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What Does My MRI Scan Report Indicate?

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Posted on Fri, 27 Jan 2017
Question: What is chronic small-vessel disease/remote insult that is shown in a frontal lobe on an MRI. MRI was performed after a seizure.
doctor
Answered by Dr. Olsi Taka (32 minutes later)
Brief Answer:
Read below

Detailed Answer:
I read your question carefully and I understand your concern.

That phrase that you mention means that the MRI shows that there has been a stroke in that area (frontal lobe). It has happened sometime in the past, over 1 month at least, it is hard to assess how long precisely and a small stroke in that area may not have shown any symptoms. When it comes to seizures though that permanently damaged area may be a source of abnormal discharges giving rise to seizures.

While antiepileptic seizure may be started, it is important to inquire for possible causes of stroke, it is not a typical condition at the age of 30. So she should undergo a full check up for conditions of blood vessels and heart which may be a source of stroke, in order to take preventive measures in the future if needed.

I hope this is the information you were looking for, perhaps if you could upload the full report might be of use as well. I remain at your disposal for other questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Olsi Taka (2 hours later)
Since the original grand mal seizure that was on 12/21 there has been two more seizures. Neither sezuires were as big as the grand mal was, but they were sezuires none the less. Could this be a possible side effect from a possible stroke in the past or does this pose that there could be something else going on?

The patient is 31 year old female who has a history of migraines but not other health issues. Grandfather had alchoic induced seizures and her half sister had sezuires but I think hers are pill related.
doctor
Answered by Dr. Olsi Taka (5 hours later)
Brief Answer:
Read below

Detailed Answer:
I am sorry if my answer to your question hasn't been clear.
Yes, this stroke is the responsible for the seizures, it is a consequence of a stroke in the past. It is a stroke in an area frequently related to seizures.
The MRI doesn't show something else more serious going on, at least not that part of the report you provide.

Let me know if I can further assist you.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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What Does My MRI Scan Report Indicate?

Brief Answer: Read below Detailed Answer: I read your question carefully and I understand your concern. That phrase that you mention means that the MRI shows that there has been a stroke in that area (frontal lobe). It has happened sometime in the past, over 1 month at least, it is hard to assess how long precisely and a small stroke in that area may not have shown any symptoms. When it comes to seizures though that permanently damaged area may be a source of abnormal discharges giving rise to seizures. While antiepileptic seizure may be started, it is important to inquire for possible causes of stroke, it is not a typical condition at the age of 30. So she should undergo a full check up for conditions of blood vessels and heart which may be a source of stroke, in order to take preventive measures in the future if needed. I hope this is the information you were looking for, perhaps if you could upload the full report might be of use as well. I remain at your disposal for other questions.