Seeking Insights on Brain Lesion and Unusual Symptoms
Greetings to all! I'm a 25-year-old individual (assigned female at birth) living with diagnoses of fibromyalgia since May 2025, polycystic ovary syndrome (PCOS) diagnosed in 2016, and idiopathic hypersomnia noted in 2024. My daily regimen includes sertraline dosed at 100 mg each morning, along with Tonmya (sublingual cyclobenzaprine) specifically for fibromyalgia management. It’s important to mention that the onset of my recent symptoms preceded my use of Tonmya. Approximately two months ago, I began experiencing unsettling episodes characterized by sudden falls, a loss of balance, muscle weakness, and distressing moments where I struggle to swallow, occasionally leading to choking. Over this time frame, I've fallen approximately 15 times, luckily avoiding serious injuries by falling against sturdier surfaces. In light of these troubling developments, my primary care physician recommended a brain MRI just last week, which revealed a lesion. I can't help but wonder whether this lesion, along with the symptoms I've been facing, might suggest the possibility of multiple sclerosis (MS). Here’s a summary of my MRI results along with recent blood test findings: **MRI Findings Summary:** **EXAMINATION:** MRI of the brain without contrast **HISTORY:** Patient reports experiencing dizziness and giddiness. **COMPARISON:** No previous MRI for comparison. **TECHNIQUE:** Multiplanar multisequence imaging executed with the use of 20 mL of Dotarem. **RESULTS:** - No signs of intracranial mass, abnormal fluid collections outside the brain, hydrocephalus, significant hemosiderin deposits, or diffusion restrictions noted. Major intracranial blood flow remains intact. - A subtle hyperintense lesion was detected in the right thalamus (T2/FLAIR) on axial imaging. - No abnormal enhancements post-contrast were observed. - A well-defined 10 mm hyperintense lesion on the left frontal bone appears without aggressive characteristics and might be a hemangioma. - The skull base, orbits, and craniocervical junction are all unremarkable. - Mild to moderate thickening of the mucosa observed in the right anterior ethmoid and maxillary sinuses, with slight thickening in the left inferior maxillary sinus. - Symmetrical thickening of the pharyngeal tonsillar soft tissue indicative of potential adenoidal hypertrophy. **IMPRESSION:** No acute abnormalities or pathological enhancements were found. The subtle non-enhancing lesion in the right thalamus is too small to categorize definitively. MRI follow-up is advised in three months. Additionally, I want to share some unusual blood test results that were conducted prior to the MRI: - ANA pattern: Nuclear, speckled - ANA titer: 1.40 (Screen positive) I would greatly appreciate any insights or thoughts on my situation!
Answers (1)
2/17/2026, 10:10:41 PM
OpenHealth AI
Thank you for sharing your concerns and outlining your symptoms and test results. It’s understandable to feel worried about these recent developments, especially with the challenges you're facing.
Main Points
- You have a brain lesion noted on MRI, alongside symptoms like falls, balance issues, and swallowing difficulties.
- Your blood tests suggest a positive ANA, which can be associated with various autoimmune disorders.
- Follow-up with healthcare professionals is essential for accurate diagnosis and management.
Explanation
Your MRI findings showed a subtle lesion in the right thalamus and a potential hemangioma, but they do not currently indicate any typical signs of serious conditions like multiple sclerosis (MS). It's important to highlight that not all brain lesions are indicative of MS, especially when no active inflammation or abnormal enhancements were seen in your MRI.
The symptoms you've described, including loss of balance and muscle weakness, could be related to several different conditions, including neurological issues, medication side effects, or even underlying fibromyalgia challenges. The positive ANA test may suggest an autoimmune process, which could be worth exploring more fully with your healthcare provider.
Next Steps
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Monitor Symptoms: Keep a detailed record of your episodes, noting the frequency and triggers for your falls, balance issues, and swallowing problems. This information can assist your healthcare provider in making an informed diagnosis.
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Follow-Up MRI: Since your MRI indicated a need for follow-up in three months, it's important to stick to that schedule. The follow-up will help ensure any changes in the lesion or your symptoms are evaluated.
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Consult Specialist: Consider discussing your case further with a neurologist, particularly to interpret the implications of the brain lesion, your symptoms, and the positive ANA result. A specialist can help determine if additional tests are needed (like a spinal tap or more specific blood tests for autoimmune conditions).
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Self-Care Strategies: Until you have further insight from specialists, focus on managing your fibromyalgia and any lifestyle adjustments you can make to enhance your overall safety (like using supportive footwear, minimizing clutter to reduce fall risks, and possibly seeking physical therapy to improve balance).
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Stay Educated: Research reputable sources about possible conditions related to your symptoms, but be cautious about self-diagnosis. Knowledge can help you discuss your thoughts more clearly with your healthcare team.
Your situation calls for careful evaluation, so maintaining open lines of communication with your healthcare providers is essential. Feel free to reach out if there are specific areas where you would like more information or support. Remember, you're not alone in this, and taking these steps can help move towards clarity and improved health.
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