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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Vasculitis Of The Brain Arteries

I have been feeling foggy and have signs of vertigo I had a MRI that shows non specific hyperintense white matter foci. Another dr has called it vasculities of the brain arteries. I am 52. Yr old female, non smoker thin and fit healthy. I noticed memory loss and headaches but not migraines. I know my eyesight and hearing had gotten worse. Is this going to get better for me ?
Mon, 4 Jul 2016
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Neurologist 's  Response
I read your question carefully and I understand your concern.

I must say that your description is somewhat unclear though because it presents two different possibilities. The first of nonspecific foci is a benign finding which warrants only paying attention to vascular risk factors such as blood pressure, diabetes, cholesterol, smoking etc. The diangosis of vasculitis on the other hand is a much more serious condition, which requires treatment with corticosteroids and close monitoring. Its diagnosis often is not easy involving angiography (an invasive test where it is entered in you blood vessels with a catheter from the groin traveling up to the arteries feeding the brain and injecting contrast), at times even brain biopsy is necessary.
So since they are two different diagnosis with different management, evolution and outcome it is hard to give a precise answer with the information at hand. I would suggest you consult a neurologist as soon as possible with the brain imaging and reports.

I hope to have been of help.
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Suggest Treatment For Vasculitis Of The Brain Arteries

I read your question carefully and I understand your concern. I must say that your description is somewhat unclear though because it presents two different possibilities. The first of nonspecific foci is a benign finding which warrants only paying attention to vascular risk factors such as blood pressure, diabetes, cholesterol, smoking etc. The diangosis of vasculitis on the other hand is a much more serious condition, which requires treatment with corticosteroids and close monitoring. Its diagnosis often is not easy involving angiography (an invasive test where it is entered in you blood vessels with a catheter from the groin traveling up to the arteries feeding the brain and injecting contrast), at times even brain biopsy is necessary. So since they are two different diagnosis with different management, evolution and outcome it is hard to give a precise answer with the information at hand. I would suggest you consult a neurologist as soon as possible with the brain imaging and reports. I hope to have been of help.