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MRI showed hyperintense foci in bilateral frontal subcortical white matter, demyelinating disease. Meaning and cure?

My wife has done MRI today and the below mentioned Impression was revealed two tiny hyperintense foci in the bilateral frontal subcortical white matter without mass effect. Possibility of ischemic lesions versus demyelinating disease (unlikely) needs to be considered. clinical correlation and imaging follow up suggested. what does they mean and what is remedy for that
Asked On : Tue, 12 Feb 2013
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Internal Medicine Specialist 's  Response
Dear friend, welcome and thanks for entrusting your query here at Healthcaremagic!
I am Dr. Prasad Akole (Critical Care Expert- and am glad to address to your query here.

The MRI brain shows two small spots in the deep forebrain which turn bright on the scan and not causing pressure effect on surrounding brain.
It indicates two possibilities:
1)     Ischaemia: limited blood supply. It is common at advancing age. Uncommon with small vessel disesse due to many other causes.
2)     Demyelination: diseases causing loss of cover of the nerves of the brain. It too has many causes.

It is advisable to be guided by a good neurologist to differentiate these.
A CSF (cerebro-spinal fluid examination, advanced brain imaging may be needed along with other blood investigations as appropriate).

Remedy depends on the causes found on detailed evaluation.

I hope to have answered your query satisfactorily. I would be glad to answer any further queries. Please ask for any clarifications before closing and rating this query.
Take care and please keep me informed of your progress at
Good Luck! Thank you!!
Answered: Thu, 4 Apr 2013
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