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What Does The MRI Scan Report Indicate?
Question: Hello my son is 24 he had a cardiac arrest we did an MRI and this is what the impression part of the report says:
Moderately severe ventricular enlargement and diffuse cortical sulcal prominence consistent with advanced atrophic change, unusually prominent for patient age.
there are occasional focal areas of altered signal within the right frontoparietal, bilateral parietal and occipital regions likely related to areas of ischemia or infraction. these correspond to areas of low density noted on the CT study dated November 16,2015
Moderately severe ventricular enlargement and diffuse cortical sulcal prominence consistent with advanced atrophic change, unusually prominent for patient age.
there are occasional focal areas of altered signal within the right frontoparietal, bilateral parietal and occipital regions likely related to areas of ischemia or infraction. these correspond to areas of low density noted on the CT study dated November 16,2015
Brief Answer:
Brain damages due to lack of blood supply and/or oxygen.
Detailed Answer:
Hello and thanks for using HCM.
I have read your query and understand your concerns.
Those brain MRI findings are consistent with brain damages caused by lack of blood supply and/or oxygen due to cardiac arrest.
Venticular enlargement and atrophy of brain derive from brain mass loss due to ischemia.
Damage of brain areas caused by lack of blood supply/oxygen more than 5 minutes are irreversible.
Damages due to lack of blood supply/oxygen less than 5 minutes have better chances of recovery.
However, there is need to know the actual neurologic state of your son, when cardiac arrest happened and if he had any neurologic improvement during this time or not, in order to have a correct answer about the recovery possibilities and degree.
A favorable factor is your son's young age, because of the brain plasticity; other normal areas of brain cortex possibly start to take the functions of damaged areas.
Hope you found the answer helpful.
Awaiting for more information.....,
Brain damages due to lack of blood supply and/or oxygen.
Detailed Answer:
Hello and thanks for using HCM.
I have read your query and understand your concerns.
Those brain MRI findings are consistent with brain damages caused by lack of blood supply and/or oxygen due to cardiac arrest.
Venticular enlargement and atrophy of brain derive from brain mass loss due to ischemia.
Damage of brain areas caused by lack of blood supply/oxygen more than 5 minutes are irreversible.
Damages due to lack of blood supply/oxygen less than 5 minutes have better chances of recovery.
However, there is need to know the actual neurologic state of your son, when cardiac arrest happened and if he had any neurologic improvement during this time or not, in order to have a correct answer about the recovery possibilities and degree.
A favorable factor is your son's young age, because of the brain plasticity; other normal areas of brain cortex possibly start to take the functions of damaged areas.
Hope you found the answer helpful.
Awaiting for more information.....,
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Since the cardiac arrest happened my son is able to open his eyes and follow certain commands like squeeze my hand move your leg... he can make some sounds when the speaking valve is on him today he weaning on oxygen in his nose. according to the neurologist the area affected is small.
he is off the ventilator and breathing on his own
the neurologist is positive but wants to check the ventricules issue
he is off the ventilator and breathing on his own
the neurologist is positive but wants to check the ventricules issue
Brief Answer:
Follow up.
Detailed Answer:
Welcome back and thanks for being on follow up.
Enlarged ventricles may be a result of brain tissue loss, but if there is evidence of increased intracranial pressure (hydrocephalus), this condition should be treated.
It is necessary for me to examine the original MRI report or MRI images, in order to have a correct understanding if there is increased pressure or not.
So, if it is possible, upload the MRI report.
Awaiting....
Follow up.
Detailed Answer:
Welcome back and thanks for being on follow up.
Enlarged ventricles may be a result of brain tissue loss, but if there is evidence of increased intracranial pressure (hydrocephalus), this condition should be treated.
It is necessary for me to examine the original MRI report or MRI images, in order to have a correct understanding if there is increased pressure or not.
So, if it is possible, upload the MRI report.
Awaiting....
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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