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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Headaches, Severe Neck Pain, Weakness In Arms And Legs, Dizziness. MRI Signals Demyelinating Disorder. Meaning ?

Hello,
I've been having symptoms of headaches, severe neck pain, weakness in arms and legs, dizziness, "blackness" around eyes and overall exhaustion. I went to a Neurologist who ordered an MRI of the brain because she thinks I have Chiari Malformation. I got the report back and I do not understand what it means..here is what it says:

Findings:
There is a single subtle focal area of abnormal T2/FLAIR signal in the deep right frontal lobe white matter. The ventricles, cisterns, and cortical sulcal pattern are within normal limits in size and configuration. There is no midline shift. There is no intracranial hemorrhage, mass, or edema. There is no hydrocephalus. There is no evidence of significant cerebellar tonsillar ectopia.

Impression:
Subtle focal region of nonenhancing abnormal signal in the right periventricular white matter. Similar findings can be seen as a result of remote infection, inflamation, or trauma. These can also be seen in patients with chronic migraine headaches and in the proper clinical setting, a demyelinating disorder could appear similar. Further clinical correlation is recommended.

What does it mean??? I had blood work done, all good and there was no trauma.

Please help me understand the findings.
Thu, 18 Jul 2013
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General & Family Physician 's  Response
demyelinating disorder means, the sheet around the nerve tissue made of myelin, start disappearing. hence the nerve function starts deteriorating. hence you will get symptoms of these sort. this again depends on your age, more common in old age people.

this can even happen with infections of nervous system. if you have migraine/chronic headache then also you could get such MRI findings. so dont worry, go to your clinician, he will do some blood tests and some clinical examination and history to rule out other things.

wish you good health
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Headaches, Severe Neck Pain, Weakness In Arms And Legs, Dizziness. MRI Signals Demyelinating Disorder. Meaning ?

demyelinating disorder means, the sheet around the nerve tissue made of myelin, start disappearing. hence the nerve function starts deteriorating. hence you will get symptoms of these sort. this again depends on your age, more common in old age people. this can even happen with infections of nervous system. if you have migraine/chronic headache then also you could get such MRI findings. so dont worry, go to your clinician, he will do some blood tests and some clinical examination and history to rule out other things. wish you good health