My 15 year old son has developmental co-ordination disorder, auditory processing skills difficulties and dyslexia. Social challenges would be most difficult. His was a traumatic birth and it was suggested these difficulties were caused at birth, which ended in an emergency c-section, and even then he went into breach during delivery. He was a healthy baby never crawled and learning difficulties became apparent from an early age, but diagnosis was not made until he was 10.
It was recommended I have an MRI to see if there was any sign of Hypoxic Ischemic Encephalopathy, or other signs to show difficulty at birth.
The findings and conclusion of the MRI are as follows, can you please tell me what they mean and could they have been caused during birth trauma (i.e. 20 minutes taking a blood sample from babies head etc.). What does 'these appear chronic in nature' mean exactly.
Findings: appropriate myelination pattern and preservation of white matter volume. The deep grey matter structures are normal. There is no evidence of previous haemorrhage or periventricular leukomalacia. Non-specific scattered T2 hyperintensities in the white matter of both frontal lobes. Two additional lesions are noted in the periventriculuar white matter of the parietal region. There are no infratentorial lesions. There is no involvement of the corpus callosum or sub-cortical fibres.
Conclusion: No evidence of previous haemorrhage, periventricular leukomalacia or prior global hypoxia. T2 hyperintensities in the supratentorial white matter. These appear chronic in nature. This is a non specific finding and may represent previous ischaemia, demyelination, migraine, infection or vasculitis.
A second important question would be are there treatments or what would be useful.
Thank you, I await your response.
Well once the word "Chronic" is written in the report, it means that the changes are present since long time.
So we can attribute these changes to a significant past. It appears to be related to birth (However, 100% involvement can't be conclusive).
As far as your second question is concerned, about the treatment, it's only related to proper physiotherapy.
We really can't reverse back the changes, but can definitely slow down the speed of the future changes. Physiotherapy will help us in achieving our target. Beside this, we really can't do anything else.
Feel free to discuss further,
Thank you so much for your response, I really do appreciate it. Can you explain what the following mean:
'Non-specific scattered T2 hyperintensities in the white matter of both frontal lobes. Two additional lesions are noted in the periventriculuar white matter of the parietal region.'
Is it possible to know from this what areas, i.e. motor skills, memory etc. are affected, or generally affected. What is the long-term prognosis, as in, once these are present, will they be more likely to deteriorate as time goes by (in later life might it mean being more susceptible to MS or Dementia etc.)
Thank you for your help, I am very grateful.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.