### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi! I have been experiencing progressive numbness of both of my feet, beginning with the right foot, over approximately 5 year period and now it seemes to have progressed to my right hand. I have also been experiencing vertigo, imbalance, and memory loss. About 3 months ago I had severe pain from my right hand, up my right arm and then over the shoulder and down to the end of the scapula area. An MRI of the cervical area showed herniations of the cervical discs and a rupture at c6-7. A recent Mri of the brain, for diagnosis for the above symptoms of vertigo, imbalance, memory loss, some ataxia, changing vision condition, showed an increased T2 and FLAIR signal present in the supratentorial white matter that likely represents mild chronic microvascular ischemia. I also have several symptoms that correlate with autoimmune diseases such as lupus, sclerderma, MS, and multiple connective disease. I have raynauds syndrome, and a history of thyrotoxocosis. Im having a really difficult time trying to find doctors that want to help me because of the multiple areas of my medical problems. The neurologist that ordered the MRI of my brain wont even call me back. Can someone please help me?

### output:

Hi, Thanks for writing in. Your neck, shoulder and arm problems are due to the cervical nerve roots being pinched at multiple levels as seen on cervical spine disc herniation. The C 6 - C 7 disc rupture is significant and might cause limitation of neck movements. The MRI brain shows areas of T 2 hyperintensity in the supratentorial white matter. Since you have not mentioned your age and the images are not attached, it is a bit difficult to confirm if the findings can be acceptable at your age. Microvascular ischemia is a term for loss of blood flow through the small blood vessels in brain leading to decreased oxygenation and tissue damage, these changes can also occur in people with diabetes and hypertension. Autoimmune conditions can also show certain features, but your MRI does not fit in to a single category. MS will show a definite pattern on MRI and I think your doctor has ruled out this condition by clinical features and MRI scan findings.