Brain Lesions but no symptoms and no spinal lesions

I am female in my mid-50's. I was experiencing lightheadedness (still am). Not enough to make me sick, not enough to keep me from fully functioning. My doc sent me for a brain MRI (no dye) to rule out stuff, and it came back with "extensive lesions." When I saw the neurologist, an MS specialist, he showed me the MRI. Several lesions in the outer top brain, and a whole bunch connected like a large circle in the center of my brain. He said these made him suspect MS right away.

But...my physical exam and history showed no symptoms. He had me go for an MRI with dye that covered my brain, the cervical spine, and thoracic spine. I spent 2 hours in the MRI machine not moving a muscle. He called to tell me there were no lesions in any part of my spine. He had originally said that if there were no spinal lesions, he would want me to then do a spinal tap to see if signs of MS showed up there, so I assume that will be my next test.

I feel terrific, outside the dizziness, which I am scheduled to do physical therapy around. I have had headaches (migraines and regular), at times more severe than others. Up until this year, I have been considered obese. Today I am healthy, fit, eat very well, exercise in many different ways, and feel more like I am 30. My blood pressure may have been borderline for the last 20 years, but today is excellent. Is it possible that prior hypertension could have caused the lesions, and now is not an issue?

I have an appointment with the neurologist in two days to go over the results, but I am interested in the experience of others who have experienced this same set of circumstances. If I do take the the spinal tap, and it shows MS, what are the treatments, if any?

Thanks for your help.

I was recently diagnosed with ms. I have had back pain for about a year. In January I decided to go to a dr. to decide what to do. I had a CBC done with no abnormalities in the blood. I had a basic x ray of the back that looked like a mri on my spine was needed. Did the mri and showed ddd and spinal stenosis. She wanted me to start pt to help with pain. Did that for 2 1/2 weeks and wasn't working. Referred me to a pain management dr. She decided to a spinal epidural for pain and be rechecked in 3 weeks. Did that no real help. Went back 3 weeks later and she decided to do a nerve block in my spine. The pain shot that injection was the worst pain I have ever encountered. I was put on gabapentin after the injection. I was taking 300 mg at a time. 1 pill for the first 3 to 5, then 2 for the next 3 to 5 and finally 3 pills a day. Did this for 10 days and my feeling in my body was something is not right. I felt discombobulated so I stopped taking the gabapentin. Over the next few more days my symptoms were getting worse. I had vision but couldn't focus and felt very unsafe driving. I called the pain management dr and she said if not better in a day call my primary. Did that. Next day called my primary she said not better in 24 hours call them and make appt. Waited 48 hours called and went to dr. She did blood work and set up and mri in 3 days of my brain. Blood work came back no problems. Had the mri, next day went to primary and she said I had ms. Set me up with an appt. with a neurologist the next day. She confirmed that diagnoses. I am 50 years old with no previous symptoms of ms. No lose of mobility. I have white lesions yes, but nothing else. This has all happened in 3 weeks. I am on steroid infusion as I type this for 1 more day, then I start prednisone for 18 days. I go in 4 days for another CBC and CMP blood tests. Back to neurologist in 2 1/2 weeks and then decide what ms meds to take. I don't feel like its ms. I think something happened after the nerve block. I have another spinal and brain mri scheduled in 3 1/2 weeks. Right now I feel like I did before the nerve block. I would hate to take meds for a misdiagnoses. If I have ms okay, but 50......no previous symptoms EVER!!! Until nerve block! HELP!!

I have had a few episodes that make me think ms. But not my neurologist. Years ago I had Bells Palsy. (Early teens), at age24, right after the birth of my son, I had a blind spot in my Vision for about a month. Almost 2 years ago, I started having episodes of extreme tiredness. Worked as a receptionist and at lunch I slept in my car. Then I started having trouble remembering how to spell simple words and even names (like my sisters!) then one morning I go to work and can't talk right. Words would come slow and choppy. Everyone thought I was having a Tia. Went to hospital and by the time they were ready for the ct, I could talk again. They said I was fine. Neurogist sent me for bloodwork and brain mri. Bloodwork was all good except my blood albium was a little high. The MRI showed over 40-50 lesions. The radiologist suggested ms. Neurogist did standing and movement tests in office and sent me for lumbar puncture. That came back fine so I was told I was fine. By now it's been over a month and I only have slight fatigue. I have days where the brain just ain't working like it should. Trouble understanding, remembering, etc. I don't have any ins and don't know what dr to turn to. She made me feel like I was making it all up. Yes I want a diagnosis so I can move on past the not knowing. Whatever it is. Who can I see that will take me seriously?