Lower pons is where there is a big lesion.