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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Severe Migraines, Headaches. Had An MRI, Subtle Foci Noticed. On Pain Management. Suggest?

I had an MRI last Friday for severe Migraines and chronic headaches that I have had for a month. I have had hadaches and migraines since I was a small child. I am a woman. The MRI seems normal. I am seeing a pain management doctor. The MRI states under Brainstem: "Subtle foci of slightly increased T2 signal in the pos of questionable significance." Everything else seems to be within normal limits other than Vascular notes: "Patent flow voids at the level of the circle of Willis. Dominent left vertibral artery." I am seeing a Pain Management Doctor. They see nothing alarming in these reports and they are probably fine - however the very little research I have done (enough to make me dangerous) :) has referred to strokes and TIA. My great grand mother, grand mother and mother all died from strokes. I know my mother's medical background began with TIA and I have a 5 year old daughter. Should I see an Neurologist to get more specialized treatment?
Wed, 10 Apr 2013
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Neurologist 's  Response
Hello,

Thanks for the query,

Note that MRI changes need to be correlated with clinical findings. In the absence of any symptoms suggestive TIA/STROKE, I feel that your MRI is normal. These changes can be seen in people with high blood pressure, diabetes and even migraine. So, I do not think that you should worry at all. If you are so pre-occupied with this idea, you may take a neurology opinion to resolve this issue

Best wishes
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Have Severe Migraines, Headaches. Had An MRI, Subtle Foci Noticed. On Pain Management. Suggest?

Hello, Thanks for the query, Note that MRI changes need to be correlated with clinical findings. In the absence of any symptoms suggestive TIA/STROKE, I feel that your MRI is normal. These changes can be seen in people with high blood pressure, diabetes and even migraine. So, I do not think that you should worry at all. If you are so pre-occupied with this idea, you may take a neurology opinion to resolve this issue Best wishes