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What Do My MRI Scan Test Results Indicate?
Question: I was recently diagnosed (am 69) -- preliminarily -- with probable Parkinson's. This diagnosis was through a neurologist who conducted a number of tests -- in the office -- non-intraventional -- who thought she was 90+ % sure it was PD, and then order MRI Brain Scan. Brain Scan said: prominent global cerebral cortical involutional changes...and confluent and multifocal punctate FLAIR hyper intensity with the bilateral cerebral hemispheric white matter, nonspecific in nature and small vessel ischemic changes. Varying degrees of Fluid in sinus -- right and left (mucosal thickening.
Brief Answer:
Seems to be idiopathic parkinsons disease
Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Diagnosis of idiopathic parkinsons is based on clinical history and examination and brain imaging is done to rule out any secondary cause.
The parkinsons disease is characterized by tremors, slowness of activities, stiffness and later on fall.
The Mri changes are age related and secondary to atherosclerosis.
Is there any history of hypertension or diabetes.
You should go with the diagnosis of neurologist and try the prescribed medications for benefits.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Seems to be idiopathic parkinsons disease
Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Diagnosis of idiopathic parkinsons is based on clinical history and examination and brain imaging is done to rule out any secondary cause.
The parkinsons disease is characterized by tremors, slowness of activities, stiffness and later on fall.
The Mri changes are age related and secondary to atherosclerosis.
Is there any history of hypertension or diabetes.
You should go with the diagnosis of neurologist and try the prescribed medications for benefits.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Do you think that diagnosis of idiopathic Parkinson's is definite? Is there any way to get a definite diagnosis? Do have some indications of the other symptoms, but not "big time".
What does idiopathic mean?
Any way to tell if this will be a slow progressing type, or faster type? I gather there are two types, is that right?
Yes, there is a history of diabetes in the family.
father, sister
Hypertension:
me, father
Who do you think is best for me to see in Annapolis-Balto-WDC area? Best facility? Best specialist?
My current neurologist was just someone I found, and is a very young, sole, part-time practitioner. If this diagnosis is pretty certain, then I will want to work with a strong group.
My current neurologist was just someone I found, and is a very young, sole, part-time practitioner. If this diagnosis is pretty certain, then I will want to work with a strong group.
Brief Answer:
Get consultation in a movement disorder clinic and get investigated
Detailed Answer:
Hello XXXXX,
Diagnosis of idiopathic Parkinson's is based on clinical features and supported by investigations.
It is called idiopathic because true aetiology is not known. Some cases may have genetic association.
The progression depends upon various factors like initial features, fall and autonomic features.
The Johns XXXXXXX centre provides neurological care.
Any other neurologist near your residence with expertise in movement disorder may be helpful.
Most big hospitals run movement disorder clinics providing care and guidance to this disease suffered person.
The imaging like FDG PET, Dopa PET, chemical ligand gated imaging, functional MRI may be helpful in diagnosing with more certainty.
Hope you found the answer helpful.
Regards
Dr N Kumar
neurologist
Get consultation in a movement disorder clinic and get investigated
Detailed Answer:
Hello XXXXX,
Diagnosis of idiopathic Parkinson's is based on clinical features and supported by investigations.
It is called idiopathic because true aetiology is not known. Some cases may have genetic association.
The progression depends upon various factors like initial features, fall and autonomic features.
The Johns XXXXXXX centre provides neurological care.
Any other neurologist near your residence with expertise in movement disorder may be helpful.
Most big hospitals run movement disorder clinics providing care and guidance to this disease suffered person.
The imaging like FDG PET, Dopa PET, chemical ligand gated imaging, functional MRI may be helpful in diagnosing with more certainty.
Hope you found the answer helpful.
Regards
Dr N Kumar
neurologist
Above answer was peer-reviewed by :
Dr. Naveen Kumar
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