A 30-year-old female asked:
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can many lesions on an mri of brain indicate previous stroke or other causes?

4 doctor answers
Dr. David Lundin
26 years experience Neurosurgery
Stoke or MS : Unless you have risk factors for stroke, your young age makes many areas of abnormality seen on MRI less likely. Ms however is cause that can have similar findings. Neurological evaluation is warranted.
Answered on Jun 10, 2014
Dr. Shari Jackson
20 years experience Radiology
Probably not stroke: Multiple small areas of signal abnormality in the brain can result from many things. In older patients or patients with risk factors like high blood pressure or diabetes, these often do indicate previous strokes. This would be very uncommon in a 30 yo. Multiple "lesions" are usually nonspecific and can result from migraines, demyelinating disease (ms) or autoimmune conditions among other things.
Answered on Mar 11, 2018
Dr. Bennett Machanic
51 years experience Neurology
Can be nonspecific: White matter lesions can be seen with migraines, prior head or neck trauma, due to aging, microvascular angiopathy, multiple lacunar strokes or emboli, cadasil, and multiple sclerosis to name a few. This needs to be definitively pinned down and appropriate treatment intervention started.
Answered on Jun 2, 2013
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Dr. Michael Khoury
22 years experience Radiology
Www.usradreview.com: If you would like a second opinion on your MRI study, visit www.usradreview.com
Answered on Nov 1, 2014

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