Had fever and high BP. MRI showed infract on thalamus and Cerebral Spinal Fluid. What causes this?

Posted on Sat, 7 Dec 2013 in X-ray, Lab tests and Scans
Question: Hi, I got an MRI done the other day and the radiologist said that i had a small infarct on my thalamus. But i was wondering when looking at the mri why there is excess cerebral spinal fluid on the top of my brain. I have been having a fever with this and high blood pressure and im just wondering what this could be. I included a picture of the mri that i saw the excess cerebral spinal fluid on.
Answered by Dr. Indu Kumar 1 hour later
Brief Answer: Excess CSF fluid is due to atrophy of brain. Detailed Answer: Hello Thanks for writing to XXXXXXX I have gone through your MRI images.Though you didn't send axial images,there are prominent CSF spaces on the top of brain.It is due to mild atrophy of brain parenchyma. Due to atrophy in brain there is shrinkage of brain tissue and it allows CSF spaces to expand.You are only 29 years old and it is early to have atrophic changes. Small infarct in thalamus may be due to ischemia and this is supported by your hypertension history.Hypertension is also early in your case.Renal doppler should be done to exclude renal cause of hypertension. You also need few investigations for thorough checkup. Investigations include routine hemogram,RBS,LFT,RFT,Lipid profile,ECG in all leads,Urine RE/ME,ultrasound of abdomen should be done. You should consult neurologist for brain findings and cardiologist for hypertension. You should take medicines regularly for hypertension and also increase your physical activity in the form of walking,exercise . 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
Dr. Indu Kumar


Practicing since :2004

Answered : 6727 Questions


The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Lab Tests
Medical Topics ,  

Recent questions on  Central nervous system

doctor1 MD

My grandmother has recently had a triple bypass and has had two grand mal seizures in the past 24 hours since the surgery. The doctors are now...

doctor1 MD

A ct scan of my brain stated I had mild generalises enlargement of the ventricles nas surface CSF spaces, consistant with involutional changes. As...

doctor1 MD

I am 20 years old 5 foot 5 and 123 pounds. I been suffering from seizures since I was a baby and was born with a heart murmur and minor cerebral...

doctor1 MD

my boyfriend had a seizure two days ago and has a lot of blood in his stool? is this normal? he does not have epilepsy, this was his first ever...

doctor1 MD

I have a mild Giddines ( head mild dull and like rotating a bit and feel like balance not working) . i was in touch with ENT .. looks all clear...

doctor1 MD

sir i m taking 2mg clonazepam +400mg Quetipin plain+8mgRemitext. it's ok for me . My doctor's son add 600mg gabapinsr.Due to this Gabapin my hunger...

doctor1 MD

I am prescribed alprazolam ( Xanax ) up to 2 mgs per day (never taken that much at once) yesterday was rough so I took .5 mg around noon another .5...

Get personalised answers from verified doctor in minutes across 80+ specialties

134 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction