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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Numbness In Legs, Severe Headaches. MRI Shows Two Hyperintense Flair Foci In Right Frontal Lobe. Significance?

I had a MRI recently and these were the findings...my Dr. says everything was normal.
"Two small hyperintense FLAIR foci in the right frontal lobe
subcortical white matter are nonspecific and do not meet MR criteria
for demyelinating disease." If it was normal...why are my headaches so severe, why
are my legs and feet numb and why is my memory so terrible? I have 4 family members with
MS....
Tue, 25 Jun 2013
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Neurologist,  's  Response
Hi,

Though MRI brain does not meet criteria for demyelinating disease, but MRI brain is not normal, it has two small hyperintensity in R) frontal lobe which can produce pain and weakness in left half especially L) lower limb(leg), these area also precipitate seizure hence episodic headache can be the only manifestation at times.

Hence this lesion to be considered as ischemic and should be treated with antiepileptic especially sodium valproate with antiplatelets.

Further blood sugar , thyroid profile and lipids to be checked and treated accordingly.

Regards
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Numbness In Legs, Severe Headaches. MRI Shows Two Hyperintense Flair Foci In Right Frontal Lobe. Significance?

Hi, Though MRI brain does not meet criteria for demyelinating disease, but MRI brain is not normal, it has two small hyperintensity in R) frontal lobe which can produce pain and weakness in left half especially L) lower limb(leg), these area also precipitate seizure hence episodic headache can be the only manifestation at times. Hence this lesion to be considered as ischemic and should be treated with antiepileptic especially sodium valproate with antiplatelets. Further blood sugar , thyroid profile and lipids to be checked and treated accordingly. Regards