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Interpreting MRI Results
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Interpreting MRI Results

I had a concussion over a year ago. Afterwards I felt pretty strong post-concussion syndrome symptoms: when I walked around my head felt like it was shaking in my head and my vision would shake too, I would have to take breaks walking from being motion sick, vertigo, depression, irritability, personality changes (I felt like I wasn't acting like myself.)  After so long, I was still experiencing a little of all of this, so I decided to get an MRI to check things out.  This is the report, my doctor took a blood sample to test for Lyme disease and sent me on my way.  She casually mentioned terrifying words like MS and stroke, but then brushed them off.  Looking up some of the terms on here myself I am more concerned.  Can someone interpret?

PROTOCOL:
Sagittal and axial T1, T2 and FLAIR images were obtained.  Additional diffusion weighted gradient-echo images were obtained.  This study was performed in a high field MRI.

FINDINGS:
The ventricles and sulci are normal in size for the patient's age.

There are two nonspecific T2 weighted hyperintensities in the left frontal subcortical white matter measuring 3-mm and 2-mm in size, respectively (sagittal FLAIRE image #9, axial FLAIR image #13). Differential possibilities for those nonspecific white matter lesions would include: sequelae from the headaches (migraine syndrome), most likely in view of the patienct's given clinical history and age, infection in the appropriate clinical setting (Lyme disease), less likely small vessel ischemia/vasculitis changes, much less likely primary demyelination.  Clinical correlation is recommended and continued follow-up.

No territorial infarct, intracranial hemorrhage or a mass is seen.

Diffusion weighted scan demonstrates no abnormal areas of restricted diffusion.

There is mucosal hypertrophy of the ethmoid sinuses and frontal sinuses consistent with chronic sinusitis.  The nasal septum deviates towards the left side.  There are bilateral middle turbinate conchae bullosae, well aerated on each side.
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1816210 tn?1327358484
I am no expert, but it sounds like the findings don't suggest MS.  They may well be from headaches...  Atypical migraine can cause many of the symptoms you describe (my friend has these).  If it turns out to be lyme, the good thing is that they can treat it with several weeks of antibiotics.  

It sounds like you have been through enough.  I truly hope that the doctor who interpreted your MRI is right, and there is no primary demyelinating disease.

Tammy
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