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MS diagnosis
MaryCz posted:
Can one have MS without visible lesions in CNS. My neuro says he can't rule out this dx because most of my symptoms fit but no lesions. I had LP that couldn't rule out MS. I don't know all LP results but I guess it wasn't definitive. Would a referral to an MS specialist be appropriate. There is a specialist here in Las Vegas, he has been here a year or 2 now. I am really confused and uncomfortable . I have been Dx'd with multiple autoimmune disorders but no one seems to agree. I would appreciate any help with this dilemma. Thanks in advance
Neil S Lava, MD responded:
Sometimes the MRI will be negative at first, but eventually lesions will be seen. Sometimes the magnet strength can be a factor. If the lesions (plaques) are small, the usual 1.5 Tesla magnet may miss these lesions. Using a more powerful 3 Tesla magnet can pick up missed lesions.
It would not hurt to see an MS specialist. However sometimes it will take some time until a diagnosis is made. I know it is frustrating, but the diagnosis should be secure before you are started on medication for MS.

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