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HELP WITH MRI
I am 33 yr old female who has been suffering from vertigo, dizziness,loss of hearing in right ear ..when im sleeping i get this tremors ..well over all not feeling so good..please help understanding mri might this be ms or something else..The doctor treating me at this moment is an ENT he says I HAVE meniers syndrome.. I have hypothyroid dis.,macular deg,prolapse of mitral v,and renal stones ...im taking diazine and phenergan....is the mri ok .? please help im worried..
Evaluation of the supratentorial portion of brain demonstrates small focal hyperintensities on Flair and T2-weighted images in the frontal cortex and subcortical white matter bilaterally that may represent demyelinating plaques,viral process or unidentified bright objects.no intra-axial masses noted.the ventricals are normal in size and in midline position.the vascular structure normal.no abnormalities in temporal lobes or cavernous sinus.Evaluation of brainstem,cerebellum and cervicomedullaryjunction normal.The cerellopontine angles and interna auditory canals appear normal.No abnormal enhancement after administration of contrast.
IMPRESSION:
Multiple focal hypersensities on flair and T2-weighted images in the frontal cortex and subcortical white matter bilaterally that may represent demyelinating plaques ,viral process or unidentified bright objects
Evaluation of the supratentorial portion of brain demonstrates small focal hyperintensities on Flair and T2-weighted images in the frontal cortex and subcortical white matter bilaterally that may represent demyelinating plaques,viral process or unidentified bright objects.no intra-axial masses noted.the ventricals are normal in size and in midline position.the vascular structure normal.no abnormalities in temporal lobes or cavernous sinus.Evaluation of brainstem,cerebellum and cervicomedullaryjunction normal.The cerellopontine angles and interna auditory canals appear normal.No abnormal enhancement after administration of contrast.
IMPRESSION:
Multiple focal hypersensities on flair and T2-weighted images in the frontal cortex and subcortical white matter bilaterally that may represent demyelinating plaques ,viral process or unidentified bright objects
MEDICAL PROFESSIONAL
Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with your doctor.
Without the ability to examine you and obtain a history, I can not provide with an explanation for your particular MRI findings, however I will try to provide you with some information.
There are multiple causes for so called white matter lesions in the brain. Most often, these are due to what is called "chronic small vessel disease", literally meaning diseased small vessels that supply blood flow to the brain. This is not an uncommon process in the brain and increases with age. This is not a disease in and of itself but rather is a reflection of unhealthy blood vessels, damaged by years of plaque build-up. This is most often due to a combination of several factors including the following: high blood pressure, diabetes, smoking, and high cholesterol. If these factors are well controlled, the damage to the brain can be stabilized and further damage prevented.
Other causes of white matter lesions in the brain can be migraine. People with migraine often have white matter lesions on their MRI that are of unclear cause or significance.
Other causes of white matter lesions on MRI can usually be distinguished based on history and symptoms, such as symptoms of neurologic deficit (for example arm weakness or difficulty walking etc). These can also be distinguished based on the MRI appearance. These include, but are not limited to, multiple sclerosis, other demyelinating disease, cancer metastesis, infection, and inflammatory processes such as vasculitis. The diagnosis of MS is NEVER made based just on an MRI, several other factors such as your history and physical examination are taken into high consideration as well.
The different causes can be determined to some extent by interpretation of various sequences of the MRI. It sounds like your neurologist does not think the pattern of white spots in your brain are typical of multiple sclerosis. Other investigations are sometimes necessary to distinguish the various causes of white matter lesions. A lumbar puncture is sometimes necessary, in which fluid from around the spine and brain is taken out and analyzed with various tests.
If your vertigo is associated with your headache, it may be a variant of migraine called basilar migraine. In this case, your vertigo could possibly respond to migraine medications.
It is possible that your MRI findings are entirely unrelated to your symptoms, I really can not say whether or not you have Meniere’s either. It is important for you to further address your questions and concerns with a neurologist. After he/she examines you and reviews your MRI, he/she will be able to provide more answers for you and can recommend further testing as necessary.
Thank you for using the forum, I hope you find this information useful, good luck
Without the ability to examine you and obtain a history, I can not provide with an explanation for your particular MRI findings, however I will try to provide you with some information.
There are multiple causes for so called white matter lesions in the brain. Most often, these are due to what is called "chronic small vessel disease", literally meaning diseased small vessels that supply blood flow to the brain. This is not an uncommon process in the brain and increases with age. This is not a disease in and of itself but rather is a reflection of unhealthy blood vessels, damaged by years of plaque build-up. This is most often due to a combination of several factors including the following: high blood pressure, diabetes, smoking, and high cholesterol. If these factors are well controlled, the damage to the brain can be stabilized and further damage prevented.
Other causes of white matter lesions in the brain can be migraine. People with migraine often have white matter lesions on their MRI that are of unclear cause or significance.
Other causes of white matter lesions on MRI can usually be distinguished based on history and symptoms, such as symptoms of neurologic deficit (for example arm weakness or difficulty walking etc). These can also be distinguished based on the MRI appearance. These include, but are not limited to, multiple sclerosis, other demyelinating disease, cancer metastesis, infection, and inflammatory processes such as vasculitis. The diagnosis of MS is NEVER made based just on an MRI, several other factors such as your history and physical examination are taken into high consideration as well.
The different causes can be determined to some extent by interpretation of various sequences of the MRI. It sounds like your neurologist does not think the pattern of white spots in your brain are typical of multiple sclerosis. Other investigations are sometimes necessary to distinguish the various causes of white matter lesions. A lumbar puncture is sometimes necessary, in which fluid from around the spine and brain is taken out and analyzed with various tests.
If your vertigo is associated with your headache, it may be a variant of migraine called basilar migraine. In this case, your vertigo could possibly respond to migraine medications.
It is possible that your MRI findings are entirely unrelated to your symptoms, I really can not say whether or not you have Meniere’s either. It is important for you to further address your questions and concerns with a neurologist. After he/she examines you and reviews your MRI, he/she will be able to provide more answers for you and can recommend further testing as necessary.
Thank you for using the forum, I hope you find this information useful, good luck
Just because some doctors are stumped, doesn't mean your crazy. Trust me ;)
hi just returned from audiology clinic,and the audiology repost says everything is perfect no hearing lost .cochlear function normal..But he recommends to rule out vestibular deficit...lets see if it meniers ,,
tomorrow is my ENT appointment so tomorrow i will find out how im doing and have to visit the neurologist ..ill keep u posted and thank u for the support is nice to know someone thinks im not crazy....
tomorrow is my ENT appointment so tomorrow i will find out how im doing and have to visit the neurologist ..ill keep u posted and thank u for the support is nice to know someone thinks im not crazy....
Without being a doctor, I can say your symptoms fit Meniere completely. The tremors may be hypnic jerks due to stress. But again, I'm no doctor.
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