I have minor tingle in my right second toe with moderate to severe stenosis of spine. Please help.

Hello,

Welcome to icliniq.com.

I understand your concern and would explain that your MRI findings (head and spine) fulfill the radiological criteria of MS (multiple sclerosis). There are many old lesions in the head and spine and there is a new lesion in the left parietal lobe, which explains the tingling in the right toes. Although you have no past medical history for paralysis or limb numbness and weakness, these brain lesions are compatible with MS. I recommend discussing with your neurologist about that. As there is a new lesion (with light contrast enhancement), steroids would help to relieve the tingling in the right toes.

Regarding the mild spinal canal stenosis, it does not explain the spinal cord lesions in the upper levels which are probably related to MS. I recommend performing a spinal tap in order to examine your cerebrospinal fluid and visual evoked potentials.

I hope this helps.

Hello,

Welcome back to icliniq.com.

Your doctor is right on the fact that there are many normal persons who have white matter lesions. Anyway, the lesions in the spinal cord and in the corpus callosus, when coupled with the other lesions and especially that in the parietal lobe which has mild contrast enhancement fulfill the MS MC. Donald radiological criteria. You can check on the internet too.

In normal persons, the white matter changes are not enhanced by contrast. So, in my opinion, your radiological findings are suggestive of MS. You should also know that MS patients with sensory problems have milder symptomatology.

Coming to this point, I would recommend repeating the brain MRI after a year in order to see the progression of these lesions. You can take no treatment for the moment and wait and see, as your symptoms are minimal.

Hi,

Welcome back to icliniq.com.

You are welcome. Keep in touch for further doubts.