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Dr. Andrew Rynne

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Exp 50 years

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What Does "numerous Focal Areas Of Pathologic T2 Hypersignal" Mean?

I'm 59 years old and had an MRI to r/o acoustic neuroma. Although it rules it out the scan show numerous focal areas of pathologic t2 hypersignal in the periventricular, lateral ganglionic region, thalamus and central brain stem more to the left that to the right. First, what does this mean and Second, can this be cause of intermittent hearing loss and pressure in left ear?
Fri, 30 May 2014
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Radiologist,  's  Response
Hello
Thanks for writing to HCM

Pathologic T2 hypersignal in the periventricular,lateral ganglionic region,thalamus and central brain stem are mainly due to chronic microvascular ischemic changes resulting from involvement of small blood vessels.
Ischemic changes resulting from blood vessels changes in diseases like hypertension,diabetes mellitus,dyslipidemia.
So,you need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus.
You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.
Underlying cause need to be treated.

Hope i have answered your query.
Take Care
Dr.Indu Bhushan
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What Does "numerous Focal Areas Of Pathologic T2 Hypersignal" Mean?

Hello Thanks for writing to HCM Pathologic T2 hypersignal in the periventricular,lateral ganglionic region,thalamus and central brain stem are mainly due to chronic microvascular ischemic changes resulting from involvement of small blood vessels. Ischemic changes resulting from blood vessels changes in diseases like hypertension,diabetes mellitus,dyslipidemia. So,you need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus. You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen. Underlying cause need to be treated. Hope i have answered your query. Take Care Dr.Indu Bhushan