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Basal Ganglia Lacunar Infarcts
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
Control risk factors: Lacunar infarcts are a type of ischemic stroke that is often due to risk factors for stroke including high blood pressure, high cholesterol, diabetes as well as lifestyle changes such as stopping smoking, exercise, and a healthy diet. The ataxia refers to a specific type of lacunar infarct and the associated symptoms of incoordination. It is best to seek full evaluation by a stroke neurologist. ...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
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
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
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
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
Are Few tiny scattered nonenhancing T2/T2 FLAIR hyperintensities involving periventricular/ subcortical Zones supratentorial compartment bilat normal?
MRI: You can talk to your doctor about what this finding means in the context of your clinical picture, but usually what you are describing is an incidental, age-related finding that is probably of not much concern. ...Read more
A risk factor: Regardless of the age of the prior stroke, you need to fully assess all relevant risk factors and start a protective anti-platelet med such as aggrenox, and perhaps lipitor (atorvastatin). Issue is not the prior lacunar infarct, but what may occur in future instead. ...Read moreSee 1 more doctor answer
Is stable bilateral frontaoparietal white matter t2w/flair hyperintense signals, probably chronic microvascular ischemic changes called mild stroke?
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
Lacunes: Lacunes are small deep cerebral infarcts due to a primary arterial disease. They are usually located in the basal ganglia, internal capsule and pons usually in hypertensive patients. They are rare in the white matter of the cerebral hemispheres. See a neurologist if those findings belong to you. ...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
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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