This is topic If you have white spots on MRI in forum Medical Questions at LymeNet Flash.


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Posted by jackie81 (Member # 27031) on :
 
If you have white spots on your brain MRI does that mean you should probably do IV treatment?
 
Posted by bcb1200 (Member # 25745) on :
 
No. I had them and they are gone. high dose doxy and Mino did the trick.
 
Posted by lymeinhell (Member # 4622) on :
 
Nope. I had them, took orals only, and got well after being undiagnosed for a decade.

Treatment is very individual, but IMHO IV is last resort.
 
Posted by Maryland Mom (Member # 2043) on :
 
These decisions need to be made on an individual, case by case basis.

Oral abx do not cross the blood-brain barrier nearly as readily as IV abx. However, there are some oral abx that can penetrate the BBB in high enough doses--doxy is a good example.
 
Posted by LaniMo (Member # 37384) on :
 
Do the white spots necessarily mean Lyme? I haven't been diagnosed yet, but it was one of the "symptoms" that made me suspicious.
 
Posted by ESG (Member # 4816) on :
 
I have white spots after treatment
 
Posted by AuntyLynn (Member # 35938) on :
 
My Mom had white spots on the frontal lobe - which indicates a deterioration of the myelin sheath due to neuro borrelia, but commonly misdiagnosed as possible MS.

Her neuro recommended IV Rocephin (ceftraxione, which is a high potency penicillan), and this is exactly what all the ILADS researchers use when trying to treat neuro Lyme.

IV has advantages for crossing the blood brain barrier and is less likely to cause intestinal yeast or C-diff. It doesn't prevent yeast or C-diff, but it is not as likely to start it, because IV bypasses the digestive system and goes right into the bloodstream.
 


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