Q. Is there any finding in my MRI regarding ice pick headaches?

Answered by
Dr. Vivek Chail
and medically reviewed by iCliniq medical review team.

Hi doctor,

I have been having ice pick headaches. Hence, I went for an MRI scan and regular blood tests. Now, I am wondering whether my report is normal. Can you please guide me? Thank you.

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Dr. Vivek Chail

MBBS., DMRD., DNB (RADIODIAGNOSIS
Radiodiagnosis Radiology

Hi,

Welcome to icliniq.com.

The attached MRI images (attachment removed to protect patient identity) showed normal findings.

  • There are many pictures which have not been attached. However, I wish to have a look at the complete set of pictures for an accurate interpretation of your MRI scan brain images.
  • I request you to please upload the entire content of the CD in DICOM format (Digital Imaging and Communications in Medicine).

Revert back with the complete pictures to a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist

Hi doctor,

I have uploaded the other images. Kindly check them.

Dr. Vivek Chail

MBBS., DMRD., DNB (RADIODIAGNOSIS
Radiodiagnosis Radiology

Hi,

Welcome back to icliniq.com.

Thanks for writing in with an update. There are two small findings on the MRI scan (attachment removed to protect patient identity).

  • There is a 11 x 5 mm area in right temporal lobe subcortical location and it is showing increased signal intensity on T2 and fluid-attenuated inversion recovery (FLAIR) images.
  • This can be a cause for headaches in some people. This is not a serious problem. However, it requires to be discussed with your neurologist.
  • There is a 10 mm diameter polyp or cyst in the right maxillary sinus anteriorly. This is a common finding and not likely to cause any problem.
  • There is a deviation of the posterior nasal septum with convexity to the right side.

For further information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist

Hello doctor,

Thank you for your reply. You listed hyperintensity as the first finding. I would like to know, is that something consistent with MS or some type of inflammation? Please guide.

Dr. Vivek Chail

MBBS., DMRD., DNB (RADIODIAGNOSIS
Radiodiagnosis Radiology

Hello,

Welcome back to icliniq.com.

Thanks for writing back with an update.

  • Multiple sclerosis (MS) is a medical condition in which the covering layer of nerves get damaged and therefore the patient has a wide range of symptoms.
  • Diagnosis of MS is based on particular MRI scan findings listed under the McDonald diagnostic criteria which have been modified before six years.
  • The said criteria have to be fulfilled before a probable diagnosis of MS is confirmed on MRI scan. About 77 percent of people who fulfill the criteria can have MS.
  • Sometimes, it requires keeping a close watch on symptoms and then repeating MRI scan in 6 to 12 months before a diagnosis of MS can be confirmed based on the criteria.
  • Your finding of a small hyperintensity in the right temporal lobe does not satisfy the criteria. Therefore, the probability of MS from the MRI scan right now is unlikely.
  • There are other causes like, small areas of deficient blood supply and similar conditions which can be causing it in you.
  • Many people with diabetes and high blood pressure have such findings. This finding is also associated with patients having migraine.
  • This entity is becoming more common in MRI scans. Research is also going on to know more about the probable causes, especially in the young people who have it as this also includes genetic causes.

For further information consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist

Thank you again doctor,

I do have vascular issues. So, I suppose that could be the cause. Should I be concerned about brain tumor?

Dr. Vivek Chail

MBBS., DMRD., DNB (RADIODIAGNOSIS
Radiodiagnosis Radiology

Hi,

Welcome back to icliniq.com.

Thanks for writing back with an update.

  • Your MRI scan (attachment removed to protect patient identity) findings can be associated with vascular causes which you have.
  • A brain tumor is unlikely to show such findings, like the one in your brain MRI scan. Brain tumors are usually larger and cause symptoms due to pressure effects and brain swelling.
  • An aggressive brain tumor usually causes sudden deterioration of symptoms in three to six months.
  • If such an event happens, then another MRI brain scan is suggested. If required, then a screening MRI scan of the spine can also be done.

For further queries consult a radiologist online --> https://www.icliniq.com/ask-a-doctor-online/radiologist

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