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What Does My MRI Scan Test Report Indicate?
Question: XXXXXXX my son, (32)yrs. had an MRI on 8/11/2015. Findings: Nonspecific s signal abnormality is identified within the deep white matter of the right parietal lobe likely representing chronic gliosis. There is no intracranial mass, hemorrhage, midline shift, hydrocephalus, or extra axial fluid collection, Flow avoid are maintained on T2 weighted images. Facial drooping in a patient with a history of cerebral palsy. Patient reports intermittent headaches. What is the prognosis, is there a cure, surgery necessary? What kind of treatment is needed. We just received this information on 8/14/2015 and need to set an appointment with a Neurologist.
Brief Answer:
Nothing wrong on MRI
Detailed Answer:
I read your question carefully and I understand your concern. It is tough to have a MRI report and no one to explain what it means.
From what I understand from the report your son was known already for cerebral palsy responsible for his facial droop and the motive for the MRI were the intermittent headaches.
Fortunately the report is a good one. There is only an area of gliosis. A gliosis means a remain of an old injury, sort of like an old scar. So it doesn't represent any active process, it is just the remain of the old hypoxic injury which caused cerebral palsy. The rest od the report states that everything else is normal.
Understandably then the prognosis is excellent, certainly no surgery is necessary. Treatment will depend on the frequency and type of headaches, may range from an occasional pain killer like Ibuprofen, to preventive treatment if the headache episodes are frequent.
I remain at your disposal for further questions.
Nothing wrong on MRI
Detailed Answer:
I read your question carefully and I understand your concern. It is tough to have a MRI report and no one to explain what it means.
From what I understand from the report your son was known already for cerebral palsy responsible for his facial droop and the motive for the MRI were the intermittent headaches.
Fortunately the report is a good one. There is only an area of gliosis. A gliosis means a remain of an old injury, sort of like an old scar. So it doesn't represent any active process, it is just the remain of the old hypoxic injury which caused cerebral palsy. The rest od the report states that everything else is normal.
Understandably then the prognosis is excellent, certainly no surgery is necessary. Treatment will depend on the frequency and type of headaches, may range from an occasional pain killer like Ibuprofen, to preventive treatment if the headache episodes are frequent.
I remain at your disposal for further questions.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Dr. Taka for your response.
My son XXXXXXX when born, had the umbilical cord wrapped twice around his neck. Consequently we were told our son was brain damaged, would not walk, or talk and to institutionalize him. My faith would not let me give up on my son and we took him home obtaining for him PT,OT and a Speech Therapist.
Within the last three months, he began to act differently, he started hearing voices in his head and acting out. He's been arrested many times for trespassing as he believes a neighborhood food store is his home. I believe, perhaps, that some type of mental illness has overcome his otherwise gentle disposition. What could have happened to my son? He does not smoke, drink or do drugs. Would the mental illness be a result or consequence of the cerebal palsy?
My son XXXXXXX when born, had the umbilical cord wrapped twice around his neck. Consequently we were told our son was brain damaged, would not walk, or talk and to institutionalize him. My faith would not let me give up on my son and we took him home obtaining for him PT,OT and a Speech Therapist.
Within the last three months, he began to act differently, he started hearing voices in his head and acting out. He's been arrested many times for trespassing as he believes a neighborhood food store is his home. I believe, perhaps, that some type of mental illness has overcome his otherwise gentle disposition. What could have happened to my son? He does not smoke, drink or do drugs. Would the mental illness be a result or consequence of the cerebal palsy?
Brief Answer:
read below
Detailed Answer:
Thank you for the additional information.
At times lesions in certain brain areas can cause psychiatric symptoms like hallucinations (hearing voices) or delusions (wrong beliefs).
However since that lesion has been present since birth such symptoms should have presented before, not at the age of 32.
So I do not believe that to be the cause. I think a psychiatrist consult should be scheduled to evaluate the possibility of a psychiatric condition like schizophrenia.
I hope to have been of help.
read below
Detailed Answer:
Thank you for the additional information.
At times lesions in certain brain areas can cause psychiatric symptoms like hallucinations (hearing voices) or delusions (wrong beliefs).
However since that lesion has been present since birth such symptoms should have presented before, not at the age of 32.
So I do not believe that to be the cause. I think a psychiatrist consult should be scheduled to evaluate the possibility of a psychiatric condition like schizophrenia.
I hope to have been of help.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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