Q. I have high platelet levels with migraine. Kindly interpret my MRI report.

Answered by
Dr. Kapil Gupta
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Dec 21, 2020 and last reviewed on: Jan 21, 2021

Hello doctor,

I have migraines for months was put on medication, but it was not helping. Now I am on preventative and emergency medicines. I have done an MRI, which showed abnormal results. Blood work showed platelets of 544. I was asked to consult a hematologist. What can it be?

#

Hello,

Welcome to icliniq.com.

I have reviewed the reports of your MRI (magnetic resonance imaging) and blood (attachment removed to protect patient identity). They are incomplete reports, and I would like you to share the other sections of the reports as well for me to have a clear picture.

Well, the recurrent headaches most commonly diagnosed as a migraine can have other causes as well. One reason can be the excessive production of cells in your body, a condition known as polycythemia. The excessive cells produced on polycythemia lead to clogging of your blood vessels and decreased blood supply to the brain and other organs leading to headaches, dizziness, etc.

From your MRI brain report, I see that they have mentioned marrow changes in your spine, and also the increased platelets lead to a suspicion of the following causes:

1) Polycythemia vera.

2) Essential thrombocytosis.

3)Secondary polycythemia.

Another cause can be chronic myelogenous leukemia.

Now to rule out all these causes, the following tests are required:

1) Complete blood count.

2) Peripheral smear.

3) Bone marrow aspiration and biopsy if needed as decided by the hematologist.

4) Presence of JAK2 mutation if needed to be decided by the hematologist.

5) Serum erythropoietin levels.

6) Leucocyte alkaline phosphatase levels.

Before proceeding with all these tests, I recommend you see a hematologist who would do a physical examination to check for various other signs of the conditions mentioned above. Based on that, a hematologist would advise you on the next plan of action.

Do not panic. All these conditions that I have mentioned can be treated.

I hope this helps.


Was this answer helpful?

 | 

Related Questions:
What does polycythemia (JAK 2 negative) mean?

Your high hemoglobin could be due to secondary polycythemia cause ...   Read full

My migraine medicine is causing side effects. What are my options?

.. gone through your query and understand your concerns. A chronic migraine needs prophylactic treatment for decreasing the frequency of the migraine attacks and remission. For management of a migraine, I suggest the following: Avoid fasting, skippi...   Read full

What are the reasons for high platelet count?

My platelet count is high at 9 lakhs in routine CBC ... The platelet count is above the normal range ...   Read full

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


My migraine has been getting worse of late. What should I do?

Query: Hello doctor, I am a 22 year old female. I have always suffered from migraines. Recently, it seems like it has been getting worse. Last year, I gave birth to my son vaginally. Now, when I lay on my abdomen or even turn my head, I notice a heartbeat sound in my ear. My nurse practitioner thought it ...  Read Full »

Why is the platelet count increasing in a high blood pressure patient?

Query: Hi doctor, I am 26 years old, female. I have high blood pressure problem from the last one month (silent BP) and my kidneys are damaging beacuse of this and my platelet count is 12 lakhs. These are continuously increasing from the last eight months, that is 6 lakhs, 8 lakhs, 11 lakhs and now 12 lak...  Read Full »

My CBC shows high hemoglobin and hematocrit. Should I be concerned about PV?

Query: Hello doctor, I am a 55-year-old male. Routine CBC report shows hemoglobin 17.1, hematocrit 51.5, and platelets 255 (up from 201 last year). Should I be concerned about PV?  Read Full »

Also Read


Parkinson's Disease: Historical Aspects and Current Treatment Approaches
This article discusses the historical aspects of Parkinsonism and, the evidence based approaches currently available for...  Read more»
I am suffering from dry and scaly scalp. Is that scalp psoriasis?
Hello doctor, I am suffering from dry, scaly patches on the scalp for the last six to eight months. Since childhood, I h...  Read more»
Birth Control Methods - Facts, and Types
Devices or treatments done to prevent unwanted pregnancy are called birth control methods.In this article, I am going to...  Read more»

Ask your health query to a doctor online?

Ask a Hematologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website are not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.