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Doctor insights on: Supratentorial White Matter Disease

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Mild supratentorial white matter disease--what is this?

Mild supratentorial white matter disease--what is this?

Maybe of no signif.: White matter lesions may be caused from a host of circumstances, such as migraine, prior head or neck trauma, hardening of the arteries, inflammation like multiple sclerosis, prior small strokes, effect of some medications such as methotrexate, and is not specific. The location of your concern maybe actually a chronic, lifelong issue. Consult your doctor. Read more

White Matter (Definition)

White matter is one of the two components of the central nervous system and consists of glial cells and myelinated axons that transmit signals from one region of the cerebrum to another and between the cerebrum and lower brain centers. White matter tissue of the freshly cut brain appears pinkish white to the naked eye because myelin is composed largely of lipid ...Read more


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Can a brain MRI detect nonspecific supratentorial white matter disease?

Can a brain MRI detect nonspecific supratentorial white matter disease?

Yes: Nonspecific white matter disease may be seen in individuals with migraine headache, can be post infectious or can be a result of hypertension and high cholesterol. At times MRI with administration of contrast is recommended to better characterize these lesions. Read more

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My cat scan showed mild intracranial atrophy and mild supratentorial small vessel white matter disease?

My cat scan showed mild intracranial atrophy and mild supratentorial small vessel white matter disease?

See your doctor: These findings need to be put into perspective with respect to the symptoms which led to the decision to order the ct scan in the first place. In some, these could be consgtrued as normal findings, though 45 years old is young for these. Read more

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A few scattered punctate foci of increased T2/flair signal of the supratentorial white matter which is nonspecific meaning?

A few scattered punctate foci of increased T2/flair signal of the supratentorial white matter which is nonspecific meaning?

See below: It means you may have tiny lesions in white matter where nerve fibers extend away from nerve cells. The increased signals may indicate areas of injury due to ischemia (lack of oxygen) or other causes. They are too small and few in number to be significant. If you are worried, discuss your concerns with your Dr. You can change your diet, exercise regularly, manage stress and quit smoking if you do. Read more

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Mri report "few punctate like hyperintensity foci scattered in the supratentorial white matter, the lesions is not typical of m.S " what's it mean?

It means: That there are tiny spots in your brain matter above the cerebellum that are not in a pattern typical of multiple sclerosis. Beyond that your neurologist will have to figure out what caused them and whether they correlate with any of your symptoms, or whether they are meaningless findings because of the incredible ability of the scan to pick up even unimportant " lesions." best wishes! Read more

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MRI result: "Mild presumed chronic small vessel ischemic changes in the supratentorial white matter." Should I be concerned?

Atherosclerosis: No. This is normal aging of the brain. However going forward, make sure that there is good blood pressure control, maintain normal cholesterol and blood sugar levels, and avoid smoking. These steps will slow the progression of atherosclerosis in the brain. Read more

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MRI results: scattered nonspecific foci of T2/FLAIR signal hyperintensity w/out associated mass effect w/in the supratentorial white matter. Meaning?

MRI results: scattered nonspecific foci of T2/FLAIR signal hyperintensity w/out associated mass effect w/in the supratentorial white matter. Meaning?

It is hard...: ...to comment on an MRI without knowing clinical details. The radiologist should have put his/her impression in the report and that may provide additional information. However, the physician who ordered the MRI would be the best person from whom to seek an explanation. Wish you the best. Read more

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Few Scattered 2-3 mm T2 Hyperintense non-specific supratentorial foci involving subcortical white matter. This was my MRI impression. Please explain?

Few Scattered 2-3 mm T2 Hyperintense non-specific supratentorial foci involving subcortical white matter. This was my MRI impression. Please explain?

Nonspecific: Nonspecific findings are nonspecific. Small whilte mater lesions are common and can be due to local ischemia (lack of blood flow) or inflammation or small infarcts. In the absence of clinical findings they are likely nothing to worry about. What was the reason for your MRI? If vasculitis or M.S is a concern, your doctors will followup and you should get repeat MRI. Read more

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History 35 F. Headache, lft eye floaters MRI findings:Multiple 20white matter lessons in the supratentorial brain, likely demyelinatingdisease. Worried?

History 35 F. Headache, lft eye floaters MRI findings:Multiple 20white matter lessons in the supratentorial brain, likely demyelinatingdisease. Worried?

MS?: 35 YO female - demyelinating disease of brain? Certainly Multiple Sclerosis is the #1 concern. MS is a clinical diagnosis so would need some more history to corroborate that. Headache and floaters are not common presenting signs of MS. Read more

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Can I lift weights in gym if developmental venous anomaly was found on MRI of brain? (no symptoms, it was noted it was small size, supratentorial)

Can I lift weights in gym if developmental venous anomaly was found on MRI of brain? (no symptoms, it was noted it was small size, supratentorial)

Developmental venous: Developmental venous anomaly, also known as DVA or venous angioma, is a benign -not dangerous formation of veins that drain into the larger central vein. The anomaly does not require surgery or other treatment. No restriction on activity necessary. Okay to lift weights. Ref- http://www. Hopkinsmedicine. Org/healthlibrary/conditions/nervous_system_disorders/developmental_venous_anomalies_134, 73/ Read more

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53 yr old female and MRI found more than 20 punctate T2 hyperintensities of the supratentorial brain, likely ischaemic in nature. What are implication?

53 yr old female and MRI found more than 20 punctate T2 hyperintensities of the supratentorial brain, likely ischaemic in nature. What are implication?

If they really are: Ischemic in nature, it suggests a risk of vascular disease in other vascular beds (organs). The treatment isn't any different, however: Assiduous control of risk factors: BP, diabetes, lipids, etc. Read more

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What is chronic white matter ischemic disease?

What is chronic white matter ischemic disease?

Lack of blood deep: In the brain. This condition is most commonly seen in individuals with one or all of the following: 1. Hypertension 2. Diabetes 3. Hyperlipidemia (high cholesterol) 4. Cigarette smoking 5. Family history of stroke of course there are others but these are most important. Please meet with your neurologist to discuss why and what you can do to help your situation. Good luck and well wishes. Read more

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I had a MRI that showed minimal white matter disease that was not addressed. Now im having signs of MS.?

I had a MRI that showed minimal white matter disease that was not addressed. Now im having signs of MS.?

Get re-evaluated: The MRI may well be nonspecific, and the result of migraine, old head trauma, smoking, etc. But if you now have neurological symptoms, and "signs", this needs to be evaluated fully and diagnosed, so that the appropriate cause can be treated. This may not necessarily be MS, and certainly best to find out. Read more

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I had a MRI and was diagnosed with white matter changes to my left external capsule (not sure where that is) Is there a way to slow this disease down?

I had a MRI and was diagnosed with white matter changes to my left external capsule (not sure where that is) Is there a way to slow this disease down?

White matter changes: Without understanding what prompted the ordering of the MRI, not the specific aspects and findings of the MRI (location, sequence etc etc) it is difficult to determine what these findings on their own mean. Since you have clearly had a previous health care provider interaction, suggest you speak to that provider to further discuss the relevance of these findings. Read more

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What is chronic periventricular white matter microvascular ischemic disease?

What is chronic periventricular white matter microvascular ischemic disease?

Patchy insulation: Chronic means this process has been going on for years in the brain. White matter is the part of the brain where the "communication cables" are, and they are "white" because of myelin insulation. The ventricles are fluid-filled "shock absorber" spaces inside the brain. Ischemic means they have been deprived oxygen, microvascular means in tiny blood vessels. Mini-stroke strips off some insulation. Read more

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I have white matter disease and the neurologist didn't really tell me that it would cause cognitive issues. Will these issues get better?

I have white matter disease and the neurologist didn't really tell me that it would cause cognitive issues. Will these issues get better?

Maybe...: Really depends on the location and the number of white matter lesions. In demyelinating disorders such as multiple sclerosis if having a increase lesion burden, cognitive dysfunction will occur. Otherwise, the number and location is important to determine whether there'll be any memory or cognitive issues. Read more

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I asked earlier about MS and white matter disease. I have had an MRI (2) actually. Shows lesions. "stroke" in october. But wad told not a stroke?

I asked earlier about MS and white matter disease. I have had an MRI (2) actually. Shows lesions. "stroke" in october. But wad told not a stroke?

MRI WHITE LESIONS: Mri's are very sensitive at identifying any change in anatomy. Some lesions can look like the beginning of ms, but not actually turn into the disease. High blood pressure and trauma can cause lesions they look like ms or small strokes. Serial examinations are sometimes required to figure out if the findings improve, stay the same, or increase. Read more

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I have MS symptoms, balance, memory, speech thinking problems. Had a unfounded stroke also. Dr says only white matter disease. I feel like it's ms.?

I have MS symptoms, balance, memory, speech thinking problems. Had a unfounded stroke also. Dr says only white matter disease. I feel like it's ms.?

MS diagnosis: MS is not an easy diagnosis to make. There are often numerous brain lesions and abnormalities in the CSF, which is obtained by spinal tap. Think of having symptoms, but they are not necessarily MS symptoms. Sometimes the spinal tap or MRI tests done over a long time help answer your question. Read more

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MRI done showed brain lesion... If it were white matter disease would they have known by this MRI?

MRI done showed brain lesion... If it were white matter disease would they have known by this MRI?

Likely: MRI is the study of choice for evaluating the soft tissues of the brain. Sometimes IV contrast is used to also evaluate the blood vessels of the brain. Read more

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My husband has been diagnosed with severe white matter brain disease. What is that and what does it mean? He is recovering from a stroke.

My husband has been diagnosed with severe white matter brain disease. What is that and what does it mean? He is recovering from a stroke.

"White matter": I agree with dr. Kumar. "white matter" refers to the nerve fibers that facilitate communication between nerve cells -- along with myelin, a fatty sheath that covers the them. White matter is below the surface layer of the brain, and can be followed all the way down the spinal cord. Strokes can injure these areas; some people have cognitive changes as well as physical symptoms afterwards. Read more

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