HomeAnswersHematologybrain disordersDo white spots in my brain CT and double vision indicate white matter disease?

Can white spots in a brain CT scan and double vision be due to white matter disease?

Share

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 June 15, 2022
Reviewed AtJanuary 28, 2024

Patient's Query

Hello,

I am a 54-year-old male with a height of 5 feet 11 inches and a weight of around 220 lbs. I only take Paxil 10 mg once a day. Last year, I went to the hospital with the complaint of double vision that I experienced for an hour with no other symptoms. After a CT scan, they noticed I have extensive white matter disease on my brain. They said it could be multiple sclerosis, Lyme's disease, lupus, or evidence of mini-strokes. After another CT scan and numerous MRIs, they just noted that I have extensive white matter disease on my brain. I also had a lumbar puncture that was inconclusive for any disease or condition. My neurologist has done some blood tests and would like a hematologist to review my blood work to see if anything is worth further testing. I will upload my latest blood work for you to examine. Thank you.

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

Following is my opinion on your asked questions-

In your attached reports (attachments removed to protect the patient's identity) and case history, there is no evidence of any Lyme disease or other autoimmune disease.

Your cerebrospinal fluid (CSF) report with Cytospin is also not suggestive of any metastasis of tumor or infection. So CSF report is also normal.

In your CT (computed tomography) scan report, I noticed they had written chronic non-specific white matter disease.

White spot in CT or MRI (magnetic resonance imaging) does not always suggest a white matter disease. It could be seen in a mini-stroke, high blood pressure, high cholesterol, smoking, diabetes, etc.

The attack of that double vision might be due to some transient stroke. High blood pressure could be responsible for that.

You can continue blood pressure medicine, and other suggested medicine by your doctor.

I suggest you-

1. You must try doing some meditation and yoga to treat depression.

2. You must go outdoor early morning to walk in the garden and try to treat anxiety or depression in that natural way. Depression could also aggravate blood pressure and precipitate brain lesions in some cases.

It would be best if you took further treatment according to your neurologist's advice.

I hope I have answered your questions.

Let me know if I can assist you further.

Best regards.

Treatment plan

Hypertension and depression treatment.

Regarding follow up

Consult a neurologist.

Patient's Query

Thank you very much doctor.

Hello,

Welcome back to icliniq.com.

I wish you good health.

Take care.

Regards.

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

Dr. Goswami Parth Rajendragiri
Dr. Goswami Parth Rajendragiri

Pathology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Read answers about:

double visionbrain disorders

Ask your health query to a doctor online

Hematology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy