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Temporal Lobe Asymmetry

My MRI results were, 1) A few very subtle, tiny scattered foci of T2 and FLAIR signal hyperintensity appear to be present within the periventricular/subcortical white matter having an overall nonspecific appearance possible represnting gliotic foci that could be related to chronic microangiopathic change, old viral infetion, old trauma or migraine headaches. 2) There is mild asymmetry in the appearance of the mesial temporal lobes that is felt to most likely be related to very mild asymmetric prominence of the craniad aspect of the temporal horn of the right lateral ventricle with out any obvious volume loss within the temporal lobe cortex.  There is no significat signal abnormality within the mesial temporal loabe on the right or the left further tending to argue against the possibility of mesial temporal sclerosis.

My doctor explained that I had some swelling in my brain that appears to be from an old head trauma most likely sustained when I was very young.  It may be pushing on some nerves.  What I like to know is what does the above MRI result mean in laymans terms.
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Thanks for the input. Yes, I am being treated by a neurologist. He stated that I have some swelling but no fluid. He seems to think it is from an old injury.  I had fallen off a brick wall at age 4 or 5 with a large gash on my forehead.   We think that may have been it.  I initally went to him because I had 3 episodes of a slight loss of time each being several months apart.  In discussing the situation with him, I also describe and shimmy type shack my shoulders have done for as long as I can remember.  It's something that I can not control or stop. Sometimes I can feel it coming.  It doesn't bother me, doesn't happen that often and most people who see it just think I shivered. He stated that it was myoclonus.  I did have it mildly while taking a 48hr EEG. He is currently review that area of the test.  He may perscribe Lamictal for it. But if it is only for the shimmy shack thing, I don't want to take drugs for that.  It has never bothered me.  I guess I am rather frustrated with the process of diagnois.  My life right now is really not bad.  My worries are the future. Should I increase my long term care coverage for when I hit 70 or what?   I should have his re-evaluation of the EEG this week.
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1221035 tn?1301000508
Hi and welcome.

Here is my best layman response
1. There is definately something showing up in the area next to the ventricles....however, it is stated non specfic and could be any of the possible choices given.

2.Asymmetry means the absent of symmetry. In other words, your two temporal lobes are not the exact same size or shape.

What are your symptoms? Are you being treated by a neurologist?
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