Doctor insights on:
Pontine Lacunar Infarct
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
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
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
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
Mild cerebr atrophy MRI psych pt age 65 small lacunar infarct right putamen, mild word finding problems, attention/executive prob
As above: I hope s/he is being seen by a neurologist , if this the case discuss u question with him. ...Read more
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
Is stable bilateral frontaoparietal white matter t2w/flair hyperintense signals, probably chronic microvascular ischemic changes called mild stroke?
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
Degenerative disease: A large group of sporadic and inherited disorders with symptom onset in the 5th decade of life. Main manifestations include ataxia, first in the legs then arms, hands and facial muscles.Characterized by extensive degeneration of the cerebellum, pontine nuclei and medullary olivary nuclei, opca's have been described with many other clinical findings. Treatment is symtom specific and variable. ...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
What do you mean by: 1. Scalp hematoma, left parietal region 2, cerebral contusion left parietal lobe 3. Cerebral contusion left base cerebral hemisph?
Scalp hematoma: Scalp hematoma is a bleeding underneath the scalp in the upper left region of the skull. The contusion is in the same region and is a brusing and bleeding in the brain. #3. Is another bruising or bleeding on the left side of the brain but lower down towards the base of the skull. These injuries sound like there are a result of head trauma. ...Read moreSee 1 more doctor answer
Loss of brain cells: This is a finding on either a CT scan or MRI of the brain. It is commonly seen in the elderly and can be a normal finding as we age. We tend to lose neurons or brain cells as we get older. This process can be increased with certain disease states such as dementia, infection, or poor nutrition. Typically this finding is coupled with cognitive impairment such as decreased memory or behavior problems ...Read more
Lack of blood flow.: "Ischemia" means a relative lack of blood flow (i.e., less blood flow than expected or less flow than noted on a prior scan). Peri-infarct means around the area of cell death (infarction). Upload the report & images on HealthTap Prime to discuss in more detail. But the basic gist is that around the area of death, there is an area of less blood flow than there should be. ...Read more
Sir my mri report is T2 hyperintense foci seen in the bilateral periventricular and subcortical wthit matter-?non-specific foci/? demyelinating foci /
MRI results: could mean a lot of different things. Need more information to help you. A virtual consult may help you. ...Read more
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