HomeAnswersRadiologymuscle weaknessI have muscle weakness episodes after a fall. Please review my MRI.

What causes weakness in a stroke patient after a traumatic fall?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At April 26, 2024
Reviewed AtMay 2, 2024

Patient's Query

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 prior to this episode. I fell and broke my foot, having an episode of weakness. Please help.

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 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.

Patient's Query

Hi doctor,

Thank you for your reply.

I have a very late appointment for the review. I am concerned, and I have sent you a few images.

Please help.

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 brain image, which you shared with me on occipital lobe there is 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.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammed Hassan
Dr. Muhammed Hassan

Internal Medicine

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