Question 1

can methotrexate help with mild vasculitis of brain/cerebritis or neuro symptoms caused my ctd such as lupus?

Accepted Answer

Yes: Lupus is an autoimmune disease. It is most often treated with steroids . Methotrexate however may also help by blunting your immune response.

Question 2

brain mri results: differential includes nonspecific demyelinating process such as ms vasculitis and infectious etilogies.  what does this mean?

Accepted Answer

Meaning of MRI: Differential-  this refers to the list of possible diagnoses for the person.

The radiologist is not exactly sure what the imaging diagnosis is but what they are saying is that it looks like is ms or ms like things.  Ms vasculitis (swelling of the arteries seen in ms).  The other thing he/she thinks is possible are infectious etiologies (causes: such as bacterial or viral infection.

Question 3

my brain mri result was as follows: "few high signal intensity foci on t2w and flair images in the subcortical and paraventricular white matter could be due to nonspecific vasculopathies, vasculitis or demyelination." should i be concerned about ms?

Accepted Answer

: No. The best thing is to have your ordering MD co-relate with the reason /reasons why he/she ordered such a test.

Question 4

can mri of brain see aneurysm or blood vessel problems(vasculitis)?

Accepted Answer

MRI and MRA brain: Yes, an MRI can visualize blood vessels but not well; an MRA (MR angiogram) is the optimal MR test. It uses gadolinium which is not a radio-iodine and is not kidney toxic.  Gadolinium can be eliminated slowly however, if a person has kidney impairment, and then the gadolinium can enter dermal tissues. Radiologists are aware.

Question 5

less than 3 hyperintense flair foci in the brain is nonspecific and can be considered normal.. these are nonspecific and the differential includes idiopathic gliosis, early chronic small vessel ischemic changes, vasculitis, sequela of migraine or dem?

Accepted Answer

: This lists possible causes and only.a Dr who has seen and examined you can help explain or elinimate some.  If BP normal to low then not likely small vessel disease

Question 6

a recent echocardiogram highlighted that i have a pulmonary artery systolic pressure mile-moderately elevated - rvsp 49mm/hg. should i worry. i have vasculitis in my brain and copd as well as autonomous dysfunction, bradycardia and hypotension. ?

Accepted Answer

Se below : Hi, please take the test results to your cardiologist.

Question 7

how is cerebral vasculitis diagnosed?

Accepted Answer

Diagnosis : Usually a combination of  clinical history blood  work and possibly a lumbar puncture.

Question 8

how is cerebral vasculitis treated?

Accepted Answer

Vascilutis : Usually steroids or other anti inflammatory drugs.

Question 9

what tests diagnose cerebral vasculitis?

Accepted Answer

See details: The definitive test is a brain biopsy. Arteriography may help. Ct and mris are not very valuable for this disorder.

Question 10

is damage from cerebral vasculitis reversible?

Accepted Answer

Depends on timing: Reversible cerebral vasoconstriction syndrome (RCVS), a condition characterized by reversible vasoconstriction and sudden thunderclap headache, is often confused with cerebral vasculitis (CV). In general, CV is treated with steroids and cyclophosphamide (or rituximab). Discuss the diagnostic findings with your neurologist for further evaluation. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3002614/

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Doctor answers about:

Can i fly with brain vasculitis

A member asked:

Can methotrexate help with mild vasculitis of brain/cerebritis or neuro symptoms caused my ctd such as lupus?

A member asked:

Brain mri results: differential includes nonspecific demyelinating process such as ms vasculitis and infectious etilogies. what does this mean?

A member asked:

My brain mri result was as follows: "few high signal intensity foci on t2w and flair images in the subcortical and paraventricular white matter could be due to nonspecific vasculopathies, vasculitis or demyelination." should i be concerned about ms?

A member asked:

Can mri of brain see aneurysm or blood vessel problems(vasculitis)?

A member asked:

Less than 3 hyperintense flair foci in the brain is nonspecific and can be considered normal.. these are nonspecific and the differential includes idiopathic gliosis, early chronic small vessel ischemic changes, vasculitis, sequela of migraine or dem?

A member asked:

A recent echocardiogram highlighted that i have a pulmonary artery systolic pressure mile-moderately elevated - rvsp 49mm/hg. should i worry. i have vasculitis in my brain and copd as well as autonomous dysfunction, bradycardia and hypotension. ?

A member asked:

How is cerebral vasculitis diagnosed?

A member asked:

How is cerebral vasculitis treated?

A member asked:

What tests diagnose cerebral vasculitis?

A member asked:

Is damage from cerebral vasculitis reversible?

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