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MRI Report and neurology opinion
I am a 29 year old practice Manager/software Engineer and needed your expertise opinion. I was referred to neurologist back in April for my symptoms (zoned out all day, not thinking clearly, focus issues, occasional white floaters/lights in vision etc) for which I was referred to perform MRI head and routine EEG. EEG was normal and MRI was essentially normal (2 or 3 small T2 hyperintensities left subinsular WM & right frontal WM probably at upper limit of normal and could reflect small perivascular spaces. NO intracranial mass lesion, intracranial haemorrhage or any evidence of hydrocephalus). Neuro discharged me with a conclusion "From organic point of view tests are normal and more on psychological basis" and stated that these findings/spots on MRI are age related, 1 dot per 10 years of life. All my blood profiles are completely normal and my GP is keep concluding the matter as an anxiety related which I am not really convinced from non of the answers.
I need your opinion of weather I will benefit from a second neurology opinion as, I continue to have the symptoms and feel that my symptoms are gone worse and sometimes feel cognitively impaired or I just accept the fact that it is just anxiety.
I need your opinion of weather I will benefit from a second neurology opinion as, I continue to have the symptoms and feel that my symptoms are gone worse and sometimes feel cognitively impaired or I just accept the fact that it is just anxiety.
Best Answer
There is a school of thought calles occam's razor, that suggests the simplist explanation is often the correct one. Floaters are a hallmark of elevated blood glucose, which could cause all of your symptoms. So square one is to get an hba1c and to obtain a glucose meter and take your own readings. This does not mean that you don't have neurological issues. A screen for vitamin deficiencies is in order, as well as an endochonological consult. Hormonal abnormalities can cause these symptoms. The MRI rules out structural anomalies, and the EEG gross electrical abnormalities. There are, however certain degenarative neurological disorders that do not fit within these two categories. Keep track of your symptoms and log them. Try a second opinion from another neurologist.
Forgot to mention. Also done TSH and T4 3 time in past 7 months. All were completely normal
Thank you very much for your input, it is very helpful and honest. Last week I performed FBC, liver, kidney, fasting glucose and Hba1c done including b12. All were perfectly normal. Do you recon my symptoms are more towards neurological side? Also could they be of MS? What exactly the neuro mean by perivascular spaces probably normal and also his explanation of one hyperintensity per 10 years make sense.
Apologies for an array of questions but it will truly help.
Apologies for an array of questions but it will truly help.
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