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MRI shows tiny foci of gliosis, pineal cyst. Have head pressure, migraine, muscle pain in neck and back

morning, the following impression was noted on my MRI . What are possible causes. two punctate foci of subcortical flair signal abnormality in the right peri-insular region was reidentified. likely represent tiny foci of gliosis . also (5mm) pineal cyst was found. a small (8mm) ovoid focuc of increased T2 signal is noted in the superior sagittal sinus posteriorly. obtained from MRI fax. pls help. thank you. reason for MRI is constant head pressure, migraines and muscle pains in neck and back, particularly on the shoulder blades.
Asked On : Fri, 1 Feb 2013
Answers:  1 Views:  202
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Neurologist 's  Response
Nov 2013

Thank you for posting your query.

In the MRI of your brain, there are two important findings:

1. Tiny foci of hyperintense lesions- these are commonly found in cases of migraine. Treatment would be as for migraine.

2. Small pineal cyst- an incidental finding. This would require re-evaluation with another MRI after 3-6 months. If the size remains same, there is no treatment necessary. If it increases in size, a neurosurgery consultation would be required.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
Answered: Fri, 1 Feb 2013
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