HomeAnswersNeurologyinfarctionMy neck MRI shows a 10 mm oblong remote infarct in the left cerebellar hemisphere. Is it serious?

Is it serious to find a 10 mm oblong remote infarct in the left cerebellar hemisphere on neck MRI?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Hitesh Kumar

Medically reviewed by

iCliniq medical review team

Published At August 10, 2022
Reviewed AtAugust 1, 2023

Patient's Query

Hello doctor,

I had an MRI due to neck issues which I have to take once every two years. I am under pain management for the same. My MRI report says that there is an unchanged 10 mm oblong remote infarct of the posterior left cerebellar hemisphere. I have a history of type 2 diabetes mellitus with an HbA1c value of 5.3 and have lost weight of 120 lbs. I am taking Oxycodone for back and neck pain. I have severe pain that I am in the process of moving out of state, and I do not know if I need to go to the emergency room or if this is something I have to undergo for a long time. Kindly help by suggesting me a solution. Thank you.

Answered by Dr. Hitesh Kumar

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

I would like to know some further details about your symptoms-

1. What symptoms do you have in your neck, and since when?

2. Have you had a stroke ever before? If yes, please give details.

3. Since when did you have diabetes?

4. Did you go an MRI (magnetic resonance imaging) of the brain or neck or both?

''Unchanged 10 mm oblong remote infarct of the posterior left cerebellar hemisphere" is found in the brain instead of the neck. And it means that something old or previous infarct is there in the cerebellum part of the brain.

As you mentioned, you get MRI every two years. Was this finding there in the previous MRIs too?

Thank you.

Regarding follow up

Please revert with the above-mentioned information and also send an MRI report (current and previous) and, if feasible, also upload MRI images for better understanding and further judgment.

Patient's Query

Thank you doctor,

I have had neck pain for more than 10 years, and disks c3, c4, c5, and c6 are herniated in my neck. I do not have any history of stroke. One year ago, I was diagnosed with diabetes, and I took immediate action by following a healthy diet and exercising. As I had severe neck pain, I took an MRI neck. My previous MRIs never mentioned anything about stroke. I did, however, have a grand-mal seizure in 1987, and I do not know if a stroke was present then as I was too young to recall the results. I do not have copies of my MRI, only the interpretation, which I know, I shared with you. Thank you.

Answered by Dr. Hitesh Kumar

Hello,

Welcome back to icliniq.com.

If you do not have any evident history of stroke and you got MRIs (magnetic resonance imaging) of the neck for neck pain issues. I assume that in this MRI, there might be small lower and posterior parts of brain sections visible while taking upper neck sections.

In previous MRIs, brain sections might not have been taken. Sometimes such a small infarct, particularly in the cerebellum, may be asymptomatic (as you deny any history of the previous stroke).

For better visualization of the lesion in the cerebellum, I would suggest you undergo a proper MRI brain with magnetic resonance angiography (MRA).

Thank you.

Investigations to be done

I suggest you do MRI Brain with MR angiogram, bilateral carotid artery, vertebral artery doppler, ECG (electrocardiogram), and 2D echocardiography tests.

Regarding follow up

I suggest you review with mentioned investigation reports for further assessment.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Hitesh Kumar
Dr. Hitesh Kumar

Neurology

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