This is topic Let's Talk Lesions! in forum Medical Questions at LymeNet Flash.


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Posted by LostCityAgent (Member # 9050) on :
 
Ok,
For your NeuroLymies I would like to compare lesions!
Anyone with ovoid lesions, w/ lesions

perpendicular to the ventricle, lesions in the

corpus callosum, lesions on both sides of the

brain and spine? Lesion as big as 8mm, multiple

lesions?
 
Posted by LostCityAgent (Member # 9050) on :
 
Also, does anyone have ovoid lesions or "Dawson's fingers?"
 
Posted by kelmo (Member # 8797) on :
 
I have no idea what you said. My daughter has the Bartonella long straea that look like stretch marks. She also has some blood pustules on her face.
 
Posted by Michelle M (Member # 7200) on :
 
Hello Agent.

I hope you are feeling encouraged a little.

My lesions are "nonspecific." They were mainly in the deep white/grey matter junction, left frontal lobe of the centrum semiovale. They were said to be attributable to either vasculitis, a demylinating disease, or a 'post infectious' process such as Lyme disease.

Largest was 5mm. There were 11.

Corpus callosum, brainstem, and pons were clear. Sinuses clear!

I have stressed myself out horribly over these in the past but am fairly confident I don't have MS. I've got screamin' triple positives on my 31 band and some others bands that are hard to argue with, in addition to a pretty textbook case of neuroborreliosis.

A recent repeat MRI gave me some needed reassurance.

Hang in there, Agent! I hope you are feeling some relief soon as your treatment kicks in.

Michelle
 
Posted by WildCondor (Member # 434) on :
 
He's talking about brain and spinal cord lesions seen by MRI w/contrast. I have a lesion on my brain white matter frontal lobe lesion 1 cm.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15617845

http://www.lymenet.de/lymems.htm

http://www.nationalmssociety.org/%5CSourcebook-Lyme%20Disease.asp

http://www.wildernetwork.org/MS_and_Lyme.html

http://www.talkaboutsupport.com/group/alt.support.mult-sclerosis/messages/365272.html

http://www.canlyme.com/mag.html
 
Posted by kelmo (Member # 8797) on :
 
Oh..those kind of lesions. My daughter has a 2-3mm on the white matter in the backside of her brain.

Kelly
 
Posted by mom2DJM (Member # 8245) on :
 
I'm not sure why my report does not note the sizes of the lesions, but here it is...

BRAIN: I have at least 3 periventricular and deep white matter areas of T2 prolongation. Most prominent is along left lateral ventricle.

CERVICAL SPINE: Abnormal signal in the left portion of the cord at C6 and tiny foci in the posterior aspect of the cord at C3. These areas do not enhance.

THORACIC SPINE: Multiple foci of increased signal in thoracic spinal cord with one area in mid-thoracic that does not enhance following contrast. An area of abnormal signal is present involving the conus as well as several other levels within the thoracic cord.

IMPRESSION OF FINDINGS: Extensive abnormality involving both cervical and thoracic cord consistent with demyelinating disease.
 
Posted by david1097 (Member # 3662) on :
 
periventricular and perpendicular to ventricles sounds suggestive of MS. That phrase is used in a lot of text books when describing MS.

When You see the Dr, you should ask about a follow up MRI in about 8 weeks or so to see if some of them have gone away or moved. This would strongly suggest MS.

Do you have positive Lyme blood results?
 
Posted by LostCityAgent (Member # 9050) on :
 
David,
I know that it strongly suggests MS. However, I have tested positive for Lyme and my doctor has seen these reports.
The report states suspicious for MS plaques other etiologies to be considered such as Lyme disease.

Jmcc.
 
Posted by LostCityAgent (Member # 9050) on :
 
Well, if any of you have mastered reading these reports here is my brain MRI.
I have tested positive for Lyme. Here is what I have on the brain. What does it mean to you?

FINDINGS:
There is no MRI evidence of midline shift or mass effect. Multiple round to ovoid foci of increased T2 weighted signal are noted in the periventricular and deep white matter of both cerebral hemispheres. Some foci within the centrum semi-ovale are oriented perpendicular to the plane of the corpus callosum and cingulate gyrus, suspicious for MS plaques. More ill-defined increased T2 weighted signal is noted in the periventricular white matter. Faint nodular areas of increased T2 weighted signal are noted within the corpus callosum. A small, 3-4 mm ovoid focus of increased T2 weighted signal is seen within the posterior aspect of the left middle cerebellar peduncle.
After IV contrast, at least five of the presumed plaques appear to enhance, the largest seen in the right frontal white matter, measuring 8 mm in maximum AP dimension.
Normal signal void is demonstrated in the major vasculature at the base of the brain. Visualized paranasal sinuses appear clear.

IMPRESSION:
Multiple round to ovoid foci of increased T2 weighted signal in the periventricular and deep white matter of both cerebral hemispheres, as well as within the left middle cerebellar peduncle and corpus callosum. Several lesions appear to enhance after IV contrast. Findings are non-specific, but are suspicious for MS plaques. Other etiologies, such as Vasculitis or Lyme disease, could produce similar findings. Clinical correlation advised.
 


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