Brain MRI result interpretation

[ritearch]

The MRI result gives the following result:

Patient with visual disturbances(squint with +2.5 power) since 11th month of age shows:

T2 heperintensity noted in the bilateral periventricular white matter most pronounced in the posterior periventricular white matter- ? Dysmyelinating disorder. Prenatal hypoxic ischemic injury is a less likely differential.

Can someone please explain what all this means as soon as possible; really worried for my 1.5 year old son.

Thanks in advance

[ritearch]

Thank you very much sir for your reply. Could you please help me with one more thing. I hope you  noticed that this was about my 1.5 year old son. We are currently placed in chennai, could you please suggest me the best pediatric neurologist in chennai or wherever in country. I have heard that bangalore has the best pediatric neurologist hospital.

Thank you v much.

[Dr. A. Srivastava]

Thank you for your question. Although without being able to placing your findings in context with clinical features and the results of other investigation such as hematological, MRI, I can not offer the specific advice & treatment you need. However, I will try to provide you some relevant information about your health concern.

There can be many possibilities in your case that involve the brain white matter, either exclusively or in combination with grey matter changes. These include metabolism errors, exogenous toxins released by virus, autoimmune disease, leukodystrophy, demyelination, and radiation effects. Spasticity, muscle weakness, paralysis, hyper-reflexia and movement disorder may be the clinical features associated with white matter disease that need to be evaluated thoroughly. However, it is sad to say that there is no permanent cure but conservative treatment & physiotherapy exercises that would help you to regain your normal function and stopping the further progression of the disease. Please consult a neurologist in this regards. Hope this helps.