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Q. What does hyperintense focus subcortical white matter of right frontal lobe in MRI mean?

Answered by
Dr. Anshul Varshney
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on Mar 23, 2019

Hello doctor,

MRI results say small hyperintense focus subcortical white matter of right frontal lobe is seen, right parasagittal in position, this measures no more than 3 mm and is found in isolation. A gliotic focus is favored. I have an appointment with a neurologist but in three months. Please help me understand what this means and what are the possible diagnoses.

Dr. Anshul Varshney

Critical Care Physician Diabetology General Medicine Internal Medicine Medical Gastroenterology Nephrology Pulmonology (Asthma Doctors) Rheumatology
#

Hi,

Welcome to icliniq.com.

See this report needs clinical co-relation (attachment removed to protect patient identity). So, I would need to know that for what basic symptoms were this MRI performed?


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Thank you doctor,

Left eye is sticking sometimes. Not moving. Then moves again. Headaches on and off. That is why the MRI was done.

Dr. Anshul Varshney

Critical Care Physician Diabetology General Medicine Internal Medicine Medical Gastroenterology Nephrology Pulmonology (Asthma Doctors) Rheumatology
#

Hi,

Welcome back to icliniq.com.

So your symptoms favor the MRI report. It looks you have gliosis. This is a non-specific change in response to inflammation. As such gliosis does not require specific treatment but only symptomatic medications for migraine and epilepsy like Topiramate are added. Also, important here is to rule out any multiple sclerosis, that would require MRI spine. I personally recommend yearly follow up MRI to check for the size.


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What does hyperintense focus subcortical white matter of right frontal lobe in MRI mean?
 

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