HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Had Fever And High BP. MRI Showed Infract On Thalamus And Cerebral Spinal Fluid. What Causes This?

default
Posted on Sat, 7 Dec 2013
Question: Hi, I got an MRI done the other day and the radiologist said that i had a small infarct on my thalamus. But i was wondering when looking at the mri why there is excess cerebral spinal fluid on the top of my brain. I have been having a fever with this and high blood pressure and im just wondering what this could be. I included a picture of the mri that i saw the excess cerebral spinal fluid on.
doctor
Answered by Dr. Indu Kumar (1 hour later)
Brief Answer: Excess CSF fluid is due to atrophy of brain. Detailed Answer: Hello Thanks for writing to XXXXXXX I have gone through your MRI images.Though you didn't send axial images,there are prominent CSF spaces on the top of brain.It is due to mild atrophy of brain parenchyma. Due to atrophy in brain there is shrinkage of brain tissue and it allows CSF spaces to expand.You are only 29 years old and it is early to have atrophic changes. Small infarct in thalamus may be due to ischemia and this is supported by your hypertension history.Hypertension is also early in your case.Renal doppler should be done to exclude renal cause of hypertension. You also need few investigations for thorough checkup. Investigations include routine hemogram,RBS,LFT,RFT,Lipid profile,ECG in all leads,Urine RE/ME,ultrasound of abdomen should be done. You should consult neurologist for brain findings and cardiologist for hypertension. You should take medicines regularly for hypertension and also increase your physical activity in the form of walking,exercise . Get well soon. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6728 Questions

Ask me a question
premium_optimized

The User accepted the expert's answer

Ask a Radiologist
Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2
Had Fever And High BP. MRI Showed Infract On Thalamus And Cerebral Spinal Fluid. What Causes This?

Brief Answer: Excess CSF fluid is due to atrophy of brain. Detailed Answer: Hello Thanks for writing to XXXXXXX I have gone through your MRI images.Though you didn't send axial images,there are prominent CSF spaces on the top of brain.It is due to mild atrophy of brain parenchyma. Due to atrophy in brain there is shrinkage of brain tissue and it allows CSF spaces to expand.You are only 29 years old and it is early to have atrophic changes. Small infarct in thalamus may be due to ischemia and this is supported by your hypertension history.Hypertension is also early in your case.Renal doppler should be done to exclude renal cause of hypertension. You also need few investigations for thorough checkup. Investigations include routine hemogram,RBS,LFT,RFT,Lipid profile,ECG in all leads,Urine RE/ME,ultrasound of abdomen should be done. You should consult neurologist for brain findings and cardiologist for hypertension. You should take medicines regularly for hypertension and also increase your physical activity in the form of walking,exercise . Get well soon. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX