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Doctor insights on: Areas Del Cerebro

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Periventricular isch chnges, infarcts both cerebral hemispheres incl rt parietal? Vascular event.Blood & vessels ok.Next check pfo, but could it be ms

Periventricular isch chnges, infarcts both cerebral hemispheres incl rt parietal? Vascular event.Blood & vessels ok.Next check pfo, but could it be  ms

Possible, but...: Fine to check for pfo, but real question involves potentials for stroke. You could have cadasil, which is a genetic disorder. A spinal tap could assist in diagnosis perhaps. Vasculitis, arteritis, even sjogren's might be considered. Description not necessarily ms, but part of considerations. ...Read more

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Had MRI of brain. States diffuse pathologic t2 hypersignall noted bilaterally in frontal parietal regions. I'm scared....Dementia? ? Ms???

Had MRI of brain. States diffuse pathologic t2 hypersignall noted bilaterally in frontal parietal regions. I'm scared....Dementia? ? Ms???

Discuss w/ provider: One of the most important parts of imaging is providing meaningful and clear explanations of results to the patient and their family. There is no need for you to suffer additional hrm from being scared. Don't wait - call for a followup visit ASAP. Meanwhile - stop trying to guess at the meaning. It takes doctors years to understand these results. You'll Best! ...Read more

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My mother, 84, MRI scan> subacute infarcts, bilateral frontal lobes, small vessel ischematic changes inthe basal ganglia, periventricular white matter?

My mother, 84, MRI scan> subacute infarcts, bilateral frontal lobes, small vessel ischematic changes inthe basal ganglia, periventricular white matter?

Small vessel disease: Mri in a 84 years old lady showing infarcts and small vessel disease means she is having ministrokes. That is very common in that age group. If she has heart disease or carotid artery disease or risk factors like high BP or diabetes or high lipids they should be controlled and she should follow up with her dr who can give her further recommendations. ...Read more

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If MRI brain scan says chronic infarct noted in occipital lobe &prominence noted in basal cisterns, cortical solci then shall I see neuro or physchoDR?

Micro infarcts on mr: This really depends on what symptoms you are having. Probably the first person you should see is a neurologist for a full evaluation. ...Read more

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18 mnth after tb meningitis her ct scan says Diffuse atrophic changes in d bilateral cerebral hemisphere with large hypodensity in lft internal capsule, She's 23 and hs spasm in limbs. Any hope?

18 mnth after tb meningitis her ct scan says Diffuse atrophic changes in d bilateral cerebral hemisphere with large hypodensity in lft internal capsule,  She's 23 and hs spasm in limbs. Any hope?

Mgt/workup: The TB appears to have spread and may be difficult to treat. I would suggest that they obtain CSF cultures for TB with sensitivities to guide the multi-drug therapy. The head CT scan can then be followed once she is on targeted therapy. Checking for a pulmonary source and a screening chest XR The spasm of her limbs may be from a prior episode of encephalitis based on her history. ...Read more

Dr. Paul Velt Dr. Velt
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18 mnth after tb meningitis her ct scan says Diffuse atrophic changes in d bilateral cerebral hemisphere with large hypodensity in left internal capsule, she's 23 yrs nd hs spasm in limbs, Any hope?

Dr. Paul Velt Dr. Velt
2 doctors agreed:
18 mnth after tb meningitis her ct scan says Diffuse atrophic changes in d bilateral cerebral hemisphere with large hypodensity in left internal capsule, she's 23 yrs nd hs spasm in limbs, Any hope?

There is hope: TB meningitis is a problem world wide. Unfortunately it can leave long lasting problems. When blood supply lost to part of brain it doesn't heal. But she is young and with physical and occupational therapy, she could improve dramatically . Don't give up hope! ...Read more

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Can obstructive aqueduct hydrocephalus after TB meningitis be cured with medicines? Lateral & third ventricles are dilated wid chronic locuna infarcts

Can obstructive aqueduct hydrocephalus after TB meningitis be cured with medicines? Lateral & third ventricles are dilated wid chronic locuna infarcts

TB meningitis: This devastating disease can produce brain infarctions by involvement of penetrating blood vessels and that is common in this illness. It also produces a basilar arachnoiditis which often results in obstructive hydrocephaly and this usually requires CSF shunting, commonly a ventriculoperitoneal shunt. See a neurosurgeon. Good luck. ...Read more

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Causes?? Mastoiditis 3/14 Optic Neuritis 6/14 High Lymphocytes in CSF 8/14 12 mm choroidal fissure cyst 12/14 T12 verte hemangioma Fluid in mastoid

Causes??
Mastoiditis 3/14
Optic Neuritis 6/14
High Lymphocytes in CSF 8/14
12 mm choroidal fissure cyst 12/14
T12 verte hemangioma 
Fluid in mastoid

Mastoid inflammation: when you have mastoid fluid this can be acute or chronic. If it is chronic - it is often from prior mastoid infection. If it is acute you will have focal pain and possible fever. It can actually be a very serious condition. In general this should be dealt with by a physician who might determine if you need antibiotics. The other findings are not related. Optic neuritis is blurred vision. ...Read more

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Explain? Rathe's cleft, epidermoid & arachnoid cysts are in diff., scatrd. foci T2 prolongation affecting the periventricular white matr. bi-lat 4-6mm

Explain? Rathe's cleft, epidermoid & arachnoid cysts are in diff., scatrd. foci T2 prolongation affecting the periventricular white matr. bi-lat 4-6mm

A bit more needed: I suggest you review the report either with the doctor who ordered it or a specialist they refer you to or arrange a virtual visit during which you share the whole report The meaning will be easier to understand with the whole report in hand. Cyst is a fluid filled space, Periventricular - around the ventricles. "Arachnoid" "epidermoid" are locations ...Read more

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Does siemens avanto " MRA with and without contrast SPGR post coil protocol" has ability to detect small 1 to 2 mm cerebral aneurysm? Expl protocol

Does siemens avanto  " MRA with and without contrast SPGR  post coil protocol"  has ability to detect small 1 to 2 mm cerebral aneurysm? Expl protocol

More factors: MRA's ability to detect a 1-2 mm aneurysm also depends on the magnet's field strength, number of phase-encoded steps (affects resolution), and acquisition parameters. Given optimal conditions (the above as well as no patient movement), the detection rate of aneurysms larger than 1 mm is comparable for MRA and digital subtraction angiography. www.nlm.nih.gov/medlineplus/ency/article/007269.htm ...Read more

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Is siemens avanto "MRA with and without contrast SPGR post coil protocol" considered 1.5t or 3.0t mra? Can both detect 1 to 2 mm cerebral aneurysm

Is siemens avanto  "MRA  with and without contrast SPGR post coil protocol"  considered 1.5t or 3.0t mra?  Can both detect 1 to 2 mm cerebral aneurysm

Cerebral aneurysm: Yes. An MRA of the brain is a screening test. Additional testing with a cerebral arteriogram is perforned to confirm a true aneurysm. A 1-2 mm aneurysm is often observed rather than treated with endovascular coils, stents or surgical clips. ...Read more

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Tengo un restraso en mi período menstrual de 5 dias. Hace 1 mes viaje por 2 semanas a China (diferencia de 14 horas). Mi prueba de embarazo resulto ne

Tengo un restraso en mi período menstrual de 5 dias. Hace 1 mes viaje por 2 semanas a China (diferencia de 14 horas). Mi prueba de embarazo resulto ne

Late period: Razones para períodos perdidos / tardíos: bajo peso corporal, obesidad, ganancia o pérdida de peso marcada, exceso de ejercicio como atletas de resistencia, amamantamiento, estrés, enfermedad, trastornos alimenticios (bulimia o anorexia), viajes, irregularidades hormonales, drogas uso, medicamentos (es decir, control de la natalidad) o problema med. ...Read more

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Fracture in skull of 4 month old baby, leakage of CSF into subdural space occipetal region, what to do?

Fracture in skull of 4 month old baby, leakage of CSF into subdural space occipetal region, what to do?

Children's Hospital?: I hope you are at a good children's hospital with a neurosurgical, medical, and social team to manage this serious injury? ...Read more

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Mri report-multiple old ischemic areas in the periventricular white matter bilaterally-cerebral and cerebellar atrophy. A- 72 yrs, w66kg serious? Sugge

Mri report-multiple old ischemic areas in the periventricular white matter bilaterally-cerebral and cerebellar atrophy. A- 72 yrs, w66kg serious? Sugge

Ischemic changes: Mri scans are sensitive for picking up signs of ischemia or old stroke. Sometimes, the patients may not have any symptoms. Sometimes the symptoms are subtle and the patients recover. The risks factors for these findings include high blood pressure, smoking, diabetes, alcohol use. The best treatment is to get these risk factors under control. Work with your doctor on this. ...Read more

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Brain MRI findings. Tiny nonspecific periventricular and subcortical white matter. Possiblities mini strokes, vasculaties, ms. I shuffle my feet & drop?

Brain MRI findings. Tiny nonspecific periventricular and subcortical white matter. Possiblities mini strokes, vasculaties, ms. I shuffle my feet & drop?

Nonspecific finding: White matter changes that are nonspecific are sometimes over reported or under-reported on MRI studies. They may be misread and really suggest MS, they may be a finding with no clinical relevance. Usually it is the latter. It sounds like the brain MRI did not help that much. So you shuffle your feet and drop? What do you mean by drop? Do you have numbness? Why was the brain MRI done? ...Read more

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38y f. Brain MRI shows left maxillary polyp, partial empty sella, small chronic ischaemic lesions in subcorticle frontoparietal white matter. Cure?

38y f. Brain MRI shows left maxillary polyp, partial empty sella, small chronic ischaemic lesions in subcorticle frontoparietal white matter. Cure?

Nothing to cure: But try to prevent further damage. Maxillary sinus polyp is nothing to worry about unless sinus symptoms, then ENT consult. Partial empty sella cannot be fixed, and nothing to worry about unless abnormal pituitary function - may need to see an endocrinologist. Ischemic lesions may be within normal limits (allowed 1 per decade of life), but need to understand cause(s) and try to prevent more. ...Read more

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Dad, 66, is affected with "chronic ischemic changes in periventri white matter" and "disprop prominence of ventri system c/p to cortical sulci" cure?

Dad, 66, is affected with "chronic ischemic changes in periventri white matter" and "disprop prominence of ventri system c/p to cortical sulci" cure?

Chronic ischemia: What you are seeing on the mr are common aging changes seen on mr. As for a "cure" being available, not at the moment and likely years before any solution. ...Read more

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Friend has had cerebellar infarction, MRI is: pundate hyperintense area in bilateral inf. Cereblr region, hypointense on t1, hyperintense on t2, retriction on div i s/o aorta enfarct. Best treatment?

Time: This means the tissue has recently died in small areas (punctate) of the cerebellum. It is hard to tell (without examining, watching the changes, and knowing the history) to predict the outcome. ...Read more

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