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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Tremor In The Left Hand

My brain MRI revealed a hazy part deep in my left parietal lobe. The MRI was without contrast, due to my stage 2 kidney disease. My neurologist said that there was a 95% chance that the haziness was due to a cluster of veins, which was benign and not uncommon. The radiologist recommended another MRI, with contrast, to determine more accurately what was going on. Instead, I opted to wait for a year for a follow-up MRI to determine if the hazy part had grown or not. My neurologist also has scheduled another appt. in 2 months to keep track of things: I was hit by a bus last November and sustained a mild/moderate bump to the head in my various injuries. I also have a left hand tremor, which presented itself after the accident, and had various balance issues at the end of August, which seem to be resolved at the moment. My question is: can the haziness in the MRI also be the result of the accident? I am 186 pounds, female, and 62 years old.
Mon, 20 Apr 2015
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Neurologist 's  Response
Hello !
I read your question and understand your concern.
I think that the hazy part may also be result of the accident, if it's nature hasn't really been clarified. If a cluster of veins is suspected it has 99% chances to be from birth( it would also be caused an arterio-venous malformation or cavernoma). The fact that you have had tremor in one hand after the accident , which resolved spontaneously means that it has been a traumatic lesion inside the brain, in the deep part called the "the basal ganglia". So the hazy part deep in your left parietal lobe could also be a post traumatic brain injury.
A contrast MRI would be very necessary to clarify the nature of this lesion.
Hope to have been of help.
Best wishes!
Dr. Abaz Quka
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Suggest Treatment For Tremor In The Left Hand

Hello ! I read your question and understand your concern. I think that the hazy part may also be result of the accident, if it s nature hasn t really been clarified. If a cluster of veins is suspected it has 99% chances to be from birth( it would also be caused an arterio-venous malformation or cavernoma). The fact that you have had tremor in one hand after the accident , which resolved spontaneously means that it has been a traumatic lesion inside the brain, in the deep part called the the basal ganglia . So the hazy part deep in your left parietal lobe could also be a post traumatic brain injury. A contrast MRI would be very necessary to clarify the nature of this lesion. Hope to have been of help. Best wishes! Dr. Abaz Quka