Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

125 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What does "Mild diffuse involutiona cerebral volume loss" in an MRI report suggest?

Answered by
Dr.
Dr. Sudhir

Internal Medicine Specialist

Practicing since :2000

Answered : 1417 Questions

default
Posted on Tue, 19 Aug 2014 in Brain and Spine
Question: Hello Dr.

I'm 28 years old female. and I have done MRI tests for the matter of tinnitus. But the MRI results found the following
"Mild diffuse involutiona cerebral volume loss with prominence of the extra-axial CSF spaces overlying the frontal convexities.
There is no restricted diffusion to suggest recent ischemic process. No definite intracranial hemorrhage on susceptibility weighted images. There is not intra or extra-axial mass or vasogenic edema. Ventricular system is normal in size and configuration. Major vascular flow voids are unremarkable. There is no extra-axial fluid collection.
There is no enhancing lesion in the IAC or CP angle bilaterally. The membranous labyrinth structures are unremarkable.
There is no abnormal meningeal or parenchymal enhancement.
Bilateral orbits and mastoids are unremarkable. The visualized paranasal sinuses are clear."

I'm very worried that I have cerebral volume loss as I'm only 28 years old.
will I have problems in the future ? can I live normal life and have kids ?

will I loss more volume from my brain and if yes what is the expected age in my case ?


Thanks,
XXXX


doctor
Answered by Dr. Sudhir 22 minutes later
Brief Answer:
Please post few MRI images here.

Detailed Answer:
I will review your MRI images and let you know - if at all there is volume loss and if it is there, is it significant to be worried.

Also let me know few things- are you alcoholic? Was there any uneventful incidence at birth, did you cry immediately after birth, or needed long stay in neonatal ICU? Do suffer from any metabolic disease? any hereditary disease that runs in family? Are on any medications? Any reaction to vaccines or brain infection in past?

Awaiting your reply.Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sudhir 8 minutes later
Hi Dr.
I have the full file of MRI images. not sure what do you like to see. please see the two screenshot and let me know what to send for you.

I'm not alcoholic at all. I don;t think I got any incedint when I was born. But I got very huge hit by swimming pool in the back side of my head when I was 11 years old. I'm not sure if I cryed when I was born, I can't answer the question.
I did not stay at ICU. I don't have any disease.
But since 6 month I'm suffering from Tinnitus in both ears.

Thanks
doctor
Answered by Dr. Sudhir 46 minutes later
Brief Answer:
Send images where you ear pinna is seen

Detailed Answer:
Send images where you external ear pinna is seen, this will give me some mid sections of your brain. Add 5-6 images .Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sudhir 4 minutes later
please have a look to what I uploaded.
If it is not sufficient, let me know.

Thanks
doctor
Answered by Dr. Sudhir 49 minutes later
Brief Answer:
Add few more upper sections

Detailed Answer:
Add few more upper sections.Also add images of some other sequence- may be one with more white color.May it has been labelled as T2 images.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sudhir 16 minutes later
I uploaded another one called t2_trs_tra

if it is not the one please let me know
doctor
Answered by Dr. Sudhir 12 minutes later
Brief Answer:
Will go through images and let you know

Detailed Answer:
Give some time.Hope thats fine.May be after few hours I will post a answer.Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sudhir 23 hours later
Hi Dr.
Did you get the chance to review my MRI images ?

Thanks,
doctor
Answered by Dr. Sudhir 17 minutes later
Brief Answer:
Saw the images.

Detailed Answer:
First of all this is nothing to be concerned about.

Actually this is not a volume loss but just the sulcal spaces are prominent in your case.

If there is generalised neural volume loss there would be dilatation of ventricular system and cisterns.But both are fine your case.
Such prominent sulci can be seen in cases of old head injury due subdural hygromas.Subdural hygroma are just prominent normal brain fluid/csf filled spaces which dont need treatment.

So this is not a volume loss.

Just for your information- Had it been volume loss, still there is nothing one can do about it,if there is no underlying cause.

In my experience if there is volume loss to milder extent, those individuals are normal as others.

So no need to worry.Regards


Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Sudhir 22 minutes later
Thanks a lot

so this means that I have normal brain as people in my age ? so do you suggest that I was born like this ?
also I asked my mother, she said I did not cry when I was born but I did not enter any emergency unit.

Will I face any problem in the future about this case ?



doctor
Answered by Dr. Sudhir 29 minutes later
Brief Answer:
No tests needed.

Detailed Answer:
You wont have any problem in future.I didn't see any need to test further.

Loss of neural tissue is kind of subjective assessment made of doctor reading MRI, its not diagnositic.So dont worry about this.


I had asked about crying after birth, before seeings images.No changes related to that seen your brain.


Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Sudhir 3 minutes later
Thanks a lot for the answer..
I'm very comfortable now.


all the best

doctor
Answered by Dr. Sudhir 20 minutes later
Brief Answer:
You are welcome

Detailed Answer:
It was pleasure assisting you.Do take out time to leave a star5 feedback, as per your wish.Regards.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Sudhir 41 hours later
Hi Dr.

Does My MRI results shows that I have subdural hygromas ?
I was reading on the internet about subdural hygromas and it causes serious consequences ended with death.

Thanks
doctor
Answered by Dr. Sudhir 2 hours later
Brief Answer:
There are no subdural hygromas.

Detailed Answer:
There is no evidence of subdural hygromas.

Anyways most subdural hygromas are asymptomatic and dont lead to complications.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Sudhir 4 minutes later
Thanks for the answer.

Also I would like to ask if my MRI images show Arteries and veins and how the blood flow through them ?

Thanks
doctor
Answered by Dr. Sudhir 13 minutes later
Brief Answer:
Actually this images are not entirely for arteries

Detailed Answer:
One has to get MRI angiography done for arteries.However in these images arteries seem fine.Had there been problem with arteries, it would have reflected in brain images.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

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

Recent questions on  Intracranial hemorrhage

doctor1 MD

Hi Doctor, I asked you a few weeks ago about hyperflexia in the knees. I thought I only had it in the knees but I apparently have it in the ankles as well (I'm not sure about the biceps or arms). I am curious if you could give me insight into MS....

doctor1 MD

I just had a brain CT Scan to look for possible internal brain bleeding connected to an occlusion found by a retina specialist during an eye examination. In the conclusions, the radiologists say: IMPRESSION: 1. There is no evidence of acute...

doctor1 MD

Hi, I was wondering what these results mean? Thanks! FINDINGS: MRI of Brain: A punctate high FLAIR signal area at subcortical right parieto-occipital region is nonspecific. Brain volume and signal characteristics are normal. No evidence for acute intracranial masses or mass-effect is seen. No abnormally enhancing lesions are visualized. The ventricular system is normal without shift of midline structures. No extra-axial fluid collections or hydrocephalus is appreciated. Diffusion weighted imaging is normal, without evidence of acute or subacute infarction. The posterior fossa and midline structures are normal. The brainstem and visualized spinal cord are normal. The visualized orbits and paranasal sinuses are unremarkable for technique. MRI of Cervical Spine: Levoconvex scoliosis of thoracolumbar spine is seen. Otherwise The spinal column shows normal alignment. The bone marrow reveals normal signal. No evidence for any abnormal pre or paravertebral soft tissue mass is identified. The cranio-vertebral junction is unremarkable. The spinal cord is normal in signal and caliber. Posterior annular tear with diffuse bulging of C4-C5 and C5-C6 intervertebral disc is seen with mild central canal stenosis. Mild osteophyte and hydration is seen at T8-T9 level with mild left paracentral spurring. IMPRESSION: 1. A punctate high FLAIR signal area at subcortical right parietal occipital region is nonspecific. Essentially unremarkable MRI of brain without acute intracranial hemorrhage, edema, hydrocephalus or mass effect. 2. Degenerative changes at C4-5 and C5-C6 levels as detailed above. Levoconvex scoliosis of thoracal lumbar spine. Otherwise unremarkable MRI of cervical and thoracic spine.

doctor1 MD

Can you please explain these MRI results to me, in detail: The ventricles are normal in size and position. Scattered white matter signal alterations are present which are abnormal for the patient's age, but very nonspecific. These signal...

doctor1 MD

can you explain "mild cortical brain involution seen in the form of widening of the cortical sulci, especially in the parietal regions" there is periventricular white matter ischemic change, there is no evidence of intracranial haemorrhage or space occupying lesion or significant mass effect. my 81 year old mother's CT head scan .

doctor1 MD

i am taking dilantin as a result of a siezure suffered after being bashed and recieving intracranial haemorrhage/subdural haematoma and subarachnoid haemorrhage, this happened about the 28th dec 2013.after spending 30 days in brisbane hosp the swelling had gone down enough to come home. i have not had any seizures since but am still on 260 mgs of dilantin. I want to know if this is an overhigh dose and how long should i be taking it for thankyou from michael

doctor1 MD

Hi, I’m Seema, having two and half year old son who is suffering from right brain hemorrhage since from one month old baby. Here is the detailed scenario, When my son was one month old baby, suddenly he fell ill and after radiological examination the doctor said that he is having sub dural hemorrhage with intraventricular extension (right brain hemorrhage),during that period he got convulsions. Convulsions were controlled with phenytoin, gardenal and midazolam drip. In the medical report they have mentioned, Final diagnosis: intracranial hemorrhage secondary to late hemorrhagic of new born. Then he recovered, during discharge they suggested to give EPTOIN medicine 2.5ml (morning and night). We continued giving him Eptoin syrup and he grown with normal behavior. We consulted famous pediatric neurologist in India name Dr.Kumaresan MD, DCH, DM, he suggested us to do MRI scanning when my son was 7 months old. In the scanning report they have mentioned, Observation: significant atrophy involving right temporal, parietal, occipital lobes with dilatation of right lateral ventricle He also suggested continuing with Eptoin syrup and visiting him once in 6 months. Then when he was one and half year old we did EEG for him, The report suggested that, Conclusion: EEG is mildly abnormal and the findings suggest frontal parietal dysfunction only. But my kid activity was very normal as like other children. Once again we consulted doctor before coming to Beijing, he suggested the same Eptoin syrup morning 2.5 ml and night 5 ml and folic acid tablet once in three days in night. Currently my son is two and half year old, he is doing very normal activity. But last month suddenly he fell sick and he got fever of 102 F and he got seizure(he turned his neck left side and hold his left arm aside)for about 10 secs, after that he went sleep for 5 minutes and then woke and he was normal. Quickly we ran to hospital and consulted doctor. Doctor said that he is having some ear infection so he had fever they gave fever medicine and antibiotic. Now he is fine doing well. So we here i would like to know wehther we have to consult pediatric neurologist in Beijing as of now???? Please help me on this. Thank u in advance. Seema