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Doctor insights on: Bilateral Subcortical Hyperintensities

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I have a hyperintensity of 3mm due to ischaemia in subcortical brain can these hyperintensities heal themselves and how can you prevent future ones?

I have a hyperintensity of 3mm due to ischaemia in subcortical brain can these hyperintensities heal themselves and how can you prevent future ones?

? Ischaemia: I would question whether this hyper intensity truly reflect ischemia. If this was observed on what is known as a diffusion weighted sequence, then it likely reflects ischemia or inflammation. If it was seen on a FLAIR or T2 sequence, and is solitary, this is likely a normal finding that is of no clinical significance. ...Read more

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Are Few tiny scattered nonenhancing T2/T2 FLAIR hyperintensities involving periventricular/ subcortical Zones supratentorial compartment bilat normal?

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

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Explain: Minimal punctate FLAIR/T2 hyperintensities are present in the subcortical & deep white matter of the cerebral hemispheres. (Otherwise normal)?

Explain: Minimal punctate FLAIR/T2 hyperintensities are present in the subcortical & deep white matter of the cerebral hemispheres. (Otherwise normal)?

Here goes: I am unaware of why you required an MRI of brain, but the described lesions could be present due to migraine, prior head trauma, smoking, prior infections, even MS, but the description is not the common pattern. Does this help, or do you need more involved answers via Concierge visit? ...Read more

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MRI shows nonspecific flair hyperintensities in the deep and subcortical white matter. Blood work shows EBV ab VCA IgG 325.00 and Lyme P23 ab present?

MRI shows nonspecific flair hyperintensities in the deep and subcortical white matter. Blood work shows EBV ab VCA IgG 325.00 and Lyme P23 ab present?

See details: A single positive on the Western blot means nothing. That is a negative test. Similarly a positive EBV IGG means old but not active disease. Why was the MRI ordered in the first place? ...Read more

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What does scattered althought predominantely bilateral frontal, subcortical white matter punctuate foci of signal abnormality mean?

What does scattered althought predominantely bilateral frontal, subcortical white matter punctuate foci of signal abnormality mean?

Maybe nonspecific: If you have migraine, such white matter lesions are usually posterior, and if you had head trauma, the location may be more anterior, but both head and neck trauma could cause some increased foci. The demyelinating lesions of ms would be periventicular at right angles, but in the elderly such lesions might be c/w microvacular angiopathy, or even binwanger's. ...Read more

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MRI (for tinnitus) says, A few tiny punctatefoci appearing hyperintense in bilateral frontal subcortical matter. I'm 22 and a bit fat. Is this serious?

MRI (for tinnitus) says, A few tiny punctatefoci appearing hyperintense in bilateral frontal subcortical matter. I'm 22 and a bit fat. Is this serious?

Usually not serious: For the most part up to 5 small hyper-intense signals are considered in the normal range and can occur from lots of different causes. It could be a illness as child, migraines, mild traumaor hypertension. At your age they are probably not worrisome and you now have a good baseline MRI to compare to future ones if needed. ...Read more

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Bilateral frontal lobe subcortical white matter showing evidence of small vessel ischemic changes. Is this serious?

NONSPECIFIC: Although the films were read as suggesting ischemia, location might also suggest prior head trauma, congenital lesions of no consequence, genetic or hereditary issues, even underlying inflammatory condition. This is only "serious", if clinically you are having stroke symptoms or you possess uncontrolled blood pressure or elevation of blood lipids. Likely quite non-diagnostic. ...Read more

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Bilateral frontal lobe subcortical white matter showing evidence of small vessel ischemic changes. What does this mean?

Subcortical ischemia: This translates to changes in the smaller blood vessels that lead to loss of blood flow to the area and then scarring. Somewhat like a small silent stroke and frequently seen in people with migraines. The opinions about this have swayed from very worried, to common and mundane and more recently back to looking to stop the damage (help the blood flow, oxygen and glucose status optimize). ...Read more

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I have twitches everywhere. My MRI shows a few nonspecific punctate foci in bilateral frontal subcortical white matter. No other symptom. Dis Serious?

I have twitches everywhere. My MRI shows a few nonspecific punctate foci in bilateral frontal subcortical white matter. No other symptom. Dis Serious?

Not likely serious.: Age? You a smoker, diabetic, hypertensive, high cholesterol, do you get along with your mother-in-law? Scratch last question, of course not. Who does? . If you're young'ish (30 or less) then, why MRI show WM dz like that...if you've got any risk factors mentioned or an old geezer like me (>35-40) then, no biggie. Twitches everywhere may mean Benign Fasciculation Syndrome or TMC (too much caffeine)! ...Read more

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61healthy. MRIbrain. Multiplefoci of flairhyperintensityinbilateral subcortical whitematterare nonspecifi findingsoften seenwith chron vas isc chang

61healthy. MRIbrain. Multiplefoci of flairhyperintensityinbilateral subcortical whitematterare nonspecifi findingsoften seenwith chron vas isc chang

Common findings: These are findings that are often found in every person's MRI of the brain that hold very little significance. You can say they are the "liver spots" of the brain. ...Read more

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What is subcortical dementia?

What is subcortical dementia?

Definition: In most kinds of dementia, autopsy reveals widespread degeneration in the cerebral cortex - such as the plaques and tangles which are the hallmark of alzheimer's disease. Alzheimer's disease and frontotemporal dementia are therefore sometimes classed as "cortical dementias." in other kinds of dementia, there is targeted damage to regions lying under the cortex, giving rise to sub cortical dementia. ...Read more

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What does nonspecific subcortical and periventricular foci mean?

What does nonspecific subcortical and periventricular foci mean?

It means: There are small areas of MRI signal changes in the white matter of your brain next to the ventricles and grey matter (cortex). Usually this is an incidental, age-related finding. Sometimes it can be a sign of other white matter diseases like MS. The finding has to be correlated with your clinical picture to assess the significance, so talk to your doc about the results. ...Read more

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My mris generate vastly different interpretations. Some see tumors, lesions, hyperintensities. Others see nothing. Lesions are diagnosed as everything imaginable. No objective standard? What's up?

My mris generate vastly different interpretations. Some see tumors, lesions, hyperintensities. Others see nothing. Lesions are diagnosed as everything imaginable. No objective standard? What's up?

MRI: Not sure which MRI you are talking about. Is it of the brain, abdomen, chest? You should understand that MRI or ct scans are just "shadow" of your body organs. When we interpret we do come across atypical findings that baffle us. All radiological interpretations should be correlated with clinical findings to arrive at a reasonable diagnosis. ...Read more

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What is a subcortical cyst on my hip

What is a subcortical cyst on my hip

Benign bone cyst: A subcortical cyst of the bone is a cyst within the bone marrow just below the plates that form the outer table of your bones. These cysts are usually benign, and may or may not be fluid or blood filled. They are usually called simple bone cysts, but other names may be applied too. ...Read more

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Why would a hyperintensity occur in the subcortical region if the brain on an mri?

Why would a hyperintensity occur in the subcortical region if the brain on an mri?

MRI finding: These are a very common findings. They can be the source of concern to patients when reading their MRI report. However, most doctors do not assign any significance to them unless there are a large number, or in the setting of multiple sclerosis. You can contact the doctor who ordered the MRI for more info, but suspect they will relay there is no reason for concern. ...Read more

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Few scattered punctate nonenhancing FLAIR white matter hyperintensities?

Few scattered punctate nonenhancing FLAIR white matter hyperintensities?

Question?: Not sure of your question. Nonetheless if you are asking about your MRI findings, it depends on the context. Suggest you discuss with your ordering physician. ...Read more

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I am 541. Nonspecific white matter T2 hyperintensities. I was told this was normal. Should I seek a 2nd opinion?

I am 541. Nonspecific white matter T2 hyperintensities. I was told this was normal. Should I seek a 2nd opinion?

Common finding: With regard to obtaining a second opinion, my first question would be why did you have an MRI performed in the first place? Did you review the MRI with your neurologist? Where are the white matter hyperintensities situated? Was the MRI an appropriate study for your condition? ...Read more

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Nonspecific outbreaks of hyperintensity in the crown radiaria left and left frontal subcortical on mri, what is this?

Nonspecific outbreaks of hyperintensity in the crown radiaria left and left frontal subcortical on mri, what is this?

Inflammation: These types of findings on MRI are unfortunately non specific. They may be representative of a number of different things. Given your are, 18, that does narrow the differential diagnosis a little. Things that can cause these types of abnormalities are, multiple sclerosis, acute or chronic demyelinating disorders, viral infections, as well as other inflammatory processes or vasculitis. ...Read more

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What symptoms with:hyperintensities in left parietal by body of left lateral ventrical. Also in right occipital region.?

Micro-vessel disease: These white matter lesions appear mostly to be the result of microvascular disease which is seen in normal aging (40"s +), migraines, hypertension, and possibly some of the clotting disorders which can result in tiny, ministroke events, (eg. Huges syndrome)

do you have a history of high BP or of migraines? ...Read more

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Is Surgery an option with a Subcortical Cyst in the shoulder?

Is Surgery an option with a Subcortical Cyst in the shoulder?

Treat with observati: The subcortical cyst should most likely be asymptomatic; however, if there is pain in this shoulder, see an orthopaedist. ...Read more

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Small lacunar infarct in subcortical region?

Small lacunar infarct in subcortical region?

Lacunar Infarct?: I don't really don't understand your question. A lacunar infarct is a type of stroke that is usually due to uncontrolled, long standing hypertension. ...Read more

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I have a 3mm brain lesion in the subcortical region. Can this heal over time and disappear?

I have a 3mm brain lesion in the subcortical region. Can this heal over time and disappear?

Unlikely: It is a finding on imaging, sort of like having brown eyes. It is the way you are. Depending on what it looks like your doctor will be able to determine what to do. It sounds like an unimportant incidental finding is most likely ...Read more

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Can you tell me what causes subcortical foci of hypodensity and a prominent virchow robin space?

Can you tell me what causes subcortical foci of hypodensity and a prominent virchow robin space?

Usually normal: The virchow robin space is a perivascular space in the brain that surrounds the perforating arteries. It is believed to act as a buffer and reservoir of the extracelluar space for the neurons. These are normal findings that are best seen on the MRI scans of the brain. However, more recent studies suggest that these become prominent in neurodegenerative diseases where there is loss of neurons. ...Read more

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I'm curious what is the subcortical nerve centre and the vasomotor centre? What is it relation with the heart? Thanks

I'm curious what is the subcortical nerve centre and the vasomotor centre? What is it relation with the heart? Thanks

Vasomotor canter: Subcortical means any neuronal structures underneath the cerebral cortex. There are a lot of neuronal collections called nuclei. The vasomotor center lies in the hypothalamus and brainstem. It controls herat rate and blood pressure. ...Read more