Here is My Question:
I’m a 34 year old female. I have had extreme fatigue for 2 years (sometimes sleeping 18 hours in a day) and experience regular eye movement problems (daily for 1.5 years now.) My brain MRI from April found “minor scattered nonspecific FLAIR white matter hyperintensities.” I have never consumed alcohol or smoked, have only ever had low blood pressure, and have been vegetarian for 20+ years with no cholesterol problems.
I visited an ophthalmologist who said my optic nerve looks good but my eye problem is a hallmark symptom of MS (it gets worse in the heat) and suggested I see a neurologist. One last thing I’ll mention.. I had severe mono 20 years ago and was curious about my EBV antibodies. Over the last year my VCA igG AB climbed from 463 to 529 u/ml and NUC ag igG has been >600 u/ml. Sorry for the long message and the specificity to my situation.
1) What else can I look into for the cause of my WMHs?
2) How are WMHs determined to be “nonspecific” or not?
Any advice would be very appreciated as I’ve been struggling to get appointments with specialty centers. Thanks very much.
Very good questions. Let me break up my response into specific points
Revere P (Rip) Kinkel, MDProfessor of Neurosciences
Director of the Multiple Sclerosis Program
University of California San Diego
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