Patient's Query
Hi doctor,
I am an 86-year-old healthy male. I have experienced sudden seizures. What is the reason behind it?
I have attached my MRI brain with this.
Please review and suggest.
Thank you.
Hi,
Welcome to icliniq.com.
I understand your concern.
I have read through your query and reports (the attachment was removed to protect the patient's identity) in detail. Please find my observations below.
There are mild age-related changes like prominent markings on the surface of the brain, prominent ventricles, which are fluid spaces, and periventricular hyperintensities. This is expected at the age of 86.
There are a few small hyperintensities on T2 and FLAIR (fluid-attenuated inversion recovery) in the white matter, which are probably due to small vessel ischemic changes andares acceptable at this age.
Mild bilateral maxillary sinusitis is noted. This is not related to the seizures and is an incidental finding. There is no tumor or bleeding in the brain. There is no obvious acute infarct.
Cerebrovascular disease, infections, primary neurodegenerative disorders, brain tumors, traumatic head injury, stroke, and acute metabolic disturbance are the most common causes of seizures in the elderly,rly and no specific cause has been found in this scan.
Sometimes, in early scans can be normal. It is important to know if the patient has any medical condition (though it is mentias oned normal health) and whether any abnormal laboratory tests have been found.
Seizures can happen due to sudden abnormal electrical activity in the brain. Keeping in mind the seizures, it will help to do an electroencephalography (EEG) to know the probable site of abnormal brain waves that triggered the seizure.
I hope this helps.
Thank you.
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Answered byDr. Vivek Chail
Medically reviewed byDr. Sneha Kannan
Same symptoms don't mean you have the same problem. Consult a doctor now!
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