I have multiple sclerosis and under treatment. Kindly advice on MRI and the reason for hearing loss.

Hello,

Welcome to icliniq.com. I have read your question carefully, and I will try to answer in detail. I understand your concern. I would like to have additional information please, 1. Since when you have the diagnosis of multiple sclerosis (MS) and for how long are you on Tysabri (Natalizumab)? 2. When was your hearing damaged and did you have the MRI for this symptom or any other new symptoms or was it a routine imaging check-up for MS? Actually, the magnetic resonance imaging (MRI) report did not show up a number of new things. Except the tiny new plaque which we expect from time to time in MS (the definition of MS is distributed in time and space). Also, none of the plaques are active. Regarding the inflammatory changes and retention cyst in maxillary sinuses, you shouldn't worry. Most of them are asymptomatic and incidental findings during head imaging (radiography, CT, MRI) and are not related to MS. However if you have symptoms like headache, frequent infections of sinuses, facial pain, etc., then you could consult a maxillofacial surgeon, to evaluate you for possible surgical treatment. I would recommend doing regular follow-ups with your treating physician, and I would not recommend an additional investigation. However, a consult with an ENT doctor is advisable for the differential diagnosis of hearing loss, since the hearing loss is an uncommon symptom in MS. I hope my answer was helpful. Feel free to contact me again with additional information, and if you have further questions.