Doctor insights on:
Basal Ganglia Hemorrhage Stroke
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
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
Matter of size: A lacunar stroke is due to a block in a smaller end artery, as contrasted to a carotid or middle cerebral artery obstruction, which would cause damage to a larger area of brain. Many strokes in the basal ganglia are small and often not noticed clinically, but the larger ones are very evident. ...Read moreSee 1 more doctor answer
Age 23. Coma patient. Diffused axonal injury. Intraventricular hemmorhage. Bleeding in frontal lobe. Chances of survival? Any possible impairment?
Not good : Sorry about this one, but there will be a suboptimal outcome at best. Survival may be issue, talk to your doctors, and perhaps an eeg can guide decisions, but hard to predict outcome of comas. Sounds like a profound traumatic event, and since young and severe, have a family conference with the treatment team, and get all your questions answered. ...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
Pathophysiology: Ischemic stroke occurs when an artery to the brain is blocked.A thrombotic stroke occurs when diseased or damaged cerebral arteries become blocked by the formation of a blood clot within the brain. An embolic stroke is also caused by a clot within an artery, but in this case the clot (or emboli) forms somewhere other than in the brain itself. Hemorrhagic stroke is sudden bleed into the brain. ...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
Took brain mri.multiple t2hypointense lesion in cerebral parenchyma.possibilty of granuloma or brain secondries..my mom hv lung cancer.is it secondary?
Probably neither: Difficult to know without seeing all the MRI sequences. It would be helpful to know if the lesions enhance after Gadolinium contrast and if they "bloom" on susceptibility weighted sequences and if they are calcified or invisible on CT scan. Metastatic disease would be very unlikely in a 30 year old without a known primary cancer. My best guess would be multiple cavernous malformations. ...Read more
See comments: Are you referring to radiology reading of an MRI of brain? In elderly, often thought that white matter lesions are associated with "microvascular angiopathy", sign of potential atherosclerosis. Maybe potential stroke risk, especially lacunar infarct, but not straightforwards. Your physician needs to assess stroke risk. Spots more likely from migraine or prior injury. ...Read more
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
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
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
A few: A brain attack or stroke maybe from lack of blood flow(ischemic) or a bleed(either clot/embolism or aneurysm) in the brain(intraparenchemal). Both results in death of brain tissue. Other sources of hemorrhage can be in the surrounding tissues such as subdural(around the brain) or subarachnoid(around brain or spinal cord). ...Read more
Hard to say: If the interpretation on the MRI by the radiologist is that it is a cyst, then it is likely benign. It also depends if there is any area of enhancement that would suggest a tumor. Also if you have serial MRI scans, you can tell if it is getting bigger or changing which is more likely a tumor. The location in the ventricle is important too. If it obstructs the foramen it could be a problem. ...Read moreSee 1 more doctor answer
Is stable bilateral frontaoparietal white matter t2w/flair hyperintense signals, probably chronic microvascular ischemic changes called mild stroke?
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
Had a left posterior basal ganglia stroke.Was in hospital r sided hemiparesis...Dr's did not explain poststerior ganglia?
Brain relay nuclei: The basal ganglia are a group of nerve relay centers (nuclei) in central part of the upper brain. They work with other areas of the brain in the control of limb and body movements, eye movements, thinking, and emotions. Just behind the lentiform nucleus of the basal ganglia is the posterior part of the "internal capsule." stroke in this area causes a hemiparesis on the opposite side of the body. ...Read moreSee 1 more doctor answer
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