Dr. Hitesh Kumar
Neurology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I went for a brain magnetic resonance imaging (MRI) today and received the following report. In layman's terms. What is wrong with me?
Methodology: Multiplanner, multi-sequential non-contrast imaging done through brain acquiring
T1/T2WI Sagittal, axial and coronal sequences.
Report: Multiple subcentimeter-sized discrete as well as confluent abnormal signal intensity foci are
seen in subcortical and juxtacortical white matter of centrum semiovale bilaterally. These appear isointense on T1WS, hyperintense on T2WS, and FLAIR. No perilesional edema is noted. Corpus callosum appears normal. The gray or white matter differentiation is normal. Ventricles, basal cisterns and cerebral sulci appear normal for the age of the patient. No significant midline shift. The optic chiasma, pituitary gland and brain stem appear normal. The vestibulocochlear nerve complex appears normal. The intra-cerebral vessels show normal signals. The posterior fossa appears normal.
In view paranasal sinuses and mastoid air cells demonstrate normal pneumatization.
Hi,
Icliniq.com welcomes you.
I understand your concern and will try my best to give you all the answers in a very easy and clear manner.
I would like to know some details of your problem:
1. Since when you started to have headaches?
2. You feel headache in which which areas of head?
3.What types of headaches are you experiencing? Is it heaviness, throbbing, bursting, stretching, or any other type? Or do you feel like insects are walking on your head?
4. Does headache happen persistently or episodically? If episodically, how long time one episode of headache lasts (from onset to complete relief without medication)
5. How frequent are headache episodes?
6. Do you feel any vomiting or feeling of vomiting / redness in eye/ watering from eye/ nasal congestion during headache?
7. How are your day today mood?
8. How is your sleep?
9. Have you noticed any trigger factors for your headache?
10. Are you taking any medications these days also? What medications you taken before and what were their effects?
Your few abnormal foci detected in MRI can be non specific too. But its difficult to comment without seeing the images.
Thank you.
It was truly a pleasure to have you at icliniq family.
I am warm-heartedly thankful to you for giving me the chance to help you.
Investigations to be done
Regarding follow up
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Neurology
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