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What does this MRI report indicate?

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Posted on Mon, 18 Jul 2016
Question: In 2014 I had symptoms of stroke with left sised weakness, speech problems and confusion. Within 24 hrs i had mri which showed no masses or ischemic changes, but did show nonspecific punctate areas of Flair and T2 signal abnormality of subcortical white matter. I was 52 at that time. Did i have a stroke?
doctor
Answered by Dr. Erion Spaho (1 hour later)
Brief Answer:
Probably TIA.

Detailed Answer:
Hello and thanks for using HCM.

I have read your question and understand your concerns.

If symptoms you describe subsided within 24 hours you probably had a TIA, (transient ischemic attack).

However, those MRI findings don't support neither stroke or TIA.

MRI ( diffusion weighted images ) could be diagnostic for TIA up to five days after it happened.

Nonspecific punctate areas on MRI are mainly related to changes due to uncontrolled blood pressure.

Hope you found the answer helpful.

Let me know if I can assist you further.

Greetings.
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Erion Spaho (15 minutes later)
It's been over 2 years and still use cane or walker due to left leg weakness. My left knee won't hold me up without support. I still have some stuttering. My cardiologist said that the stress I had been under and high blood pressure probably caused blood supply to be constricted and caused the stroke.
doctor
Answered by Dr. Erion Spaho (1 hour later)
Brief Answer:
Get a new MRI done.

Detailed Answer:
Welcome back.

In such case, I think a neurological examination and a new MRI of brain to reevaluate stroke possibility are necessary.

If doubts raised about any lumbosacral spine disorder such herniated disc disease, spondylosis, x-rays and MRI of lumbosacral spine are necessary as well.

Hope I helped you.

Take care.


Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 3916 Questions

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What does this MRI report indicate?

Brief Answer: Probably TIA. Detailed Answer: Hello and thanks for using HCM. I have read your question and understand your concerns. If symptoms you describe subsided within 24 hours you probably had a TIA, (transient ischemic attack). However, those MRI findings don't support neither stroke or TIA. MRI ( diffusion weighted images ) could be diagnostic for TIA up to five days after it happened. Nonspecific punctate areas on MRI are mainly related to changes due to uncontrolled blood pressure. Hope you found the answer helpful. Let me know if I can assist you further. Greetings.