A member asked:

I have had a mri for migraines what does the results mean multiple punctate t2 hypertintense foci in subcortical white matter bilaterally?

4 doctors weighed in across 2 answers

No worries: These are areas of subclinical (non-symptomatic) strokes. Suggest low fat diet, cholesterol check, blood pressure control as this could be a predictor of worsening vascular disease in future. See your internist.

Answered 5/8/2016

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Probably migraines: Small vessel disease, and migraines can cause multiple areas of small ischemia, and even infarction, in these regions. Unfortunately, without seeing the mri, it is difficult to interpret. Wording by radiologists can vary, and other more worrisome diagnoses could also have a similar wording. A good neuroradiologist, or at least visual inspection by a neurologist would be prudent.

Answered 11/22/2017

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