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What Does This MRI Report Of Brain Indicate?

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Posted on Fri, 18 Sep 2015
Question: Brain MRI shows chronic lacunar ischemic infarcts with cerebellar atrophy. No definite atheromatous narrowing / plaque noted in the carotid / vertebro-basilar system
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Answered by Dr. Neeraj Kumar (14 minutes later)
Brief Answer:
Findings may be found in many diseases

Detailed Answer:
Hello XXXX,
I have gone through your question and reports and understand your concerns.
The MRI is showing small size ischemic changes which can be found with increasing age, diabetes, hypertension and other chronic illness .
The Cerebellar atrophy on MRI is to be read in light of present clinical symptoms .
If cerebellar features on examination is present then it has to be investigated.
The first approach will be to test vitamin B12, thyroid profile, drugs , toxin.
Degenerative diseases like spinocerebellar ataxia has to be considered if symptoms present.
Another possibility may be parkinsonism (multiple system atrophy) if symptoms present.
It will be easier to advice if you can provide some clinical and investigation details previously done.
Hope you found the answer helpful.
regards
Dr Neeraj XXXXXXX
Neurologist

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

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What Does This MRI Report Of Brain Indicate?

Brief Answer: Findings may be found in many diseases Detailed Answer: Hello XXXX, I have gone through your question and reports and understand your concerns. The MRI is showing small size ischemic changes which can be found with increasing age, diabetes, hypertension and other chronic illness . The Cerebellar atrophy on MRI is to be read in light of present clinical symptoms . If cerebellar features on examination is present then it has to be investigated. The first approach will be to test vitamin B12, thyroid profile, drugs , toxin. Degenerative diseases like spinocerebellar ataxia has to be considered if symptoms present. Another possibility may be parkinsonism (multiple system atrophy) if symptoms present. It will be easier to advice if you can provide some clinical and investigation details previously done. Hope you found the answer helpful. regards Dr Neeraj XXXXXXX Neurologist