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FAQ - Leukomalacia, Periventricular
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What are tiny foci of hyperintense signal at periventricular are subcortical white matter less than 0.5?


these are signs of Multiple Sclerosis on MRI.  (+ info)

My recent brain MRI shows lacunar infarcts in the periventricular white matter / microvascular gli angiopathic


white matter gliosis. Was told by my neurosurgeon, it was not his specialty, to see my neurologist to follow, shouldnt he know about this problem as well. Plus was told I've had several minor strokes already, before this I had 2 tumors in my brain, my mother died from a brain aneurysm, what do you advise?
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Follow up with a neurologist. They specialize in this matter.  (+ info)

what is atrophic/ periventricular white matter/ chronic micro infarctive?


atrophic = reduced in size and no of cells -- dying
periventricular white mater= the nerves which send information from one side of the brain to other , in this case around the cavities in the brain

chronic micro infarcts = small regions of cells which have not got blood for very long time  (+ info)

What is meant by acute focal infarct MRI brain ?


My hubby feeling giddy & weak got an MRI of brain & angiography.Impression- Acute focal infarct in left posterior capsule-ganglionic region extending to adjacent thalamus.Periventricular ischemic changes.
How serious is condition? He hasn't told me anything yet.I found the report in his bag.
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I would advice you to take it seriously. Infarct means that some vessel is not supplying blood to the part of the brain involved and this affects the brain cells involved in that area. So be quick and serious and contact your family doctor for further reference to Neurologist.  (+ info)

wht is a periventricular lucency?


The brain has within it spaces that are filled with water. These water spaces are called ‘ventricles’. The parts of the brain around the water spaces often have the poorest blood supply. The medical word for ‘around’ is ‘peri’. ‘Periventricular’ means ‘around the water spaces’. Periventricular lucency – usually evaluated in computed tomography scans of patients with hypertensive and normal pressure hydrocephalus, (an accumulation of cerebrospinal fluid within the skull), as well as cerebral atrophy - is most prominent in cases of acute obstructive hydrocephalus in which the periventricular density profile pattern is often linear and steep. This linear profile is due to the disappearance of the ventricular wall as an effective barrier at the level of the superolateral angle of the frontal horn.
There are other problems affecting the periventricular areas, and one is applicable to premature babies who suffer a lack of blood and oxygen. The damage may affect the nerves in this part of the brain and the affected nerves die. The affected area becomes soft and scarred. This gives rise to the condition Periventricular leucomalacia. “Leuco”, in medical terms means ‘white’, “malacia” is the term used to describe ‘softening’. This can lead to a type of visual impairment known as cerebral visual impairment (C.V.I)
Hope this helps
Matador 89  (+ info)

can my 8 months daughter walk?


My 8 months daughter had an MRI scan .Please help me what is the to find out the % of damage and what are the measures to be taken .can i see my daughter normal? is it Cereral Palsy?PLS HELP ME!!
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MRI Scan for TSE T1 & T2 Wt.images of the Axial sections with out IV contrast

The report shows:
- Signals from orbits normal,bilaterally no masses
-Signals from brain system & Cerebellem are normal
-ventricular system dilated
-sulci,sylvial fussures & cisternal spaces are widened .Prominent subarachroid spaces in the bilateral temporal and frontal regions
- bilateral periventricular white matter shows hyperintensity on T2 in the parieto-occipital regions
-suspicuious focal cortical dysplasia in the rt.fronto-pariental region
- no midline shift
- no e/0 bony pathology fractures
Impression:
1) mild cerebral atrophy
2) periventricular leukomalacia with ? focal cortical dysplasia in the Rt.Fronto parietal region

Torch profile Follow up
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As you know, the MRI is not normal. That being said, it is not a horrible/damning type report either. Even an expert reading this would not be able to say with certainty if your daughter will have trouble walking - it just isn't enough information.

MRI's are just snapshots to add to the clinical picture but far more important is how your daughter is doing clinically. Your most important step is getting to a pediatric Neurologist who can examine your daughter and put ALL the clinical information into perspective for you. Best wishes.   (+ info)

Are the doctors wrong?


For the past 3 months ive been having really bad pounding headaches. Before this i was always able to make my headaches go away with an adjustment or simple advil but now either one will work in taking a headache away. I have been woke up in the mornings from so much pressure and pounding that its disturbing my sleep and grades. Im not able to concentrate or even listen to music like i use to. Its making it hard to be at school because theres so much noise that it bothers me and so does the sunlight. Ive also had another symptom that makes me considered. The other night there was blood in my bowl and thats never happened to me before. I had an mri done last week and the results back on monday. They told me i have Periventricular Leukomalacia and that its mostly on the left side of my brain. They said its white brain tissue thats disappearing. I have an appointment for the specialist on the 19th. Thing im confused about is that when i researched about this i found that its not common for it to be in young adults or adults because it just affects infants. Do i really have it? They told me that theres something else that is causing my headaches and hopefully i find out. Is there anything i can do to make myself feel better?
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Well I know how stressful this is ...but please try to be positive about this.your brain will do what ever you tell it too and believe what you are telling it. so tell yourself..IT'S ALREADY ALRIGHT...then feel as if it's truely happened..that you are alright. and believe it. make yourself believe it. so when you FEEL AS IF ITS TRUEL HAPPENED..you are spelling out FAITH.MEANING BELIEVE AND HAVE FAITH THAT EVERY THING WILL turn out the way you want it too.Gee I hope this helps and I WILL say a prayer for you..GOOD LUCK  (+ info)

what is microvascular ischemia?


my sister had minimal microvascular ischemia periventricular white matter of the brain . what is it?
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  (+ info)

Should I get a second opinion?


I had a MRI (brain) demyelinating in the deep white matter and periventricular white matter was found. The Neurologist I went to says it is nothing to worry about. Since my spinal tap was neg for MS.
I have numbness in my feet and memory loss and balance loss and numbness in my left hand. Should I go get a second opinion? Or should I just deal with it and wait about 6 months then have another MRI?
I have had these symptoms for about 20 years. 3 MRI's 2 neg 1995 and 2002 -1 positive 2007. The symptoms have come and gone and each time they come back they are worse. Each time I have been told the symptoms are because of my diabetes.
I have seen a neurologist on each MRI scans.
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How long have you had your symptoms? Have they ever gone away and come back? How many times have you seen a neurologist?

i was surprised to find a while back that they will no longer diagnose MS unless you have repeated attacks or changes on an MRI.

The fact that your spinal tap was negative for MS means nothing. There is no specific test for MS in spinal fluid; only tests that may suggest it or rule out other diseases

When a neurologist examines you, he is looking for reflexes and various indications of what may be wrong. He may take your word for it that you are numb, but he won't use it to make a diagnosis of MS unless there is something he can see.

Whether or not you get a second opinion depends on how you answered the questions I asked at the beginning. If you have had repeated attacks with objective signs that a neurologist can see, then you have an argument with the the doctor you have. Otherwise, if the neurologist wants to do another MRI in six months, it is because he is looking to meet the diagnostic criteria that require that there be a change.

I am including a link to a medical journal article that describes the diagnostic criteria.  (+ info)

What does this mean in laymans terms? (results of MRI of brain)?


There is a focus of increased signal intensity on the T2 weighted images within the right occipital periventricular white matter. This is nonspecific in appearance and could be due to ischemic change from small vessel disease, demyelination, or nonspecific gliosis.
There are no other areas of abnoral signal intensity identified. No cortical infarctions are identified or acute subcortical infarcts.
The ventricles & cortical sulci are normal in size and configuration.
There are no mass lesions seen or areas of abnormal enhancement.
IMPRESSION:
Nonspecific white matter abnormality in the right occipital periventricular white matter.
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It is important that you ask this question to a doctor. My impression is that there is some focus spot there but they don't know what the cause is. You may want to ask your doctor:

1. How common is it to have these lesions in the occiptal white matter?
2. Do I need to have a second scan in the future to see if it has gotten worse?
3. Will I go blind from this? What is the chance that it will lead to any complications? (sight / memory function / etc)  (+ info)

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