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A member asked:
Brain mri... i am 49 yrs old and i had an mri and it shows enlarged opthalmic veins & foci demyelination. i also have punctate white matter. help?
3 doctors weighed in across 2 answers
Need a diagnosis: Brain MRI lesions may be very nonspecific, and you need to have correlation with your clinical condition. White matter lesions can be seen with migraine, multiple sclerosis, atherosclerosis, prior head or neck injuries, arteritis, vasculitis, genetic disorders such as cadasil. Seek an expert neurologist and get informed.
Answered 6/10/2014
5.1k views
May not be related: The dilated opthalmic vein could be due to a cavernous sinus fistula among other possibilities and should be worked up further. This may not be related to the white matter hyperintensities. The other findings you describe could be due to multiple sclerosis and should be correlated with your clinical findings.
Answered 12/9/2015
4.9k views
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