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What does this MRI report for short term memory loss indicate?

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Posted on Fri, 20 May 2016
Question: Hello,
My husband received results of brain MRI stating it showed cystic encephalomalacia of inferior medial frontal lobes, right worse than left, and at the anterior tip of right temporal lobe. Right frontal lobe abnormality extends craniocaudal and transversely extending to frontal horn of lateral ventricle. He's had a few serious falls brain injury (subdural hemmorhage) 2007 and concussions. He also has a substance abuse problem and has had 4 stints in rehab, none helpful. He's in the medical field and very bright, yet he consistently repeats bad behavior. He got two Duis last month for prescription drug impairment. He sees neuro next Friday, I'm wondering if this MRI diagnosis is progressive and possibly contributing to his behavior. He seems to have short term memory loss and doesn't seem to "get" the serious consequences of his actions because he keeps repeating them. He was in ER twice in July for substance issues and 5150'd twice. Everyone just chalks it up to addiction but I know there's more going on. Any thoughts?
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Answered by Dr. Neeraj Kumar (28 minutes later)
Brief Answer:
Possibility of frontal lobe syndrome based on MRI changes

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
The history of head trauma and MRI is definitely showing changes in bilateral frontal region of brain.
Frontal region of brain is vital in personality, behaviour, social interaction, social behaviour, planning and execution, judgement and memory(immediate).
Drug abuse also leads to behaviour changes and sometimes infarct or haemorrhage of brain.
He requires evaluation by a neurologist and medications to control his behaviour.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Naveen Kumar
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Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2263 Questions

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What does this MRI report for short term memory loss indicate?

Brief Answer: Possibility of frontal lobe syndrome based on MRI changes Detailed Answer: Hello, I have gone through your question and understand your concerns. The history of head trauma and MRI is definitely showing changes in bilateral frontal region of brain. Frontal region of brain is vital in personality, behaviour, social interaction, social behaviour, planning and execution, judgement and memory(immediate). Drug abuse also leads to behaviour changes and sometimes infarct or haemorrhage of brain. He requires evaluation by a neurologist and medications to control his behaviour. Hope you found the answer helpful. Do get back to me for further queries. Regards Dr N Kumar Neurologist