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What Does This MRI Report Indicate?
Question: MRI showed extra-axial CSF spaces were generally more prominent than one would expect for his age. There was no specific pattern of lobar predominance. In the right parietal lobe there was smaller gyri with some thininng at the base of the gyral cores suggesting the possibility of ulegyria. This led the radiologist to question whether I had experienced developmental abnormality or very early perinatal insult.
I have a hand to eye co-ordination disability and have been diagnosed with Non Epileptic Attack Disorder and Functional Movement Disorder.
I have had an MRI when the above was found. It showed a small Pituitary. The test was organised to check for Hypogonadotrophic hypogonadism.
This is a letter from my specialist and I would be grateful if you could tell me what it means in everyday English. This is due to my anxiety problems.
I have a hand to eye co-ordination disability and have been diagnosed with Non Epileptic Attack Disorder and Functional Movement Disorder.
I have had an MRI when the above was found. It showed a small Pituitary. The test was organised to check for Hypogonadotrophic hypogonadism.
This is a letter from my specialist and I would be grateful if you could tell me what it means in everyday English. This is due to my anxiety problems.
Brief Answer:
Read below.
Detailed Answer:
I read your question carefully and I understand your concern. It is a little unclear at the end though when you say that this is a letter from your specialist whether by that you intend the text of the query or if you meant to upload an additional document, if you meant an additional document I have to say that I see nothing uploaded in the reports section, so you should try again.
Regarding the first part of the query where it speaks of prominent CSF spaces, that indicates a reduced brain mass. After our twenties we all experience loss of brain mass over the years, but in your case the radiologist’s impression is that it is more than the average. Now that is not a process which has happened overnight, it is something which has happened over years and the MRI doesn’t give much indication about the cause. Also it doesn’t necessarily mean anything as it’s only a subjective opinion comparing with average, but there are no precise measures and values to refer to, there are variations among different individuals. When it means something is when it also is associated with impairment of higher mental cognitive functions, such as memory, judgement, speech etc, in that case one may consider it being a case of dementia. So if not already done an evaluation of higher cognitive functions is necessary through neuropsychological tests, sort of like questionnaires testing different areas of cognition.
The suspicion of ulegyria may be related to some damage in the past, maybe during birth, or some infection in infancy. The radiologist doesn’t seem to be convinced about that though. In anyway it is not something which requires any treatment, it’s a remnant of an old injury and there is nothing to be done about it, sort of like an old scar.
As for the small pituitary, again it must be associated with other signs. Pituitary gland is the gland which controls the function of several hormones like growth hormone, thyroid hormone, adrenal glands hormones, sexual hormones. So while MRI is an indication, the real evaluation is through measurement of the values of these hormones in the blood, that is an objective measurable indication of the pituitary function. So you should consult an endocrinologist about that.
As for the non epileptic attacks and functional movement disorders they episodes of loss of consciousness or abnormal movements which are not related to epileptic electric discharges in the brain or another identifiable lesion in the brain, but due to psychological factors, a sort of protection mechanism and exteriorizing of excessive emotions and anxiety.
I remain at your disposal for other questions.
Read below.
Detailed Answer:
I read your question carefully and I understand your concern. It is a little unclear at the end though when you say that this is a letter from your specialist whether by that you intend the text of the query or if you meant to upload an additional document, if you meant an additional document I have to say that I see nothing uploaded in the reports section, so you should try again.
Regarding the first part of the query where it speaks of prominent CSF spaces, that indicates a reduced brain mass. After our twenties we all experience loss of brain mass over the years, but in your case the radiologist’s impression is that it is more than the average. Now that is not a process which has happened overnight, it is something which has happened over years and the MRI doesn’t give much indication about the cause. Also it doesn’t necessarily mean anything as it’s only a subjective opinion comparing with average, but there are no precise measures and values to refer to, there are variations among different individuals. When it means something is when it also is associated with impairment of higher mental cognitive functions, such as memory, judgement, speech etc, in that case one may consider it being a case of dementia. So if not already done an evaluation of higher cognitive functions is necessary through neuropsychological tests, sort of like questionnaires testing different areas of cognition.
The suspicion of ulegyria may be related to some damage in the past, maybe during birth, or some infection in infancy. The radiologist doesn’t seem to be convinced about that though. In anyway it is not something which requires any treatment, it’s a remnant of an old injury and there is nothing to be done about it, sort of like an old scar.
As for the small pituitary, again it must be associated with other signs. Pituitary gland is the gland which controls the function of several hormones like growth hormone, thyroid hormone, adrenal glands hormones, sexual hormones. So while MRI is an indication, the real evaluation is through measurement of the values of these hormones in the blood, that is an objective measurable indication of the pituitary function. So you should consult an endocrinologist about that.
As for the non epileptic attacks and functional movement disorders they episodes of loss of consciousness or abnormal movements which are not related to epileptic electric discharges in the brain or another identifiable lesion in the brain, but due to psychological factors, a sort of protection mechanism and exteriorizing of excessive emotions and anxiety.
I remain at your disposal for other questions.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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