I am a 51 wfm, and six month ago I was diagnosed a mini stroke. I had an MRI in which a 1,5 mm aneurism was found and no signs of lesions of any kind.
On a follow up MRI a week ago, it is said: "there is a punctiform, bi-cerebral hyperintensity in Flair T2, basically in semi-oval center, further toward the peri-atrial region and peri-ventricular diffused bilateral. The rest white and gray substance of good differentiation" The conclusion states: " 1.- Area of gliosis bicerebral supratentorial before mentioned, inespecific. 2.- Negative for hemorrhage and/or ischemia in the present study"
Two questions: First, How come the first MRI shows an aneurism and the second does not. Second, what does "Area of gliosis bicerebral supratentorial before mentioned, inespecific" mean?
The tests were run in different countries with different technologies; that might explain the difference in the conclusions of the tests.
In addition to the sypmtons of a mini-stroke, I have been sufferring from migraine since a teenager.
Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with a doctor.
Without the ability to examine and obtain a history, I can not tell you what the exact cause of the symptoms is. However I will try to provide you with some useful information.
MRIs are subject to the strength of the magnet used to obtain. Also, MRIs obtain images at certain distances, for example 5mm. A small aneurysm may be missed if it is not included in the slice that is obtained on a repeat image. It would be important for you to have a follow up angiogram with either MR or CT.
Areas of gliosis on MRI can be from a prior infarct. Gliosis is an area of scar tissue.
If you have not done so, I suggest you follow up with a neurologist to understand why you had a stroke and what you need to do to prevent from a future stroke (such as blood pressure control, blood sugar control, taking an antiplatelet, determining the etiology of the stroke, etc).
Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.
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.