Doctor insights on:
Basal Ganglia Calcification Treatment
This is the term for several areas of the brain that work together as a functional unit: the striatum (caudate and putamen), the globus pallidus, the substantia nigra, and the subthalamic nucleus. The most well known function of the basal ganglia is voluntary motor control, but it is also involved in development of routine behaviors; eye movements; and ...Read more
Mri found bilaterally along the inferior lateral aspect of the basal ganglion, either old lacunar infarctions or bilateral benign cysts. Thoughts?
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
S+s of end stage primary brain cancer, (aa iii) r medial temporal lobe, diffuse numerous cells. Growing!/brainstem and posterior temp./basal ganglia?
Ask for more info: Signs and symptoms can vary greatly with any 'end-stage' cancer. Things like if it has spread to other organs, impacting functional status and alertness (sleeping more, in bed most of the time), causing pain/seizures, and so on. His doctors can maybe determine what is most likely. If not involved already ask for hospice or palliative care help as they could also help answer what the s/s might be. ...Read moreSee 1 more doctor answer
Result for my brain MRI -asymmetric decreased attenuation in the left basal ganglia, variant dilated perivascular spaces or punctate chronic lacune. ?
MRI report: This is language used in radiology to describe what they see. Ordinarily, they cannot distinguish a small stroke (lacune) from a perivascular space. A "puntate lacune" though is very small. It is probably just the side view of a blood vessel (aka perivascular). Do you smoke? Do you have high blood pressure? Do you have diabetes mellitus? Atrial fibrillation? These are stroke risk factors. ...Read moreSee 1 more doctor answer
7mm ovoid lesion fluid density shown within posterior inferior aspect of right basal ganglia small vessel coursing through it incidental virchow robin?
Difficult to tell: without actually looking at the scan. Virchow Robin spaces are found normally and accompany blood vessels as they penetrate the brain. They contain cerebrospinal fluid and if they expand they can look quite pathological however it would be difficult to tell for sure without looking at the scan and knowing more. Would be happy to provide a virtual consult if needed. Best of luck! ...Read more
Bone lesion...: The proximal phalanx is the first bone of the fingers and toes (the bone closest to the hand or foot). The cortex is the hard, outer portion of the bone. A lesion is just that - a spot that can be seen on x-ray of mri. Excatly what it is will need to be determined by a radiologist, or removed and diagnosed by a pathologist. ...Read more
"mri:ncmr and cemr brain evaluation reveals hyperintense lesion in the lateral ventricle with solitary metastasis to the brain" is this cancer?Thanks.
Maybe: If you have a history the the illness then maybe. If not then this would need to be evaluated. I suggest this be discussed with your doctor. ...Read more
No: Basal ganglia calcification is more commonly seen in elderly. Blood-pressure medications are not typically associated with this finding. http://radiopaedia.org/articles/basal_ganglia_calcification. ...Read more
What is a nonspecific heterogeneous calciric density along tje right paramedian posterior cingulate gyrus versus splenium of the corpus callosum?
Chronic: The report describes a prior area of pathology which has become calcified over a period of years. This represents an archaic process, and has been uncovered coincidently. Unlikely to correlate with current issues. However, discuss with your physician to be complete. ...Read moreSee 1 more doctor answer
Need data: Is it primary or secondary fsgs. In addition how much protein is in the urine and what is the current kidney function? If the kidney function is significantly depressed the prognosis is poor. If there is more than 4000mg protein in the urine the prognosis is poor. Primary fsgs has a worse prognosis than secondary fsgs. Follow up with a nephrologist for appropriate treatment. ...Read more
Can operate 14x6x6 lesion lying just inferior to the basal ganglia inferolateral to putamen, possible contiguity wth the claustrum anteroinferiorfly?
Is surgery needed?: That area is able to be reached surgically, but the real question is: does this lesion need surgery? Many findings on MRI do not require surgery. Sometimes, watching and waiting (with repeat mris) is the best course. Too many variables here to fully answer this question. Consultation with a neurosurgeon is warranted. ...Read moreSee 1 more doctor answer
Mohs surgery: Mohs surgery is the gold standard for treatment of skin cancers with highest cure rate (99%). It is important that you verify that your mohs surgeon is recognized as a fellowship-trained surgeon. Only members of the american college of mohs surgery (acms) are fellowship trained to perform mohs surgery and are listed on their website directory. The link to the acms is: http://www.Mohscollege.Org/. ...Read moreSee 3 more doctor answers
Ischemia means : Decreased blood flow. I'm not sure if u are referring to the inferior basal part of the heart or the basal ganglia in the brain. Wherever it is, it suggests impaired blood flow and circulation related to high blood pressure, aging, diabetes, high cholesterol and smoking.Follow up with your dr. Take care! ...Read moreSee 1 more doctor answer
Pet/ct scan of brain shown bilateral temporal(more severe on left side)parietal, thalami & basal ganglia hypo metabolism.What does it mean, pl advice.
MaybeNothing: Pet/ct can show a region of hypometabolism, yes. But you describe many areas, including bilateral areas. That is much harder to accurately define on these kinds of tests, and results should be viewed with caution. Also, remember that the metabolism images should fit with what is wrong with the patient. ...Read moreSee 1 more doctor answer
Small infarcts: Lacunar infarcts occur as a result of localized decreased blood flow resulting in localized cell death. This occurs in the more central penetrating vessels of the brain affecting the brains deep structures such as the putamen (part of the basal ganglia), thalamus, caudate pons and internal capsule. ...Read more
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
Left thyroid papillary carcinoma. Some follicular cells show hurthle cell/oncocytic changes. Is the treatment generally thyroidectomy & rad. Iodine?
Several ways: BG has resting tremor, Cerebellar has action tremor. Muscle tone up in BG, decreased in cerebellum. Gait ataxia if cerebellar, but short hesitant steps in BG. Just a couple ways that neurologists look at findings. If you think you might have one or the other problems, might consider a visit to a neurologist. ...Read more
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