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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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MRI Revealed Scattered Bilateral Subcortical White Matter Punctate Foci. Feel Warmness In Feet And Hip And Weakness. Normal

Hi, 38 female. MRi without contrast revealed few scattered bilateral subcortical white matter punctate foci, none 3mm and over, which appear within the normal realm. Should I be concerned? Radiologist called it as no definite concern.... For the past 2 months I have experienced warm feelings in my feet, one warm patch on inner hip joint off and on, numbness in left leg(back) and at one point both arms from elbow down (for 1 week at night when sleeping), sometimes weakness of pinky fingers and tingling off and on. Had cervical spine Mri and revealed some congenital/fusion and degenerative issues but no lesions. Thank you
Could these issues cause lower body sensations as well? GP dismissed MRI as normal. Thank you
Thu, 9 May 2013
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Neurologist 's  Response
Hi ,
Based on symptoms and MRI reports ,you are suffering from small vessel disease of brain ( Lacunar infarcts).Mri brain is mildly abnormal .Sensory symptoms which you are having can be due to brain lesion ,it can also be due to spondylotic changes with fusion of cervical vertebra.You need to be clinically evaluated by Neurologist and teratment to be planned .You require aspirin , statins and neuralgic drugs .Meantime blood sugar, thyroid profile and lipid profile also needed and treatment accordingly planned.Also Nerve conduction study to rule out neuropathy.

Regards
Dr Sandhya Manorenj
Neurophysician
Hi Tech city ,Hyderabad
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MRI Revealed Scattered Bilateral Subcortical White Matter Punctate Foci. Feel Warmness In Feet And Hip And Weakness. Normal

Hi , Based on symptoms and MRI reports ,you are suffering from small vessel disease of brain ( Lacunar infarcts).Mri brain is mildly abnormal .Sensory symptoms which you are having can be due to brain lesion ,it can also be due to spondylotic changes with fusion of cervical vertebra.You need to be clinically evaluated by Neurologist and teratment to be planned .You require aspirin , statins and neuralgic drugs .Meantime blood sugar, thyroid profile and lipid profile also needed and treatment accordingly planned.Also Nerve conduction study to rule out neuropathy. Regards Dr Sandhya Manorenj Neurophysician Hi Tech city ,Hyderabad