MRI 49 yrs old female

[deedeecriscillo]

Symptoms: short term memory loss,changes in eye sight,changes in gait (sometimes I can't make them move as they should) Twitches when I stop moving and try to relax muscles, I say twitches but some are violent jerks. High BP, take meds religeously runs 110/72. Results are as follows MRI Brain W/out contrast.FINDING(S): The diffusion weighted images demonstrates no evidence for an acute infarction. Mild periventricular and subcortical foci of increased T2 and FLAIR signal prolongation are present. No mass effect or midline shift. Blood sensitive sequences
demonstrates no evidence for hemorrhagic product. No hydrocephalus. Incidental note is made of an 8mm CSF space medial to the left subinsular cortex.

There are normal signal flow voids. There is mild left maxillary sinus mucosal thickening.

IMPRESSION:
1. There is no evidence for infarction, mass effect, or hemorrhage.
2. Mild periventricular and subcortical white matter disease, likely the sequela of microangiopathy. Please correlate with risk factors such as diabetes or hypertension.
3. Mild left maxillary sinus mucosal inflammatory disease

[kwarendorf]

Hi DDC

SOrry that your first neuro didn't help. I agree with JJ that you should tke a look at your c & t spine for info on your gait issues. I have gait issues as well and have lesions in c & t spine.

WHen are you seeing the new neuro?

Kyle

[deedeecriscillo]

Thanks for the input, unfortunatley I have seen a Neurologist. Not helpful at all, seeing a more knowledable soon. So I'm confident that he will be able to diagnose and treat.

Dee Dee

[supermum_ms]

Hi and welcome,

It's always best to get the opinion of your neuro but from my lay persons perspective, mild micro vascular white matter lesions in the subcortical and periventricular areas of the brain, would not be unexpected findings in a patient who has a medical history of high blood pressure (hypertension), migraine, diabetes etc.

It's likely you'll need a spinal MRI to see if your gate issues are caused by a spinal issues eg degenerative disc, spinal cord lesions etc but keep in mind, if your clinical signs were not actually abnormal there could be other medical explanations you'll need to be tested for too.

Cheers.....JJ