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What Do The Attached MRI And EEG Results Indicate?
Question: Hello. I have the following question: I have MRI and EEG results - is there an option that your specialist will look through them and share his thoughts whether there is any pathology there?
The link of MRI results
https://drive.google.com/uc?export=download&confirm=Lfne&id=0B2qdxPW90UmRN0g4amR1SXAycms
The link of EEG result
https://drive.google.com/file/d/0B7-q_w_wcTDNR3RTUEtIRk5Uamc/view?usp=sharing
The link of MRI results
https://drive.google.com/uc?export=download&confirm=Lfne&id=0B2qdxPW90UmRN0g4amR1SXAycms
The link of EEG result
https://drive.google.com/file/d/0B7-q_w_wcTDNR3RTUEtIRk5Uamc/view?usp=sharing
Brief Answer:
No significant changes
Detailed Answer:
I read your question carefully and I viewed both the MRI images as well as the EEG report and the provided pages.
Regarding the EEG, I would like to point out first that what you provide there is not the equivalent of a full exam. A complete EEG exam is comprised of many pages of registration not just those 2 pages. Those pages represent less than a minute of registration while the EEG lasts for 20 minutes at least. So one can't draw a conclusion based on that.
Furthermore findings are always to be related to patient, history and clinical exam. An EEG outside seizure episodes may be normal in almost half of epileptic patients, while on the other hand epileptiform changes are found in about 5% of healthy individuals. So an EEG never makes or rules out a diagnosis, it may only support it when a clinician is in doubt.
If I was to judge those images you provide there are some minor alterations there is no significant epileptiform activity. But I repeat that 2 pages do not make a full test, the interpreting doctor has gone through many more pages, simply selected a couple of them.
As for the MRI I didn't notice any pathological changes regarding the brain, no lesions of the brain or its supplying vessels were noticed. I do not know why it was done, if for seizure evaluation remember that MRI serves only to detect responsible brain lesions or malformations, but there may be epilepsy with a normal MRI, one may have epilepsy with a normal MRI.
I remain at your disposal for other questions.
No significant changes
Detailed Answer:
I read your question carefully and I viewed both the MRI images as well as the EEG report and the provided pages.
Regarding the EEG, I would like to point out first that what you provide there is not the equivalent of a full exam. A complete EEG exam is comprised of many pages of registration not just those 2 pages. Those pages represent less than a minute of registration while the EEG lasts for 20 minutes at least. So one can't draw a conclusion based on that.
Furthermore findings are always to be related to patient, history and clinical exam. An EEG outside seizure episodes may be normal in almost half of epileptic patients, while on the other hand epileptiform changes are found in about 5% of healthy individuals. So an EEG never makes or rules out a diagnosis, it may only support it when a clinician is in doubt.
If I was to judge those images you provide there are some minor alterations there is no significant epileptiform activity. But I repeat that 2 pages do not make a full test, the interpreting doctor has gone through many more pages, simply selected a couple of them.
As for the MRI I didn't notice any pathological changes regarding the brain, no lesions of the brain or its supplying vessels were noticed. I do not know why it was done, if for seizure evaluation remember that MRI serves only to detect responsible brain lesions or malformations, but there may be epilepsy with a normal MRI, one may have epilepsy with a normal MRI.
I remain at your disposal for other questions.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for you reply.
Could you advice what more examinations need to be done in order to found this rootcause of the problem? Both on brain and general.
Could you advice what more examinations need to be done in order to found this rootcause of the problem? Both on brain and general.
Brief Answer:
You must provide more information.
Detailed Answer:
Hello again!
I would like to advice further but it is hard to do so when you provide no information at all about what the problem actually is. You have simply provided the MRI and a EEG report, saying nothing about why they were done, what were the complaints and medical history. So impossible to say anything, we treat patients not tests (even more so when those tests do not show any significant problem).
You must provide more information.
Detailed Answer:
Hello again!
I would like to advice further but it is hard to do so when you provide no information at all about what the problem actually is. You have simply provided the MRI and a EEG report, saying nothing about why they were done, what were the complaints and medical history. So impossible to say anything, we treat patients not tests (even more so when those tests do not show any significant problem).
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Please find required information below, hope this helps:
For 8 years, I suffer from several complaints: chronic fatigue, general malaise, decreased drive power, problems with potency, acne (every year more pronounced, especially on the back, which however gets better in the summer), for 3 years of increasing hay fever / allergy to various pollen, varico-cells, constipation, flatulence, pain and burning in the genital organs, hernias and protrusions, chronic prostate inflammation (treatment with antibiotics every 3-6 months for 5 years), chronic pancreatitis, varicose vein formation.
At 29, a varico-cell surgery; with 29.5 years - disc incident L5-S1, several small discs of the BWS, several discs of the cervical spine, protrusions.
Hormone image (abnormalities):
TSH - 0.011
Growth hormone: 0.05
medications:
Euthyrox
For 8 years, I suffer from several complaints: chronic fatigue, general malaise, decreased drive power, problems with potency, acne (every year more pronounced, especially on the back, which however gets better in the summer), for 3 years of increasing hay fever / allergy to various pollen, varico-cells, constipation, flatulence, pain and burning in the genital organs, hernias and protrusions, chronic prostate inflammation (treatment with antibiotics every 3-6 months for 5 years), chronic pancreatitis, varicose vein formation.
At 29, a varico-cell surgery; with 29.5 years - disc incident L5-S1, several small discs of the BWS, several discs of the cervical spine, protrusions.
Hormone image (abnormalities):
TSH - 0.011
Growth hormone: 0.05
medications:
Euthyrox
Brief Answer:
Read below.
Detailed Answer:
Thank you for the additional information. So I imagine the MRI was done to evaluate the pituitary gland. Not sure about the necessity of the EEG in your case, it isn’t a test I would have asked for in someone presenting with your symptoms.
In terms of brain related tests I wouldn’t ask additional tests, the MRI is the best test on that regard.
However, an evaluation by an endocrinologist is certainly necessary. The levels of the two hormones you mentioned are certainly low and since both are produced by the pituitary gland they would indicate towards a pituitary deficiency. The pituitary gland is vital as it controls the activity of other pituitary glands, so apart from thyroid and growth hormone deficiency it could also affect cortisol, sex hormones and prolactin levels. As a result it could justify if not all at least 80% of the symptoms you mention.
So I would suggest a full endocrinological evaluation, apart from TSH and GH, also IGF1, cortisol, prolactin, LH and FSH levels. Should be followed by an endocrinologist as according to results further hormonal replacement may be considered.
Let me know if I can further assist you.
Read below.
Detailed Answer:
Thank you for the additional information. So I imagine the MRI was done to evaluate the pituitary gland. Not sure about the necessity of the EEG in your case, it isn’t a test I would have asked for in someone presenting with your symptoms.
In terms of brain related tests I wouldn’t ask additional tests, the MRI is the best test on that regard.
However, an evaluation by an endocrinologist is certainly necessary. The levels of the two hormones you mentioned are certainly low and since both are produced by the pituitary gland they would indicate towards a pituitary deficiency. The pituitary gland is vital as it controls the activity of other pituitary glands, so apart from thyroid and growth hormone deficiency it could also affect cortisol, sex hormones and prolactin levels. As a result it could justify if not all at least 80% of the symptoms you mention.
So I would suggest a full endocrinological evaluation, apart from TSH and GH, also IGF1, cortisol, prolactin, LH and FSH levels. Should be followed by an endocrinologist as according to results further hormonal replacement may be considered.
Let me know if I can further assist you.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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