The information contained herein is subject to change without notice. A persons MRI can appear fairly normal and they can be in terrible pain or even have weakness and/ or numbness. Magnetic resonance imaging has become the single most useful test for the diagnosis of MS; MRI is sensitive to brain changes which are seen in MS. Classically, the MRI shows lesions in the white matter deep in the brain near the fluid spaces of the brain (the ventricles). White spots on your MRI can show up even if you have no symptoms of illness. The spinous processes are the only part of your spine that y0u can feel posteriorly in the middle of your back. Treatment may include prescription medications, surgery, or lifestyle strategies to build a healthier brain, such as a nutritious diet and exercise. Normal lumbar MRI (axial view) The Aging Process With age, the spine stiffens as the intervertebral discs dehydrate and slowly degenerate. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Fatigue, a sensation of being tired all the time, is very common in MS. If you have an MRI showing changes, it is recommended you meet with a spine specialist to see if these changes can explain your symptoms. (n.d.). They are commonly associated with other findings such as disc bulges. The resulting nerve compression can cause progressive pain, weakness and numbness. Spasticity is a common symptom of multiple sclerosis. Scans can let healthcare professionals know when lesions are new and growing and potentially how damaging they are to the brain. The test is really the only direct measure of immune activity that we can use clinically. Inflammation from a new MS brain lesion breaks down the blood-brain barrier, allowing the gadolinium to leak into the brain. It's easier to see this if you're looking at a T 2 image, in which the spinal canal will be a bright white compared to the rest of the image. A persons MRI can appear fairly normal and they can be in terrible pain, . Healthcare professionals use MRI scans to confirm a suspected diagnosis of MS. An MRI scan can detect MS activity early on, sometimes before an individual experiences any worsening symptoms. A person living with MS may have lesions in parts of the brain, spinal cord, or optic nerve. Instability places greater stress on the discs and the outcome is a greater risk of disc herniation, nerve irritation, arthritis and persistent pain. To learn more, please visit our. CIS does not always progress to another form of MS. Spondylolysis describes an unstable spine which ultimately increases the likelihood of surgery. Another goal of MS treatment is to prevent further damage to nerve cells. So if you are suffering from spinal discomfort and want to talk to your doctor about your pain, or your most recent spinal MRI revealed some high-intensity zones, consider reaching out to Dr. Sinicropi. The worsening of symptoms is due to the nerve damage that has already occurred. As we age, the ligaments holding the bones in place can loosen and allow the bones to slip. But sometimes they may indicate significant damage to white matter that can disrupt neuronal (nerve signal) transmission and interfere with the way the brain works. Further misalignment of the spine causes a condition called spondylolisthesis. Whats important to remember is that the report is made by a radiologist (a physician specifically trained to review these images) who reports everything observed. Unlike RIS, CIS is both a cause of MS and involves a neurological symptom due to inflammation of the central nervous system. Dr. Sinicropi performs surgery in the following Minnesota cities: Edina, Burnsville, Roseville, Woodbury, Maplewood, Stillwater. Disc herniations can be large and appear permanent. Get useful, helpful and relevant health + wellness information, 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event. The MRI machine makes loud knocking noises during the test. The spots may also temporarily get smaller and worsen later. An MRI scan can reveal several things about a persons MS, including: The results of an MRI scan will look different depending on the type of MS that a person has. October 2011 #1. We will not send you spam. It can only enter the brain if there is active inflammation. Infusion medications include Tysabri, Ocrevus, and Lemtrada. This is often the case with chronic inflammatory conditions such as lupus or MS that flare up and then improve. Some people think extrusion implies a more significant entity, but this is not necessarily true. Anyone who believes that they are experiencing any symptoms of MS should see a doctor. Its pretty common nowadays for patients to receive their MRI report and most people read these reports and try to understand what is wrong. On the other hand, these problems may start pressing on nerves causing pain, weakness, and/or numbness. Magnetic resonance imaging (MRI) is a noninvasive type of imaging test that healthcare professionals use to detect multiple sclerosis (MS) activity in the brain and spinal cord. I assume your doctor has sat down with you to discuss the results of your mri? When this happens, the nerves cannot conduct electricity as well as they should, causing various symptoms. In most cases, there is a history of neurological symptoms that come and go over years. The sagittal view is a profile picture. You can learn more about how we ensure our content is accurate and current by reading our. (n.d.). Symptoms may be the type that come and go over time (relapsing-remitting MS) or progress over time (progressive MS). Multiple sclerosis is being studied actively in many research institutions around the world, and new knowledge is being added constantly. In an mri of the spinal cord, what can a dark spot surrounded by a white ring i indicate? Its imperative that you discuss the MRI report with a spine specialist to see which, if any, of these findings, are important and need to be addressed. Learn more about what MS looks like on an MRI scan here. Multiple sclerosis: What you need to know, A comparison of systemic sclerosis and multiple sclerosis. Regular exercise actually improves fatigue symptoms. An international panel of experts developed a classification of MS in 1999 that most neurologists use today: The term, "benign MS," is not part of the international classification. There are now 16 FDA-approved medications to control the course of MS, all for the treatment of relapsing-remitting MS. Read More Created for people with ongoing healthcare needs but benefits everyone. T-1 scans can involve the use of gadolinium, which is a contrast dye, to look for new or growing lesions. Taking naps helps with afternoon fatigue. In summary, the MRI findings do not determine whether or not symptoms are occurring. At each disc level, a nerve exits the spine and goes to a specific region of the leg. There has been widespread research about MS over the past 50 years. A normal intervertebral disc has significant white signal internally (figure A) which represents normal fluid. To avoid misdiagnosis, a persons doctor will need to follow clinical guidelines to diagnose MS. However, emotional stress has been linked to a worsening of MS symptoms. If you have an MRI showing changes, it is recommended you meet with a spine specialist to see if these changes can explain your symptoms. Matt Jennings Former Youth Basketball Coach Updated 6 mo Promoted What is the best way to keep energy levels high throughout the day? Low back pain is one of the most common diseases in the United States. MRI and MS: 7 things you need to know [Blog]. Most patients with MS feel tired more than they used to, despite getting sleep at night. Can diet help improve depression symptoms? 2 mths ago. 55435 It is difficult to answer this without seeing the MRI or at least knowing more about the MRI. Telephone: 1.800.234.1826 The magnetic resonance imaging (MRI) may show areas of abnormality that suggest MS, though the MRI in and of itself does not make the diagnosis. There are no known risks associated with exposure to these types of strong magnetic fields. Similar to lesions found on the brain, they can appear as areas of bright or dark spots on the spinal cord. New or expanding lesions captured by a T-1 scan might indicate that a persons MS is worsening. Can diet help improve depression symptoms? RIS does not have any symptoms and doctors do not consider it to be a cause of MS. By contrast, about 6080% of people diagnosed with CIS who have lesions on the brain go on to develop MS. While we try to limit ordering MRIs for everyone with low back or leg pain until the symptoms are persistent for weeks to months, conservative options such as physical therapy have failed or weakness/ numbness develops, many people have MRIs. In fact, large bone spurs/ osteophytes may stabilize the spine and autofuse a spinal level. This probably isn't it, but I think Wilson's disease causes white spots; they are big and the scan makes it look like a Giant Panda face. MS is more common in Caucasians, but can occur in other populations. There are many possible causes, including vitamin deficiencies, infections, migraines, and strokes. Permanently damaged areas of the brain appear as dark spots. An exciting new healthcare modality in the 1980s called magnetic resonance imaging (MRI) unleashed a new era in medicine. Clinic Locations. Although we are still unsure exactly why this is. We do not endorse non-Cleveland Clinic products or services. MRIs demonstrate this with progressively darkening discs that lose vertical height. Healthcare professionals refer to this damage as lesions. They often find MS lesions in the periventricular white matter of the brain, the optic nerves, or the . My mri & mra scan of brain w/contrast show several areas have very small,round, bright, lighter spots? If you've had a brain magnetic resonance imaging (MRI), you may be alarmed to hear that it shows small white spots. Heart failure: Could a low sodium diet sometimes do more harm than good? MS varies from person to person so there is no 'standard' set of symptoms for MS. This imaging system opens a whole new way to look for abnormalities that may be the cause of low back pain, sciatica or leg pain. Limited research suggests that having these lesions on the spine may lead to worse neurological outcomes of MS. By using our website, you consent to our use of cookies. People with MS and bladder problems are at a higher risk of urinary tract infections. People treated for MS are less likely to develop new attacks, have fewer new MRI changes, and tend not to progress as much as those on no treatment. My arm has been hurting since July. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Before we explain what a high-intensity zone is, we first need to talk about the formation of your spine. A person with clinically isolated syndrome (CIS) is experiencing the first episode of symptoms that occur due to inflammation and demyelination in the central nervous system. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. An MRI can show where MS has damaged the myelin sheath because the fat is stripped away in those areas. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.nationalmssociety.org/What-is-MS/Types-of-MS/Clinically-Isolated-Syndrome-(CIS), https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6141305/, https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5353226/, https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC7583110/, http://www.nationalmssociety.org/Symptoms-Diagnosis/Diagnosing-MS, https://www.ncbi.nlm.nih.gov/books/NBK482487/, https://www.nationalmssociety.org/Treating-MS/Managing-Relapses, http://www.nationalmssociety.org/Treating-MS/Medications, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6477770/, http://www.nationalmssociety.org/Symptoms-Diagnosis/MS-Symptoms, https://rarediseases.org/rare-diseases/neuromyelitis-optica/, https://www.va.gov/MS/Veterans/about_MS/Understanding_Your_MRI_Report.asp, https://my-ms.org/anatomy_spine_damage.htm#:~:text=Paralysis%20and%20loss%20of%20sensation,and%20in%20the%20upper%20arms, https://www.ncbi.nlm.nih.gov/books/NBK499849/, https://www.nationalmssociety.org/What-is-MS/Types-of-MS. Best food forward: Are algae the future of sustainable nutrition? Multiple sclerosis is a complex disorder that involves the immune system attacking the protective coating of nerves, forming areas of damage called lesions. Policy. MS activity appears on an MRI scan as either bright or dark spots. Axial MRIs allow you to see more detail of the nerve canal and nerves traveling down to your legs. Clinically isolated syndrome (CIS). 2017;120(3):472-495. doi:10.1161/CIRCRESAHA.116.308398, Beecham A, Dong C, Wright CB, et al. Regional leukoaraiosis and cognition in non-demented older adults. Contact our clinic today at (651) 430-3800. While a persons symptoms become more severe, MRI scans will not tend to show an increase or growth in inflammation. The spots (called lesions) on the scan are areas of active inflammation. Disruption of that smooth line by the vertebral bodies is a result of wear-in-tear of the bone, ligament or discs. Newer. Multiple sclerosis and systemic sclerosis are two autoimmune conditions that affect different parts of the body. Disc Bulge/ Annular fissures Disc Herniation/ etc . This is not true for most people with MS. A recent study of people with MS in the Olmstead county area near the Mayo clinic showed that most people did well even without treatment. The difference between protrusion and extrusion relates to how much disc material is out of the disc in relation to its base. These changes happen when the brain cells are inflamed or damaged. If surgery eventually is required, surgery is intended to only fix the issues causing the symptoms and not to make your spine or MRI look perfect. The researchers also noted that those with more spinal cord lesions experienced greater physical disability. The MRI is very useful in ruling out many other disorders that could be confused with MS, and the blood tests and spinal fluid may also be helpful in diagnosing other diseases. Therefore the MRI report may mention many different findings or abnormalities, making patients feel like everything is wrong with their spine. MRIs demonstrate this with progressively darkening discs that lose vertical height. Magnetic resonance imaging (MRI) is an imaging test which uses a powerful magnet, radio waves, and computers to produce cross-sectional images ('slices') of bones, ligaments, and soft tissues of the body. White Matter Lesions in Adults a Differential Diagnostic Approach. A recent study involving 72 patients with back pain and 79 without back pain found that more than double the number of patients in the back pain group had high-intensity zones during a routine MRI exam. Circ Res. They can include vision issues, cognitive impairment, sensory problems, and mobility issues. So are age spots. Typical MS lesions tend to be oval or frame shaped. As we get older, changes occur naturally in the spine. l3 l4. The way we accurately treat patients is by correlating their symptoms to specific changes in their MRI. If youve recently undergone an MRI of your spine, your doctor may mention that you have one or more high-intensity zones in your back. A vertebral tumor is a type of spinal tumor affecting the bones or vertebrae of the spine. In the lengthwise spine views, identify the five vertebral bodies that form the lumbar spine. If the disc herniation material remains viscous, it may disappear as seen in the picture below. White spots on a brain MRI are not always a reason to worry. According to the National Multiple Sclerosis Society, symptoms of MS include: Less common symptoms include difficulties speaking, swallowing, and breathing. Studies have shown that about 30% of completely pain-free (asymptomatic) people undergoing a lumbar MRI have abnormalities detected. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. The disc is the largest leg in the front. This may, or may not, cause pain in the legs or back. A persons symptoms depend on where MS lesions develop. The most important anatomical parts of the sagittal and axial images of a normal MRI lumbar spine are pictured below. In addition, they can cause loss of sensation in both the shoulders and arms. These tears can cause discomfort or they may not be symptomatic, but they also have another feature they appear as a white spot during a standard MRI. The symptoms of CIS will last for at least 24 hours. However, many neurologists will repeat an MRI about a year after starting treatment for MS, or when there are unexplained changes in the patient's course that make it important to take another look. The contrast between these tissues creates the amazing contrast of MRIs. Last medically reviewed on March 9, 2022, Late onset multiple sclerosis is the term for multiple sclerosis (MS) that develops later in life, usually after the age of 50. The ligamentum flavum is a tissue just behind the nerve sac. The posterior annular fibers are structurally weaker compared to the anterior annular fibers, thereby predisposing them to disruption 1 . The body may never fully repair the damage, which can lead to scarring. This slows down the nerves impulses, causing symptoms that may either worsen steadily (known as progressive) or come and go (known as relapsing-remitting). The central canal where the nerves reside within the spine can become smaller, causing central stenosis. As far as we know there are no activities that specifically cause MS or make it worse. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Typical MS lesions tend to be oval or frame shaped. mri cat nothing. The S1 nerve to the outside and bottom of the foot. Reading an MRI lumbar spine is quite easy if you know where to look. Last reviewed by a Cleveland Clinic medical professional on 01/28/2019. Spinal fluid helps to diagnose other diseases such as Lyme disease and lymphomas of the nervous system. The frequency at which a person should undergo scans depends on the following: MRI scans use strong magnetic fields and radio waves to create detailed images of the central nervous system in individuals with MS. The following is a very simple guide to help you understand the nomenclature of your MRI. The lumbar spine consists of bones (usually five vertebral bodies) stacked on top of each other and separated by five discs. The bones may slip on one another (subluxation or spondylolisthesis). It is imperative that the patient understands possible causes of their symptoms and the treatment options. Lesions or white spots on the brain can indicate strokes, or MS lesions, blood hemorrhage, or damage from epilepsy, or other illnesses that can cause damage it the brain. It should NOT be regarded as diagnostic, treatment or any other type of specific medical advice to anyone. The opposite is also true. Attacks are one marker of disease activity. of their symptoms and the treatment options. Everywhere in the spine the bones should be aligned. We avoid using tertiary references. Thank you, {{form.email}}, for signing up. Peter Pressman, MD, is a board-certified neurologist developing new ways to diagnose and care for people with neurocognitive disorders. Neuromyelitis optica spectrum disorder. Before undergoing an MRI scan, a person needs to remove any clothing or personal items that may contain metal. All rights reserved. In MS, visual evoked potentials are the most useful as they may show evidence of injury to the optic nerve not suspected clinically. 2023 Dotdash Media, Inc. All rights reserved. Cleveland Clinic is a non-profit academic medical center. As a result, I can only offer a few possibilities in general for things in the neck that are round and bright on some sequences for MRI--this is not to say those are what you are seeing. Borders of the foramen are hard bony pedicles and intervertebral discs shrouded in a thin membrane called the thecal sac which keeps the CSF from leaking out. White spot on MRI: It could be normal, or could be a Tarlov cyst, hemangioma, or any number of benign conditions associated with the spine. With the ease of internet access, self-diagnosis is very common. Additionally, the severity of findings is very subjective and may differ between physicians. As the intervertebral disc degenerates, the normal white signal darkens (figure B) and narrows (figure C). Axial or cross-section views are what I call the sliced bread views which are best for highlighting the intervertebral discs. It is a safe and noninvasive test. There are many possible causes, including vitamin deficiencies, infections, migraines, and strokes. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://jamanetwork.com/journals/jamaneurology/fullarticle/2747565, https://pubs.rsna.org/doi/full/10.1148/radiol.2018171829, https://pubmed.ncbi.nlm.nih.gov/27349475/, https://www.nationalmssociety.org/What-is-MS/Types-of-MS/Clinically-Isolated-Syndrome-(CIS), https://www.nationalmssociety.org/What-is-MS/Types-of-MS/Relapsing-remitting-MS/Diagnosis, https://www.nationalmssociety.org/What-is-MS/Types-of-MS/Secondary-progressive-MS/Diagnosing-Secondary-Progressive-MS, https://www.ncbi.nlm.nih.gov/pubmed/29856910, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932576/, https://www.nationalmssociety.org/Symptoms-Diagnosis/Diagnosing-Tools/MRI, https://www.nibib.nih.gov/science-education/science-topics/magnetic-resonance-imaging-mri, https://www.nationalmssociety.org/What-is-MS/Types-of-MS/Primary-progressive-MS, https://academic.oup.com/brain/advance-article/doi/10.1093/brain/awab088/6164965, https://www.mssociety.org.uk/research/latest-research/latest-research-news-and-blogs/mri-and-ms-7-things-you-need-to-know, https://www.nature.com/articles/nrneurol.2015.157, https://www.sciencedirect.com/science/article/pii/S2211034819304407. Many people have them at multiple levels in their spine. Many patients have a daily variation of their symptoms; this is not an attack. This article provides an overview of the condition, including. Doctors can use distinguishing features of neuromyelitis optica to rule out MS or vice versa. Smita Patel, MD is triple board-certified in neurology, sleep medicine, and integrative medicine. In order to better see the lesions, a doctor may use gadolinium, which is a contrasting dye. The following are answers to some commonly asked questions. Join our weekly newsletter and get our best articles about body, mind, soul. The powerful magnet combines with computer-generated radio waves to create detailed images of the bodys soft tissue and organs. This event may affect any aspect of central nervous system functioning, causing symptoms. Lesions show up as white or dark spots . All rights reserved. ubo. The most common symptom of bladder problems in MS is urgency, a feeling that "when you have to go, you have to go." If you have white spots, or white matter hyperintensities, on your brain MRI, your healthcare provider will determine the cause based on your medical history and doing an exam. The condition occurs with extensive wear-in-tear of the intervertebral disc (figure C), ligamentum flavum (figure D) and facet joints (figure E). done many echos and mri. The researchers also observed impaired repair mechanisms and recurrent demyelination in the spinal lesions. The stages of disc degeneration are a herniated disc, protrusion of the disc material (nucleus pulposus), extrusion, and disc fragment sequestration. Learn more about the, Multiple sclerosis (MS) is a progressive condition that affects the central nervous system and the brain. Sometimes, white spots are caused by silent strokessmall strokes that don't cause symptoms. Typical lesions that appear on a T-2 scan are oval in shape. Pathology. Neuroscience Group 1.47K subscribers 335 71K views 8 years ago Nurse Practitioner, Penny Bernards, discusses what white spots on your brain detected. It may come and go for days, weeks, or even longer. This term is very broad and can be used to describe any arthritis in the spine. Bright spots on an MRI can develop due to conditions other than MS - including stroke, head trauma, migraine headache, or Vitamin B12 deficiency. MS activity appears on an MRI scan as either bright or dark spots. An MS attack is also known as a 'relapse', an 'exacerbation,' or a 'bout' of MS. All of these terms mean the same thing--usually a worsening of MS symptoms or new MS symptoms lasting more than 48 hours and not due to infection or fever. I did. However, if the vertebral bodies look triangular, it indicates a fracture (inset). Multiple Sclerosis Association of America. A person undergoing a scan will receive earplugs or earphones to help muffle the noise. Can poor sleep impact your weight loss goals? The MRI machine resembles a large tube with an examination table in the middle. Peter Pressman, MD, is a board-certified neurologist developing new ways to diagnose and care for people with neurocognitive disorders. Multiple sclerosis is a long-term condition that affects the nerves. All of these need to be put together by the physician to determine if MS is the actual diagnosis. Multiple sclerosis (MS) causes damage, called lesions, to parts of the central nervous system, including the spine. T-2 scans show the total number of old and new lesions in the brain from the onset of MS. New MS lesions appear as bright spots on a T-2 scan. MRI, or magnetic resonance imaging, reveals these spots with greater intensity because they have increased water content compared to normal, higher fat content, myelinated tissue in the brain. In the past, physicians thought that MS did not cause pain. Identify the middle of the central canal where the spinal cord and nerves float in the protective cerebral spinal fluid (CSF). High tech MRI uses radio waves to look for lesions and abnormalities in bones and soft tissues of the spine. It is not clear how useful repeated MRIs are for following MS. Small strokes are the most common cause of white spots on a brain MRI. A normal disc (figure A) provides ample room for the nerves to pass through. T12-L1-there are small end-plate entophytes and there is mild bilateral facet osteoarthritis L1-L2-there are end-plate entophytes and there is mild bilateral osteoarthritis. This is a sign of MS. One function of myelin is to help the nerves send impulses. Some people with MS will have problems with bladder function due to injury to the nerves that tell the bladder and the sphincters what to do and to the nerves that help the bladder sense when it is full. Multiple modalities are used with spinal imaging and with increasing access to magnetic resonance imaging . However, anyone with more severe symptoms should see a doctor. The images produced allow doctors to see lesions in your CNS. Their function is to support and protect the delicate nerves that pass through to the pelvis and lower legs. This article reviews the link between multiple sclerosis and spinal lesions. A healthcare professional places a padded covering partially over the persons head to help keep it from moving during the scan. Cardiovascular health: Insomnia linked to greater risk of heart attack. We know that about 350,000 people in the United States have MS, about 1 in 1,000 people. (2018). We do not know the cause of MS, but do know that it is an inflammatory disorder of the central nervous system that occurs in people with a tendency to such a problem. Damage to the Corona Radiata After Stroke, Understanding Migraine-Related Brain Lesions on Your MRI, Diagnosing Primary Progressive Multiple Sclerosis, What It Means If You Have a Silent Stroke, How Radiology Is Used to Diagnose Multiple Sclerosis. 2013;15(1):45-52. doi:10.31887/DCNS.2013.15.1/fmora, Marek M, Horyniecki M, Frczek M, Kluczewska E. Leukoaraiosis new concepts and modern imaging. These are also known as black holes or hypointense lesions. Reading an MRI lumbar spine is very easy to understand if you know where to look and radiologists who do this for a living make it look very easy. Some people develop back or neck pain, similar to the pain that many other people get. RFo - Fortschritte auf dem Gebiet der Rntgenstrahlen und der bildgebenden Verfahren. . I finally saw an orthopedic dr. that ordered the MRI. A large disc herniation (figure D) may result in severe pain, weakness, numbness or tingling. In contrast to the solid structures of the spine, foramen are narrow keyhole-shaped canals located on either side of the spinal column. The axial view is a cross-section. In its early stages, it can be easily mistaken for MS due to similarities in symptoms. Other diagnostic tests may be used to determine the number of spots, their size and appearance, and their location in the brain. We know from MRI studies that new lesions (abnormal areas in the brain or spinal cord) occur about 5 to10 times as often as people with MS have new symptoms; that is, much of the disease occurs 'under the radar scope'. MRI is the best imaging tool available to both diagnose and monitor inflammation in the central nervous system. I had 2m ago myocarditis. On the other hand, a person can be asymptomatic with an MRI showing awful nerve compression from a disc herniation, hypertrophy or spondylolisthesis. Can white spots on mri be caused by past trauma, such as falling and hitting head as a child?
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