I am51 years old and over the past few years m y memory has deteriorated to the point where I can’t remember much of anything it seems. I can watch an episode of Law and Order on Wednesday and watch the same episode again on Saturday and not remember how it ends from just a few days earlier. I can see movie over the weekend and on Monday at the office can’t remember the name of the movie.
I have a master s degree in engineering and an MBA an until three or four years ago felt I was mentally sharp and held a director level position. In late 2011 I experienced a high level of anxiety, for the first time, and fell into a deep state of depression. I battled both for about 15 months, and with the help of counseling and medications was able to improve but my cognitive abilities have not returned to even 60% of my pre-mental health problem level.
Last week I had an MRI with the following results:
1. Left mastoiditis – family doctor immediately prescribed antibiotic.
2. Mild microangiopathic gliosis
3. Mild convexity atrophy.
Detailed findings: Mild deviation of nasal septum to the right. Mild ethmoid sinusitis. Small mucas retention cyst in left ethmoid sinus. Left 0tomastoidtis is noted. The IAC region appears unremarkable. The visual pathways appear unremarkable. No sellar or parasellar masses are noted. Punctate sized pineal gland cyst is noted as a benign incidental find.
An arachnoid cyst in the right middle fossa is noted.
Involutional changes of the brain, primarily at the convexity, consistent with mild cortical atrophy.
No evidence of an intracranial mass or mass effect or cerebral edema.
Few punctate areas of T2 and FLAIR signal hyperintensities involving the parietal lobes bilaterally near the convexity consistent with microangiopathic infarcts are noted. Normal flow voids are noted in dural sinuses and in major intracranial vasculate.
Any help with diadnosis and treatment options would be appreciated.