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What Does This MRI Report Indicate?
Question: Please explain to me the following :
MRI of head of the same date show two punctate foci of diffusion hypersensitivity within the left posterior frontal the subcortical white matter and right cerebellum most compatible with acute infarct felt likely to be invalid the patient underwent transthoracic echocardiogram revealing and EF of 60 to 65% and a normal RV there was a note left atrium being mildly dilated and most importantly there was evidence of interatrial hunting by agitated Saline the right atrium was normal in size.
MRI of head of the same date show two punctate foci of diffusion hypersensitivity within the left posterior frontal the subcortical white matter and right cerebellum most compatible with acute infarct felt likely to be invalid the patient underwent transthoracic echocardiogram revealing and EF of 60 to 65% and a normal RV there was a note left atrium being mildly dilated and most importantly there was evidence of interatrial hunting by agitated Saline the right atrium was normal in size.
Brief Answer:
Possibility of stroke due to atrial septum defect
Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
The Mri and echo findings is suggestive of stroke due to paradoxical embolisation.
The atrial septum may be patent leading to such embolism reaching brain.
In case of recurrence of such episodes, repair of septal wall may be required.
Other cause of such lesions should be suspected like vasculitis.
You need to consult and visit a neurologist for detailed examination and treatment.
You may need antiplatelet agents.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Possibility of stroke due to atrial septum defect
Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
The Mri and echo findings is suggestive of stroke due to paradoxical embolisation.
The atrial septum may be patent leading to such embolism reaching brain.
In case of recurrence of such episodes, repair of septal wall may be required.
Other cause of such lesions should be suspected like vasculitis.
You need to consult and visit a neurologist for detailed examination and treatment.
You may need antiplatelet agents.
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. Prasad
Answered by
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