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Dr. Andrew Rynne

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Headache, Numbness In Left Side Of Body. MRI Shows Lesions In Subcortical White Matter. Suggestions?

Hello, My name is Carla and i am 18 years old. I was experiencing very bad headaches and my entire left side of my body would go numb including my face, fingers, arm, leg, and even toes. I also wouldn t be able to see out of my left side. My doctor had me have an MRI done and the results were that: There are multiple small focal nonspecific T2 hyperintensities in the subcortical white matter of both frontal lobes. The lesions are 1 to 2 mm in diameter. There are no accompanying lesions in the periventricular of the supratentorial brian. There are no similar lesions in the basal ganglia , brainstem , or cerebellum . I don t recall any prior trauma but I do have a history of very bad headaches.
Sat, 30 Mar 2013
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Neurologist,  's  Response
Hello,

Thanks for the query,

I understand your problem


Based upon the data that you have provided,I feel that you may have 1. Migraine 2. Sensory seizures 3. Rare possibility of demyelinating disease. In order to confirm the diagnosis, you would require a detailed neurological evaluation which include the clinical interview to clarify what exactly happens to you during this period and this the crucial step to clinch the diagnosis. In view of clear one sided numbness , I wish I would have seen your MRI. Your further evaluation may require EEG (A test which maps the brain functions and helps rule out seizures) and/or lumbar puncture. I urge you to get re evaluated by a local neurologist. If your investigations do not yield anything, I think that you may benefit with anti-migraine treatment.



Best wishes
Dr Gopal K Dash MD, DM, Post-doctoral fellowship (Epilepsy)
Consultant Neurologist and Epilepsy specialist
Nrayana Hrudayalaya Hospital, Bangalore
My Blog in the Web site:
http://www.healthcaremagic.com/doctors/dr-gopal-krishna-dash/64344



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Headache, Numbness In Left Side Of Body. MRI Shows Lesions In Subcortical White Matter. Suggestions?

Hello, Thanks for the query, I understand your problem Based upon the data that you have provided,I feel that you may have 1. Migraine 2. Sensory seizures 3. Rare possibility of demyelinating disease. In order to confirm the diagnosis, you would require a detailed neurological evaluation which include the clinical interview to clarify what exactly happens to you during this period and this the crucial step to clinch the diagnosis. In view of clear one sided numbness , I wish I would have seen your MRI. Your further evaluation may require EEG (A test which maps the brain functions and helps rule out seizures) and/or lumbar puncture. I urge you to get re evaluated by a local neurologist. If your investigations do not yield anything, I think that you may benefit with anti-migraine treatment. Best wishes Dr Gopal K Dash MD, DM, Post-doctoral fellowship (Epilepsy) Consultant Neurologist and Epilepsy specialist Nrayana Hrudayalaya Hospital, Bangalore My Blog in the Web site: http://www.healthcaremagic.com/doctors/dr-gopal-krishna-dash/64344