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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Migraine, MRI Showed Nonspecific Punctates White Matter Hyperintensities In Bilateral Frontal Lobe. History Of Epstein-Barr. Treatment Advise?

I recently had an MRI because I experience migrains and when I saw the Dr last he made me walk heel - toe and I was a little unsteady. The MRI showed several nonspecific punctates white matter hyperintensities in bilateral frontal lobe . What could this mean?? Also about 20 yrs ago I was diagnosed with Epstein-Barr, but, when I tell this to Dr. s they seem to act like it is no big deal. Help!
Fri, 10 Aug 2012
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Neurologist,  's  Response
Hello,
To recommed any further tests and treatment we need to be doubly sure about the white matter hyperintensities that you have mentioned. There are certain rare diseases which are associated with migraine and white matter hyperintensities for e.g. CADASIL. However before jumping to any conclusions you should seek help of neurologist who can see everything in proper perspective and make a diagnosis for you. You can take second opinion especially for the MRI. The treatment for migraine would continue in same fashion as of now. Epstein Barr virus infection 20 yrs back may not be of much significance unless it was very severe.
Good luck.
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Migraine, MRI Showed Nonspecific Punctates White Matter Hyperintensities In Bilateral Frontal Lobe. History Of Epstein-Barr. Treatment Advise?

Hello, To recommed any further tests and treatment we need to be doubly sure about the white matter hyperintensities that you have mentioned. There are certain rare diseases which are associated with migraine and white matter hyperintensities for e.g. CADASIL. However before jumping to any conclusions you should seek help of neurologist who can see everything in proper perspective and make a diagnosis for you. You can take second opinion especially for the MRI. The treatment for migraine would continue in same fashion as of now. Epstein Barr virus infection 20 yrs back may not be of much significance unless it was very severe. Good luck.