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A 49-year-old female asked:

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

2 doctor answers4 doctors weighed in
Dr. Jeffrey Oppenheimer
Neurosurgery 37 years experience
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.
Dr. David Roberts
Neurology 36 years experience
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.

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Last updated Nov 22, 2017

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