Dr. Florilyn Joyce Chulsi Bentrez
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 require assistance in interpreting the results of a brain MRA .
Here is a summary of the report. I have a past medical history of ADPKD and currently taking Lisinopril.
Findings: Axial T2 sequences of the brain with time-of-flight MR angiogram. There is a small area of signal change adjacent to the posterior aspect of the left lateral ventricle within the parietal periventricular white matter. There is probably a small amount of volume loss with slight ex Vacuo dilatation of the ventricle. This is of nonspecific etiology but appears longstanding. The remainder of the brain seems normal. Normal appearances of the ventricles and extra-axial CSF spaces. There is no evident diffusion abnormality. A time of flight MR angiogram has been performed. This does not demonstrate any aneurysm or intracranial vascular abnormality. Conclusion - Small nonspecific area of white matter signal change behind the lateral ventricle within the left parietal lobe appears longstanding. There is no intracranial aneurysm. No further abnormality.
Hello,
Welcome to icliniq.com.
I understand your concern.
First and foremost, I would like to know why you opted for an MRI with TOF (Time-of-flight magnetic resonance angiography).
I would also want to know what symptoms you are experiencing. If you have the images, I would like to view them. The findings are general and do not appear to be risky. These findings can be seen in clinically healthy people.
Patient's Query
Hi doctor,
Thank you for the reply.
I have the report right now. Thus I do not have these images.
I got an MRI to rule out intracranial aneurysms because I am at high risk for them due to my polycystic kidney condition. In addition, my nephrologist advised me to check for aneurysms despite my age because I compete in heavy weightlifting.
I do not have any specific symptoms, but I have had depression for much of my life, which I have been informed can be caused by brain injury.
I have experienced two major head traumas in my life. The first was when I fell backward from a table onto a tiled/concrete floor at the age of three. Another was when I was fourteen and fell off while skiing, breaking my shoulder/ribs and cracking a ski helmet.
I would like to know whether this is anything likely to cause an issue as already noted in the report.
Hello,
Welcome back to icliniq.com.
I read your query and can understand your concern.
I understood the MRI with TOF was performed for screening purposes. So yes, the prolonged periventricular lesion detected in T2 might be a minor demyelinating lesion, a small vascular disease, or gliosis, which is not characteristic of post-traumatic brain damage, aneurysm, or tumor.
The size is likewise insignificant. So, yes, please send me the photographs whenever they are available. There were no aneurysms discovered, which is a positive thing. In the meanwhile, avoid smoking and secondhand smoke. And it would be best if you treated the depression; you can get help from a psychologist or psychiatrist.
Patient's Query
Thank you doctor for your concern.
Should I seek additional therapy with a neurologist in person without the images?
Hello,
Welcome back to icliniq.com.
I understand your concern.
No, I suppose. Because there is no significant brain issue. You can consult with the doctor occasionally if you feel anything troubling you.
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Neurology
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