Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
139 Doctors are Online

MRI shows scattered deep white matter which is seen in microvascular ischemic disease. Having headaches, dizziness. Suggestions?

MRI with/without contrast showed Scattered deep white matter T2/FLAIR hyperintensities noted, non-specific- most commonly seen with chronic microvascular ischemic disease. This is the only part of the report I have access to at present. I am an overweight (please don t say this is the cause), 50+ y/o female with a history of diabetes (that is food intake controlled and six months+ reports show levels within normal limits), high blood pressure (taking bp and fluid meds which dr has recently doubled both but bp is still 136/90), and high cholesterol (cardiologist stated this was genetics ). Before meds were doubled, I have been having continuous headaches for more than 3 weeks (from throbbing to severe in intensity) only on left side--at base of skull , in front of ear and behind eye. Dr. left a voice mail that everything looks normal on MRI. My head still hurts, I m missing work, getting dizzy (not falling, but I feel it coming on and brace myself). Please advise/suggest a next step for me.
Asked On : Tue, 26 Feb 2013
Answers:  1 Views:  303
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Neurologist 's  Response

Thanks for the query,

Please note that MRI findings should be interpreted along with the clinical data. The MRI data that you have provided could seen in patients with diabetes, hypertension. These changes reflect micro vascular ischemia. You donot have to worry for this changes at all.
Back to your headache. Headache can be due to various causes like migraine, cluster headache, tension headache, infection in the brain, brain tumor and so on. The possibility in your case could be migraine and/or tension headache. These diagnoses are that of exclusion. Further if the headache duration is only of 3 weeks, other conditions must be excluded before securing the diagnosis of migraine. Good that your MRI is normal. I advise you to get a neurological evaluation done by a neurologist. He will then determine a lumbar puncture will be required in your case or/not.
Management will be as per the cause

Hope this clarifies your query

Best wishes
Answered: Thu, 28 Feb 2013
I find this answer helpful

1 Doctor agrees with this answer

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor