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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Multiple Hyperintensities Of Both Cerebral Hemispheres Mean?

I´ve got one result from my dr in South Africa taken several years ago and i like to know what after taken one MRI BRAIN the diagnostic says.....Showed multiple Hyperintensities of both cerebral hemispheres and the Neurologist opinion was that the pacient has dystonia.? Multi infarcts syndrome was diagnosed at the time, wisch was at a sepearete incidents later on. Would like to know now wath is the mining of that gratefull
Mon, 6 Apr 2015
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
A MRI diagnosis of multiple hyperintensities in cerebral hemispheres suggestive of infants implies presence of multiple areas with low blood supply to a specific area in the brain.
Multiple infarcts can result from decreased blood supply to brain which can be due to multiple hemorrhages, vasospasm of blood vessels, ischemic attacks, etc.
An assessment of vascular system of brain needs to be done with Doppler to look for any evidence of vessel narrowing.
Blood vessel narrowing can occur due to atherosclerosis, vasospasm, etc.
Thus, consult your neurologist for further work up.
A repeat MRI is also required to look for progression of the condition.

Thanks and take care
Dr Shailja Puri
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What Does Multiple Hyperintensities Of Both Cerebral Hemispheres Mean?

Hello and welcome to HCM, A MRI diagnosis of multiple hyperintensities in cerebral hemispheres suggestive of infants implies presence of multiple areas with low blood supply to a specific area in the brain. Multiple infarcts can result from decreased blood supply to brain which can be due to multiple hemorrhages, vasospasm of blood vessels, ischemic attacks, etc. An assessment of vascular system of brain needs to be done with Doppler to look for any evidence of vessel narrowing. Blood vessel narrowing can occur due to atherosclerosis, vasospasm, etc. Thus, consult your neurologist for further work up. A repeat MRI is also required to look for progression of the condition. Thanks and take care Dr Shailja Puri