Hi, I Had A Brain MRI Which Showed That I

Posted on Sun, 7 Apr 2019

Question: Hi, I had a brain MRI which showed that I have had advanced atrophy of my frontal lobes. What does that mean?

I've been experiencing forgetfulness, and episodes where I do or read something and then have no memory of having done/read it.

Answered by Dr. Dr. (2 hours later)

Brief Answer:
due to age or small vessel ischemic disease. Require further confirmation.

Detailed Answer:
Hello,

I can understand your concern. I had gone through attached MRI brain report. Here is my advice.

Advanced atrophy of frontal lobes means there is loss of brain cells i.e neurons and loss of connections between them. It may be age related i.e as age advances there is loss of some neurons but its slow process.

As per your history, forgetfulness i.e loss of memory is due to brain atrophy.

Let me know whether do you have history of brain trauma or injury, convulsions, infection, difficulty with speech or writing, difficulty with daily activities? Kindly follow up with detailed history.

As MRI report shows chronic small vessel ischemic disease, so it may be the cause for dementia. It requires further confirmation by neurologist after detailed medical examination and evaluation.

Hope I have answered your query. Let me know if I can assist you further. Thank you.

Regards,
Dr. Shyam Kale.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. (1 hour later)

Thanks for responding to me. A little more history:

Since losing 160 pounds since August 2017, my high blood pressure and type 2 diabetes have resolved. I have a history of migraine headaches. No history of head injury, brain infections, or convulsions. I have been experiencing difficulty in reading and writing. My ophthalmologist says my eyes are healthy but my vision is often cloudy making it difficult to see. In addition, I have difficulty reading a line of text because my eyes seem unable to track straight. For the last three months I have been misspelling simple words (ex. "With" becomes "whith", "of" becomes "ov")

I'll be speaking with my doctor in a few days and I'm sure he'll want to investigate this further, but do you have any idea about the type of dementia I have?

Thanks for your help.

Valerie

Answered by Dr. Dr. (19 hours later)

Brief Answer:
may be vascular or age related.

Detailed Answer:
Hello,

Thank you for reply.

As per your history, dementia may be vascular type or age related. But as you have difficulty with speech, so it will be evaluated with detailed medical examination by neurologist.

I think cloudy vision may be due to migraine as you confirmed that it may not be related to eye problems.

Hope I have answered your query. Let me know if I can assist you further. Thank you.

Regards,
Dr. Shyam Kale

Above answer was peer-reviewed by : Dr. Raju A.T