Patient's question:
On the morning of March 16, 2012, while lying in bed and feeling (clear-headed), I suddenly fainted. After a few minutes, I regained consciousness but experienced urinary incontinence. Before this incident, I had a cold, nasal congestion, and difficulty breathing while sleeping. An electroencephalogram (EEG) showed no abnormalities. A CT and MRI scan revealed small, slightly hyperintense lesions in the white matter of the right frontal lobe on T1 and T2 weighted images, appearing as slightly high signals on T2 FLAIR. The cerebellomedullary cistern was large. Later, I developed a high fever followed by mild convulsions. After that, no other symptoms occurred.On October 3, 2012, a follow-up CT and MRI scan showed: symmetrical morphology of both cerebral hemispheres, clear gray-white matter differentiation, and small, hyperintense lesions in the right frontal lobe white matter on T1 and T2 weighted images, appearing as high signals on T2 FLAIR. There was no obvious mass effect, and the midline structures were central. The cerebellum and brainstem had normal morphology and signals. The cerebellomedullary cistern was slightly enlarged with uniform signals, and the bilateral ventricular system showed no abnormalities.
On December 7, 2012, I reported experiencing double vision. Is this demyelination?
Previous treatment and outcomes: No treatment was administered, and I was advised to undergo follow-up monitoring.
What kind of help do I need: Is this demyelination? How can it be confirmed?
Doctor's answer:
According to your description, the diagnosis of the patient is considered as: 1. Epilepsy, 2. Demyelination. Today, visual double vision has reappeared, and it is even more important to pay attention to the possibility of demyelination. A detailed fusion head MRI examination, along with a lumbar puncture to test cerebrospinal fluid, can help confirm the diagnosis of demyelinating diseases. It is recommended to seek a second opinion in the neurology department of a regular hospital. The above is the advice for the question "Is this demyelination? How can it be diagnosed?", hoping it helps you. Wishing you good health!