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Q&A

Answered by Dr. K. Murali

Are deep white matter hyperintensities normal at 40 male?

Hello, Welcome to icliniq.com. Previously we used to assume these were normal with aging, but, as of now we know these hyperintense lesions occur due to associated conditions like diabetes, hypertension, smoking, etc (the usual risk factors). So, kindly screen yourself for these abnormalities and start with appropriate control measures,if needed. In addition, make yourself physically fit by engaging in some fitness activity. Do not worry.

August 8, 2025

I'm 25. Why do I hear a whooshing sound in my ear?

Hi, Welcome to icliniq.com. The findings you have described do not usually cause any problems you have now: Vertebral artery ending as PICA (posterior cerebellar artery syndrome) is a normal variant. Developmental venous anomaly is also asymptomatic. If there is an associated cavernoma in the same location, there are risks. For your symptoms other than ENT causes, the following conditions such as dural AV fistula, venous stenosis, or aneurysm need to be excluded.

August 7, 2025

Please look into my MRI and give your opinion.

Hi, Welcome to icliniq.com. Your MRI looks grossly normal. In an unexplained tinnitus like this, you need further investigations to rule out two rare conditions, jugular bulb abnormalities and sigmoid sinus diverticulum (sinus wall abnormality). You will require high resolution CT of the temporal bone to look for any bony abnormalities. Another possibility is dural arteriovenousfistula dAVF; however, MRI does not show any evidence for this.

April 23, 2025

Is CT coronary angiography better than catheter based investigation for heart blocks?

Hi, Welcome to icliniq.com. It is not always true. Even today catheter angiography is the gold standard. CTA (computed tomography coronary angiogram) is a good screening tool to evaluate coronary blocks in high-risk asymptomatic patients or to assess preoperative cardiac fitness in some patients admitted for non-cardiac surgeries. If a patient has symptoms suggesting coronary artery disease, confirmed by ECG (electrocardiography) and echocardiogram, it is better to go for catheter angiogram.

February 17, 2024

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