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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Acute Intracranial Abnormality Mean?

PRE- AND POSTCONTRAST MR BRAIN CLINICAL: 54-year-old, headache. Right temporal pain. Peripheral vision problems. TECHNIQUE: Multiplanar 1.5 tesla MR imaging obtained before and following intravenous contrast. FINDINGS: 1. No comparison studies. 2. Minimal punctate periventricular white matter small vessel ischemia. IMPRESSION: No mass, abnormal enhancement, or acute intracranial abnormality. What does this mean? What should I be doing to follow up?
Thu, 21 May 2020
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General Surgeon,  's  Response
Hello,

As per my clinical experience, the MRI report is indicative of vascular insufficiency as there is punctate periventricular white matter small vessel ischemia. The vascular insufficiency can be pertaining to vasospasm, changes in the pH and pCO2 of the brain parenchyma. It is best way to get details of possible cause would be MR Angiography which will pick up all blood supply including minute territories as well.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Does Acute Intracranial Abnormality Mean?

Hello, As per my clinical experience, the MRI report is indicative of vascular insufficiency as there is punctate periventricular white matter small vessel ischemia. The vascular insufficiency can be pertaining to vasospasm, changes in the pH and pCO2 of the brain parenchyma. It is best way to get details of possible cause would be MR Angiography which will pick up all blood supply including minute territories as well. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon