A member asked:

What does t2 flair minimal periventricular hypertensive signal in brain mri means?

5 doctors weighed in across 3 answers

Nonspecific: The periventricular location may be seen in multiple sclerosis, but also associated with hardening of the arteries, and Binswanger's encephalopathy associated with uncontrolled hypertension. However, such white matter lesions could be seen with cigarette smoking, migraine, and prior injury to head. See if your doctor can correlate this with prior events.

Answered 10/4/2016

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Usually nothing: There are many reasons for FLAIR periventricular hyperintensity. Usually, especially in older people, it means changes in the blood vessels in the brain. This is often due to a combination of atherosclerosis, demyelination (loss of the "white matter" covering the nerves), and scarring. It is very common and usually clinically insignificant. This is likely your case by use of the word "minimal."

Answered 7/22/2019

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Dr. Balu Mani answered

Incidental finding : Like your hair gets grey, brain blood circulation gets choppy and will look "watery" and this is often seen in individuals with blood pressure, diabetes, increased cholesterol and smoking. If you are less than 40 years old and do not have any of those conditions above, you need to have a thorough evaluation to rule out vascular diseases, MS and other rare metabolic diseases.

Answered 8/9/2016

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