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What Does This MRI Report Indicate?
Question: We are in receipt of claim for 69 year male for Vertigo.as per past history known of DM,HTN BP - 170/61,ECG -normal,MRI-stenosis of carotid artery.as per policy terms and conditions pre-existing ailment and its complecations are not payable.kindly confirm whether current diagnosis is related to pre-existing ailments ?? if not what could be the reason??
Brief Answer:
Vertigo can have several reasons.
Detailed Answer:
Hi XXXXXXX
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar, a neurologist, here to answer your query.
Vertigo can have several causes, like-
1)Positional vertigo-BPPV
2)Stroke/Brain disorders
3)Ear related disorders
High BP can itself cause vertigo.So,it actually depends on the onset of vertigo, pattern and other associated symptoms-that what might be causing it.
I suggest you to please tell us the details of his vertigo-
1)When did it start?
2)Is it present episodically or regularly?
3)Is it associated with headache,vomiting, double vision, other eye or ear related problems?
4)Once it starts, for how long does it persist?
Hope that helps.I shall be glad to have you in follow-up with further details.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Vertigo can have several reasons.
Detailed Answer:
Hi XXXXXXX
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar, a neurologist, here to answer your query.
Vertigo can have several causes, like-
1)Positional vertigo-BPPV
2)Stroke/Brain disorders
3)Ear related disorders
High BP can itself cause vertigo.So,it actually depends on the onset of vertigo, pattern and other associated symptoms-that what might be causing it.
I suggest you to please tell us the details of his vertigo-
1)When did it start?
2)Is it present episodically or regularly?
3)Is it associated with headache,vomiting, double vision, other eye or ear related problems?
4)Once it starts, for how long does it persist?
Hope that helps.I shall be glad to have you in follow-up with further details.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Sir
(Dr. XXXXXXX Panwar)
Thank you for your valuable inputs.
We request you to kindly review all attached document’s and please confirm whether all these investigations are warranted in this case.
Also confirm findings on MRI – are any significance with current MRI
2.Scattered nonspecipic T2 FLAIR hyperintense white matter lesions within periventricular, subcortical, and deep white matter of bilateral cerebral hemispheres, these may represent sequelae chronic microangiapthy.
(Dr. XXXXXXX Panwar)
Thank you for your valuable inputs.
We request you to kindly review all attached document’s and please confirm whether all these investigations are warranted in this case.
Also confirm findings on MRI – are any significance with current MRI
2.Scattered nonspecipic T2 FLAIR hyperintense white matter lesions within periventricular, subcortical, and deep white matter of bilateral cerebral hemispheres, these may represent sequelae chronic microangiapthy.
Brief Answer:
Non-specific T2 FLAIR hyperintense white matter lesions are not the cause.
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up and providing further details.
I have gone through your detailed attachments. Its better that you have been thoroughly investigated and there is no lesion on MRI as well and no dissection.So, it appears to be a peripheral vertigo only.
Non-specific microvascular changes on T2/FLAIR MRI are probably a sequelae to long standing hypertension and Diabetes.They are not the cause of acute symptoms.Strict control of hypertension and Diabetes is warranted. Antiplatelet(aspirin) and statins may be given.
Hope that helps.If you have any further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Non-specific T2 FLAIR hyperintense white matter lesions are not the cause.
Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up and providing further details.
I have gone through your detailed attachments. Its better that you have been thoroughly investigated and there is no lesion on MRI as well and no dissection.So, it appears to be a peripheral vertigo only.
Non-specific microvascular changes on T2/FLAIR MRI are probably a sequelae to long standing hypertension and Diabetes.They are not the cause of acute symptoms.Strict control of hypertension and Diabetes is warranted. Antiplatelet(aspirin) and statins may be given.
Hope that helps.If you have any further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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