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What Does "mild Mucoperiosteal Thickening Within Ethmoid And Maxillary Sinuses" Mean?
Question: Hi
After reading Dr XXXXXXX Chall answer to ( What does "mild mucoperiosteal thickening within ethmoid and maxillary sinuses mean) I can identify exactly with this person. The difference I was rear ended at 30-35 mph while sitting still. Completely unexpected.
I to am 44 yrs and about 145lb very healthy and take no meds except the occasional motrin.
I am experiencing short memory loss, vertigo, blanking out spells ( mostly when stressed or feeling like I need to hurry) starting a sentence..... then having to pause to figure out what I was saying. Also getting "tongue tied" and not even being to get something out. I have to stop, then start over. hands falling asleep and am nasues on occasion.
I can go out for a few hours at a time then have to come home and sleep hard for few hours.
Had an MRI w/o contrast. Mild chronic mucoperiosteal thickening within the maxillary and ethmoid sinus. /no fluid levels are identified. Othe than that the MRI finding are all within normal ranges.
My neck is a bit straight from the accident and am going to a Chiropractor 3x a week.
Any ideas out there as to why these episodes are happening? Are they long term?
thank
After reading Dr XXXXXXX Chall answer to ( What does "mild mucoperiosteal thickening within ethmoid and maxillary sinuses mean) I can identify exactly with this person. The difference I was rear ended at 30-35 mph while sitting still. Completely unexpected.
I to am 44 yrs and about 145lb very healthy and take no meds except the occasional motrin.
I am experiencing short memory loss, vertigo, blanking out spells ( mostly when stressed or feeling like I need to hurry) starting a sentence..... then having to pause to figure out what I was saying. Also getting "tongue tied" and not even being to get something out. I have to stop, then start over. hands falling asleep and am nasues on occasion.
I can go out for a few hours at a time then have to come home and sleep hard for few hours.
Had an MRI w/o contrast. Mild chronic mucoperiosteal thickening within the maxillary and ethmoid sinus. /no fluid levels are identified. Othe than that the MRI finding are all within normal ranges.
My neck is a bit straight from the accident and am going to a Chiropractor 3x a week.
Any ideas out there as to why these episodes are happening? Are they long term?
thank
Brief Answer:
Concussion head injury is more likely
Detailed Answer:
Hi XXXX
Thanks for writing in to us.
This is Dr.Vivek Chail replying to your query and I am glad to be helping you out.
Its important to know when the rear end collision took place and if you had fastened your seat belts. The neck is a very sensitive part of the human anatomy and even slight deceleration and rotation (unexpected) can give rise to problems in the region. Straightening of the neck is commonly seen after motor vehicle trauma and this is due to the muscles going in to spasm which is more obvious a day after the trauma.
Motrin is ibuprofen which is an over the counter pain relief medication and not of much significance. You may also apply an ointment containing muscle relaxant and pain reliever combination should you feel that you have neck spasm.
The MRI brain scan showing allergic inflammation in the ethmoid and maxillary sinuses is due to a preexisting condition and less likely to be related to your traumatic episode.
There are two situations that need consideration keeping in mind the problems you are having.
1. Did you have any neck injury due to the trauma and is that causing nerve injury and alteration in blood flow to the brain?
This can be known after doing a detailed clinical examination. Also doing a carotid and vertebral artery Doppler investigation to know any blood flow abnormalities to the brain may be done should your doctor feel it necessary.
2. Did you have a concussion injury to the head which is mildest form of brain injury without any observable structural damages to the brain on MRI scan?
Concussion injuries are usually trivial head injuries which do not show any particular features but can vary symptomatically in different individuals. This usually improves with time and in most people the symptoms disappear by 6 months to a year. This does not require any treatment.
Although I am unable to examine you clinically, your clinical symptoms are more likely to be due to a concussion head injury in my opinion and should improve over the next few months.
Its important to know if you ever had a history of any stress related anxiety or any depression like symptoms for which you have been on medication.
Hope your query is answered.
Please do write back if you have any further doubts.
Regards,
Dr.Vivek
Concussion head injury is more likely
Detailed Answer:
Hi XXXX
Thanks for writing in to us.
This is Dr.Vivek Chail replying to your query and I am glad to be helping you out.
Its important to know when the rear end collision took place and if you had fastened your seat belts. The neck is a very sensitive part of the human anatomy and even slight deceleration and rotation (unexpected) can give rise to problems in the region. Straightening of the neck is commonly seen after motor vehicle trauma and this is due to the muscles going in to spasm which is more obvious a day after the trauma.
Motrin is ibuprofen which is an over the counter pain relief medication and not of much significance. You may also apply an ointment containing muscle relaxant and pain reliever combination should you feel that you have neck spasm.
The MRI brain scan showing allergic inflammation in the ethmoid and maxillary sinuses is due to a preexisting condition and less likely to be related to your traumatic episode.
There are two situations that need consideration keeping in mind the problems you are having.
1. Did you have any neck injury due to the trauma and is that causing nerve injury and alteration in blood flow to the brain?
This can be known after doing a detailed clinical examination. Also doing a carotid and vertebral artery Doppler investigation to know any blood flow abnormalities to the brain may be done should your doctor feel it necessary.
2. Did you have a concussion injury to the head which is mildest form of brain injury without any observable structural damages to the brain on MRI scan?
Concussion injuries are usually trivial head injuries which do not show any particular features but can vary symptomatically in different individuals. This usually improves with time and in most people the symptoms disappear by 6 months to a year. This does not require any treatment.
Although I am unable to examine you clinically, your clinical symptoms are more likely to be due to a concussion head injury in my opinion and should improve over the next few months.
Its important to know if you ever had a history of any stress related anxiety or any depression like symptoms for which you have been on medication.
Hope your query is answered.
Please do write back if you have any further doubts.
Regards,
Dr.Vivek
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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