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What Do You Mean By 'multiple Lacunar Area Of Ischaemic Foci In The Bilateral Cerebral Hemispheres' In A MRI Report?

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Posted on Sat, 25 Jan 2014
Question: Hi my mom's MRI shows multiple lacunar area of ischaemic foci in the bilateral cerebral hemispheres. She is 51 always complaints of headache.
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Answered by Dr. Anshul Varshney (41 minutes later)
Brief Answer: Need further investigation Detailed Answer: Dear Friend Thanks for sharing with us. Your mother has Lacunar infarcts , for which i am sure she must be receiving treatment with Aspirin , Atorvastatin. She must be having Risk factors for which she got Lacunar Infarcts , One risk factor i can see is Age and menopause. I suggest following investigations: 1. Hemogram 2. Lipid Profile 3. Blood Sugar 4. ECG Treatment would be based on the reports , but i strongly recommend Aspirin and Atorvastatin. Migraine headache is usually unilateral , throbbing , associated with nausea , vomiting , photophobia, phonophobia. If she has migraine headache , that can be treated , I personally prefer to use flunarizine for migraines. Also , she needs a regular life style like timely sleep in night. Avoid Cheese , lemon , in diet. She should avoid any pain killers. I prefer to give my patients simply Tab Vasograin when they have severe pain. Get her reports , get her BP checked once again , review with me with the reports. I hope i am able to solve your query , if you still have any query ask me.
Above answer was peer-reviewed by : Dr. Raju A.T
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Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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What Do You Mean By 'multiple Lacunar Area Of Ischaemic Foci In The Bilateral Cerebral Hemispheres' In A MRI Report?

Brief Answer: Need further investigation Detailed Answer: Dear Friend Thanks for sharing with us. Your mother has Lacunar infarcts , for which i am sure she must be receiving treatment with Aspirin , Atorvastatin. She must be having Risk factors for which she got Lacunar Infarcts , One risk factor i can see is Age and menopause. I suggest following investigations: 1. Hemogram 2. Lipid Profile 3. Blood Sugar 4. ECG Treatment would be based on the reports , but i strongly recommend Aspirin and Atorvastatin. Migraine headache is usually unilateral , throbbing , associated with nausea , vomiting , photophobia, phonophobia. If she has migraine headache , that can be treated , I personally prefer to use flunarizine for migraines. Also , she needs a regular life style like timely sleep in night. Avoid Cheese , lemon , in diet. She should avoid any pain killers. I prefer to give my patients simply Tab Vasograin when they have severe pain. Get her reports , get her BP checked once again , review with me with the reports. I hope i am able to solve your query , if you still have any query ask me.