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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Venous Anomaly In Frontal Lobe In MRI Report Suggest?

Hi, i had an MRI of my brain 2 weeks ago and the following is the report. i am suffering almost everyday from bad pressure and headaches which are affecting me terribly. also causing anxiety because i feel like something is going to happen to me. i cant live this way. is it possible for these cysts to go away? or will i need to seek treatment to have them removed FINDINGS:Evaluation of the brain demonstrates no parenchymal mass or mass effect. No foci of abnormal signal are seen.There is no acute infarct seen. No intracranial hemorrhage is recognized.A developmental venous anomaly seen in the posterior medial left frontal lobe.The ventricles, sulci and basal cisterns appear unremarkable.There is no enhancing lesion and no significant leptomeningeal enhancement. The vertebral and internal carotid arteries demonstrate expected flow voids indicating their patency. The sella is unremarkable. The central skull base and temporal bones are intact. The calvarium appears unremarkable. The orbits are unremarkable. Septal or retro-orbital mass is seen. Extraocular muscles appear symmetric. The right and left cavernous sinus is unremarkable.The paranasal sinuses demonstrate mucosal thickening partially outlining scattered ethmoid air cells. Small polyps are seen in the floor of the left antrum and anterior wall of the right antrum. No air-fluid motion noted.The nasal cavity appears intact. The nasopharynx demonstrates a submucosal cyst on the right and left posteriorly measuring up 0.8 by 0.5 CM small Thornwaldt cyst.IMPRESSION:No parenchymal mass or hemorrhage. No cerebral ischemic changes seen.Developmental venous anomaly seen in the posterior medial left frontal lobe.
Thu, 19 Feb 2015
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Neurologist 's  Response
Developmental venous malformation, known also as venous angiomas are the most common intracranial vascular malformations. Most patient are identified with this malformation incidental and they are asymptomatic. These anomalies have a very low risk of bleeding, except when they have an adjacent cavernoma (which seems not to be your case) and usually they don't need any treatment. As venous angiomas are developmental, they become like anormal part of the brain venous drainage. Surgery or other techniques can cause infarctions. In very rare cases it can present with seizured (which again isn't your case).
I would suggest you to stay calm and take a treatment with NSAID for your headache, stay in touch with a neurologist if smth else happens .
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What Could Venous Anomaly In Frontal Lobe In MRI Report Suggest?

Developmental venous malformation, known also as venous angiomas are the most common intracranial vascular malformations. Most patient are identified with this malformation incidental and they are asymptomatic. These anomalies have a very low risk of bleeding, except when they have an adjacent cavernoma (which seems not to be your case) and usually they don t need any treatment. As venous angiomas are developmental, they become like anormal part of the brain venous drainage. Surgery or other techniques can cause infarctions. In very rare cases it can present with seizured (which again isn t your case). I would suggest you to stay calm and take a treatment with NSAID for your headache, stay in touch with a neurologist if smth else happens .