Dr. Nagaraj
Diabetology
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
Hello doctor,
I am experiencing numbness, tingling on the left side of body at times, and weakness in hands when doing housework. I have poor coordination, headaches, diabetes, and hypertension. I have history of breast cancer.
I was wondering if you could explain this from an MRI report.
Findings:
Brain: No suspicious brain parenchymal, leptomeningeal or dural enhancement.
No mass, mass effect, midline shift or downward herniation.
No acute infarct, intracranial hemorrhage or hydrocephalus.
Unchanged few scattered white matter foci of T2 flair hyperintense signal, nonspecific.
Patient flow voids at the skull base. Meckel's caves and cavernous sinuses are intact.
Other findings: No orbital or suspicious nasopharyngeal masses. Paranasal sinuses and mastoid air cells are well aerated. No suspicious expansile osseous lesion.
I am currently on Anastrazole, Atorvastatin, Losartan, Atenolol, and Metformin.
Hello,
Welcome to icliniq.com.
I can understand your concern. I went through the report and history (attachment removed to protect patient identity).
Your doctor went ahead with MRI (magnetic resonance imaging) brain to rule out the spread of breast cancer cells into the brain, which may lead to your symptoms. That is not the case, and there is no evidence of the spread of cancer cells to the brain. However, there are hyperintense lesions (scattered), which can be seen in normal individuals, especially in old age people.
Considering your age (44 years) and symptoms, they could be the ischemic areas or dilated perivascular areas responsible for your symptoms. Let me explain them in simple terms. Ischemic areas are nothing but damaged areas of the brain due to lack of blood supply (blocked blood vessels), and dilated perivascular areas are swelling around the blood vessels in response to lack of oxygen, which is due to lack of blood supply. Other than these, there are no other significant changes, and the MRI brain looks normal.
These are most likely responsible for your symptoms. Considering the MRI changes, your doctor may prescribe antiplatelets to you to improve blood flow and avoid any untoward course in the near future.
I hope this helps.
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Diabetology
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