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Doctor insights on: Old Infarction Head Of Caudate Nucleus

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Dr. Hamid Sajjadi
3 Doctors shared insights

Infarction (Definition)

When the blood supply of a tissue is compromised by whatever mechanism, the tissue will stop working and if blood flow is not restored, the tissue will eventually die ("infarct", both verb and noun). The clinical picture that runs with development of an infarct ("heart attack"; ...Read more


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Sister's Mri shows "chronic infarct involving right caudate nucleas and anterior limb of right internal capsule".Is it serious? How much? And cure pls!!

Sister's Mri shows "chronic infarct involving right caudate nucleas and anterior limb of right internal capsule".Is it serious? How much? And cure pls!!

Chronic infarct: Any stroke is serious. A "chronic" infarct is one that has occurred in the past. The damage is done and there is no cure per se. If the stroke was small, there may be little or no permanent impairment. Once a stroke has already occurred, it is important to prevent future strokes. A search for possible etiologic factors, such as vascular disease or hypertension, is important. ...Read more

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Would an infection of mastoid/ temperol bone-posterior show on a CT scan of the head? Is it possible to mistake it for an old infarction?

Would an infection of mastoid/ temperol bone-posterior show on a CT scan of the head? Is it possible to mistake it for an old infarction?

Mastoiditis: Yes, ct head would show an infection of the mastoid and temporal bone. It is not possible to mistake this for an old infarction of the brain. The two are completely different on imaging. ...Read more

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3mm hypodense liver lesion in caudate lobe & two 3mm hypodense pancreatic head lesions on CT in setting of carcinoid workup. Can these be tumors?

3mm hypodense liver lesion in caudate lobe & two 3mm hypodense pancreatic head lesions on CT in setting of carcinoid workup. Can these be tumors?

May or may not be: It takes time and follow up CT scans to see if these tumors are growing in size. If they are not tumors (cancer) it will remain unchanged in size over a period of 3-6 months. A biopsy may be required to confirm it in case these lesions are increasing in size (growing bigger). They are too small to do a biopsy now, need to be at least 1Cm or bigger. ...Read more

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I fell down & got hit in head after CT scan result"lacunar infarct in right frontal centrum semiovale".Doctor say nothing to worry explain me this sir?

What it is: That means that a very small blood vessel is blocked. That vessel supplies the white matter under the grey cells in your right frontal lobe of the brain. It is in the area that has fibers that transmit signals from the grey cells to other parts of the brain. Usually, there are no problems, but you should see a neurologist to make sure that all is well. ...Read more

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I had a CT scan of my brain. The results read I had small lucunar infarct left basal ganglia small vessel ischemic disease... What do I have? It started with a headache on my right temple for the last 6 months, doctor sent me to physical theapy, but did

I had a CT scan of my brain. The results read I had small lucunar infarct left basal ganglia small vessel ischemic disease... What do I have? It started with a headache on my right temple for the last 6 months, doctor sent me to physical theapy, but did

Small strokes: A small lacunar infarct refers to a stroke from occlusion of a small blood vessel. Small vessel ischemic disease refers to a chronic process whereby the small blood vessels become smaller and smaller over time and cause tiny strokes in certain brain tissues. Typical risk factors are chronic hypertension, smoking and diabetes mellitus. These small strokes can be significant when they accumulate. ...Read more

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What does old antero-septal myocardial infarction mean?

Q waves of anterior: Septal waves on ekg. Echocardiogram would confirm or dispell heart muscle damage. ...Read more

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What does this mean, there is a small old appearing cortical infarction in the superior anterior right cerebellar hemisphere superiorly?

What does this mean, there is a small old appearing cortical infarction in the superior anterior right cerebellar hemisphere superiorly?

Prior stroke: The films are indicative of older cerebral lack of blood flow causing a small stroke. Since this has occurred, there is risk of future stroke, and underlying cause should be sought. Consideration for medication to prevent further strokes very pertinent. Time to have full neurological evaluation. ...Read more

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What is a possible old inferior infarction?

What is a possible old inferior infarction?

Inferior MI: Old (ie, completed and not acute) myocardial infarctions may be detected by ecg's. Some of the ECG (ekg) leads record electrical activity in the inferior (lower) part of the heart. Characteristic electrical patterns in these leads may indicate a previous mi. The computer generated analyses of ECG tracings are subject to error and must be interprtd by your physician. Please speak to him or her. ...Read more

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My 15 year old son was diagnosed with inferior myocadial infarction also left ventricular hypertrophy. Can someone please break it down for me?

My 15 year old son was diagnosed with inferior myocadial infarction also left ventricular hypertrophy. Can someone please break it down for me?

Wrong diagnosis?: Is 15 yo healthy? Why was he evaluated? Previous cardiac history? Autoimmune disorder? Kawasaki disease? Sickle cell disease? Diabetes or cancer? If not, then it sounds like an adult cardiologist misread a child's ekg. Often an adolescent's ekg will look like left ventricular hypertrophy because of the strength of the electrical impulse and thinness of the chest wall compared to an adult. ...Read more

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Mri found bilaterally along the inferior lateral aspect of the basal ganglion, either old lacunar infarctions or bilateral benign cysts. Thoughts?

Mri found bilaterally along the inferior lateral aspect of the basal ganglion, either old lacunar infarctions or bilateral benign cysts. Thoughts?

Either unusual: The chance of lacunar infarcts in a 23 yo is pretty low. Similarly, having "bilateral cysts" seems somewhat unlikely, nor am I sure what kind of "cysts" the radiologist would be referring to. Review your MRI with your doctor. ...Read more

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Hi iam 40rs old male suffering from extensive ant. Myocardial infarction I do catheterization since one andhalf year ago, does I need another cath?

Hi iam 40rs old male suffering from extensive ant. Myocardial infarction I do catheterization since one andhalf year ago, does I need another cath?

Anterior MI: If you had an mi, you should be on a program of diet, exercise, and multiple medications including aspirin, beta blocker, ace inhibitor and statin drugs in general. You don't mention whether you have had bypass surgery or stenting procedures. If you are without symptoms on your regimen, you likely don't need another angiography at this time but should discuss your status with your cardiologist. ...Read more

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My nephew 11 y old got a cerebral infarction 7 days back with minor signs of speech, v little droop and little difficulty walking. Can he recover 100%?

Can: There is no test than can predict degree of recovery following a stroke (old nomenclature) cerebral infarction (new nomenclature). However the brain is very good at relearning and finding other neurologic tissue to be 'trained'. A child's brain should be more "trainable". Do they know what caused the stroke? ...Read more

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Iam 65 years old abnormal ecg Normal sinus rhythm Possible inferior infarction, age undetermined ST& T wave abnormality, consider lateral ischemia?

Iam 65 years old abnormal ecg Normal sinus rhythm Possible inferior infarction, age undetermined ST& T wave abnormality, consider lateral ischemia?

Automated ECG: The automated ECG interpretation that appears on a 12 lead ECG printout must always be viewed with a grain (or two) of salt. The best person to evaluate your ECG is your doctor. Period. The machine is famous for misinterpretation. Go see your doctor. Have a history and physical done. Then have him/her look at your ECG. ...Read more

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Please can you explain what atrial flutter with variable av block compatible with a bundle branch block. Possible inferior infarction, probably old is?

Please can you explain what atrial flutter with variable av block compatible with a bundle branch block. Possible inferior infarction, probably old is?

ECG interpretation.: Atrial flutter: your heart rhythm is abnormal (the atria are contracting very rapidly); variable block: there are a variable number of atrial contractions for every ventricular contraction. A bundle branch block: the ECG complex representing each ventricular contraction is widened due to a block of one branch of your heart's conduction system. Q waves on the ECG suggest an infarct (? Age). ...Read more

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If an ECG shows that I have old inferior infarction, can the abnormality on the ECG be from mitral valve repair?

Not likely: It's a possibility, but not very likely that an artery can be injured during a mitral valve repair. Comparing ecg's preoperative to postoperative could shed some light on this, but to really determine the cause of any change would require a coronary angiogram. ...Read more

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Possible inferior myocardial infarction probably old. Possible abnormal ecg...Does this mean I had an attack? I am diabetic and workout daily.

Possible inferior myocardial infarction probably old. Possible abnormal ecg...Does this mean I had an attack? I am diabetic and workout daily.

EKG change: Q waves on an ekg suggest prior damage.
If there were symptoms, enzyme elevations helps confirm the timing and degree.
Compare with any prior ekg.
Continue your risk reduction approach, but discuss with your pcp. ...Read more

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Hx of WPW, ablation. Lately, HR of 120-140, palpitations off/on. EKG says "probable anteroseptal infarction, old". Should I be concerned/followup?

Hx of WPW, ablation. Lately, HR of 120-140, palpitations off/on. EKG says "probable anteroseptal infarction, old". Should I be concerned/followup?

The computer: Interpretation of anteroseptal infarction is undoubtably in error. The computer algorithm is skewed to provide an abnormal reading. The tachycardia however may suggest a recurrence of your WPW pathway. It would be very reasonable to report your symptoms and heart rates to the physician who treated you. Followup would be appropriate but not because of the EKG reading. ...Read more

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Anterolateral myocardial infarction probably old came up on the ecg. My doctor said its nothing to worry about, can I have an easy to understand defin?

Anterolateral myocardial infarction probably old came up on the ecg. My doctor said its nothing to worry about, can I have an easy to understand defin?

Stupid Computer: The computer reads on ekgs are designed to catch as many heart attacks as possible but they are notorious for overcalling heart attacks. A trained cardiologist can sort the matter out using experience, training and a set of rules. ...Read more

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What is "old lacunar infarction at periventricular white matter of left temporal lobe"?

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 more

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I had an MRI of the brain which showed a small old left basal ganglia lacunar infarction?

I had an MRI of the brain which showed a small old left basal ganglia lacunar infarction?

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 more

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I was wondering I had a Brain MRI done but what can they see on a brain MRI? Do they see infections and tumors and IQ and stuff like that or old bleedings or TIA's or Brain infarction?

I was wondering I had a Brain MRI done but what can they see on a brain MRI? Do they see infections and tumors and IQ and stuff like that or old bleedings or TIA's or Brain infarction?

Many things: Several things can be seen, mainly that would have to do with the appearance of the Brain, such as possible infections, tumors, inflammation, old infarctions, etc. BUT not the IQ. ...Read more

Dr. Edward Kuhnley
3 Doctors shared insights

Infarct (Definition)

It means an area of tissue death due to lack of oxygen most commonly associated with ...Read more