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Frequent migraines. Brain MRI shows intracranial abnormality. Diagnosed demyelinating disease, cerebral vasculitis. Meaning?

I m a 32 year old female that suffers with migraines. I recently had a MRI brain. The impression says this:1. I acute intracranial abnormality is identified. 2. There are single punctate foci of gliosis involving the subcortical white matter of each frontal lobe . This finding is nonspecific and can be a consequence of chronic microbascular ischemia. Demyelinating disease and cerebral vasculitis are included in the differential diagnosis. What does this mean?
Asked On : Mon, 3 Dec 2012
Answers:  1 Views:  304
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Neurologist 's  Response
Nov 2013

Thank you for posting your query.

First of all, I would like to reassure you that your MRI findings do not suggest any serious problem in the brain.

The findings reported on your MRI are commonly seen in patients with migraine and there is no need to worry about them. However, if you have frequent migraine headaches, you should be on preventive medications.

In a person, who has risk factors such as diabetes, high BP, cholesterol, in them, these findings could mean ischemia (lack of blood flow to the brain) and then medications such a aspirin may be required.

Wishing you good health,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
Answered: Mon, 10 Dec 2012
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