Doctor insights on:
Supratentorial White Matter 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
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
What does mulitple(atlest 10)tiny t2/flair hyperintense foci in cerebral white matter, predominantly subcortical and deep white matter implies?
See your doctor: Hyperintense white matter signals may mean nothing clinically or could be related to a host of diagnoses, including multiple sclerosis, autoimmune, etc. It has to be correlated to an exam and other testing to make any sense of it, a lot of times it is an incidental finding and means very little clinically. Your doctor will help you understand what this report means to you clinically. ...Read moreSee 1 more doctor answer
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
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
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
MRI showed moderate supratenatorial white matter disease suspicious of demyelinating process. Multiple nodular foci periventricular Could you explain?
Concern for MS, But: Phyllis, talk to the doctor who ordered the MRI, since he/she can interpret the MRI in the context of the symptoms that brought you to the clinic. In some cases, periventricular white matter lesions are the result of migraines, old head trauma, neuron migration issues, or MS. It is hard to know from just a description of the MRI which is the cause. Good Luck and Stay Healthy! ...Read moreSee 1 more doctor answer
Many things: Your question probably relates to a finding which is usually seen on a MRI report. In general, there are individuals with silent infarcts in the white matter that are due usually to hypertension. The radiographic finding that is reported is seen as small, punctuate white dots, that can be small vessel disease, infection, vasculitis, or a variant of normal. ...Read more
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
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
Age 66; right hearing loss; MRI; dx: mild chronic deep white matter ischemic changes in the periventricular and subcortical white matter. Please expla?
My MRI found multiple frontal punctate subcortical white matter foci appreciated notable in the frontal lobes. What does this mean?
Sign of Age: You often see these as we get older, especially if you have high blood pressure and/or high cholesterol. The small blood vessels in the brain, like everywhere in the body, can get clogged with cholesterol, especially if you have high blood pressure and diabetes which makes the vessels less elastic. ...Read more
What does 2 hyperintense foci in the right frontal white matter and 1 hyperintense
focus in the left frontal
white matter mean? migraine 20yo
Non-specific finding: The findings you list are non-specific but are frequently seen in people with a history of migraines. It may be advisable to meet with a neurologist who can go over your history, review the reason the MRI was obtained in the first place and perform a detailed neurological exam to determine if further testing is required. ...Read more
Worry? MRI:Parenchymal vol. loss of brain & min.T2 signal in periventric white matter & scatter foci of abnormT2 signal rt frontal/parietal subcortcal
What does periventricular & subcortical white matter in both hemispheres & multiple sm foci of T2 & FLAIR hyperintensity(no larger than 3mm)mean? 44yr
MRI: Well tons of reason, could be part of aging (wear and tear lesions), small strokes, infections, MS. talk to a neurologist. ...Read more
Mri says scattered white matter, also says no lessions or mass effect detected, isn't scattered white matter lesions?
Yes, but...: Nonspecific abnormality (lesion). From your submission, there are no masses, clots, tumors, increased pressure in the brain, etc.-all reassuring. Talk to your doc. ...Read more
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