Here is My Question:
Hi. I am 36 and I was diagnosed with MS when I was 22. I have had many relapses, but thank God I am good. My recent MRI showed no new lesions. The last MRI I had was done more then 10 years ago. Does that mean I will have a normal life. I was wondering how the MS gave me relapses but no new lesions. New symptoms but no new lesions. I thank God every day. I am just trying to understand this complicated sickness. I take fish oil vitamin d3 b12.
No new lesions over 10 years is a good sign and reflects successful treatment and/or a more mild form of MS. It is possible to have a new inflammatory relapse but unchanged MRI (this is not common). It is important to remember that old scars from MS can produce fluctuating symptoms of MS that may feel like a relapse from the patient’s perspective but doesn’t actually reflect a recurrence of new inflammation (ie, active disease). The treating physician has to confirm a true relapse on the neurological exam.
A. Scott Nielsen MD MMSc
Neurologist and MS Specialist at Kaiser Permanente
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