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Have Had MRI Of Infant Brain . Findings?

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Posted on Wed, 9 Oct 2013
Question: Hi,

My Infant MRI shows "Areas of cystic Encephalomalacia and T2 hyperintensities with paucity of deep periventricular white mater involving the bilateral fronto-parieto-occipital lobe with mild exvacuo dilatation of bilateral lateral ventricle -sequele of old hypoxic ischemic injury in the preterm neonate"...

Please explain what does mean.
doctor
Answered by Dr. Indu Kumar (37 minutes later)
Brief Answer:
Changes are due to ischemic changes in newborn.

Detailed Answer:
Hello
Thanks for writing to XXXXXXX

Areas of cystic Encephalomalacia and T2 hyperintensities with paucity of deep periventricular white mater involving the bilateral fronto-parieto-occipital lobe with mild exvacuo dilatation of bilateral lateral ventricle -sequele of old hypoxic ischemic injury in the preterm neonate"...

Explanation:
Sorry to know that your baby is suffering from this condition.
Above mentioned findings in brain are due to effect of lack of oxygenation at the time of birth in neonates.
The findings noted are concerning ones where there is brain parenchymal degeneration with cystic changes in fronto-parieto-occipital region(both side); lack of white matter in above mentioned part of brain and mild dilatation of both lateral ventricles due to loss of brain parenchyma.

All these features are very abnormal. You need to discuss with the treating doctor to understand the severity of the problem.

Hope I have answered your query. Further queries are welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6729 Questions

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Have Had MRI Of Infant Brain . Findings?

Brief Answer:
Changes are due to ischemic changes in newborn.

Detailed Answer:
Hello
Thanks for writing to XXXXXXX

Areas of cystic Encephalomalacia and T2 hyperintensities with paucity of deep periventricular white mater involving the bilateral fronto-parieto-occipital lobe with mild exvacuo dilatation of bilateral lateral ventricle -sequele of old hypoxic ischemic injury in the preterm neonate"...

Explanation:
Sorry to know that your baby is suffering from this condition.
Above mentioned findings in brain are due to effect of lack of oxygenation at the time of birth in neonates.
The findings noted are concerning ones where there is brain parenchymal degeneration with cystic changes in fronto-parieto-occipital region(both side); lack of white matter in above mentioned part of brain and mild dilatation of both lateral ventricles due to loss of brain parenchyma.

All these features are very abnormal. You need to discuss with the treating doctor to understand the severity of the problem.

Hope I have answered your query. Further queries are welcome.

Take Care
Dr.Indu XXXXXXX