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Q. My report says 'focal cortical atrophy. ' Is my brain in a healthy state?

Answered by
Dr. Aida Abaz Quka
and medically reviewed by Dr.Sowmiya
This is a premium question & answer published on Feb 05, 2018 and last reviewed on: Jan 25, 2022

Hi doctor,

I have a neurology-related question. I have anxiety disorder and depression. I have had two brain MRIs in the last two months and wanted to discuss those. My first brain MRI said 'non-specific increased T2 and flair'. The above finding did not come in the second MRI, but it said 'mild age-inappropriate focal cortical atrophy. In both cases, the doctor said it was nothing to worry about. But, I want to take another opinion as well.

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#

Hello,

Welcome to icliniq.com.

These brain MRI findings (attachment removed to protect patient identity) do not indicate any severe medical disorder. The change in these two MRI results may be related to the MRI machine resolution (maybe you have performed MRI in different clinics) or may be explained by the radiologist qualification. Do you suffer from throbbing headaches? If yes, migraine is a probable cause. Chronic sinusitis seems to be the main finding in these MRIs. For this reason, a nasal drop decongestant may be needed.

Hope you will find this answer helpful.


Hi doctor,

Thanks for your reply. I appreciate the quick response. Treatment for sinus has started. Yes, it was conducted in two different clinics in two other countries. But, from the brain point of view - anything to do, anything to worry about? Is my brain in a healthy state?

#

Hello,

Welcome back to icliniq.com.

Small nonspecific T2 lesions could be related to migraines and headaches. I would recommend following up with a brain MRI after two years. The cortical atrophy is uncommon for your age, but it is not a concerning finding, as it does not indicate anything serious. Do you have memory problems? There is nothing to worry about if you do not have such issues. If you have migraine headaches, it would be necessary to treat them with preventive therapy. Daily Aspirin may be needed after the age of 50. I would also recommend monitoring your blood lipid profile, fasting glucose, and blood pressure. It is necessary to take a balanced diet and avoid smoking contacts or alcohol abuse.

Hope you will find this answer helpful.


Hi doctor,

Thanks for your reply. I do not have migraine.

#

Hello,

Welcome back to icliniq.com.

In such a case, there is nothing to worry about. I would recommend following a healthy lifestyle (Mediterranean diet, avoiding smoking contacts or alcohol abuse) and performing many physical activities (aerobics, walking, yoga, sports, etc.). It is necessary to check your thyroid hormone levels. Periodically follow up with a brain MRI every three to five years is required to monitor these brain MRI findings for any possible progression. If you have any other questions, please do not hesitate to ask me again.


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