A member asked:

My mum has trigeminal neuralgia for more than 4 months. mri showed small ischemic lesions. please explain what are they and its side effects ...

9 doctors weighed in across 2 answers
Dr. Daniel Saurborn answered

Specializes in Diagnostic Radiology

Brain ischemia: Small ischemic lesions are extremely common in patients over the age of 60, and are caused by hardening of the small arteries deep inside the brain. Although the lesions sound worrisome, they do not typically cause symptoms unless numerous or large in size. It is very unlikely that these are responsible for her symptoms of trigeminal neuralgia, but her neurologist must rule out multiple sclerosis.

Answered 11/29/2014

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Dr. Paul Grin answered

Specializes in Pain Management

Brain attack: Ischemic lesion (stroke) is caused by inadequate blood supply to the brain and selective neuronal necrosis. Ischemic lesions covering the trigeminal spinal tract and nucleus and this condition leads to a secondary trigeminal neuralgia.

Answered 11/28/2014

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