Quick Answer: Can You Have MS Symptoms Without Lesions?

Can you have a clear MRI and still have MS?

MS can be present even with a normal MRI and spinal fluid test although it’s uncommon to have a completely normal MRI.

Sometimes the MRI of the brain may be normal, but the MRI of the spinal cord may be abnormal and consistent with MS, so this also needs to be considered..

Can you have MS without demyelination?

New research from Cleveland Clinic has identified for the first time a subtype of multiple sclerosis (MS) that lacks demyelinated lesions in brain white matter, casting new light on the long-established conception of MS as a disease characterized by demyelinated white matter lesions in the brain.

How many lesions is alot for MS?

An “average” number of lesions on the initial brain MRI is between 10 and 15. However, even a few lesions are considered significant because even this small number of spots allows us to predict a diagnosis of MS and start treatment. Q2.

What does an MS attack feel like?

Multiple sclerosis (MS) attacks can include tingling, numbness, fatigue, cramps, tightness, dizziness, and more.

Can you have MS symptoms before lesions?

However, recognising the very earliest signs of MS can be very challenging. MS is usually diagnosed following at least one episode of neurological symptoms (known as a first demyelinating event), together with MRI scan results that indicate both new and old lesions in the brain or spinal cord.

What can mimic MS symptoms?

These include fibromyalgia and vitamin B12 deficiency, muscular dystrophy (MD), amyotrophic lateral sclerosis (ALS or Lou Gehrig’s disease), migraine, hypo-thyroidism, hypertension, Beçhets, Arnold-Chiari deformity, and mitochondrial disorders, although your neurologist can usually rule them out quite easily.

When should you suspect multiple sclerosis?

People should consider the diagnosis of MS if they have one or more of these symptoms: vision loss in one or both eyes. acute paralysis in the legs or along one side of the body. acute numbness and tingling in a limb.

What happens with untreated MS?

Relapsing-remitting MS can progress into a more aggressive form of the disease. The NMSS reports that, if left untreated, half of those with the relapsing-remitting form of the condition develop secondary-progressive MS within a decade of the first diagnosis.

What symptoms do MS spinal lesions cause?

This can include total paralysis or numbness and varying degrees of movement or sensation loss. Spinal cord lesions due to MS in the upper spine or neck (cervical region) can cause cape like sensation loss in both shoulders and in the upper arms. Quadriplegia is the great danger in cervical region MS.