Can white spots in a brain CT scan and double vision be due to white matter disease?

Question

Hello,

I am a 54-year-old male with a height of 5 feet 11 inches and a weight of around 220 lbs. I only take Paxil 10 mg once a day. Last year, I went to the hospital with the complaint of double vision that I experienced for an hour with no other symptoms. After a CT scan, they noticed I have extensive white matter disease on my brain. They said it could be multiple sclerosis, Lyme's disease, lupus, or evidence of mini-strokes. After another CT scan and numerous MRIs, they just noted that I have extensive white matter disease on my brain. I also had a lumbar puncture that was inconclusive for any disease or condition. My neurologist has done some blood tests and would like a hematologist to review my blood work to see if anything is worth further testing. I will upload my latest blood work for you to examine. Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

Following is my opinion on your asked questions-

In your attached reports (attachments removed to protect the patient's identity) and case history, there is no evidence of any Lyme disease or other autoimmune disease.

Your cerebrospinal fluid (CSF) report with Cytospin is also not suggestive of any metastasis of tumor or infection. So CSF report is also normal.

In your CT (computed tomography) scan report, I noticed they had written chronic non-specific white matter disease.

White spot in CT or MRI (magnetic resonance imaging) does not always suggest a white matter disease. It could be seen in a mini-stroke, high blood pressure, high cholesterol, smoking, diabetes, etc.

The attack of that double vision might be due to some transient stroke. High blood pressure could be responsible for that.

You can continue blood pressure medicine, and other suggested medicine by your doctor.

I suggest you-

1. You must try doing some meditation and yoga to treat depression.

2. You must go outdoor early morning to walk in the garden and try to treat anxiety or depression in that natural way. Depression could also aggravate blood pressure and precipitate brain lesions in some cases.

It would be best if you took further treatment according to your neurologist's advice.

I hope I have answered your questions.

Let me know if I can assist you further.

Best regards.

Answer 2

Hello,

Welcome back to icliniq.com.

I wish you good health.

Take care.

Regards.