MRI results
The most striking difference in these two images is how my septum is no longer deviated. Dr. Javer did nice work.
I had the MRI on May 19. The technicians told me that the results would be available to my neurologist right away as he is at Vancouver General and on their network. I received the radiology report from my neurologist’s assistant on Friday, June 1.
The radiology report gives good news. There is “no evidence of displacement of deviation of the cisternal segments of the trigeminal nerves bilaterally. No significant abnormality is demonstrated within the cerbellopontine angles.”
There is the possibility of some bad news. “The distribution and appearance of T2/FLAIR hyperintense lesions within the supratentorial and infratentorial brain are consistent with demyelination. Further characterization with a complete MRI brain study, including sagittal FLAIR imaging, is recommended.”
They also mentioned that “mild mucosal thickening of the maxillary sinuses is demonstrated bilaterally.” I had no idea they would report on the sinuses in an MRI. Imagine if my neurologist had decided to put a bit of a rush on the MRI instead of just ignoring me — we would have seen the infection in the right sinus and perhaps I could have been spared several months of pain.
My working theory on the observed demyelination is that the infection in the sinuses spread to my brain, resulting in some areas of demyelination. Last year, on July 10, I woke up with a stiff neck and a fever. I monitored the temperature, on the alert for meningitis. It returned to normal on July 13, so I didn’t think much about it. I will monitor symptoms over the next while and assume that my neurons will regrow myelin.
I’ve been waiting for my neurologist to contact me to review and to schedule the recommended follow-up MRI. I’m wondering how long it will take. At this point, he has no idea I had sinus surgery or that I am doing relatively well. I wonder if his caseload is so large that he has difficulty managing it or if he just doesn’t care.