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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Was Hit By Car. CT Scan Showed Micro-vascular Ischemia Changes. Headache And Vomiting. Suggestions?

In january 2013, I was hit from beihiund by a car. A CT was done in Feb. and "mild decreased density was seem in f the white mater of the supereioor frontal lobes. Findings suggest microvascular ischemia changes. Thickening o right posterior ethmoid air cells noted. / / thening of the right posterior ehtmoid air cells noted."

What does this mean?
I have had constant headac hes, nausea and vomiting since car crash.. . some burning in brain. I have college degreed but cannot remember past 7-8 grade infromation. thanks.
Mon, 10 Jun 2013
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Radiologist,  's  Response
Hello,
Thanks for writing in.
As told by you, after the accident in January 2013, you got a CT scan done in February 2013.
In the CT scan, microvascular white matter ischemic changes means that there was little injury to small blood vessels in your frontal lobe white matter.
Coming to the thickening of posterior ethmoid air cells, it could be the little bleeding into the sinuses which happened in January. There is every reason that you may develop slight infection in your sinuses after trauma and that may be causing your headaches and burning sensation.
Please take medicines given by your doctor, nothing really to worry about.
Hope this helps.
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Was Hit By Car. CT Scan Showed Micro-vascular Ischemia Changes. Headache And Vomiting. Suggestions?

Hello, Thanks for writing in. As told by you, after the accident in January 2013, you got a CT scan done in February 2013. In the CT scan, microvascular white matter ischemic changes means that there was little injury to small blood vessels in your frontal lobe white matter. Coming to the thickening of posterior ethmoid air cells, it could be the little bleeding into the sinuses which happened in January. There is every reason that you may develop slight infection in your sinuses after trauma and that may be causing your headaches and burning sensation. Please take medicines given by your doctor, nothing really to worry about. Hope this helps.