Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does This Brain MRI Report Regarding Tiny Hyper Intensities In Brain Indicate?
Question: Tiny hyperintensities are noted in bilateral subcortical and deep white matter on T2W and FLAIR images.The gray white matter differentiation is maitained.( MRI report)
what is that mean? and what will be the YYYY@YYYY
what is that mean? and what will be the YYYY@YYYY
Brief Answer:
Need to check for hypertension,diabetes,lipid.
Detailed Answer:
Hello XXXXXX
Thanks for writing to HCM
I have thoroughly gone through your reports.
In MRI,FLAIR or T2 weighted tiny hyper intensities less than five in number in bilateral subcortical and deep white matter of brain can be ignored.
Mostly it is due to ischemic changes(decreased blood supply) that involves small blood vessels.However demyelination,post traumatic sequel should also be ruled out with follow up scans.Diabetes mellitus also aggravates the situation.
Hyper intensities more than five in number should be the cause of concern and it need investigations.
You need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus.
You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.
If there is any more physical problems then it should be treated also.
You need follow up MRI scan to see its progression of lesions.Demyelinating disorders are associated with many other neurological findings.You need clinical correlation.
Get well soon.
Hope i have answered your query.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Need to check for hypertension,diabetes,lipid.
Detailed Answer:
Hello XXXXXX
Thanks for writing to HCM
I have thoroughly gone through your reports.
In MRI,FLAIR or T2 weighted tiny hyper intensities less than five in number in bilateral subcortical and deep white matter of brain can be ignored.
Mostly it is due to ischemic changes(decreased blood supply) that involves small blood vessels.However demyelination,post traumatic sequel should also be ruled out with follow up scans.Diabetes mellitus also aggravates the situation.
Hyper intensities more than five in number should be the cause of concern and it need investigations.
You need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus.
You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.
If there is any more physical problems then it should be treated also.
You need follow up MRI scan to see its progression of lesions.Demyelinating disorders are associated with many other neurological findings.You need clinical correlation.
Get well soon.
Hope i have answered your query.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
