Is medication necessary for my depression and OCD?

Question

Hi doctor,

I am 31 years old. I fell over recently and broke my foot with muscle weakness, and I checked for the same in an MRI. I had a stroke five years ago, and I have Behcet's disease. I had a scan done, and I have attached the reports. I have previously had an ischemic stroke before this episode. I fell and broke my foot, having an episode of weakness.

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

Your MRI (magnetic resonance imaging) brain report (attachment removed to protect the patient's identity) shows a normal scan except that the punctate lesion on FLAIR (fluid-attenuated inversion recovery) images in the corona radiata looks like a migraine spot.

A single lesion on the posterior side looks like a cavernoma or tiny arteriovenous malformation. As per your previous history, and you are on treatment, I would suggest you consult with your neuroradiologist or neurologist, as you need more diagnostic tests.

I hope this helps.

Revert in case of queries.

Kind regards.

Answer 2

Hi,

Welcome back to icliniq.com.

I really appreciate your concern.

I have gone through the images you have attached (attachments are removed to protect the patient's identity). Your MRA (magnetic resonance angiography) looks normal. So, the third part of your imaging report about the punctate lesion that looks like a vascular lesion is almost ruled out, but still, CT(computed tomography)-angiography is sometimes a gold standard investigation, and in the brain image, which you shared with me on the occipital lobe, there is a tiny hypointensity.

But I need to look at the whole MRI (magnetic resonance imaging), which, unfortunately, I could not view properly. So, for me, you are already on treatment for stroke. So I suggest that there is no new event of stroke (ischemic or hemorrhagic), so you do not need to worry a lot. Wait for your consultant, and have a thorough assessment. That would be the best plan.

I hope this helps.

Revert in case of queries.

Regards.