Thank you for posting your query.
I have noted your symptoms and investigation reports.
Normal MRI of brain and spine rules out multiple sclerosis.
At this point, it does not seem to be anything serious as all reports have come out normal.
It seems to be vitamin B12 deficiency related. Symptoms persist even after the blood level of Vitamin B12 becomes normal.
So, my suggestion is to continue taking tablets of vitamin B12.
I hope it helps.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist
Patient replied :
Hello, Many thanks for your prompt reply.
my mri brain scan says ' few tiny subcortical white matter hyperintensities are seen in bilateral parietal areas, these are non specific'
What does this mean? is this normal?
Thanks,
Thank you for getting back.
I have noted the MRI findings. As mentioned, these are non-specific in nature and can be seen in multiple causes. The most common is migraine. The other cause is ischemia (lack of blood supply to the brain). Sometimes, no obvious cause is noted.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist
Patient replied :
Do I need to keep an eye on these in couple of years and have another mri? Is it neccessary?
could this have any link with the tingling and numbness I am getting? Or these hold no significance at all in my case?
MS is completely ruled out in my case, can I be assured?
many thanks for your help ,
Thank you for getting back.
Yes, MS is completely ruled out in your case. Follow up MRI is not needed, if there are no new symptoms.
The symptoms in your case are not related to the MRI findings.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist
Patient replied :
Many thanks for your reply. You have been very helpful and your answers have put my mind at rest,.
thanks