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"Space and Time" and Multiple Sclerosis
Here is My Question:
Hi, I am wondering if it is possible to be diagnosed with MS if I only have lesions in my cervical spine? 11.5 months ago I had an attack and had one lesion in my cervical spine, and I also had the other markers/bands (I had pins and needles in my foot which ended up moving my leg, other foot and leg and arm). A few days a go a had weird sensations in my foot, went for another MRI and the old lesion was resolved but I have another lesion on my cervical spine. My brain is completely clear-the doctor says no question about it my brain is excellent. She did diagnose me with MS. I was under the assumption that "space and time" was at least two attacks and in 2 of the 4 areas of the CNS. I know I have the time but I do not think I have the space-unless I am interpreting it wrong. So my very long winded question is can I have MS-do I meet the "space" part?
If your symptoms are consistent with inflammatory demyelination, and it sounds like they were, and there is an unequivocal new lesion in the spinal cord with CSF oligoclonal bands, then MS is a likely diagnosis. I prefer to be descriptive in my diagnostic criteria for the purpose of categorization and consideration of alternative diagnoses over time. So for instance, we would define you has follows:
Clinically definite MS (CDMS): Relapsing partial transverse myelitis with multifocal cord lesions, normal cranial MRI, CSF oligoclonal bands, negative myelitis workup (assuming workup done)
Revere (Rip) Kinkel MD
Director of the Multiple Sclerosis Program
Director of Hillcrest Neurology
Professor of Clinical Neurosciences
University of California San Diego
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