THE DIFFERENCE BETWEEN PUNCTATE AND 3.4 AND 3.8MM

Good morning all.

Quix you said:
Lesions that are very small and don't have clear edges, located in the subcortical area seem to often be referred to as microvascular in nature.  This category includes high blood pressure and migraines.  Both cause tiny changes in the vasculature.  Did the report give the measurements of the 2 foci (spots) or refer to them as punctate? Migraines are vascular headaches which involve spasms in the arteries.  So, Ischemic/hypertension/migraine all can appear similarly on the MRI.  There is not a huge difference.

My mri report said mine were in the cerebral hemispheres in  subcortical and frontal lobe.  Please what does it mean if they are just punctuate vs/// 3.4 and 3.8mm???

the way I'm understanding it is that if they are just punctuate then it is more likely that they are ischmic???

2.  can you have ischmic in your brain without having Migraines or high blood pressure?
  3. do ischmic migraines hurt?  could of I had one and not know it?

Thank you
Ray

[RAY911]

my brain mri said I had 3.4mm and 3.8 mm

are these punctuate?

sorry just trying to understand

[Heather3418]

As I understand it, you have a lesion that is 3.4mm in size and one that is 3.8mm in size.  As I also understand it, this size lesion would probably NOT be ischimeic in nature and not have to do with migraines.

Quix correct me if I am wrong.

Heather

[essdipity]

Punctate lesions are very tiny, almost pinpoint sized, and are not considered part of MS, and some other lesions bigger than this also do not fit this arbitrary designation.

However, from everything I've learned, any lesion at least 3 mm in size does meet the MS criterion.

ess