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What Does This Cerebral MRI Indicate?
Question: What does this cerebral MRI indicate?
Brief Answer:
Please consult doctor to identify any medical condition to be treated
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
1. The tiny hyperintensities in your MRI scan are minimal in nature. Some research studies have linked a more severe and progressive pattern of hyperintensities which put the patient at a risk of stroke and dementia.
2. The associated risk of stroke is more in patients with hypertension, diabetes, vascular diseases, heart conditions and neurological diseases. Please get clinically examined and identify any condition which you might have and get regular treatment.
3. These hyperintensities are not reversible. They might be stable of progressive. Doing another MRI scan after a year might tell if they are increasing in size and distribution.
4. Please send the link and report of the Pelvic CT scan and I will help you understand it.
5. It will be important to know why the pelvis CT scan was done.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please consult doctor to identify any medical condition to be treated
Detailed Answer:
Hi XXXX,
Thanks for writing in to us.
I have read through your query in detail.
Please find my observations below.
1. The tiny hyperintensities in your MRI scan are minimal in nature. Some research studies have linked a more severe and progressive pattern of hyperintensities which put the patient at a risk of stroke and dementia.
2. The associated risk of stroke is more in patients with hypertension, diabetes, vascular diseases, heart conditions and neurological diseases. Please get clinically examined and identify any condition which you might have and get regular treatment.
3. These hyperintensities are not reversible. They might be stable of progressive. Doing another MRI scan after a year might tell if they are increasing in size and distribution.
4. Please send the link and report of the Pelvic CT scan and I will help you understand it.
5. It will be important to know why the pelvis CT scan was done.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Prasad
Is there any indication on what could be causing these hyperintensities ? Any food, medication, toxic substances or environnemental factors ? Also, does that mean that i should refrain from extreme activities and sports and to avoid factors that could enhance blood pressure in the brain ?
including taking medication that vasodilates or enhance pressure..... as per putting hot compresses on the head ?
including taking medication that vasodilates or enhance pressure..... as per putting hot compresses on the head ?
Brief Answer:
You might participate in mind relaxation technique
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. In most patients these tiny bright spots are non specific, meaning that their cause is not yet established as they do not follow any particular pattern and are not a serious concern.
2. It is difficult to point out any food, medication, toxic substances or environmental factors that might be responsible. It is likely that nothing of that sort has caused these findings. Therefore you do not require to refrain yourself from the small pleasures of life like eating and sporting.
3. One possibility is that these might be signs of slightly early changes. It will help to periodically get your blood pressure and general health evaluated so that any condition might be recognized early and treated. In short there are tiny areas in brain where the blood flow was at one time deficient and therefore negligible ischemia has occurred. There is no requirement to take any vasodilator if no condition is evident clinically. Putting hot compresses on the head is not a good idea. You might participate in mind relaxation techniques and this might increase the blood flow in the brain, especially around the possible deficient areas.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
You might participate in mind relaxation technique
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. In most patients these tiny bright spots are non specific, meaning that their cause is not yet established as they do not follow any particular pattern and are not a serious concern.
2. It is difficult to point out any food, medication, toxic substances or environmental factors that might be responsible. It is likely that nothing of that sort has caused these findings. Therefore you do not require to refrain yourself from the small pleasures of life like eating and sporting.
3. One possibility is that these might be signs of slightly early changes. It will help to periodically get your blood pressure and general health evaluated so that any condition might be recognized early and treated. In short there are tiny areas in brain where the blood flow was at one time deficient and therefore negligible ischemia has occurred. There is no requirement to take any vasodilator if no condition is evident clinically. Putting hot compresses on the head is not a good idea. You might participate in mind relaxation techniques and this might increase the blood flow in the brain, especially around the possible deficient areas.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thank you your
Answer... My mother died in my arms 3 month ago from a cerebral hemoragea....i think it is normal i need a little more info with the mri finding i received....i also do a lot of meditation but cant do sports anymore because of extreme stiff and
Crackling neck and constant head pressure on the right side....
Answer... My mother died in my arms 3 month ago from a cerebral hemoragea....i think it is normal i need a little more info with the mri finding i received....i also do a lot of meditation but cant do sports anymore because of extreme stiff and
Crackling neck and constant head pressure on the right side....
Brief Answer:
Your cervical disc degenerative changes is causing stiffness and pressure
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. Sorry to hear about your mother and may her soul rest in peace.
2. Your neck problems are due to the disc degenerative changes in the cervical spine at levels C 3 - 4 and C 4 - 5 levels and this might cause some symptoms. I have seen this in your earlier MRI scan pictures.
3. Since your mother had a cerebral hemorrhage, please get a clinical evaluation done by the cardiologist to know any risk of hypertension and heart disease. There are risk assessment methods and these will predict any risk and your doctor will guide you through regular tests. It is good to know that you do meditation and mind relaxation exercises. Please maintain your stress levels at lowest possible amounts.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Your cervical disc degenerative changes is causing stiffness and pressure
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. Sorry to hear about your mother and may her soul rest in peace.
2. Your neck problems are due to the disc degenerative changes in the cervical spine at levels C 3 - 4 and C 4 - 5 levels and this might cause some symptoms. I have seen this in your earlier MRI scan pictures.
3. Since your mother had a cerebral hemorrhage, please get a clinical evaluation done by the cardiologist to know any risk of hypertension and heart disease. There are risk assessment methods and these will predict any risk and your doctor will guide you through regular tests. It is good to know that you do meditation and mind relaxation exercises. Please maintain your stress levels at lowest possible amounts.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I find this very odd that a perfectly healthy 32 year old active guy, suddenly in the space of couple month develop brain and cervical degenerative signs without apparent reason... There is something missing here.....
Doctor here dont think anything relevant is going on with my neck degenerescence..... I would put some gel voltaren on the neck but there is a increased risk of stroke while using diclofenac... What would you recommend appart from relaxation and physiotherapy ? Is there ways to stop this and be back at sports someday or i am already doomed with the neck... ? Could that degenerescence in the neck be caused by an organism ? Like a small osteomyelite due to fungus or something else ?
Doctor here dont think anything relevant is going on with my neck degenerescence..... I would put some gel voltaren on the neck but there is a increased risk of stroke while using diclofenac... What would you recommend appart from relaxation and physiotherapy ? Is there ways to stop this and be back at sports someday or i am already doomed with the neck... ? Could that degenerescence in the neck be caused by an organism ? Like a small osteomyelite due to fungus or something else ?
Brief Answer:
Please find details below
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. I too find it strange that all of a sudden a gentleman aged 32 years is having uncontrollable shaky hand with sudden lost of coordination and memory as you have mentioned in your earlier query.
2. It will help to know if you had any nasty fall or lifted heavy weights during sports. Having early degenerative changes are seen in few individuals and I had a doctor friend of mine whose X ray at 40 years age appeared to have developed degenerative changes expected in a 60 year ole man.
3. For your condition, you can continue to use diclofenac gel. The stroke risk is not a concern when using the gel. You might also consider using over the counter spray and ointment like Salonpas which contains Menthol and Methyl Salicylate which might provide you relief.
3. Using hot and cold packs on the neck and lower back might also provide comfort. Muscle spasm stays for about 3 to 5 days. Relaxation and physiotherapy are the better options should you not get relief after using gel.
4. Degeneration cannot be stopped but it can be slowed down by using precautions. Once you are symptoms free after doing a rehabilitation then you might consider participating in sports which will not cause any pressure on the neck.
5. Your symptoms are unlikely to be due to any organism, osteomyelitis or fungus and any thing else. Your MRI scan shows mild degenerative disc changes which might be causing pinching of nerves.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please find details below
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. I too find it strange that all of a sudden a gentleman aged 32 years is having uncontrollable shaky hand with sudden lost of coordination and memory as you have mentioned in your earlier query.
2. It will help to know if you had any nasty fall or lifted heavy weights during sports. Having early degenerative changes are seen in few individuals and I had a doctor friend of mine whose X ray at 40 years age appeared to have developed degenerative changes expected in a 60 year ole man.
3. For your condition, you can continue to use diclofenac gel. The stroke risk is not a concern when using the gel. You might also consider using over the counter spray and ointment like Salonpas which contains Menthol and Methyl Salicylate which might provide you relief.
3. Using hot and cold packs on the neck and lower back might also provide comfort. Muscle spasm stays for about 3 to 5 days. Relaxation and physiotherapy are the better options should you not get relief after using gel.
4. Degeneration cannot be stopped but it can be slowed down by using precautions. Once you are symptoms free after doing a rehabilitation then you might consider participating in sports which will not cause any pressure on the neck.
5. Your symptoms are unlikely to be due to any organism, osteomyelitis or fungus and any thing else. Your MRI scan shows mild degenerative disc changes which might be causing pinching of nerves.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
What about DMSO....could it be useful to appy it diluted 70% on the neck ?
You are a very skilled and reassurant doctor Mr XXXXXXX I appreciate your help very much. Since i had a VZV / EBV reactivation not long before all these symptoms started could it be related to a viral infection as in a kind of post herpetic syndrome ? Maybe the nerve pain / heart palpitations / lymph node / and all symptoms could be somewhat triggered by a viral infection as it was never treated arv's.....
You are a very skilled and reassurant doctor Mr XXXXXXX I appreciate your help very much. Since i had a VZV / EBV reactivation not long before all these symptoms started could it be related to a viral infection as in a kind of post herpetic syndrome ? Maybe the nerve pain / heart palpitations / lymph node / and all symptoms could be somewhat triggered by a viral infection as it was never treated arv's.....
Brief Answer:
Herpes reactivation might cause some of your symptoms
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. DMSO 70 percent is strong and you might try 50 percent might be just right for you. You can also get it as a cream so it stays longer.
2. Thanks for your appreciation and I must tell you that you almost read my mind. I was going to ask you about HSV infection in the recent past.
3. Varicella zoster reactivation is a strange condition and the rashes disappear in a week but the pain might persist for a few months. There is a strong possibility that your discomfort might be the result of herpes reactivation in recent past.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Herpes reactivation might cause some of your symptoms
Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.
1. DMSO 70 percent is strong and you might try 50 percent might be just right for you. You can also get it as a cream so it stays longer.
2. Thanks for your appreciation and I must tell you that you almost read my mind. I was going to ask you about HSV infection in the recent past.
3. Varicella zoster reactivation is a strange condition and the rashes disappear in a week but the pain might persist for a few months. There is a strong possibility that your discomfort might be the result of herpes reactivation in recent past.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
So once the rash is gone, if it was not treated promptly with anti viral there is nothing to do for treatment except maybe tricyclic anti-depressant and other natural alternative to calm and support nervous system ? Would treatment with valacyclovir still be a good idea ? ( no doctors as ever wanted to prescribe me any even if i was presenting all symptoms including rash... i also asked them to test blood and i was positive but for IgG.... they say there is no serological test to see if there is an actual active infection and that 90% of the population is positive for past infection....so i was never given anything.....
Brief Answer:
Valacyclovir works if given within 3 days from appearance of rashes
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. One should start acyclovir or valacyclovir within 3 days after the rashes start. Delaying valacyclovir after that will have no effect on the disease progress and duration of rashes.
2. The only way to treat the symptoms persisting after varicella zoster is by providing adequate pain relief.
3. Antibodies are present in every person for past infection and once the rashes have appeared then you are sure that it was varicella zoster
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Valacyclovir works if given within 3 days from appearance of rashes
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. One should start acyclovir or valacyclovir within 3 days after the rashes start. Delaying valacyclovir after that will have no effect on the disease progress and duration of rashes.
2. The only way to treat the symptoms persisting after varicella zoster is by providing adequate pain relief.
3. Antibodies are present in every person for past infection and once the rashes have appeared then you are sure that it was varicella zoster
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Could there be a link with my cerebral findings and vzv ? Could having postherpetic neuralgia increase the risk of complication linked with the findings ? ( sorry for so much questions but id rather be well informed )
Brief Answer:
Please find details below
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. The varicella zoster virus might affect brain tissues but your brain scan does not show any changes due to possible varicella zoster infection.
2. Please write back with the areas in which you had rashes. The nerves in that area is most likely to be involved causing symptoms.
3. The pain is a benign but disturbing symptom. It does not cause any serious complication and will not affect any system permanently. However it causes discomfort which might require strong pain relief medicne. You can ask any question that you have and I will try and answer it.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please find details below
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
1. The varicella zoster virus might affect brain tissues but your brain scan does not show any changes due to possible varicella zoster infection.
2. Please write back with the areas in which you had rashes. The nerves in that area is most likely to be involved causing symptoms.
3. The pain is a benign but disturbing symptom. It does not cause any serious complication and will not affect any system permanently. However it causes discomfort which might require strong pain relief medicne. You can ask any question that you have and I will try and answer it.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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