A 49-year-old female asked:
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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?

4 doctor answers
Dr. Bennett Machanic
51 years experience Neurology
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 on Jun 10, 2014
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1 thank
Dr. Dean Bonsall
26 years experience Pediatric Ophthalmology
Variable causes: Go see neuro-ophthalmologist.
Answered on Sep 28, 2016
1
1 thank
Dr. Carl Decker
23 years experience Radiology
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 on Dec 9, 2015
5
5 thanks
Dr. Alberto Varon Miller
Specializes in Family Medicine
Neuro required: Assist to a neurologist consult. It is important that you visit a specialist.
Answered on May 20, 2019

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