Should I be concerned about the MRI report of my mother who had an paralytic attack recently?

Hello,

Welcome to icliniq.com.

Your uploaded magnetic resonance imaging (MRI) (image removed to protect the patient's identity) of the brain shows multiple areas of brain insult in both the left and right sides, and in the cerebellum. The features of the lesion in sequences of these images suggest that the lesions are of acute ischemia. It means that in several areas of the brain the blood supply has been blocked. Therefore, the brain tissue in those areas is necrosed (dead). Given the distribution of the aforementioned lesions and their ischemic nature, the most probable diagnosis is embolic stroke. It means several blood clots have reached the brain vessels in the various parts of the brain and have blocked the blood supply. Such events may occur due to various heart problems, such as dysrhythmia, valvular stenosis, myxoma, inflammation, or infection of the heart valves. Other possible causes may be systemic or central nervous system vasculitis (inflammation of the vessel walls). Such patients should undergo vast screening by laboratory tests for evaluating possible underlying causes and complete heart check-up including echocardiography, transesophageal echocardiography, and a computerized tomography (CT), angiography of the brain and cervical regions may also be beneficial.

Thank you.

Hello,

Welcome back to icliniq.com.

Unfortunately, it is a serious condition. Considering the location of the infarct on the left side of the brain, there is a high possibility that the center of producing verbal expression has damaged. In such cases, it is not the voice, but the ability to the produce speech, in any form, from speaking to writing and even pantomime, would be lost. However, the main risk is the re-occurrence of new strokes. I am sure the medical team would use all possible medications to decrease the risk of new strokes, but it may recur and is not completely predictable. In response to your question about the treatment centers, unfortunately, I cannot help you as I am not familiar with the treatment centers in your country.

Thank you.