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What Does The MRI Findings Indicate?

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Posted on Tue, 2 Dec 2014
Question: If someone has increased flair in the occipital lobes, and the MRI suggests reversible posterior encephalopathy whst else could cause these mri findings?
The symptoms are visual static continually with brief moments of flashing of lights or lines or circles sometimes with color.
doctor
Answered by Dr. Ravi Soni (32 minutes later)
Brief Answer:
MRI findings are more accurate

Detailed Answer:
Hi, thanks for your query. Welcome to HCM. I have read your query and shall answer accordingly.

You have been previously also told about the possibilities.

Depending upon the MRI findings following are the other possibilities:
Progressive multifocal leukoencephalopathy
Posterior circulation stroke
Multiple sclerosis
Gliomatosis cerebri
Sagital sinus thrombosis
Acute disseminated encephalomyelitis
Occipital lobe seizure
Infections in general: may be viral, bacterial, parasitic
Autoimmune diseases with inflammation in brain
leukodystrophies

There are so many conditions which can give these kind of findings in MRI brain.

You should visit a neurologist and discuss all of these with him.

Posterior reversible encephalopathy syndrome [PRES] causes similar visual symptoms, you are experiencing.

Hope I have answered your query. If you have further query then feel free to ask.
Wish you good health.

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Ravi Soni (4 hours later)
Ok thanks. I wasn't sure how to respond to the last answer again because it looked like they closed that discussion. This helps give us a better idea of what is going on so thanks again.
doctor
Answered by Dr. Ravi Soni (4 minutes later)
Brief Answer:
You are welcome.

Detailed Answer:
Hi, Thanks. If you need further guidance I am happy to help.
If you do not have any further query then close the discussion and rate the answer.
Wish you good health.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ravi Soni (2 hours later)
Ok yes I do have another question.
Before the MRI he had nystagmus that was noted by the doctor. However this was gone the next day after sympyoms subsided. It has happened in the past too. Could this possibly be related to this? Or just something else? We were referred from one neurologist to another one, but have a week yet to go.
doctor
Answered by Dr. Ravi Soni (9 hours later)
Brief Answer:
Whether Nystagmus was spontaneous or induced?

Detailed Answer:
Hi, Thanks for writing again.
Nystagmus is fast, uncontrollable movements of the eyes

Nystagmus is of different types: spontaneous or induced

Spontaneous nystagmus is present at rest without any examination procedure, it can be easily noticed. Nystagmus that is present during specific examination procedure is induced nystagmus.

It can be congenital [present since birth] or secondary [or acquired which develops afterwards]

Nystagmus can be:
Side to side (horizontal nystagmus)
Up and down (vertical nystagmus)
Rotary (rotary or torsional nystagmus)

Nystagmus develops because of the trauma, infection, disease, vascular pathology, toxins, drugs etc. affecting that part of brain which is involved in controlling eye movement [vestibular system, the labyrinth and semicircular canals]

Here, we are talking about acquired nystagmus, which can occur in all the possibilities which I have mentioned in the previous query.

It may be possible that what you had seen after MRI was nystagmus induced during examination [was not the spontaneous one]. You can read the examination procedure for nystagmus and try on him. If eye movements occur hen nystagmus is still present. Spontaneous remission is possible but it can be relapsing also. The course depends upon the cause of the nystagmus.

Hope I have answered your query. If you do not have any further query then close the discussion and XXXXXXX the answer. Wish you good health.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ravi Soni

Psychiatrist

Practicing since :2010

Answered : 538 Questions

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What Does The MRI Findings Indicate?

Brief Answer: MRI findings are more accurate Detailed Answer: Hi, thanks for your query. Welcome to HCM. I have read your query and shall answer accordingly. You have been previously also told about the possibilities. Depending upon the MRI findings following are the other possibilities: Progressive multifocal leukoencephalopathy Posterior circulation stroke Multiple sclerosis Gliomatosis cerebri Sagital sinus thrombosis Acute disseminated encephalomyelitis Occipital lobe seizure Infections in general: may be viral, bacterial, parasitic Autoimmune diseases with inflammation in brain leukodystrophies There are so many conditions which can give these kind of findings in MRI brain. You should visit a neurologist and discuss all of these with him. Posterior reversible encephalopathy syndrome [PRES] causes similar visual symptoms, you are experiencing. Hope I have answered your query. If you have further query then feel free to ask. Wish you good health.